RN Scrub​/Assist

Job Summary

Under general supervision, plans, directs, and evaluates total nursing care and functions in the operating room on a particular shift, in accordance with established patient care plans and philosophy. Provides care and support to patients before, during, and after surgery; assists the surgeon and the surgical team in their tasks.

Reporting Structure

Reports to the Surgery Nursing Director and/or designee.

Minimum Qualification Requirements

• Education – Graduate of an accredited nursing program;
  Bachelor of Science in nursing (BSN) or Associate of Science in Nursing (ADN) degree required.
• Work Experience – Minimum of two years of nursing experience in an acute healthcare setting preferred; operating room experience preferred.
• License/Certification – Current Tennessee State Licensed Practical Nurse with no restrictions; current CPR/BLS;
  Advanced Cardiac Life Support (ACLS) required for full‑time employees or within one year of hire date;
  Pediatric Advanced Life Support (PALS) required for full‑time employees or within one year of hire date.

CORE COMPETENCIES

• Mission, Vision
• Core Values/Standards of Conduct
• AIDET/Organizational Expectations
• Just Culture
• Patient Experience
• Diversity and Inclusion

Job Specific Core Competencies

• Department Specific Specialty Area

Skills and Knowledge

• Excellent customer service and interpersonal skills; adept at working with diverse patient populations.
• Effective verbal and written communication.
• Working knowledge of universal patient safety standards, safety and quality regulations, and government agencies' rules (CMS, OIG, HIPAA).
• Knowledge of patient empathy needs and patient rights.

Behavioral Abilities

• Pass all required health and other screening tests.
• Positive behavior conducive to a team environment.
• Ability to work with little direct supervision.
• Treat patients, co‑workers, employees, and visitors with respect and courtesy.
• Project a professional and positive public image.
• Proficient in spoken and written English.

Essential Functions Operating Room Patient Care

• May perform circulating nurse duties: assist in positioning, respond to patient comfort and safety.
• Provide accurate care and handling of specimens.
• Observe and enforce strict asepsis standards, maintaining the sterile field.
• Check and monitor all equipment used during surgery.
• Document accurately in the patient EHR.
• Inventory all items pre‑ and post‑surgery.
• May perform scrub nurse duties: select and handle instruments and supplies, perform sharp and instrument counts.

Patient Care

• Provide direct and individualized nursing care based on scientific nursing principles.
• Initiate admission assessment within two hours of arrival, including pain assessment.
• Complete admission assessment within 24 hours.
• Monitor patient condition throughout shift, reassessing pain.
• Interpret changes in patient condition and abnormal lab values; communicate via shift documentation.
• Initiate a written plan of care on admission; incorporate nursing interventions, measurable outcomes, and discharge planning.
• Review and update the nursing plan of care as needed; involve patient or family in care planning.
• Request consultations based on assessment data to support problem solving; document in the medical record.
• Administer medications, including IV fluids and controlled substances, following policy and procedure.
• Accurately review physician orders and ensure implementation on schedule.
• Document nursing interventions and patient responses.
• Provide basic teaching as outlined in the plan of care; document teaching and outcomes.
• Evaluate patient outcomes and modify interventions as needed, including pain reassessment.
• Report changes in patient condition or adverse responses to the physician and other healthcare professionals.
• Maintain acceptable standards of patient care.
• Arrange for needed supplies and equipment to be on hand.
• Participate in ongoing quality improvement activities.

Other Duties

• May assist with other related duties and special project work as required.

Physical Demands

• Prolonged standing and walking.
• Lift, push, and pull up to 40 pounds during an assigned shift.
• Use corrective eyewear; hear clearly with assistance.
• Possible exposure to infectious and contagious diseases.
• Handle emergency and/or crisis situations.
• Wear protective equipment as necessary.
• Transfer and reposition patients.
• Reach, stoop, bend, kneel, and crouch for patient care functions.
• Perform effectively in a stressful and fast‑paced environment.
• Pass all required health and screening tests, including random and reasonable suspicion drug screens.

Physical Abilities and Requirements

• Sitting – Occasionally (1‑33%)
• Walking – Frequently (34‑66%)
• Standing – Continuously (67‑100%)
• Bending – X
• Squatting – X
• Climbing – X
• Kneeling – X
• Twisting – X
• Lifting – X
• Carrying – X
• Pushing – X

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