This part time position status is a 24 hours per week and is benefits eligible. The shift hours are 7PM - 7AM.Responsible for providing care to patients of Wilson Memorial Hospital under the direction of nursing and medical staff. Facilitates daily operations of the Birth Center by performing routine housekeeping and clerical duties. Provide aid in exposure, hemostasis, closure, and other intraoperative technical functions that help the surgeon carry out a safe operation with optimal results for the patient. In addition to intraoperative duties, the surgical assistant also performs preoperative and postoperative duties to better facilitate proper patient care at Wilson Memorial Hospital. PRINCIPAL DUTIES AND RESPONSIBILITIES: Under the direction of the RN, assists in meeting the physical and emotional needs of assigned patients. The patient population would include: the neonate, the adolescent, the young-middle aged adult, and the older adult. Under the direction of the RN performs assigned treatments and procedures according to established standards of practice, policies, and procedures.Under the direction of the RN, participates in the patient/family education process by reinforcing correct information related to self and infant care.Reports pertinent observations involving patients to the RN in a timely manner.Demonstrates professionalism by developing and maintaining clinical competence and effectively communicating with patients, families and health care team members.Demonstrates Service Orientation through the actions of listening to and understanding the patient and their families, while anticipating patient needs and giving high priority to customer satisfaction.Collaborates with Staff Nurse Specialist and Director in establishing professional goals.Facilitates daily operations of the Birth Center by performing routine housekeeping and clerical duties.Provides care based on philosophical and ethical concepts, such as reverence for life and respect for the inherent dignity, worth, autonomy, and individuality of each human being, and on a resolution to act dynamically in relation to people's beliefs and culture.Under the direct & immediate supervision of a surgeon, provides aid in exposure, hemostasis & other technical functions that will help the surgeon carry out a safe operation w/ optimal results for the patient. Makes members/patients & their needs a primary focus of one's actions; develops & sustains productive member/patient relationships. Actively seeks information to understand member/patient circumstances, problems, expectations & needs. Builds rapport & cooperative relationship with members/patients. Considers how actions or plans will affect members; responds quickly to meet member/patient needs & resolves problems.Essential Functions: * Positions the patient in accordance w/ the surgeon's instruction, which will give the best exposure for the surgical procedure * Uses standard & specialized equipment to aid in patient positioning * Provides the surgeon(s) w/ appropriate visualization of the operative site using retractors, sponges, digital manipulation, & other techniques according to standards * Utilizes appropriate techniques to assist surgeon w/ temporary or permanent hemostasis * Utilizes appropriate techniques to assist w/ closure of body planes (sutures, staples, other) * Selects & applies appropriate wound dressings * Assists w/ patient transport to & from OR, including from gurney to OR bed * In addition to defined technical requirements, accountable for consistently demonstrating service behaviors & principles defined by the Wilson Memorial Hospital Service Quality Credo, the Wilson Memorial Hospital Mission as well as specific departmental/organizational initiatives * Also accountable for consistently demonstrating the knowledge, skills, abilities, & behaviors necessary to provide superior & culturally sensitive service to each other, to our members, & to purchasers, contracted providers & vendors.The following description of the surgical assistant has been approved by the American College of Surgeons and Association of Surgical Technologists: 1. Positioning the patient A. The surgeon shall convey the exact position that will give the best exposure for the surgical procedure. The surgical assistant will carry out this order. Consideration will be given to the patient's comfort and safety. B. Points of pressure shall be padded: elbows, heels, knees, eyes, face, and axillary region. C. Circulation shall not be impaired. (A tourniquet may be required for some procedures.) D. Nerve damage shall be guarded against. E. The temperature of the patient should be discussed with the anesthesia personnel and methods employed to maintain the desired temperature range. F. The surgical assistant shall be familiar with common positions related to the surgical procedure and will be able to use the equipment necessary to provide the position. Competencies will include the following: (1) Fracture tables (2) Head stabilizers (3) Body stabilizers (4) C-arm extensions (5) Any other equipment needed G. Upon completion of the procedure, the patient shall be evaluated for any possible damage from positioning which will include assessment of the skin. The abnormal condition shall be reported to the surgeon and treatment and documentation shall be carried out. 2. Providing visualization of the operative site by the following: A. Appropriate placement and securing of retractors with or without padding B. Packing with sponges C. Digital manipulation of tissue D. Suctioning, irrigating, or sponging E. Manipulation of suture materials (e.g., loops, tags, running sutures) F. Proper use of body mechanics to prevent obstruction of the surgeon's view 3. Utilizing appropriate techniques to assist with hemostasis