certified surgical tech/first assistant Interview Questions and Answers

1. What are your strengths as a surgical technologist?

   • Answer: My strengths include meticulous attention to detail, proficiency in sterile technique, ability to remain calm under pressure, excellent communication skills, and a commitment to teamwork. I am also quick to learn new procedures and technologies.

2. What are your weaknesses as a surgical technologist?

   • Answer: I sometimes struggle with delegating tasks when under significant time pressure. I am working on improving this by prioritizing tasks more effectively and communicating my workload to the team.

3. Describe your experience with surgical instrumentation.

   • Answer: I have extensive experience with a wide range of surgical instruments, including laparoscopic, open, and minimally invasive procedures. I am proficient in identifying, preparing, and maintaining instruments according to established protocols. I understand the function and purpose of each instrument and can anticipate the surgeon's needs.

4. Explain your understanding of sterile technique.

   • Answer: Sterile technique is crucial to prevent surgical site infections. It involves maintaining a sterile field by using sterile drapes, gowns, gloves, and instruments. I understand the principles of aseptic technique, including proper hand hygiene, gowning and gloving procedures, and the importance of maintaining a sterile environment throughout the procedure. I am also aware of the implications of breaking sterile technique and how to address potential breaches.

5. How do you handle stressful situations in the operating room?

   • Answer: I remain calm and focused under pressure. I prioritize tasks, communicate effectively with the surgical team, and utilize my training to address challenges efficiently. I understand that teamwork and clear communication are crucial during stressful moments.

6. Describe your experience with different surgical specialties.

   • Answer: I have experience in [List specific specialties, e.g., general surgery, orthopedic surgery, cardiovascular surgery]. I am comfortable adapting to the specific instrumentation and techniques required for each specialty.

7. What is your experience with surgical counts?

   • Answer: I am meticulous about surgical counts. I participate actively in the pre-operative, intra-operative, and post-operative counts, ensuring accuracy and documenting any discrepancies immediately. I understand the importance of accurate counts to patient safety.

8. How do you handle a discrepancy during a surgical count?

   • Answer: If a discrepancy occurs, I immediately report it to the circulating nurse and surgeon. We then systematically recount all instruments, sponges, and sharps to identify the missing item. If the item cannot be located, we follow established protocols, which may include a thorough search of the surgical field and potentially an X-ray.

9. Describe your knowledge of surgical anatomy.

   • Answer: I possess a solid understanding of surgical anatomy relevant to the specialties I’ve worked in. I understand the relationships between different anatomical structures and can anticipate potential complications based on anatomical knowledge.

10. Explain your role in preparing the operating room.

    • Answer: My role in preparing the OR includes setting up the sterile field, preparing instruments and supplies according to the surgeon’s preference card, ensuring the availability of necessary equipment, and maintaining a clean and organized environment.

11. How do you maintain your knowledge and skills as a surgical technologist?

    • Answer: I stay updated on the latest advancements in surgical techniques and technologies through continuing education courses, professional journals, and participation in workshops. I also actively seek feedback from colleagues and surgeons to improve my skills.

12. Describe your experience with different types of surgical dressings.

    • Answer: I am familiar with various surgical dressings, including simple gauze dressings, pressure dressings, specialty wound dressings, and drains. I understand the purpose and application of each type and can select the appropriate dressing based on the surgical procedure and the patient's condition.

13. How do you ensure patient safety in the operating room?

    • Answer: Patient safety is my top priority. I contribute to patient safety through adherence to sterile technique, accurate instrument counts, careful handling of specimens, meticulous attention to detail, and clear communication with the surgical team. I also actively participate in safety protocols and report any potential hazards.

14. Describe your experience with electrocautery.

    • Answer: I have experience using electrocautery to cut and coagulate tissue. I understand the importance of safety precautions to prevent burns and other complications. I am familiar with different types of electrocautery units and their settings.

15. What is your experience with laparoscopic surgery?

    • Answer: I have [Level of experience, e.g., extensive, moderate, limited] experience assisting in laparoscopic surgeries. I understand the principles of laparoscopic techniques and am proficient in handling laparoscopic instruments and equipment. I am familiar with camera operation and trocar placement.

16. How do you manage sharps in the operating room?

    • Answer: Sharp safety is paramount. I handle sharps with care, using needle holders and other appropriate instruments. I utilize designated sharps containers and follow established protocols for disposal to prevent needlestick injuries.

