MyMichigan Health logo
First Assistant IV
full-timeMidland

Summary

Location

Midland

Type

full-time

Explore Jobs

About this role

Summary

This position prepares the surgical suite for the procedure by assisting the surgical technologist along with the registered nurse in gathering equipment, instruments, and supplies to perform the procedure. Assure all supplies and equipment are available for the procedure and in working condition. Assists the RN circulator and anesthesia provider in preparation of the patient to include foley catheter placement, tourniquet placement, placement of intravenous catheters, cricoid pressure application, and other procedures as needed. This position assists the surgeon by providing exposure, aid in hemostasis, closure and other intraoperative technical functions that help the surgeon carry out a safe operation with maximum results for the patient. In providing proper draping, retracting, suctioning, sponging, suturing, tissue handling and cautery techniques. The assistant will apply appropriate dressing material specific to procedure. This position assists the surgeon in the care of the patient while in the operating room through utilization of the operating room team concept.


Responsibilities

(50%)  Demonstrates knowledge of surgical procedure, anatomy and physiology, and operative techniques related to specific procedure.

 

(20%)  Assures all necessary supplies, equipment or instruments are opened or available. Ensure items are charged for appropriately by confirming with nurse and surgical technologist.

 

(20%)  Assists physician as directed with proper positioning, draping, retracting, suctioning, sponging, tissue handling, cautery techniques, stapling devices, suturing, and selecting along with applying the appropriate wound dressings.

 

(10%)  Assists team members in transportation, positioning and total care of patients.

 

OTHER DUTIES AND RESPONSIBILITIES:

 

Demonstrates a broad range of knowledge with proficiency in preparation of surgical procedures and has versatility in staffing as a surgical technologist if needed. 

Participates in orientation, ongoing competencies, education, and staff development. (including staff meetings).

 

Participates in regulatory surveys.

 

Participates in performance improvement activities.

 

Fulfills on?call responsibilities and extra shift coverage as needed.

 

Demonstrates a positive, courteous, and helpful attitude toward patients, visitors, physicians, and co?workers.

 

Remains calm and efficient when working in stressful situations.

 

Shares information and reports significant changes and./or abnormal findings to appropriate team members.

 

Attend and/or participate in professional association activities and programs to assure being current on regulations, guidelines, and professional standards of care.

 

Remain current on new developments in healthcare by reading professional journals and attending seminars when applicable.

 

Other duties as assigned.

 


Certifications and Licensures

Credential:BLS: Basic Life Support

Equivalent Experience: Within 3 months of hire or transfer.

Qualification Source: AHA

Essential: true

 

 

Credential:CSFA: Cert Surgical First Assistant

Equivalent Experience: Certification is conferred by the National Board of Surgical Technology and Surgical Assisting (NBSTSA), and the National Surgical Assistant Association (NSAA), and American Board of Surgical Assistants (ABSA). Initial certification as a Certified Surgical First Assistant (CSFA), Certified Surgical Assistant (CSA), and Surgical Assistant Certified (SA C) is based upon satisfactory performance of the national certifying examination from each organization�s credentialing body, following completion of an accredited program in surgical assisting or another pathway acceptable to the NBSTSA, NSAA, AND ABSA. Maintained CSFA or CSA or SA C.. If not obtained, must be obtained within two years of signing job description. If career ladder implemented at medical center, first assistant must complete skills/practice competency as described in the career ladder for current first assistant level.

Qualification Source:

Essential: true

 

 


Required Education

Education: HIGH

Equivalent Experience: Associate's or Bachelor�s degree preferred.

Education Specialization:

Essential: true

 

 

Education: TECH

Equivalent Experience: Knowledge of surgical procedures and standards of practice acquired through a surgical technology program accredited through Commission on Accreditation of Allied Health Education Program (CAAHEP) which upon completion may certify for certified surgical technologist exam or completion of a certified Surgical Technology program which upon completion of program may receive a National Center for Competency Testing (NCCT) certification. Certifications must be valid with National Board of Surgical Technology and Surgical Assisting (NBSTSA) and National Center for Competency Testing (NCCT).

Education Specialization:

Essential: true

 

 


Other Information

EXPERIENCE, TRAINING AND SKILLS:

 

Manual dexterity and mechanical skills needed to properly use and hold surgical instruments.

 

Interpersonal skills needed to communicate successfully with individuals and groups and interact with people at all levels to communicate ideas and concepts in a clear and understandable manner.

 

One year or more of surgical assisting preferred. 

 

MyMichigan Health is a technology driven organization and employees need to demonstrate competency in Microsoft� Windows. An employee may be required to participate in further learning opportunities offered by MyMichigan Health.

 

PHYSICAL/MENTAL REQUIREMENTS AND TYPICAL WORKING CONDITIONS:

Exposure to stressful situations, including those involving public contact, as well as trauma, grief and death.

 

Able to wear personal protective equipment that includes latex materials or appropriate substitute if required for your position.

 

Is able to move freely about facility with or without an assisted device and must be able to perform the functions of the job as outlined in the job description.

 

Overall vision and hearing are necessary with or without assisted device(s).

 

Frequently required to sit/stand/walk for long periods of time. May require frequent postural changes such as stooping, kneeling or crouching.

 

Some exposure to blood borne pathogens and other potentially infectious material. Must follow MyMichigan Health bloodborne pathogen and TB testing as required.

