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Surgical First Assistant

Baylor Scott & White Health

Company : Baylor Scott & White Health

Location : Lakeway, TX, 78734

Posted Date : 5 October 2025

Job Type : Other

Category : Administrative Assistance

Occupation : Assistant

Job Details

Baylor Scott & White Health is seeking a Surgical First Assistant for a job in Lakeway, Texas.

Job Description & Requirements
  • Specialty: Surgical First Assistant
  • Discipline: Allied Health Professional
  • Duration: Ongoing
  • 40 hours per week
  • Shift: 8 hours, days
  • Employment Type: Staff

JOB SUMMARY
The Surgical Tech First Assistant works in a dual role as a Certified Surgical Technologist (CST) and a First Assistant. This position assists surgeons and surgical teams during major surgical services and complex surgical procedures. This position functions under the direction of a Registered Nurse when performing the role of CST, and works under the direction of a Surgeon when performing the role of First Assistant.
ESSENTIAL FUNCTIONS OF THE ROLE
Ensures appropriate supplies, equipment and instrumentation are available, opened and functioning properly for each procedure. Creates, corrects and updates surgeon preference cards to reflect equipment, radiology, supplies and specialty notes for current and future procedure. Pulls, opens and sets up cases. Coordinates with surgeons on specialty equipment and supply needs prior to procedure, and assists in constructing specialty instrument trays.
Prepares operating room according to surgical procedure schedules, and arranges sterile setups of instrument table supplies and equipment required for specific procedures. Wraps instruments in preparation for gas or steam sterilization. Performs quality control procedures on equipment and report any issues. Ensures cleanliness of the OR before and after surgery.
Scrubs for cases in major surgical services according to established procedures and standards requiring advanced knowledge of anatomy, surgical instruments, surgeons' preference and other technical knowledge.
Educates and prepares surgical teams according to procedure.
Assist with or performs the positioning, prepping and draping of the patient.
Assists the surgeon during surgical procedures, i.e. passes sterile supplies and equipment to surgeons and assistants, holds retractor devices, anticipates and responds to the surgical team needs, ties off vessels and tissues, repairs incisions and lacerations, cuts and cauterizes tissues, stabilizes drains, applies wound dressings, etc.as needed and as directed for wide variety of surgical cases. Performs complex surgical techniques as needed and as directed by physician and in accordance with Texas scope of practice for surgical scrub tech first assistants. Receives surgical specimens following specimen protocol and notifies circulating nurse of source material and delivers to appropriate location.
Contacts the pharmacy for RX with Registered Nurse or circulating nurse partnership.
Coordinates and partners with system vetting vendors on behalf of surgeon and department. Researches and coordinates quotes for capital purchase, new equipment and supplies with specialty coordinators. Requisitions supplies.
Keeps current regarding developments in surgical equipment, trends and techniques through attendance at in-service or other internal education programs. Acts as a resource and preceptor to those learning the scrub role. Helps the department through in-services, precepting and mentoring staff accordingly.
KEY SUCCESS FACTORS
Must have good communication skills.
Must have excellent knowledge of operating room protocol.
Must be able to work effectively with all hospital departments.
Must have excellent knowledge of patient protocols within a clinic setting.
Must be able to work well with all members of the office staff.
Must be able to assist the physician in all aspects of the practice including assisting in surgery.
BENEFITS
Our competitive benefits package includes the following
Immediate eligibility for health and welfare benefits
401(k) savings plan with dollar-for-dollar match up to 5%
Tuition Reimbursement
PTO accrual beginning Day 1
Note: Benefits may vary based upon position type and/or level
QUALIFICATIONS
EDUCATION - Grad of an Accredited Program
EXPERIENCE - 4 Years of Experience
CERTIFICATION/LICENSE/REGISTRATION
Basic Life Support (BLS): BLS or BLS within 30 days of hire or transfer.
Cert Surgical First Asst (CSFA), Cert Surgical Technologist (CST): Certified Surgical Technologist (CST) or CSFA (Certified Surgical First Assistant) required from NBSTA or NCCT.

Baylor Scott & White Health Job ID #.

About Baylor Scott & White Health

As the largest not-for-profit health system in the state of Texas, Baylor Scott & White promotes the health and well-being of every individual, family and community it serves. It is committed to making quality care more accessible, convenient and affordable through its integrated delivery network, which includes the Baylor Scott & White Health Plan, Baylor Scott & White Research Institute, the Baylor Scott & White Quality Alliance and its leading digital health platform – MyBSWHealth. Through 51 hospitals and more than 1,100 access points, including flagship academic medical centers in Dallas, Fort Worth and Temple, the system offers the full continuum of care, from primary to award-winning specialty care. Founded as a Christian ministry of healing more than a century ago, Baylor Scott & White today serves more than three million Texans.

Benefits
  • Holiday Pay
  • Continuing Education
  • 401k retirement plan
  • Wellness and fitness programs
  • Employee assistance programs
  • Medical benefits
  • Dental benefits
  • Vision benefits
  • Benefits start day 1
  • Life insurance
  • Discount program
  • Sign-On bonus

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