Surgical First Assistant Jobs in South Dakota
Surgical First Assistant jobs in South Dakota are open across Rapid City and Sioux Falls and other South Dakota metros, with employers like Monument Health, Sioux Center Health, and Sanford Bismarck hiring at every experience level. Find a role that fits below and apply directly.
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PRIMARY LOCATION
Rapid City, SD USA
DEPARTMENT
RCH Surgical Services
SCHEDULED WEEKLY HOURS
40
STARTING PAY RATE RANGE
$29.71 - $35.80
(Determined by the knowledge, skills, and experience of the applicant.)
JOB SUMMARY
Up to $40,000 Sign On Bonus Available for Qualified Candidates
It starts with heart. That is what you will do each day. As a Surgical Technician at Monument Health, you will be valued as an essential team member providing compassionate patient focused care. You will discover a culture of teamwork, professionalism, mutual respect, and—most importantly—a life-changing career. You will make a difference. Every day.
As a Surgical Technologist, you will function as a member of the surgery team in delivering patient care and assuming appropriate responsibilities before, during and after surgery. You will handle the instruments, supplies, and equipment necessary during the surgical procedure. As a Surgical Technologist at Monument Health, you understand the procedure being performed and anticipate the needs of the surgeon. You have the necessary knowledge and ability to ensure quality patient care during the operative procedure and is constantly maintain the sterile field.
Our vision at Monument Health is to be one team, to listen, to be inclusive, and to show we care. To do the right thing. Every time. If you share this philosophy, we hope you’ll join us. Monument Health offers competitive wages and benefits on qualifying positions. Some of those benefits can include:
- Supportive work culture
- Medical, Vision and Dental Coverage
- Retirement Plans, Health Savings Account, and Flexible Spending Account
- Instant pay is available for qualifying positions
- Paid Time Off Accrual Bank
- Opportunities for growth and advancement
- Tuition assistance/reimbursement
- Excellent pay differentials on qualifying positions
- Flexible scheduling
JOB DESCRIPTION
Essential Functions:
- Performs interventions, skills, and procedures consistent with accepted standards of surgical practice, policies and procedures in the surgical suite. These include, but are not limited to: preparing the Operating Room to include necessary supplies and equipment as indicated by the patient's status; providing appropriate safety and comfort measures to the patient; providing proper patient transfer and positioning; assuring maintenance of asepsis and sterile field; assuring well-being of patient including fluid balance and skin integrity; competency in equipment, supplies and their usage; investigating unfamiliar procedures, techniques, and medications; demonstrating organizational ability by using time, equipment, and personnel effectively; knowing and performing correct sterilization procedures; assuring minimal time loss between cases; utilizing physician preference cards.
- Handles unanticipated events and crisis situations in a professional manner. Is alert to potential problems and notifies appropriate individuals as necessary.
- Performs the technical procedures necessary for job responsibilities in a safe, effective, efficient, legal and professional manner. Is responsible for own education, personal growth and development. Takes timely action & appropriately plans for cases with consideration of individual needs.
- Utilizes organizational assets appropriately which includes supplies, equipment, time and property. Manages room and supplies to promote use of only items needed in case and questions waste.
- Establishes, maintains, and monitors the surgical environment to ensure that the potential for infection is reduced by proper sterilization, decontamination, and disinfection procedures.
- Willing to assist in other roles to keep costs down and quality high.
- Consistently performs appropriate counts per OR policy as evidenced by observation/chart review.
- Support the Institution by operating in an efficient and cost-effective manner while projecting a positive image to the community.
- Supports process improvement by addressing situations that are of concern and follows through with appropriate intervention.
- The Surgical Technologist ensures that all required elements are in place for efficient completion of any and all procedures.
- All other duties as assigned.
ADDITIONAL REQUIREMENTS
Required
Rapid City Hospital, Spearfish Hospital, and Monument Health Orthopedic Specialty Hospital:
Education – Graduate of an Accredited Surgical Technology Program OR Graduate of a Military Surgical Technology Training Program
Certifications - Basic Life Support (BLS) Certification - American Heart Association (AHA) - Within 60 days of hire or transfer
Rapid City Market CV Team:
Education - Associate in a Healthcare related field OR the following certification
Certification - Within 12-months of hire Surgical Technician Certificate from an accredited program
Work Experience - 2+ years cardiovascular experience
Certifications - Basic Life Support (BLS) Certification - American Heart Association (AHA) - Within 60 days of hire or transfer
Preferred
Education - Associate degree of Applied Science in Surgical Technology
Work Experience - 1+ years of Surgical Technologist Experience; 1+ years of Healthcare Experience
Certification - Certified Surgical Technologist (CST) - Nation Board of Surgical Technology and Surgical Assisting (NBSTSA)
Scheduling Requirements:
Requires the ability to work assigned schedules and hours as determined by the department.
Physical Requirements:
Heavy work - exerting up to 25 pounds of force constantly (67-100% of the time), and/or up to 50 pounds frequently (34-66% of the time), and/or up to 100 pounds of force occasionally (up to 33% of the time), and or up to 100 pounds of force seldomly to move objects. Possible exposure to radiation and frequent exposure to contaminated needles and infectious body substances.
JOB CATEGORY
Nursing
JOB FAMILY
Surgical Services
SHIFT
Requires the ability to work assigned schedules and hours as determined by the department
EMPLOYEE TYPE
Regular
Monument Health is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, or protected Veteran status.
See All 7 Surgical First Assistant Jobs in South Dakota
Find roles in South Dakota that match your experience and apply in just a few clicks.
Find Surgical First Assistant JobsSurgical First Assistant Jobs by City in South Dakota
Where South Dakota roles are concentrated, by current openings.
Surgical First Assistant Job Market in South Dakota
A snapshot from current South Dakota openings, updated as new roles post.
Who's Hiring
- Monument Health4

