Operating Room Registered Nurse

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PRN Littleton, CO, US

3 days ago Requisition

Salary Range: $45.00 To $55.00 Hourly

POSITION SUMMARY

The Operating Room Registered Nurse plans, delivers, and evaluates perioperative nursing care for patients undergoing outpatient surgical procedures. The role primarily functions as the circulating nurse, coordinating the surgical team, maintaining a safe environment, and advocating for the patient from entry into the operating room through handoff to the Post-Anesthesia Care Unit (PACU).

The Operating Room Registered Nurse practices under the state Nurse Practice Act, AORN Guidelines for Perioperative Practice, accreditation standards, and Center policy.

ESSENTIAL DUTIES AND RESPONSIBILITIES

• Reviews each patient's record before the case, verifying consent, history and physical, site marking, allergies, laboratory results, and implant or equipment needs, and resolves discrepancies before the patient enters the operating room.
• Prepares the operating room with instruments, supplies, equipment, and implants per the surgeon's preference card; confirms sterility indicators and equipment function.
• Assesses the patient on arrival to the operating room, confirming identity, procedure, and site, and communicates relevant findings to the surgical team.

Intraoperative Care

• Leads the surgical safety checklist, including the time-out and sign-out, and halts the procedure for any unresolved discrepancy.
• Positions, preps, and protects the patient, including pressure-point padding, electrosurgical dispersive pad placement, and thermal management.
• Maintains and monitors sterile technique and corrects breaks in sterility.
• Performs and documents surgical counts of sponges, sharps, and instruments with the scrub person per Center policy.
• Labels, documents, and tracks specimens, implants, and explants per Center policy and tissue-tracking requirements.
• Prepares and administers medications and solutions within scope of practice as ordered, and ensures all medications on and off the sterile field are labeled.
• Assists anesthesia during induction and emergence, and responds to intraoperative emergencies, including malignant hyperthermia, airway, and cardiac events, per Center protocol.
• Performs the scrub role when competency has been validated and staffing requires.

Documentation and Handoff

• Documents intraoperative care accurately and in real time in the electronic medical record.
• Provides a structured handoff report to the PACU registered nurse.

Safety, Quality, and Teamwork

• Follows infection prevention, fire safety, radiation safety, and OSHA blood borne pathogen standards.
• Directs Surgical Technologists and Operating Room Aides within the room, within scope of practice.
• Participates in quality improvement activities, annual competencies, and accreditation readiness.
• Precepts new staff as assigned.
• Assists with room turnover and restocking, and reports supply and equipment issues.
• Performs other duties as assigned.

QUALIFICATIONS

Required

• Graduate of an accredited nursing program (ADN or BSN).
• 1–2 years of prior perioperative nursing experience.
• Current, unrestricted RN license valid in the state where the Center is located; a multistate compact license is accepted where the state participates in the Nurse Licensure Compact.
• Current BLS (CPR) certification.
• Working knowledge of aseptic technique, surgical instrumentation, and AORN guidelines.
• Proficiency with electronic medical records.

Preferred

• Bachelor of Science in Nursing (BSN).
• Ambulatory surgery center experience.
• CNOR certification.

PHYSICAL REQUIREMENTS

Must be able to perform the essential functions of…