TECHS CAN’T DO THAT! – COMMON MISCONCEPTIONS ABOUT SURGICAL ASSISTANTS

In the world of surgery, titles and roles matter. One common misconception is that Surgical Assistants (SAs) are simply advanced Surgical Technologists (STs). While it’s true that some Surgical Technologists go on to further their education and become Surgical Assistants, it’s crucial to understand and respect the distinct roles and responsibilities of each. Failing to do so can have detrimental effects on the careers of Surgical Assistants and the quality of patient care.

 

The Cost of Misconception

The misunderstanding that Surgical Assistants are just advanced Surgical Techs can be injurious in several ways. Here are a couple:

  1. Pay Discrepancy: Employers may use this misconception as an excuse to pay you like a ST, less than you deserve. I like to think of SAs as similar to PAs, only just in the operating room. SAs possess specialized surgeon-level skills and should receive mid-level pay commensurate with their expertise.

  2. Limited Scope of Practice: Equating SAs with STs can limit what Surgical Assistants are allowed to do in the operating room. This not only undermines their capabilities but also hinders the overall efficiency and success of surgical procedures. In my position as a Training Director of a prominent Surgical Assistant Program, I’ve seen these specific tasks come up as the top 3 issues on more than one occasion:

    • Urinary Catheterization: This is within the SA’s scope but not the ST’s.

    • Placing Trocars in Laparoscopy: Again, a recognized responsibility for SAs, not STs.

    • Injecting Local Anesthetics: Permissible for SAs, off-limits for STs.

 

Defending Your Role

When confronted with the phrase, “Techs can’t do that!!!” Surgical Assistants need effective strategies to assert their distinct role. One approach is using verbal Aikido. In Aikido, a martial art, the defender blends with the attacker, and then uses the attacker’s energy against them. Here’s how you can apply this approach:

  1. Blend with the Attacker: Get on the same page with them. Respond with, “I agree. Techs can’t do that.” It’s unexpected and puts them off balance.

  2. Now use their energy against them: Follow up with, “That’s why I went to school to become a Surgical Assistant.” They can’t respond effectively to your argument.

This method disarms the opponent and clearly distinguishes the SA’s role from that of an ST. It’s as ludicrous to argue otherwise as it would be for a ST to go to PA school and still be thought of as a ST with advanced training.

 

Self-Perception and Professional Growth

Beyond making strong arguments, it’s vital that Surgical Assistants themselves do not fall into the trap of viewing their role as merely an advanced ST. Self-perception plays a critical role in professional identity and confidence. Recognize and affirm your unique qualifications and the different and elevated value you now bring to the surgical team.

If, despite your best efforts, this misconception persists and negatively impacts your earnings and responsibilities, it might be time to seek an employer who values your true role. Alternatively, consider becoming self-employed. Unlike STs, Surgical Assistants can have their services covered by patient insurance, offering a path to financial and professional independence.

In summary, understanding and advocating for the distinct role of Surgical Assistants is essential. Not only does it ensure fair compensation and appropriate responsibilities, but it also upholds the integrity of the surgical team and the quality of patient care. So the next time you hear, “Techs can’t do that!!!” remember to use verbal Aikido to affirm your rightful place in the operating room.