Ruby Pina

• Anticipated surgeons needs and handed instruments and supplies to surgeons during procedures.
• Setup operating and surgery rooms by preparing equipment and supplies for upcoming procedures.
• Demonstrated adaptability when faced with emergency situations or unexpected complications during surgeries, providing prompt support to surgical teams.
• Expedited surgery room turnover times by swiftly preparing operating rooms for subsequent surgeries, maximizing efficiency within the department.
• Assisted surgeons in complex procedures, ensuring efficient completion and minimized complications.
• Enhanced patient safety by maintaining a sterile surgical environment and adhering to strict protocols.
• Gathered and set up equipment, tools, and supplies and arrange instruments according to surgeons' preferences or instruction.
• Ensured proper handling of specimens during surgeries, aiding in accurate diagnostic results for patients.
• Contributed to reduced infection rates by diligently practicing proper sterilization techniques for instruments and equipment.
• Created safe operating environments for invasive and non-invasive procedures.
• Achieved consistent performance evaluations through dedication to excellence in patient care, teamwork, and adherence to established protocols.

I work as a member of the perioperative team under the direction of the surgeon. I perform responsibilities of both the Surgical Technologist and the Surgical First Assistant based on department needs and as directed by the unit director or designee. Ipractice within the scope of the job description and perform clinical and technical skills under surgeon supervision to assist with carrying out a safe operation with optimal patient results. This is done in collaboration with the circulating RN and other perioperative/OR team members. I am educated and skilled in both the use of surgical instruments on tissues and the handling of instruments.

• Functions as a surgical first assistant at the direction of and under the appropriate supervision of the attending surgeon; always practices within the limitations of preparation and experience and within the scope allowed by the hospital.
• Consistently functions at the direction of and under direct supervision (physical presence of the attending surgeon in the procedure/treatment room) of the attending surgeon. The surgical assistant scope includes:
• Providing visualization of the operative site through appropriate placement and securing of retractors with or without padding, packing or sponges; digital manipulation of tissue; suctioning, irrigation or sponging; manipulation of suture materials; proper use of body mechanics to prevent obstruction of the surgeon’s view.
• Utilizing appropriate permanent and temporary techniques to assist with hemostasis. Permanent hemostasis techniques include clamping and/or cauterizing vessels and tissue, tying and/or ligating clamped vessels or tissue, applying hemostatic clips, or placing hemostatic agents. Temporary hemostasis techniques include applying tourniquets and demonstrating awareness of the indications/contraindications for use with knowledge of side effects of extended use; applying vessel loops, non-crushing clamps, or direct digital pressure.
• Administering post-operative subcutaneous local anesthetic injection
• Utilizing running or interrupted sutures with absorbable or non-absorbable material of wound layers, including muscle and fascia.
• Assisting with placement of implants
• Robotic procedures only: Insertion of subsequent (not initial) trocars. Must have documented training and competency validated (initially within by MHS Medical staff member privileged to perform robotic surgery. The documentation must include directly supervised trocar insertions on a minimum of 5 patients completed within a 12 month period with good patient outcomes
• Under direct or general perioperative supervision (surgeon/proceduralist presence in the perioperative area (pre-op department, perioperative suite, PACU, OR/procedure waiting room) and is immediately available), the surgical assistant scope includes closure of body planes and applies wound dressings per the method indicated by the attending physician:
• i. Utilizing sub-cuticular closure technique with or without adhesive skin closure strips
• ii. Skin closure with suture, staples and/or spray occlusive material/skin adhesive strips
• iii. Securing drainage systems to tissue
• iv. Application of immobilizing dressing

I participate as a member of the transplant team by providing deceased donor organ pulsatile perfusion and organ procurement services for the organ transplant departments. I also assists the organ transplant surgeons during the deceased and living donor transplants by preparing the donor organs and assisting the transplant surgeon with the exposure of the recipient blood vessels in preparation for transplant.

• Performs cadaveric renal perfusion services for Methodist Specialty and Transplant Hospital.
• Performs procurements for all organs, which includes, but is not limited to excising the organ, as well as preparing cadaveric organs prior to placement on the renal preservation device or into the recipient.
• Provides surgical assistance to all solid organ surgeons during donor and recipient surgeries.
• Participates in 24 hour on call duties shared by all procurement/preservation staff.
• Responsible for renal preservation equipment, as well as ordering/tracking supplies.
• Participates in data collection for procurement/preservation processes, as well as other transplant processes and United Network of Organ Sharing (UNOS) data, and reports statistical results upon request.

Sales Representative in but not limited to:

• Winch Trucks
• Pole Trucks
• Drop Decks
• Rig Washing
• Vacuum Trucks
• Pit Cleaning
• Casing