Certified Surgical Tech/ First Assistant (CST/CSFA) FT -WH OR

Allied Health Edinburg, Texas


Position at Women’s Hospital at Renaissance


This position provides aid under the directive of a surgeon in exposure, hemostasis, and other intraoperative technical functions that assist the surgeon in performing a safe operation with optimal results for the patient. May provide local infiltration or the topical application of a local anesthetic at the operation site.  Participates in volume replacement or auto transfusion techniques as appropriate. Will assist with OR suite clean up and turn around. May harvest saphenous vein and/or radial artery open or endoscopically in open heart procedures with proper training. May perform other duties or procedures incident to the surgical procedure deemed necessary and directed by the surgeon or anesthesiologist.



  • High School/GED required
  • Credentialed by the LCC-ST or NSAA as a certified first assistant/certified surgical assistant or certified surgical tech having graduated from an accredited program in route to certification with proof of eligibility to take the exam for certification.
  • CST with current certification and two (2) full years of first assisting preferred.
  • CST with current certification who has completed an approved first assistant/surgical assistant program
  • Must be able to be sensitive to cultural and bilingual issues.
  • Good written and verbal communication skills required.
  • Ability to read, write and speak English
  • Ability to communicate clearly and concisely with all levels of nursing, administration, and physicians
  • Prefer hospital experience
  • Current BLS certification
  • NRP certification within sic (6) months of hire for Women’s Hospital employees
  • Must be flexible with work scheduling




  • Six (6) months – One (1) year continuous experience as a Certified Surgical Technologist (CST), Certified First Assistant (CFA) or Certified Surgical Assistant (CSA).
  • Must have proficient organizational skills and computer skills
  • Must have excellent customer service skills.
  • High degree of competency/experience in general. 
  • Requires good communication and organizational skills.
  • Requires reasoning ability and good independent judgment.



  • Promotes the facility mission, vision and values by effectively communicating them to others.  Considers mission, vision and values in developing services, standards and practice             
  •       Determines specific equipment needed per surgical procedure.
  •       Reviewing permit to confirm procedure and special needs and participating in “time out.”
  •       Appropriately select and place diagnostic tests for reference.
  •       Assists in moving and positioning the patient.
  •       Inserts and removes of foley urinary catheter.
  •       Appropriately places the pneumatic tourniquet.
  •       Confirms the procedure with the surgeon.
  •       Appropriately drapes the patient within the surgeon’s guidelines.
  • Provides retraction of tissues and organs for optimal visualization with regard to tissue type and appropriate retraction instrument and/or technique.
  • Assists in maintaining hemostasis by direct pressure, using and applying of appropriate surgical instrument for the task, placement of ties, placement of ligatures, applying chemical hemostatic agents, or other measures as directed by the surgeon.             
  •       Ability to utilize unipolar and bipolar electrocautery.
  •       Harvests saphenous vein, including skin incision, per surgeon’s directive.
  •       Maintains the integrity of sterile field.
  •       Closes wound layers, (subcutaneous and skin) as per surgeon’s directive.
  •       Inserts drainage tubes per surgeon’s directive.
  •       Selects and applies wound pressure.
  •       Assist in resuscitation of patient during cardiac arrest or other life threatening events in the operating room.
  •       Insertion of femoral arterial line under surgeon’s directive.
  • Performing any other duties or procedures incident to the surgical procedure deemed necessary and directed by the surgeon.             
  •       Performs other duties as assigned




  1. Registered Nurse2. Charge RN3. Supervisor



Provide excellent customer service to all DHR customers. All employees are required to attend the DHR C.A.R.E.S program which outlines the Customer Service Principals including: Compassion, Accountability, Respect, Excellence through Knowledge and Safety & Social Conscience.



Employees must be able to demonstrate the knowledge and skills necessary to provide care appropriate to the age of the patients served in his/her assigned unit.  The individual must demonstrate knowledge of principles of growth and development over the life span and possess the ability to assess data reflective of the patient’s status and interpret the appropriate information needed to identify each patient’s requirement relative to his or her age.  




A.Essential Duties:Indicated by bold print within performance standards, preceding individual numbered criteria.


The following table provides physical requirements that will be associated with, but not limited to, this position:               

Light/moderate lifting up to 20 lbs, from the floor to shoulder height. 




Must be able to assist other employees with lifting more than 20 lbs.




Light/moderate carrying up to 20 lbs.




Straight pulling




Pulling hand over hand




Repeated bending




Reaching above shoulder


Climbing Stairs


Simple grasping


Climbing Ladders


Dual simultaneous grasping


Depth Perceptions needed


Ability to see


Identify Colors


Operating office equipment




Operating mechanical equipment




Ability to read and write


Ability to Count


Ability to hear verbal communication without aid


Operating Personal Vehicle


Ability to comprehend written/verbal communication


Other:  Ability to deal with stress


OSHA Category





B.Working Conditions:  The individual spends over 95% of his/her time in an air-conditioned environment with varying exposures to noise. There is protection from weather conditions but not necessarily from temperature changes.  The position does have low exposure to malodorous, infectious body fluids from patients and some minimal exposure to noxious smells from cleansing agents. 


C.Occupational Exposure:  This position has minimal to no exposure to blood, body fluids, or tissues and is an OSHA Category III (although situations can be imagined or hypothesized under which anyone, anywhere, might encounter potential exposure to body fluids).  Person who performs these duties are not called upon as part of their employment to perform or assist in emergency medical care or first aid or to be potentially exposed in some other way.    



Intelligence:  General learning ability:  The ability to “catch on” or understand instructions and underlying principles.  Ability to reason and make judgments. 3


Verbal:Ability to understand meanings of words and ideas associated with them, and to use them effectively.  To comprehend language, to understand relationships between words, and to understand meanings of whole sentences and paragraphs. To present information or ideas clearly.              3


Numerical:Ability to perform arithmetic operations quickly and accurately.   2


Spatial:Ability to comprehend forms in space and understands relationships of plane and solid objects.  Frequently described as the ability to “visualize” objects or two or three dimensions, or to think visually of geometric forms.  2


Form Perception:Ability to perceive pertinent details and objects or in pictorial or graphic material to make visual comparisons and discriminations and see slight differences in shapes and shadings of figures and widths and lengths of lines.   3


Clerical Perception:Ability to receive pertinent details and verbal or tabular material. To observe differences in copy, to proofread words and numbers, and to avoid perceptual errors in arithmetic computation. 2


Motor Coordination:  Ability to coordinate eyes and hands to fingers rapidly and accurately in making precise movements with speed. Ability to make a movement response accurately and quickly.               3


Finger Dexterity:Ability to move hands easily and skillfully.  To work with fingers in placing and turning motions.              3


Manual Dexterity:Ability to move hands easily and skillfully.  To work with hands in placing and turning motions.              3


Eye-Hand-Foot Coordination:Ability to move the hand and foot coordinately with each other in accordance with visual stimuli.              3


Color Discrimination:Ability to perceive and respond to similarities or differences in colors, shapes, or other values of the same or different color.  To identify a particular color, or to recognize harmonious or contrasting color combinations, or to match color adequately.              3



I have read and reviewed my job description with my supervisor or designee and I understand the job I am expected to perform.


If applicable ____________ certification will be completed within _________ time frame of hire/transfer date.



Employee Signature:________________________________Date:____________________



Transfer/Hire Date Effective: ________________________.




The above statements are intended to describe the general nature and level of the work being performed by people assigned to this work. This is not an exhaustive list of all duties and responsibilities. DHR leadership reserves the right to amend and change responsibilities to meet business and organizational needs as necessary.