17. What is your experience with surgical lasers?

    • Answer: I have [Level of experience, e.g., extensive, moderate, limited] experience assisting with laser surgeries. I understand the safety precautions associated with laser use, including eye protection and fire safety measures. I am familiar with the different types of surgical lasers and their applications.

18. Describe your role in specimen handling.

    • Answer: I carefully handle and label specimens according to established protocols. I ensure accurate identification and documentation of specimens, including the patient’s name, date, time, and type of tissue. I am careful to avoid contamination or damage to the specimens.

19. How do you anticipate the needs of the surgical team?

    • Answer: By observing the surgeon and anticipating their next steps, I can proactively prepare instruments and supplies, ensuring a smooth and efficient surgical workflow. I pay close attention to the surgical procedure and anticipate potential needs based on my experience.

20. What is your understanding of surgical asepsis?

    • Answer: Surgical asepsis refers to the complete elimination or destruction of microorganisms. This includes maintaining a sterile field, using sterile supplies, and adhering to strict protocols to prevent contamination.

21. How do you handle emergencies in the operating room?

    • Answer: I remain calm and assist the surgical team according to their instructions. I understand emergency procedures and can retrieve necessary equipment quickly and efficiently. I am aware of the emergency protocols of the facility and can assist in executing them.

22. Describe your experience with surgical drains.

    • Answer: I am experienced in the placement, maintenance, and removal of various surgical drains, including Jackson-Pratt, Penrose, and Hemovac drains. I understand the purpose of each drain type and am familiar with the proper techniques for their management.

23. What are your responsibilities as a first assistant?

    • Answer: As a first assistant, my responsibilities include assisting the surgeon with the surgical procedure, including tissue retraction, hemostasis, and wound closure. I also help prepare the surgical site and maintain a sterile field.

24. How do you prioritize tasks during a complex surgical procedure?

    • Answer: I prioritize tasks based on their urgency and importance to the surgical procedure. I focus on tasks that directly support the surgeon and contribute to the safety and efficiency of the operation. I also communicate my workload to the surgical team to ensure effective collaboration.

25. Describe your knowledge of surgical wound closure techniques.

    • Answer: I am familiar with various surgical wound closure techniques, including suture, staple, and adhesive closures. I understand the selection criteria for different closure methods based on wound type, location, and tension. I also assist in proper wound dressing and maintenance.

26. How do you maintain your composure during a challenging or unexpected event during surgery?

    • Answer: I maintain composure by focusing on my responsibilities and supporting the surgical team. I use my training and experience to address unexpected events calmly and efficiently, prioritizing patient safety and effective communication.

27. What is your experience with surgical robotics?

    • Answer: I have [Level of experience] experience assisting in robotic-assisted surgical procedures. I am familiar with the robotic system [Specify system, e.g., da Vinci], and understand the principles of robotic surgery and the role of the surgical technologist/first assistant in this setting.

28. What is your understanding of the principles of hemostasis?

    • Answer: Hemostasis refers to the process of stopping bleeding. I understand various methods of achieving hemostasis, including surgical techniques (ligation, cautery), and the use of hemostatic agents (sponges, sealants).

29. Describe your experience with tissue handling.

    • Answer: I handle tissue with care, using appropriate instruments and techniques to minimize trauma and maintain tissue viability. I understand the importance of gentle tissue handling for optimal wound healing.

30. How do you handle difficult or demanding surgeons?

    • Answer: I maintain professionalism and respect at all times. I focus on clear communication and ensuring the needs of the patient are prioritized. I strive to create a collaborative atmosphere despite potential personality differences.

31. What is your understanding of the chain of command in the operating room?

    • Answer: I understand the hierarchical structure of the operating room and adhere to the established chain of command. I know who to report to in different situations and follow instructions from those in authority.

32. How do you contribute to a positive team environment in the operating room?

    • Answer: I contribute to a positive team environment through clear communication, collaboration, and mutual respect. I actively participate in teamwork and support my colleagues. I maintain a positive attitude and strive to create a supportive and efficient working environment.

33. What are your salary expectations?

    • Answer: My salary expectations are in line with the experience and skills I bring to the role and are commensurate with the market rate for surgical technologists/first assistants in this region. I am open to discussing this further.

