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The CSFA is not just a passive participant in the operating room; they are an active collaborator who anticipates the surgeons needs, manages surgicalinstruments, and assists with critical tasks such as suturing, tissue manipulation, and hemostasis (control of bleeding).
Handling instruments and providing them to the surgeon as needed. Controlling bleeding using hemostatic techniques such as suturing and cauterization. Closing wounds using sutures, staples, or other closure methods. They should also be adept at using surgicalinstruments, retractors, and electrosurgical devices.
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Certified Surgical First Assistant 
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