About Us
We are a boutique, fast-growing surgical services company supporting leading surgeons throughout the Greater Houston area. Our model is built around partnership; we work alongside high-quality orthopedic, colorectal, breast, OB/GYN, spine, neuro, podiatry, general, and other surgeons to deliver exceptional intraoperative support and outstanding patient outcomes.
Unlike large hospital systems or staffing agencies, we are intentionally small and relationship-driven. Our surgical assistants are viewed as trusted clinical partners, not interchangeable staff. We prioritize professionalism, reliability, and clinical excellence while creating an environment where skilled assists can grow with the company as we expand our footprint across Houston and surrounding communities.
We are building a small team of highly competent, adaptable surgical assistants who take pride in their craft and want to be part of a company that values performance, integrity, and long-term partnership.
Position Summary
We are seeking a diligent, highly skilled Licensed Surgical Assistant (LSA) / Registered Nurse First Assistant (RNFA) to support our surgeon partners in delivering exceptional patient care across multiple facilities in the Greater Houston area.
**We are accepting PRN, Part-Time, and Full-Time applicants**
The ideal candidate is confident in a variety of surgical specialties and thrives in dynamic operative environments. This role requires strong technical proficiency, sound intraoperative judgment, and the ability to anticipate surgeon needs while maintaining the highest standards of sterile technique, efficiency, and patient safety.
As a key member of our surgical team, you will assist before, during, and after procedures — including patient positioning, exposure, hemostasis, wound closure, and postoperative care — serving as a dependable extension of the surgeon in every case.
This is an excellent opportunity for a motivated assistant who wants more autonomy, strong surgeon relationships, and the ability to grow with an expanding surgical services company.
Note: Due to payer credentialing requirements, candidates must hold or be eligible to obtain Texas LSA licensure or RNFA status in order to be considered. PA/APRN with surgical assistant certification is ok too.
Duties
- Prepare and maintain the sterile operating room, instruments, and equipment prior to surgery.
- Assist surgeons intraoperatively by passing instruments and supplies, maintaining exposure, and supporting optimal surgical workflow.
- Support patient positioning and draping to maintain a safe, sterile operative field.
- Monitor and maintain sterile technique throughout procedures, including instrument and sponge counts.
- Provide pre-operative and post-operative patient support and care as directed.
- Prepare and apply dressings; assist with basic closure techniques as appropriate under surgeon direction.
- Ensure proper documentation of surgical procedures and maintain accurate patient records.
- Demonstrate proficiency in anatomy knowledge, medical terminology, and critical care principles to effectively support complex cases.
Required Qualifications
- Graduate from an accredited surgical assisting program.
- Current Licensed Surgical Assistant (LSA) in Texas or
- Current Registered Nurse First Assistant (RNFA) with active Texas RN license or
- PA or APRN with appropriate surgical assistant training/certification
- Candidates holding CSFA/CSA certification must be eligible to obtain Texas LSA licensure.
- Must maintain an active professional liability (malpractice) insurance policy.
- Current BLS/CPR certification.
- No history of license suspension, revocation, or pending disciplinary proceedings.
- Must successfully pass a comprehensive background check, including criminal history screening.
- Excellent understanding of sterile technique, surgical instrumentation, and OR workflow.
- Strong communication, teamwork, and ability to work under pressure in a fast-paced environment.
Experience
- Prior OR experience as a Surgical Assistant or First Assist in hospital or ambulatory surgery center environments.
- Experience with a range of surgical specialties (orthopedic, general, endoscopic, etc.).
- Certification or experience w/ robotic surgery systems (i.e. da Vinci Xi) a plus.
- Active credentials with greater Houston hospital systems and ASCs a plus.
- Demonstrated knowledge of physiology, anatomy, infection control practices, and aseptic techniques essential for safe surgical support.
- Strong analysis skills for monitoring vital signs and interpreting physiological data during procedures.
- Ability to adapt quickly in high-pressure environments while maintaining attention to detail and patient safety standards.
Join us to make a meaningful difference in patients’ lives through expert surgical assistance! We are dedicated to fostering a supportive environment that values your skills and commitment while offering opportunities for growth and professional development across diverse clinical settings.
Pay: From $60.00 per hour
License/Certification:
- LSA or RNFA license (PA/APRN ok too) (Preferred)
Work Location: On the road
