Registered Nurse OR - Surgical Services​/Evenings

Job Objective

Under the supervision of the Director of Surgical Services and/or the OR Charge Registered Nurse, the Registered Nurse is responsible for the nursing care of patients undergoing surgical and/or other invasive procedures. The RN shall function under the guidelines of the AORN Standards and the policies and procedures of the hospital.

• Apply the nursing process in direct patient care.
• Provide accurate assessment and documentation of the patient’s physiological, psychosocial, cultural, developmental, socioeconomic, and spiritual needs.
• Ensure a safe intra‑operative period with general, regional, or local anesthesia.
• Create and maintain quality care for patients undergoing surgery.
• Allow patient participation in care and respect wishes such as decisions to decline blood transfusion.
• Act as patient advocate during general anesthesia, regional block, or sedation.
• Account for sponges, needles, instruments, and sharps during the intra‑operative phase.
• Monitor and report all intra‑operative events and interventions.
• Update nursing care plans and provide shift‑to‑shift hand‑offs.
• Adhere to all policies, procedures, and protocols, and seek clarification when needed.
• Perform technical equipment operation safely and efficiently.
• Maintain a safe, clean, and therapeutic environment.
• Communicate effectively with patients, families, physicians, and unit staff.
• Document outcomes of interventions and evaluate patient progress.
• Support team efforts during crises or emergency situations.
• Maintain confidentiality of patient, hospital, and department information.
• Participate in continuing education and quality improvement initiatives.

• Demonstrate knowledge and application of surgical asepsis and sterile technique.
• Work effectively under pressure in a fast‑paced environment.
• Organize work, establish priorities, and meet time parameters.
• Use all necessary equipment safely, efficiently, and with cost awareness.
• Supervise care provided by others and assume responsibility for the quality of care.
• Interpret and apply hospital policies and legal regulations.
• Communicate clearly and maintain professional relationships.
• Follow the chain of command and conflict management processes.
• Adhere to the AVH Code of Conduct, Compliance & Integrity Program, and other safety policies.
• Handle emergencies and respond to emergency codes.
• Support a culture of safety and ethical decision‑making.

• Two years of acute‑care nursing preferred; new‑grad training provided as appropriate.
• Maintain current licensure, certifications, education, and physical health standards.
• Participate in mandatory and optional educational activities and staff meetings.

• Current California Registered Nursing license.
• BCLS certification.
• ACLS and PALS required for some specialty areas; additional certifications may be required by specific units.
• National certification such as Certified Nursing in the Operating Room (CNOR) desirable.

• May be required to take night and weekend call shifts in rotation with other OR staff.
• Work is performed under stressful, emotional, and physical conditions.
• Some procedures involve exposure to contaminated instruments and hazardous materials.

• Regular lifting of patients and equipment.
• Standing for prolonged periods and moving quickly during emergencies.
• Exposure to contaminated instruments, chemicals, and potentially radiation.

• Adhere to absenteeism, tardiness, leaves of absence, paid time off, and recording of hours policies.
• Follow the department dress code and telephone etiquette/standards.
• Maintain confidentiality of patient, hospital, and department information.
• Comply with all safety rules, code of conduct, and anti‑discrimination policies.
• Participate in departmental and hospital staff education and quality improvement activities.

• Patients Come First – listen actively and prioritize safety.
• Accountability & Ownership – complete tasks transparently.
• Teamwork – build trusting relationships.
• Integrity & Honesty – be truthful and speak up when something is wrong.
• Excellence – maintain a goal‑oriented mindset.
• Initiative & Innovation – use creativity to improve patient experience.
• Tenderness & Compassion – show genuine empathy and advocate for others.