The Surgical Technician (ST) is a member of the Surgical Specialty Operating Room team. This position is part of the surgical specialty service line of the Central Iowa VA Healthcare System and is under the direct supervision of the Nurse Manager of the Operating Room/PACU/Ambulatory Surgery. The primary purpose of the position is to directly assist the surgeon and other team members during surgical procedures. The Surgical Technician does this by participating as an active member of the surgical team with the preprocedural planning, setup and implementation of complex sterile fields, instrumentation and equipment. Duties include but aren't limited to: Acts as active participant during the procedure, anticipating the surgeons needs to provide instrumentation throughout the procedure. These activities are performed under the general supervision of the circulating nurses and surgeons. Sets up and operates various medical equipment, necessitating a working knowledge of all required instruments and equipment used for each procedure, including but not limited to, surgical robotics, lasers, microscopes, laparoscopic/endoscopic instrumentation and camera systems, disposable and reusable surgical and medical equipment, battery powered, air powered equipment, fiberoptic and arthroscopic equipment, navigation systems, ophthalmologic equipment, urologic equipment, ultrasound equipment and recording devices. Demonstrates competency to initiate care and cleaning of equipment and the ability to understand appropriate sterilization parameters to ensure they are properly processed and sterilized between patient use. Monitors daily surgery schedules, including providing input into case scheduling based on complexity and equipment/supplies needed. Functions as a primary scrub person responsible for highly complex sterile surgical setups and for handling instruments, supplies and complex equipment during surgical procedures such as: thoracic, open and hybrid vascular, neurosurgical, microsurgery, transplantation, urologic, ophthalmologic, otolaryngologic, plastic, general surgery cases, minimally invasion procedures, orthopedic and robotics. Ensures that all infection control principles for sterile environment and set up are met and maintained through the entire procedure. Inspects package/tray contents to ensure that all sterilization indicators have appropriately changed color, visually and physically inspects each instrument and equipment for chips, crack, missing parts and ensures that all working parts (i.e. hinges, ratchets) are intact and functions correctly and sterility has not been compromised. Assists the surgeon by holding retractors, applying skin staples, cutting suture, preparing implants and surgical devices and other similar procedures. Collaborates with surgeon, sales representative and circulating nurse to ensure the correct prosthetics/implants (model, size and sterility parameters) and specialty equipment is available in the operating suite. Utilizes case carts with surgeon preferences to ensure that all equipment and supplies are readily available prior to the date of each surgical case. 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. Utilizes universal precautions and follows all infection control policies and procedures when handing specimens, supplies and equipment. Ensures appropriate handling of surgical specimens including proper patient identification/verification, appropriate collection and medium specifics for the specimen and container and accurate hand-off between the surgeon(s), nurses and other members of the team. Collaborates with the circulating RN and surgeon prior to the procedure to count and verify sponge, sharp, and that will be utilized during the surgical case. Maintains constant awareness of all surgical sponges/dressing and instruments placed inside the surgical wound during the procedure and ensures they are accounted for prior to completing the procedure. Assists in the monitoring of sterile supplies. Works collaboratively with logistics staff to maintain adequate surgical supplies, including but not limited to: restoking the OR cabinets, specialty carts and other secondary storage containers. Utilizes his/her knowledge of planned procedures to assess PAR levels of supplies and is responsible to alert logistics staff of immediate and future needs. Promotion Potential: The selectee may be promoted to the full performance level of GS-6 without further competition when all regulatory, qualification, and performance requirements are met. Selection at a lower grade level does not guarantee promotion to the full performance level. Work Schedule: Monday through Friday, days, with varied shifts available, and on call per rotating basis for evenings, nights, weekends, and holidays. Telework: Not available. Virtual: This is not a virtual position. Position Description/PD#: Surgical Technician/PD30381-A Relocation/Recruitment Incentives: Authorized. Financial Disclosure Report: Not required.
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.