The Surgical Technician (ST) is located in the Operating Room (OR) within Nursing Service at the VA San Diego Healthcare System. The ST is a member of the surgical team and provides assistance to the surgeon and other healthcare team members during surgical procedures and perioperative preparation. The ST participates with the surgical team in planning and implementing complex procedures under the general supervision of the surgeon and registered nurse. All applicants tentatively selected for VA employment in a testing designated position are subject to urinalysis to screen for illegal drug use prior to appointment. Applicants who refuse to be tested will be denied employment with VA. Duties include but are not limited to: Primary Scrub Person The incumbent functions as a primary scrub person responsible for handling instruments, supplies, and equipment during all surgical procedures including but not limited to the following procedures: orthopedics, cardiothoracic, neurosurgery, general, urology, plastics, ophthalmology, otolaryngology, total joint replacements, robotic procedures, vascular and endovascular surgery. The incumbent sets up the sterile field with all required items for each procedure such as air-powered equipment, fiber optic equipment, laparoscopic equipment. microscopes, lasers, arthroscopy equipment, urologic equipment, recording devices, and other operating room supplies and equipment. Plans and discusses each procedure with surgical professionals and assures that all supplies and equipment are available prior to the surgical procedure. Prepares, organizes, and maintains highly complex sterile surgical setups. Observes and responds promptly to each stage of the surgical procedure and anticipates the needs of the surgeon by maintaining a high level of concentration for extended periods of time; he/she reacts quickly and decisively during emergent situations. Utilizes universal precautions and follows all infection control policies and procedures when handling specimens, supplies, and equipment. The ST assists the surgical team members with care of the patient, i.e., positioning, prepping, and obtaining supplies. Follows Universal Protocol and fully participates in the surgical Time-Out. Knowledgeable on appropriate preventative actions for surgical procedures with low, moderate, and high fire risk scores. Handles all specimens appropriately. In conjunction with the circulating Registered Nurse (RN}, performs sponge and instrument counts to verify accuracy. The ST is responsible for the accountability for all surgical instruments and equipment during the surgical procedure. Assists the surgeon by performing such procedures as preparing skin grafts, suctioning, holding retractors, applying skin staples, and cutting sutures. The ST prepares prostheses, surgical devices, and biological implants for use during surgical procedures. Prepares sterile dressings, cleans and prepares instruments for terminal sterilization according to the Standard Operating Procedure (SOP) for Reusable Medical Equipment (RME). The incumbent assists in training residents, medical students, nursing students, surgical technician students, and new OR staff in the operation of equipment, OR procedures conducted in the Operating Room and the endovascular suite, handling of instruments, sterile technique, and set-up/preparation of the Operating Room for complex procedures, and the scrub role in surgical procedures. Maintains Equipment and Work Areas The incumbent performs non-technical maintenance of equipment to prevent malfunctions. Maintains OR area. Assesses equipment needs and maintains adequate stock of supplies and materials. Recognizes potentially hazardous situations (i.e., frayed cords, water on floor) and takes corrective action. Performs necessary unit audits for expired surgical supplies, records temperature and humidity for each surgical suite and takes corrective action if parameters are outside of recommended guidelines. Provides Guidance/Quality Improvement The incumbent participates and assists surgical team members in quality improvement activities and risk management functions. Updates personal knowledge regarding current trends in surgical technology through continuing education courses. Provides guidance and support to students and new operating room staff. Work Schedule: Monday - Friday + On-Call (as required), 0830-1900; 10:30-1900; May be on a rotating schedule. Position Description Title/PD#: Surgical Technician/ 13229-A Physical Requirements: Duties regularly require providing manual assistance in lifting and positioning patients, most of which are stages of unconsciousness. There are extensive periods of regular and recurring standing, walking, bending, lifting, pushing, reaching, and prolonged stretching to provide easy accessibility of instruments and supplies for the surgeon. Incumbent must be dexterous in passing instruments to surgeons without compromising principles of aseptic technique and in a manner requiring little or no effort from the surgeon. Hand dexterity is essential in passing instruments. Both hands required. Ability for rapid mental and muscular coordination simultaneously. Near vision correctable at 13" to 16" to Jaeger 1 to 4. Far vision correctable in one eye to 20/20 and 20/40 in the other. Ability to distinguish basic colors and shades of colors; and hearing without aid.
Providing Health Care for Veterans: The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,255 health care facilities, including 170 medical centers and 1,074 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.