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Nurse; Operating Room

Job in Tacoma, Pierce County, Washington, 98417, USA
Listing for: U.S. Army Medicine Civilian Corps
Full Time position
Listed on 2025-12-25
Job specializations:
  • Nursing
    Surgical Assistant, Operating Room Nurse
Job Description & How to Apply Below
Position: Nurse (Operating Room)

Overview

Nurse (Operating Room), Joint Base Lewis-McChord, WA (Madigan)

Joint Base Lewis-McChord, WA

Joint Base Lewis-McChord, its affiliated clinics and dental clinic are located at Fort Lewis, Washington, near the city of Tacoma. Madigan AMC is one of only three designated Level Two trauma centers within the U.S. Medical Command.

Tacoma is a progressive city of 200,000 nestled between Seattle and the state capital of Olympia. The region offers the attractions of larger metropolitan areas, with a hometown feel. World‑class museums, hotels and theaters draw thousands to downtown Tacoma while the shores of the Puget Sound and Mount Rainier inspire outdoor enthusiasts. The Broadway Center for the Performing Arts, Chihuly Bridge of Glass, Emerald Downs Racetrack, Emerald Queen Casino, Fort Nisqually Living History Museum, Lakewold Gardens, and the Mount Rainier Scenic Railroad represent a small sampling of the region's varied entertainment options.

The city offers excellent schools, universities, parks, festivals and regional shopping centers.

Tacoma‑Pierce County Chamber of Commerce Madigan Army Medical Center Joint Base Lewis Mc Chord

Responsibilities

Major Duties:

Incumbent serves as an Operating Room Nurse providing perioperative nursing care in a multi‑service operating room providing a full range of surgical nursing services supporting complex and extensive surgical procedures. Intra‑operatively manages nursing care of patients of all ages undergoing major surgical procedures of various types such as dental rehabilitation, cesarean childbirth, general, gynecological, orthopedic, neurological, genitor‑urology, ophthalmology, plastic and reconstructive, podiatry, thoracic, vascular, and ears, nose and throat.

Patients range in age from pediatric to geriatric and civilian traumas at select locations or specific circumstances. Performs duties in support of all phases of perioperative care (e.g., preoperative care, intraoperative, and Post Anesthesia Care Unit - PACU) and sterile processing.

  • Performs circulating roles of a perioperative nurse. Ensures sterile technique and anticipates the surgical team’s needs. Collaborates with surgeons in one or more surgical services to assess, coordinate, plan, and implement the newest approaches and practices to deliver efficient, cost‑effective surgical care for the beneficiary population. May circulate or scrub to support surgical cases. Coordinates with physicians and other staff, preoperatively, to develop a multi‑disciplinary, intra‑operative plan of care.

    Responsible for aseptic technique during the preparation for and duration of the operative procedure, accuracy of sponge, instrument and needle counts and adequacy of supplies. Opens all sterile packs and supplies, according to aseptic technique. Notes and responds to breaches of standard procedures that compromise the patient or staff members. Reviews and edits surgeon's preference cards for desired medications, equipment, and surgical supplies.

    Sets up, uses, reprocesses, and maintains all unit/department‑specific equipment. Monitors and utilizes simple and highly technical equipment, such as lasers, electrosurgical generators, sterilization equipment, video towers, operative microscopes, endoscopes, multiple complex surgical instruments and drills, implants, positioning devices, insufflators, and robotic equipment. Ensures equipment is working properly, preoperatively, and throughout surgical procedures. Monitors all operative processes; anesthesia, surgery, sterile technique, equipment functioning, and patient responses.

    Initiates and intervenes with immediate corrective action. Responsible for process improvement and risk management in the clinical areas. Engages in evidence‑based practice, quality improvement, and process improvement projects.
  • Provides direction and on‑the‑job training to military and civilian personnel, para‑professionals, medical students, residents, and other healthcare professionals. Orients and welcomes interdisciplinary staff members. Serves as role model, preceptor, and teacher for personnel. Acts as patient education facilitator, providing individual and family…
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