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National Surgical Assistant Association

| Professional Code |

 

Code of Ethics and Scope of Practice

 

 

The Certified Surgical Assistant possesses a working knowledge of operating room procedures with respect to attire, infection control, and is familiar with individual requirements and  recommended practices of compliance. 

The Certified Surgical Assistant must have the ability to anticipate the needs of the surgeon, and other team members, with respect to the requirements of a particular surgical procedure.

The Certified Surgical Assistant must be able to demonstrate and maintain dexterity sufficient to successful completion of his/her assistant duties on each particular procedure.

The Certified Surgical Assistant must maintain a professional attitude with respect to dignity, privacy, and safety of patients.

The Certified Surgical Assistant must possess the ability to only function within the limits of his/her ability,

        and within the policies of the facility in which they are working.

 

 

Certified Surgical Assistant Proficiency

 

The Certified Surgical Assistant’s scope of practice includes:

 

  • Determining specific equipment needed per procedure
  • Reviewing permit to confirm procedure and special needs
  • Selecting and placement of x-rays for reference
  • Assisting in moving and positioning the patient
  • Inserting and removal of Foley urinary bladder catheter
  • Placing the pneumatic tourniquet
  • Confirming procedure with surgeon
  • Draping the patient within the surgeon’s guidelines
  • Providing retraction of tissue and organs for optimal visualization with regard to tissue type and appropriate retraction instrument and/or technique
  • Assisting in maintaining hemostasis by direct pressure, using and applying of appropriate surgical instrument for the task, placement of ties, placement of ligatures, applying chemical hemostatic agents, or other measures as directed by the surgeon
  • Using the electrocautery mono and bi-polar
  • Clamping, ligation and cutting of tissue per surgeon’s directive
  • Harvesting saphenous vein including skin incision per surgeon’s directive
  • Dissecting of common femoral artery and bifurcation per surgeon’s directive
  • Maintaining integrity of sterile field
  • Closing of all wound layers (fascia, subcutaneous and skin) as per surgeon’s directive
  • Inserting drainage tubes per surgeon’s directive
  • Selecting and applying wound dressing
  • Assisting with resuscitation of patient during cardiac arrest or other life threatening events in the operating room
  • Performing any other duties or procedures incident to the surgical procedure deemed necessary and directed by the surgeon

 


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