A. Permanent (1) Clamping and/or cauterizing vessels or tissue (2) Tying and/or ligating clamped vessels or tissue (3) Applying hemostatic clips (4) Placing local hemostatic agents B. Temporary (1) Applying tourniquets and demonstrating awareness of the indications/contraindications for use with knowledge of side effects of extended use (2) Applying vessel loops (3) Applying noncrushing clamps (4) Applying direct digital pressure 4. Participating in volume replacement or autotransfusion techniques as appropriate 5. Utilizing appropriate techniques to assist with closure of body planes A. Utilizing running or interrupted subcutaneous sutures with absorbable or nonabsorbable material B. Utilizing subcuticular closure technique with or without adhesive skin closure strips C. Closing skin with method indicated by surgeon (suture, staples, etc D. Postoperative subcutaneous injection of local anesthetic agent as directed by the surgeon 6. Selecting and applying appropriate wound dressings, including the following: A. Liquid or spray occlusive materials B. Absorbent material affixed with tape or circumferential wrapping. C. Immobilizing dressing (soft or rigid) 7. Providing assistance in securing drainage systems to tissue OTHER DUTIES AND RESPONSIBILITIES: Collaborate with the physician, family, team members, and other hospital departments in developing and implementing a comprehensive plan of care for each patient.Demonstrate professionalism by developing and maintaining clinical competence, positive communication with health team members, and knowledge of current obstetrical/neonatal trends and developments. Actively contributes to the betterment of the unit.Collaborate with Director in establishing professional goals. Collaborates with Nurse Specialist in meeting goals.Collaborate with health care team members to address quality and practice issues.Act as a mentor to all scrub personnel and participates in their training.Provide care based on philosophical and ethical concepts, such as reverence for life and respect for the inherent dignity, worth, autonomy, and individuality of each human being, and on a resolution to act dynamically in relation to people's beliefs and culture.PERFORMS ADDITIONAL DUTIES AS ASSIGNED WITHIN SCOPE OF RESPONSIBILITY.KNOWLEDGE, SKILLS, AND ABILITY QUALIFICATION REQUIREMENTS: Associates degree from a Commission on Accreditation of Allied Health Education Programs (CAAHEP) Surgical Assistant program or National Surgical Assistant Association (NSAA) approved program of surgical assisting. Certification as a Certified Surgical Assistant through the NSAA must be obtained prior to start date. Must have relevant operating room experience. Employment contingent upon receiving credentials at Wilson Memorial Hospital to practice as a Surgical Assistant * Demonstrated customer service skills, customer focus abilities & the ability to understand Wilson Memorial Hospital customer needs * National Provider Identifier (NPI) & Taxonomy code required at time of hireSuccessfully completed an approved Nurse Aide Training and competency Evaluation Program; or three to six months-related experience and/or training; or equivalent combination of education and experience.Must possess a high school diploma or general education degree (GED) if hired since 1/88. Prior to January 1988, high school graduate or GED preferred.Other Qualifications: Adapts to unpredictable situations within the perioperative setting. Proven ability to communicate with a variety of people in a direct, empathetic, and articulate manner.Interpersonal skills necessary to effectively communicate with patients, families, and health care team members.Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals. Ability to write routine reports and documentation in patient charts.Interpersonal skills necessary to effectively communicate with patients, families, and health care team members.Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals. Ability to write basic documentation in patient charts.Current NRP Certification, or obtains Neonatal Resuscitation Certification within 6 months of hire.Functions as a scrub tech during c-section.Demonstrates thorough knowledge of sterile technique. Follows policies and procedures for sterilization of instruments and supplies.Works with circulator setting up room to provide quality care.Restocks rooms with supplies daily as needed.Assists in providing proper functioning equipment.WORKING CONDITIONS: The physical demands described here are representative of those that must be met by the employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.While performing the duties of this job, the employee is regularly required to stand; walk; use hands to finger, handle or feel objects, tools or controls; reach with hands and arms; talk; smell; and hear. The employee is required to sit, climb or balance, stoop, kneel, crouch or crawl. The employee must regularly lift and/or move up to 25 pounds and frequently lift and/or move more than 100 pounds. Lifting of teaching equipment and supplies will also be required. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus.The employee will be working in settings involving patient care areas, offices, and the community. Patient and office equipment will generate audible alerts and other distractions. The role will require keyboard/computer/workstation duties. Patient care can provide exposure to blood borne pathogens and other clinical hazards. While performing the duties of this job, the employee may be exposed to toxic or caustic chemicals and risk of electrical shock. The employee occasionally works near moving mechanical parts and is occasionally exposed to risk of radiation.Extended hours may be necessary based on unit needs.
Wilson Memorial Hospital - 18 months ago