Operating Room Nurse; OR RN

Registered Nurse (RN) - Operating Room (OR)

Job Category: Clinical

Requisition Number: ASCRN
001702

• Posted :
  March 16, 2026
• Full-Time
• On-site

Showing 1 location

55 West Watkins Mill Road
Suite 250
Gaithersburg, MD 20878, USA

• Pay or shift range: $45 USD to $55 USD

The estimated range is the budgeted amount for this position. Final offers are based on various factors, including skill set, experience, location, qualifications and other job-related reasons.

Position Summary/Scope of responsibility

The Centers for Advanced Orthopaedics LLC (CAO) is one of the nation’s largest Orthopaedics practices, owned and operated by physicians, with over 60 locations across Maryland, Northern Virginia, and the District of Columbia. With approximately 2,000 employees, working in 28 Divisions, CAO is a growing business with revenues of approximately $250 Million. CAO is committed to be the Orthopaedics provider of choice for our patients;

partner of choice for payors and health systems; and employer of choice by attracting and retaining a talented workforce.

The Operating Room (OR) Nurse is responsible for providing safe, effective, and efficient patient care during surgical procedures in an outpatient setting. The OR Nurse works closely with the surgical team to ensure proper preparation, delivery, and post-operative transition of care. This role includes circulating and/or scrubbing duties, ensuring compliance with regulatory standards and adherence to facility protocols in the Ambulatory Surgery Center (ASC).

This position will support operations at Watkins Mill Surgery Center, ensuring efficient daily workflows and high-quality patient care delivery. Watkins Mill Surgery Center is a state-of-the-art outpatient surgery center located in Gaithersburg, Maryland, serving the DMV region and specializing in orthopedic surgery and pain management.

Salary Range

$45-55 /hour

Primary Responsibilities

• Organize time, equipment, and supplies to maximize workflow and patient care.
• Use clinical equipment effectively, anticipating and meeting patient needs.
• Maintain cleanliness, order, and proper inventory levels in the operating areas.
• Participate actively as a team member in support of the full perioperative process.
• Direct and supervise patient care in a single operating room and ensure coordination with the surgical team.
• Delegate activities appropriately based on team member competencies and role.
• Support cost‑effective care by minimizing waste and ensuring efficient turnover times.
• Address patient needs during admission to the OR, including physical and emotional support.
• Transport patients to and from the operating room in a safe and timely manner.
• Review medical records and plan care in coordination with other team members.
• Confirm patient identity, correct procedure, and operative site per protocol; participate in surgical timeouts.
• Maintain patient privacy, dignity, and comfort throughout the intraoperative phase.
• Provide education about the intraoperative process when appropriate.
• Function as the circulating nurse during procedures, adhering to established protocols.
• Prepare the OR environment and ensure all supplies, equipment, and instruments are present and functioning.
• Assist in safe patient positioning and preparation of the operative site.
• Anticipate the needs of the surgical and anesthesia teams during the procedure.
• Monitor and maintain strict aseptic technique and infection control practices.
• Provide a safe and supportive environment by monitoring OR parameters and ensuring patient comfort.
• Assist in equipment handling and respond promptly to changes in patient status.
• Communicate effectively with perioperative team members to ensure continuity of care.
• Document patient care activities, observations, and interventions in accordance with policies and procedures.
• Clearly convey patient status to the recovery team and other responsible caregivers.
• Accurately interpret and act on verbal orders and intraoperative instructions.
• Ensures consistent compliance with all regulatory and CAO guidelines, policies, and procedures.
• Other duties as assigned.

Reporting Relationships

The Registered Nurse reports directly to the Nurse Manager or…