 

Ability to handle multiple tasks, get along with others, work independently, regular and predictable attendance and ability to stay awake.

 

Overall dexterity is required including handling, reaching, grasping, fingering and feeling. May require repetition of these movements on a regular to frequent basis.

 

Physical Demand Level: Medium. Must be able to occasionally (0?33% of the workday) lift or carry 21?50 lbs., frequently 34?66% of the workday 20 lbs. and or Walk/Stand/Push/Pull of Arm/Leg controls and constantly (67?100% or the workday) 10 lbs.


Equivalent Experience and Other Comments (Education)

Education: HIGH

Equivalent Experience: Associate's or Bachelor�s degree preferred.

Education Specialization:

Essential: true

 

 

Education: TECH

Equivalent Experience: Knowledge of surgical procedures and standards of practice acquired through a surgical technology program accredited through Commission on Accreditation of Allied Health Education Program (CAAHEP) which upon completion may certify for certified surgical technologist exam or completion of a certified Surgical Technology program which upon completion of program may receive a National Center for Competency Testing (NCCT) certification. Certifications must be valid with National Board of Surgical Technology and Surgical Assisting (NBSTSA) and National Center for Competency Testing (NCCT).

Education Specialization:

Essential: true

 

 


Other Comments

Credential:BLS: Basic Life Support

Equivalent Experience: Within 3 months of hire or transfer.

Qualification Source: AHA

Essential: true

 

 

Credential:CSFA: Cert Surgical First Assistant

Equivalent Experience: Certification is conferred by the National Board of Surgical Technology and Surgical Assisting (NBSTSA), and the National Surgical Assistant Association (NSAA), and American Board of Surgical Assistants (ABSA). Initial certification as a Certified Surgical First Assistant (CSFA), Certified Surgical Assistant (CSA), and Surgical Assistant Certified (SA C) is based upon satisfactory performance of the national certifying examination from each organization�s credentialing body, following completion of an accredited program in surgical assisting or another pathway acceptable to the NBSTSA, NSAA, AND ABSA. Maintained CSFA or CSA or SA C.. If not obtained, must be obtained within two years of signing job description. If career ladder implemented at medical center, first assistant must complete skills/practice competency as described in the career ladder for current first assistant level.

Qualification Source:

Essential: true

 

#Indeed1HP

Other facts

Tech stack
Surgical Procedures,Anatomy,Physiology,Operative Techniques,Patient Care,Draping,Retracting,Suctioning,Suturing,Tissue Handling,Cautery Techniques,Communication,Manual Dexterity,Interpersonal Skills,Teamwork,Problem Solving

About MyMichigan Health

MyMichigan Health is a partnership of health providers, services and facilities in the heart of Michigan. It is a non-profit, tax-exempt health system affiliated with the University of Michigan Health. As a non-profit, all excess revenues go back into providing care, upgrading services, fairly compensating employees and creating a supportive work environment. The quality of its medical facilities and campuses have been enhanced by the generosity of local foundations and donors.

Serving more than one million residents in a 26-county region, MyMichigan Health acts as a parent organization with various joint ventures and management contracts. In fiscal year 2025, MyMichigan Health provided $243 million in community benefits and other uncompensated care.

MyMichigan also contributes significantly to the health of its local economies. Listed by Forbes among ‘America’s Best Employers by State’ for four consecutive years from 2022 to 2025, as well as named to Forbes’ list of ‘America’s Best Employers for Healthcare Professionals’ in 2025, MyMichigan is a major employer in all the areas it serves with employees having earned $815 million in wages and $147 million in benefits in fiscal year 2025.

Systemwide, MyMichigan has:
• More than 13,200 employees and operational support staff
• More than 2,400 providers credentialed within MyMichigan Health
• Annual gross revenues of approximately $5.1 billion for fiscal year 2025
• Assets valued at $2.4 billion as of June 30, 2025
• 1,123 reportable beds

Team size: 10,001+ employees
LinkedIn: Visit
Industry: Hospitals and Health Care
Founding Year: 1984

What you'll do

  • The First Assistant IV prepares the surgical suite and assists the surgical team in various procedures to ensure a safe operation. Responsibilities include ensuring all supplies are available, assisting the surgeon with technical functions, and providing patient care during surgery.

Ready to join MyMichigan Health?

Take the next step in your career journey

Frequently Asked Questions

What does a First Assistant IV do at MyMichigan Health?

As a First Assistant IV at MyMichigan Health, you will: the First Assistant IV prepares the surgical suite and assists the surgical team in various procedures to ensure a safe operation. Responsibilities include ensuring all supplies are available, assisting the surgeon with technical functions, and providing patient care during surgery..

Why join MyMichigan Health as a First Assistant IV?

MyMichigan Health is a leading Hospitals and Health Care company.

Is the First Assistant IV position at MyMichigan Health remote?

The First Assistant IV position at MyMichigan Health is based in Midland, Michigan, United States. Contact the company through Clera for specific work arrangement details.

How do I apply for the First Assistant IV position at MyMichigan Health?

You can apply for the First Assistant IV position at MyMichigan Health directly through Clera. Click the "Apply Now" button above to start your application. Clera's AI-powered platform will help match your profile with this opportunity and guide you through the application process. You can also learn more about MyMichigan Health on their website.