Surgical First Assistant (PRN)

About Us

Mosca Plastic Surgery is a distinguished partner of the Inspire Aesthetics Group. Kevin Mosca, D.O., of Mosca Plastic Surgery in Delray Beach, customizes each surgery to meet the needs of every patient - both the young and the young-at-heart. Affectionately known as “@DrBocaRaton” due to his Instagram and social media presence, Dr. Mosca’s patients travel to South Florida from all over the world to seek out his expert services. Dr. Mosca pairs his years of experience and knowledge with his specialized and versatile skills to improve his patients' lives. He prides himself on being there for every step of the patient's journey, starting from the original consultation to continued care and follow-ups.

Summary/Objective

The Surgical First Assistant provides advanced intraoperative support to the plastic surgeon and surgical team, ensuring safe, efficient, high-quality care throughout cosmetic surgical procedures. This role assists during the pre-operative, intra-operative, and post-operative phases to optimize surgical outcomes and maintain the highest standards of patient safety and sterile technique.  

Responsibilities include, but are not limited to: 

 Pre-Operative Duties

• Review surgical schedule, patient records, and procedure plans prior to cases; ensure understanding of surgeon preferences and patient needs.
• Assist with patient positioning, skin preparation, sterile draping, and verifying implants/devices as required.
• Prepare and confirm the availability, functionality, and sterility of surgical instruments, supplies, and equipment.
• Participate in surgical time-outs and pre-op safety checks.

 Intra-Operative Duties

• Serve as the first assistant to the surgeon during elective cosmetic procedures including body contouring, breast procedures, facial aesthetic surgery, and other plastic surgery cases.
• Provide exposure and visualization of the operative field through retraction, suctioning, irrigation, and tissue handling.
• Assist with hemostasis using cautery, ligation, clamping, and other techniques.
• Assist with dissection, suturing, closure of incision layers, and application of dressings as directed by the surgeon.
• Anticipate surgeon needs and maintain efficient surgical workflow.
• Ensures sterility of supplies, instruments, and equipment while in the operating room.  
• Assists surgical team in maintaining a sterile environment.  
• Assists in gathering necessary surgical supplies, instruments, and equipment. 
• Transports all surgical supplies, instruments, and equipment to appropriate cleaning areas.  
• Assists in sterilization and cleaning of instrument sets.   

 Post-Operative Duties

• Assist with the application of dressings, compression garments, and wound care as appropriate.
• Ensure accurate counts of instruments, sponges, and needles at case completion.
• Assist with patient transfer to the post-anesthesia care unit (PACU) and provide handoff communication.
• Support post-operative documentation and debriefs.

 Team & Operational Support

• Collaborate effectively with surgeons, CRNAs, circulating nurses, and surgical technologists to ensure smooth operations.
• Assist with maintaining, organizing, and restocking surgical instruments and supplies.
• Support quality improvement, safety protocols, and compliance with accreditation standards.

 Qualifications

• CSFA certification
• operating room experience, preferably in plastic, cosmetic, or ambulatory surgery.
• Experience specifically in ambulatory cosmetic/plastic surgery settings.
• Demonstrated knowledge of sterile technique, surgical instrumentation, hemostasis, and tissue handling.
• Current BLS and ACLS certification 
• Strong attention to detail, communication skills, and ability to anticipate surgeon needs.
• Familiarity with body contouring, breast aesthetics, and facial cosmetic surgery instruments and techniques.

 Skills & Competencies

• Exceptional interpersonal and teamwork skills
• Ability to maintain composure in fast-paced surgical environments
• Commitment to patient safety, confidentiality, and quality outcomes
• Proficient in perioperative workflow and surgical protocols

 Work Schedule (PRN)

• Surgical days are Mondays, Tuesdays, Thursdays, and some Fridays, no nights, no weekends