Vein Harvesting First Assist

We are seeking a skilled Surgical First Assist (SFA), RNFA, Physician Assistant, or Nurse Practitioner with first assist experience to join our Cardiothoracic Surgery team in Texarkana, TX. This role focuses heavily on surgical first assist and vein harvesting in the operating room.

Responsibilities will vary based on credentials, with PAs and NPs participating in both surgical and clinical care, while SFAs and RNFAs will focus primarily on operative responsibilities.

• Serve as first assist in cardiothoracic surgical procedures, including CABG and valve surgeries
• Perform vein harvesting (endoscopic or open techniques)
• Provide intraoperative support including tissue handling, suturing, and hemostasis
• Collaborate closely with cardiothoracic surgeons and OR staff to ensure optimal surgical outcomes
• Participate in perioperative patient care as appropriate

Additional Responsibilities for PAs/NPs:

• Conduct outpatient clinic visits including pre- and post-operative evaluations
• Assist with patient management, follow-ups, and care coordination
• Order and interpret labs, imaging, and diagnostic studies
• Provide patient education on procedures, recovery, and long-term care

• Current Texas license (if applicable to role: PA, NP, or RNFA)
• National certification (AANP, ANCC, NCCPA, or RNFA as applicable)
• First assist experience required
• Experience with vein harvesting strongly preferred
• Strong surgical skills and ability to work in a high-acuity environment
• Excellent teamwork and communication skills

• Full-time position with schedule aligned to surgical case volume
• Call responsibilities may be required depending on role
• Competitive compensation based on experience and role type
• Comprehensive benefits package including health, dental, and vision insurance, malpractice coverage (if applicable), PTO, CME allowance (for APPs), and 403(b) retirement plan with employer match

Texarkana offers a welcoming community, low cost of living, and a strong healthcare presence. It's an excellent location for providers seeking both professional growth and quality of life.

Apply Today
If you are an experienced first assist with cardiothoracic experience and vein harvesting skills, we encourage you to apply and join our surgical team in Texarkana, Texas.