Originally Posted by jzzy88
What sorts of things do PAs do in surgery. How do they participate in surgical procedures?
It depends on the type of surgery. For example in ortho the PA may get the ACL graft and prepare it on the back table while the orthopod prepares the knee. There are some PAs that have a very good relationship with their SP that will do one side of a bilateral TKA.
In CV its pretty common for the PA to prepare the saphenous graft either open or more commonly endoscopically. While they do this the surgeon gets exposure and mobilizes the heart. Then the PA moves up and helps sew in the graft. They also will typically place the chest tubes at the end of the case.
In general surgery PAs mostly first assist which entails exposure, tissue dissection and hemostasis. I do transplant so I either second assist which is mostly exposure and hemostasis or first assist where I also do some tissue dissection. I help close and of course there are always the post op orders. In my case we mostly do medicine with an occasional 3 AM foray into surgery. There are a lot of different roles for PAs in surgery and many different areas of surgery to practice.
David Carpenter, PA-C
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