34. Why are you interested in this position?

    • Answer: I am interested in this position because of [Reasons, e.g., the hospital's reputation, the opportunity to work with a skilled surgical team, the chance to expand my skills in a specific area]. I am eager to contribute my skills and experience to your facility.

35. Why did you leave your previous position?

    • Answer: [Honest and positive response, e.g., I was seeking a new opportunity with greater challenges, the hospital closed, I wanted to work closer to home].

36. Describe a time you made a mistake. How did you handle it?

    • Answer: [Specific example of a mistake, focusing on the learning experience and steps taken to prevent recurrence].

37. Describe a time you had to work under pressure.

    • Answer: [Specific example demonstrating ability to handle pressure and maintain efficiency].

38. Describe a time you had a conflict with a coworker. How did you resolve it?

    • Answer: [Specific example demonstrating conflict resolution skills, focusing on communication and finding a mutually acceptable solution].

39. Describe a time you went above and beyond your job description.

    • Answer: [Specific example demonstrating initiative and commitment to the job].

40. What are your career goals?

    • Answer: [Specific and realistic career goals, demonstrating ambition and commitment to professional growth].

41. What are your long-term career goals?

    • Answer: [Specific and realistic long-term career goals, demonstrating ambition and commitment to professional growth].

42. Do you have any questions for me?

    • Answer: Yes, I have several questions. [List 2-3 thoughtful questions related to the position, the team, or the hospital].

43. How do you stay organized during a surgical procedure?

    • Answer: I use a combination of spatial organization, checklists, and communication with the team to stay organized. I prioritize tasks and maintain a systematic approach to instrument and supply management.

44. What is your experience with different types of sutures?

    • Answer: I am familiar with various suture materials, including absorbable and non-absorbable sutures, and their different properties. I understand the selection criteria for different suture types based on tissue type and wound characteristics.

45. How do you handle difficult or unexpected situations in the OR?

    • Answer: I maintain a calm and focused demeanor, prioritize patient safety, and communicate effectively with the surgical team to address the situation efficiently and safely.

46. What is your understanding of surgical site infection prevention?

    • Answer: I understand the importance of meticulous sterile technique, proper wound closure, and post-operative care in preventing surgical site infections. I am familiar with the hospital's protocols for infection control.

47. Describe your experience with pneumatic tourniquets.

    • Answer: I have experience applying and monitoring pneumatic tourniquets, understanding the importance of appropriate inflation pressure, time limits, and patient monitoring to prevent complications.

48. What is your experience with bone drills and saws?

    • Answer: I have [Level of experience] in handling bone drills and saws, understanding their proper use and safety precautions to prevent injury to the patient or surgical team.

49. How familiar are you with different types of surgical drains and their applications?

    • Answer: I'm familiar with various types such as Jackson-Pratt, Penrose, and Hemovac drains, understanding their applications based on the surgical procedure and the type of fluid being drained.

50. Describe your understanding of surgical safety checklists.

    • Answer: I am familiar with the use of surgical safety checklists and their role in reducing errors and improving patient safety. I actively participate in the completion of these checklists before, during, and after surgical procedures.

51. How do you ensure the proper functioning of surgical equipment?

    • Answer: I perform pre-operative checks on all equipment to ensure its proper function and report any malfunctions immediately. I am familiar with troubleshooting basic equipment problems.

52. What is your experience with surgical power equipment?

    • Answer: I have experience using various types of power equipment such as drills, saws, and shavers, understanding their proper use and safety precautions.

53. How do you handle biohazardous waste in the OR?

    • Answer: I follow established protocols for handling and disposing of biohazardous waste, ensuring proper segregation and containment to prevent contamination and comply with infection control measures.

54. Describe your experience with suctioning during a surgical procedure.

    • Answer: I am experienced in using surgical suction to remove fluids and maintain a clear surgical field, adjusting suction pressure as needed to avoid tissue damage.

55. What is your experience with surgical staplers?

    • Answer: I am familiar with various surgical staplers, including linear and circular staplers, understanding their applications and proper loading and usage to ensure safe and effective tissue closure.

56. How do you contribute to a positive and efficient surgical team dynamic?

    • Answer: I actively participate in effective communication, anticipate needs, and offer assistance to maintain a smooth workflow and positive team collaboration.

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