Surgical First Assistant Jobs (NOW HIRING)

The Surgical First Assist (SFA) is a highly skilled, clinically proficient professional who works directly under the supervision of the attending surgeon to provide advanced intraoperative support. This role extends beyond traditional assisting — it requires a forward-thinking mindset focused on innovation, efficiency, and collaboration across the surgical continuum. The SFA serves as a key resource in developing and implementing process improvements, integrating new technologies, and advancing surgical outcomes. Clinical skills performed under direct supervision of the surgeon include but are not limited to: incision, dissection, clamping, cutting, tying, providing hemostasis, insertion of laparoscopic ports, and closure of body planes & skin. The SFA collaborates closely with all surgical team members to facilitate through-put and optimize safe patient care. They may function in the scrub role for a variety of surgical procedures as needed.

Key Responsibilities

• Clinical Excellence & Intraoperative Support
• Performs all functions of a Surgical First Assist including exposure, hemostasis, suturing, tissue handling, and wound closure under the surgeon's direction.
• Anticipates surgeon needs throughout each procedure, ensuring instruments, supplies, and devices are ready for immediate use.
• Maintains sterile technique and ensures patient safety and positioning integrity at all times.
• Proactively identifies opportunities to improve case efficiency and instrument utilization.
• Innovation & Process Improvement
• Collaborates with surgical leadership and vendors to trial new technologies, instruments, and minimally invasive techniques.
• Participates in multidisciplinary performance improvement initiatives, including reduction of turnover times, standardization of instrument trays, and cost-efficiency efforts.
• Contributes to digital documentation workflows, assisting in implementing systems that optimize case tracking, inventory, and data analytics.
• Provides feedback on new devices or methods that enhance precision and patient outcomes.
• Education, Mentorship & Leadership
• Serves as a clinical mentor to surgical technologists, residents, and nursing staff.
• Participates in orientation and education of new team members and cross-trained staff.
• Engages in continuing education to stay current on advancements in surgical techniques and perioperative best practices.
• Promotes a culture of collaboration, continuous learning, and patient-centered innovation.
• Collaboration & Teamwork
• Partners with surgeons, anesthesia providers, and perioperative staff to coordinate and execute high-quality surgical care.
• Assists in the preparation for surgical cases, assuring that supplies, equipment and instruments are available and in working order prior to the start of each case.
• Assists the surgical team in the transport, transfer and positioning of patients in the operating room.
• Participates in pre-op briefings and post-op debriefings to evaluate case flow and identify improvement opportunities.
• Assists in maintaining supply and equipment inventory.
• Communicates proactively and professionally across the care team to ensure seamless patient experiences.
• On-call duties as scheduled.
• Other duties as assigned.

Required Knowledge, Skills and Abilities

• Certified Surgical First Assist (CSFA), Certified First Assistant (CFA), or Physician Assistant (PA-C) / RNFA credential required.
• Minimum 3–5 years of surgical experience; advanced proficiency in multiple specialties preferred (e.g., Orthopedic, Neurosurgery, General, or Robotics).
• Strong understanding of sterile technique, surgical instrumentation, and anatomy.
• Demonstrated ability to integrate technology and process improvement into practice.
• Excellent problem-solving, critical thinking, and interpersonal communication skills.

Insight employees are required to be vaccinated for COVID-19 as a condition of employment, subject to accommodation for medical or sincerely held religious beliefs. Insight is an equal opportunity employer and values workplace diversity!