![]() The Royal College of Surgeons of England (RCS) (2021) has drawn up a list of the activities that come within the remit of SFAs ( Box 1). A surgical first assistant works under the direction of a supervising surgeon according to law and operating room policies. SFAs provide dedicated assistance under the direct supervision of the operating surgeon throughout a procedure. This description, however, does not define the type of registered practitioner that can undertake this role. The CSFA-ERC is composed of members representing the major geographical areas of the country, to prevent regional bias on the examination. Everyday is spent exploring the human body, becoming familiar with surgical techniques, procedures and treatments. An emergency can occur at anytime and no two human beings are alike. The Perioperative Care Collaborative (PCC) (2018) defines an SFA as ‘registered practitioner providing continuous, competent and dedicated surgical assistance under direct supervision of the operating surgeon’. As a surgical first assistant, you will be in a challenging, fast-paced environment that can change human lives. Using a reflective case-study approach, the author explores the potential benefits of a CNS becoming competent as a surgical first assistant (SFA). ![]() The role of a CNS role is ever expanding as healthcare demands grow but resources remain limited. In addition to delivering nurse-led clinics, the CNS provides support and advice to patients both virtually and in person. This article focuses on the role of a CNS in a surgical orthopaedic specialty. Brandi is certified by the National Commission on Certification of Physician Assistants and licensed with the Kansas State Board of Healing Arts. A CNS requires advanced knowledge and skills, which include specialist expertise, the ability to integrate service improvement and evidence-based practice, and skills to effectively collaborate and communicate with all health professions ( Mayo et al, 2017). The Registered Nurse First Assistant (RNFA) is a highly valuable perioperative nurse who works closely with the entire surgical team. ![]() A clinical nurse specialist (CNS) is an autonomous practitioner who works as part of a multidisciplinary team in both acute and community settings.
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