- Sioux Center Health2

- Sanford Bismarck1

Top Industries Hiring
- Healthcare & Medical Services7
What South Dakota Employers Look For
The qualifications that appear most often in surgical first assistant jobs across South Dakota.
- Current CNFA or CSFA certification from a nationally recognized credentialing body
- Minimum two years of first-assist experience in an operating room setting
- Proficiency in open, laparoscopic, and robotic-assisted surgical procedures
- BLS and ACLS certification current at time of hire
- Completion of an accredited surgical first assistant or surgical technology program
- Familiarity with sterile field management, instrumentation, and surgical site preparation
Surgical First Assistant Jobs in South Dakota: Frequently Asked Questions
How many surgical first assistant jobs are there in South Dakota?
There are 7+ surgical first assistant openings in South Dakota on Migrate Mate as of June 2026, with the most roles in Rapid City and Sioux Falls. New positions post regularly as employers across South Dakota hire.
Which South Dakota cities have the most surgical first assistant jobs?
Rapid City and Sioux Falls have the most surgical first assistant openings in South Dakota right now, with additional roles spread across smaller metros statewide.
Which companies hire surgical first assistants in South Dakota?
Employers hiring surgical first assistants in South Dakota include Monument Health, Sioux Center Health, and Sanford Bismarck, based on current listings on Migrate Mate as of June 2026.
Are there remote surgical first assistant jobs in South Dakota?
Yes. About 0% of surgical first assistant openings tied to South Dakota are remote or hybrid as of June 2026. The rest are on-site roles based in South Dakota metros.
How do I apply for surgical first assistant jobs in South Dakota?
You can apply to surgical first assistant jobs in South Dakota directly on Migrate Mate. Search the listings above, find roles that match your experience and preferred South Dakota location, then apply to each one that fits.
See All 7 Surgical First Assistant Jobs in South Dakota
Find roles in South Dakota that match your experience and apply in just a few clicks.
Find Surgical First Assistant Jobs