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Surgical Technologist/First Assistant

POSITION:  Surgical Technologist/ First Assistant

RESPONSIBLE TO: Administrator, Clinical Supervisor, Physicians

JOB SUMMARY:  Provides professional patient care, under supervision, for practice site patients.

•Graduate of an accredited surgical technology program
Proper Technologist certification required (if not already certified, must obtain certification within one (1) year of employment.
Training in Orthopaedic procedures a plus

At least two years of experience in a physician office or hospital
Experience working in an operating room required
Experience calling in pharmacy requests
•Knowledge of casting and splinting a plus
Comfortable using email and interacting with Internet applications
Knowledge of practice management and word processing software
Pleasant speaking voice and demeanor
Good communication skills
Neat, professional appearance

Responsibilities include, but are not limited to, the following:
Patient and Surgical Care
Assists the surgeon in the operating room by positioning patient, assist during the 
surgical procedure, wound closure and applying dressing, casts and/or splints.
Calls patients to relay advice and instructions from the surgeon
Assists the surgeon while he/she is examining patients in the office
Removes sutures or dressings as indicated by the surgeon; reapplies dressings as needed
Reviews charts at least 48 hours in advance of scheduled appointment to ensure lab results, x-rays, and MRI/CT results have been received; calls testing facility if results have not been received
•Fax clinic schedules and X-Ray orders to satellite clinics before the clinic
Greets patients and escorts them from the reception room to exam room
Prepares patients for exam or treatment by taking a history, all vitals and then recording the information in the patient's chart or EMR
Prepares exam and treatment rooms with necessary instruments
Puts charts up for physicians when patient is ready in exam room or gets patient ready for review in the EMR
Assists physicians in preparing for examinations and minor procedures
Orders in house x-rays as requested by physician and schedules CT scans, MRI’s, and other off site tests as needed.  Also schedules surgical procedures at appropriate facilities.  Forwards necessary orders and consent forms as required by facilities.  
Reviews pre-operative instructions and explains the surgical process to patients who are about to have surgery
Observes, records and reports patient's condition and reaction to drugs and treatments to physician; administers prescribed medications as directed
Collects specimens, labels, and completes lab requisition; administers injections
•Applies or removes casts/splints in accordance with physician instructions.  Will assess previously applies splints/cast to determine if adjustments need to be made or replaced.
Educates patients about cast care and follow-up
Ensures that pertinent laboratory results are reviewed by the physician
Disposes of contaminated items according to OSHA guidelines
Performs patient education duties; shows surgical videos, hands out brochures, and directs patients to specific Internet sites for more information
•Works with physician to ensured that physician is current with dictation and forms 
completions, follows up to make sure that  dictation and schedules are routed 

Procedure Preparation and Follow Up
•Schedules operating room time, according to the physician scheduling protocols
•Schedules H&P and all appropriate pre-operative tests and blood work.
Makes sure all appropriate surgical instruments are ready for the surgeon
Ensures proper sterilization techniques (OSHA standard) are used for instrument trays
Keeps supply room and procedure room neat and well stocked
Coordinates the maintenance scheduling/testing of the autoclave and other surgical equipment used in the operating room
Appropriately follows O.R. schedules in various facilities; ensures the surgeon arrives in the operating room on time
Brings any "special equipment" needed to outside operating facilities, including films and office notes as needed
•Schedules follow up appointments for clinic visits
(For in-office operating suites) Prepares the operating facility and cleans the room after surgery
(For in-office operating suites) Disposes of contaminated and disposable items, per OSHA Guidelines for Biohazardous waste
Completes paperwork when submitting pathologic specimens, and notifies lab that a specimen needs to be picked up; verifies patient insurance for the appropriate lab
Returns patient phone messages at designated times throughout the day; documents action taken in patient chart when the Triage Nurse is not available.
Triages incoming telephone calls; instructs patient and family regarding treatment instruction, then documents action taken in patient chart when the Triage Nurse is not available.
Telephones prescription requests to pharmacy; documents action in patient chart and obtains physician signature of approval
Oversees appointment bookings and ensures emergency situations are scheduled appropriately; maintains timely flow of patients
•Collects and organizes records for second opinion review and presents to the physician for review.
•Acts as  liaison between the physician and  the OR, satellite clinics and other offices
Pre-certifies surgical and other procedures, if appropriate
Communicates physician referral requests to staff for necessary processing
Replenishes supplies—stocks and cleans exam rooms and manages supply of pharmaceutical supplies and samples
Oversees preparation of exam rooms, including re-stocking of treatment areas

Participates in professional development activities and maintains professional affiliations and certification requirements
Arranges for all biohazardous waste pick-up
Maintains patient confidentiality; complies with HIPAA and compliance guidelines established by the practice
Maintains detailed knowledge of practice management and other computer software as it relates to job functions
Attends annual CPR and OSHA training programs 
Attends all regular meetings
Performs all other tasks and projects assigned by the Manager or physicians
Supervisory Responsibilities
This job has no supervisory responsibilities.

Typical Physical Demands
Position requires full range of body motion including handling and lifting patients, as well as manual and finger dexterity and eye-hand coordination.  Involves standing and walking for long periods at a time.  Employee will occasionally be asked to lift and carry items.  Normal visual acuity and hearing are required.  Employee will work under stressful conditions, and work irregular hours.  Employee will be exposed to bodily fluids on a regular basis.

Typical Working Conditions
Employee will have frequent exposure to communicable diseases, toxic substances, ionizing radiation, medicinal preparations and other conditions common to a clinical environment.
If interested in this position, email your resume to:

Thank you for your interest in obtaining a career at Orthopaedic Associates of Wausau.

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