Urgent Surgery Associates (URSA)

Surgical First Assist APP

Service Line: Trauma and Acute Care Surgery

Location: Fort Worth, Texas

Position: Full-time w/ benefits

Status: Employee


Our goal at Urgent Surgery Associates is to provide excellent patient care centered on serious and acute general surgery. While our historical focus has been on trauma care, our expertise in managing the acute and unexpected critically ill patient has allowed our practice to evolve to that of surgical hospitalist and acute care surgeon. While primarily hospital-based, we remain available for providing care and consultation for a variety of non-urgent general surgery. 

Urgent Surgery Associates (URSA)

1400 8th Avenue, Fort Worth, TX 76104

View Map

Emergency Department


  • Rib fracture repair 
  • Acute abdominal pathology 
  • Complex hernias 
  • Complex surgical infections 
  • Complex anterior spine exposure 

Shift Coverage:

  • APP:  
    • 12-hour shifts 
    • 24 hours of coverage daily

Service Line Details

A surgical first assistant is an integral part of the surgical team. The team works together in the operating room to ensure the patient receives quality care during a surgical procedure. A surgical first assistant works closely with the surgeon to facilitate the procedure and process of surgery. 

 Surgical first assistants are expected to prepare and position the patient for surgery, assist in visualization of the operating field, provide hemostasis, harvest surgical grafts, perform closure of incisions, and apply various wound dressings. In addition to these intraoperative duties, surgical first assistants also perform pre-and postoperative activities to facilitate optimal patient care. 

 Surgical first assistants work under the direct supervision of the surgeon, following facility protocol and policy as well as other laws and regulations. 

Required Qualifications

  • Board-Certified Physician Assistant or Nurse Practitioner with a minimum of one-year surgical first assist experience in the OR. 
  • Experience in trauma, general surgery, or acute care surgeries. 
  • Nurse Practitioner must possess Registered Nurse First Assistant Certification (RNFA). 
  • Procedures a plus. 


  • Medical, Dental, Vision, 401K with safe harbor company match, discretionary 401K profit sharing contribution, $5,000 CME/Business Expense Reimbursement 
  • Occurrence-based malpractice coverage 


Fort Worth is the 16th largest city in the United States.  No other city boasts such an unmistakable mix of preserved Western heritage and unrivaled artistic offerings. Whether you prefer to spend your time in a museum or watching the world’s only twice-daily cattle drive, Fort Worth offers plenty of things to do. 

For more information contact:

Jennifer Bullard, Recruiter
jbullard@ies.healthcare | (c) 214.794.9065 | (p) 469.420.5503