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Certified Surgical Technologist – First Assistant (CST-FA) – Per Diem

Neaman Plastic Surgery & Medi Spa
Salem, OR Per Diem
POSTED ON 10/8/2026
AVAILABLE BEFORE 2/3/2027

Position Summary

Neaman Surgery Center is seeking an experienced and highly skilled Certified Surgical Technologist – First Assistant (CST-FA) to join our surgical team on a per diem basis.

The CST-FA works directly with the surgeon and perioperative team to provide first-assisting support during surgical procedures. This position requires strong surgical knowledge, excellent sterile technique, the ability to anticipate the surgeon's needs, and a commitment to providing safe and exceptional patient care.

Essential Duties & Responsibilities

  • Serve as a surgical first assistant during procedures within established scope of practice, demonstrated competency, and facility policy.
  • Assist the surgeon with exposure of the operative site through appropriate retraction and positioning.
  • Assist with tissue handling and manipulation as directed by the surgeon.
  • Assist with hemostasis using approved techniques within scope of practice.
  • Perform wound closure, suturing, and application of dressings when permitted by scope, competency, and facility policy.
  • Assist with patient positioning, prepping, and draping.
  • Anticipate the needs of the surgeon throughout the procedure.
  • Maintain the sterile field and identify and correct breaks in sterile technique.
  • Assist with surgical instrumentation, supplies, equipment, and implants as needed.
  • Participate in surgical counts, time-outs, and other required patient-safety processes.
  • Collaborate closely with surgeons, anesthesia providers, circulating nurses, surgical technologists, and other members of the perioperative team.
  • Assist with safe patient transfers and positioning while maintaining appropriate pressure-point protection.
  • Ensure appropriate equipment and supplies are available prior to the start of procedures.
  • Follow infection-prevention, OSHA, HIPAA, and surgery center policies and procedures.
  • Communicate concerns regarding patient safety, equipment, sterility, or the surgical procedure immediately to the appropriate team member.
  • Complete required documentation accurately and timely.
  • Assist with room turnover and preparation when needed to support efficient surgery center operations.
  • Maintain all required certifications, competencies, continuing education, and credentialing requirements.
  • Perform additional surgical and perioperative responsibilities within scope of practice as assigned.

Qualifications

  • Graduate of an accredited surgical technology program or equivalent qualifying education/training.
  • Current Certified Surgical Technologist (CST) credential required.
  • Completion of recognized surgical first assistant education/training required.
  • Current first-assistant certification/credential, such as CSFA or equivalent recognized credential, required as applicable to the position and facility requirements.
  • Current BLS certification required.
  • Previous operating room and surgical first-assisting experience strongly preferred.
  • Ambulatory Surgery Center experience preferred.
  • Plastic, reconstructive, cosmetic, and/or hand surgery experience preferred.
  • Strong understanding of surgical anatomy, instrumentation, sterile technique, infection prevention, and perioperative safety.
  • Demonstrated competency with suturing, tissue handling, retraction, exposure, and other first-assisting functions within authorized scope.
  • Ability to anticipate surgeon needs and respond quickly in a fast-paced surgical environment.
  • Strong communication, teamwork, organization, and attention to detail.

Schedule

This is a per diem position, with hours scheduled based on surgical volume and the needs of Neaman Surgery Center. Candidates should have flexibility and reliability when accepting scheduled shifts.

Compensation

$55.00–$65.00 per hour, based on experience, qualifications, first-assistant credentials, and applicable surgical experience.

Physical Requirements

The CST-FA must be able to stand for extended periods, assist with patient positioning and transfers, work effectively while wearing surgical and protective equipment, and perform the physical duties necessary to safely assist during surgical procedures.

Our Ideal Candidate

The ideal CST-FA is an experienced surgical professional who can confidently step into the operating room and function as an effective first assistant. We are looking for someone who is dependable, highly attentive to sterile technique, able to anticipate the surgeon's needs, works well under pressure, and values teamwork and exceptional patient care.

Neaman Surgery Center is an equal opportunity employer.

Pay: $65.00 - $75.00 per hour

Work Location: In person

Salary : $55 - $65

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