Demo

Certified Surgical First Assistant (SFA)

Mission Trail Baptist Hospital
San Antonio, TX Other
POSTED ON 8/2/2026
AVAILABLE BEFORE 10/1/2026

Overview




Embark on a rewarding career with Mission Trail Baptist Hospital hospital. If you are a compassionate healthcare professional eager to contribute to patient care, this is your opportunity where your skills make a difference every day. Join us in delivering exceptional healthcare with a personal touch.

At Mission Trail Baptist Hospital, we understand that our greatest asset is our dedicated team of professionals. That’s why we offer more than a job – we provide a comprehensive benefit package that prioritizes your health, professional development, and work-life balance. The available plans and programs include:

  • Medical, dental, vision, and life insurance
  • 401(k) retirement savings plan with employer match
  • Generous paid time off
  • Career development and continuing education opportunities
  • Health savings accounts, healthcare & dependent flexible spending accounts
  • Employee Assistance program, Employee discount program
  • Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, auto & home insurance

Note: Eligibility for benefits may vary by location and is determined by employment status

Job Summary

This position may qualify for a sign-on bonus.

Assist the operating surgeon in the care of patient in surgery by performing selected duties. Provides direct and indirect technical care to surgical/obstetrical patients. Facilitates safe and effective conduct of invasive surgical procedures. Follows established practices and standards. Completes established competencies for the position within designated introductory period. Other related duties as assigned.

Responsibilities

General Functions:
 Prepares operating room with supplies and equipment according to requirements of the scheduled case
 Maintains a sterile environment
 Administers local anesthetic under direct supervision and direction from surgeon
 Assists with patient positioning, prepping the surgical site and draping the patient
 Assists in maintaining hemostasis by direct pressure, use and application of appropriate surgical instrumentation for the task, placement of ties and suture ligatures, application of chemical hemostasis agents or other measures as directed by surgeon
 Assists with placement of pneumatic tourniquet and urinary catheter
 Prepares ACL graft as directed by surgeon
 Procures and prepares vessel graft for coronary artery bypass procedures
 Provides adequate visualization of the operative site
 Assists in clamping, ligation, and cutting of tissues, placement and suturing of surgical drains, closure of all wound layers and placement of wound dressings
 Utilizes appropriate techniques to assist with closure of body planes as follows:
a) Running or interrupted subcutaneous sutures with absorbable or non-absorbable material
b) Subcuticular closure technique with or without adhesive skin closure strips
c) Skin closure with method indicated by surgeon (suture, staples, etc.)
d) Subcutaneous injection of local anesthetic agent as directed by the surgeon post-operatively.
 Robotic/Laparoscopy procedures only: Insertion of subsequent (not initial) trocars. 
a) Must have documented training and competency validated (initially by BHS Medical staff member privileged to perform robotic surgery. The documentation must include directly supervised trocar insertions on a minimum of five patients completed within a 12-month period with good patient outcomes. Performs OR cleanup tasks, including disposal, and cleaning
 Maintains accountability for instrumentation, sharps, and sponges, according to BHS policy throughout the surgical procedure to ensure that no foreign materials are retained in the surgical wound.
 Maintains and updates knowledge of surgical instrumentation and equipment
 Assumes “on call” after assigned working hours to assist in urgent or emergency surgical procedures.
 Demonstrates ability to gown and glove self using both open and closed gloving techniques
 Utilizes resources efficiently and effectively
 Maintains safe environment
 Addresses patient population-specific needs
 Participates in Performance Improvement activities

Qualifications

MINIMUM EDUCATION: Graduate of a Surgical First Assistant program with eligibility to earn certification through National Board of Surgical Technology and Surgical Assisting (NBSTSA), American Board of Surgical Assistants (ABSA) or the National Surgical Assistant Association (NSAA) within 120 days from graduation.
PREFERRED EDUCATION:
MINIMUM EXPERIENCE: 1 year of recent operating room experience, including direct patient contact and the practice of proper sterile technique.
PREFERRED EXPERIENCE: 2 or more years of recent operating room experience
REQUIRED CERTIFICATIONS/LICENSURE: Must be Certified Surgical Technologist. Certification as a certified first assistant through the NBSTSA, ABSA or NSAA. Certification must be maintained either through continuing education or through recertification testing. 
PREFERRED CERTIFICATIONS/LICENSURE:
REQUIRED COURSES/ COMPLETIONS (e.g., CPR): Must have active healthcare provider Basic Life Support on hire (ARC or AHA); however, must have AHA Healthcare Provider BLS within 60 days of hire.

#LI-GF2

Organization Description

Baptist Health System has more than 120 years history of caring for our community and making a positive difference. Our system of care includes six full-service hospitals, a specialized childrens hospital with a dedicated pediatric emergency unit, a comprehensive cancer care network, fitness and rehabilitation centers, a physician network, imaging centers, ambulatory services and the Baptist School of Health Professions. Wherever you go in the Baptist Health System, youll find that we have the same goal to help people achieve health for life through compassionate service inspired by faith. Join our team!

Employment practices will not be influenced or affected by an applicant’s or employee’s race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.
Tenet participates in the E-Verify program. Follow the link below for additional information.
E-Verify: http://www.uscis.gov/e-verify
The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations.

2603018610

Hourly Wage Estimation for Certified Surgical First Assistant (SFA) in San Antonio, TX
$35.00 to $43.00
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