Functions as first assistant to the surgeon by handling tissue, using instruments to provide wound exposure and hemostasis, suction, sponge and bovie when needed, cutting tissue and tying suture as directed by surgeon, which may include closure of surgical wound. Patient care includes care to patients in the following age groups: neonatal (birth to 30 days), pediatric (30 days through 12 years), adolescent (13 through 18 years), adult (19 through 64 years), and geriatric (65 years and above).