Ambulatory Circulator

Montefiore Nyack Hospital•Nanuet, NY

103d•$55•Onsite

About The Position

The Ambulatory Circulator uses the nursing process to provide comprehensive nursing care during the intra-operative phase and coordinates total patient care with other health team members, particularly the anesthesia team, surgical technologist, and health safety services technologist. The nurse acts as a patient advocate in accordance with the Patient’s Bill of Rights and demonstrates professional growth by accepting responsibility and accountability for nursing practice. The role involves assessing patients’ physiological and psychological status, developing and communicating plans of care, implementing nursing actions, and evaluating patient outcomes and the effectiveness of care. The circulator may also scrub cases, maintain a sterile field, provide and operate equipment, perform counts, administer medications and solutions, monitor the patient and surgical environment, and support safe patient transport and peri-operative care. Duties may include ancillary support such as preparing case carts and implant carts, stocking supplies, checking specimens, providing lunch relief, and assisting with room turnover. The position is based at the West Nyack Ambulatory Surgery Center in West Nyack, New York. The schedule is 40 hours per week, with days varying, a day shift, and scheduled hours of 7:30 AM to 4:00 PM. The listed hiring rate is $55+ per hour and may vary based on shift differential, experience, education, or other relevant factors.

Requirements

Associate degree or bachelor’s degree required.
At least 1 year of operating room experience required; the posting lists a minimum range of 1–3 years.
High proficiency circulating and scrubbing in orthopedic cases, or ability to learn scrubbing in orthopedic cases.
Registered Nurse credential through the New York State Board of Nursing required.
Basic Life Support (BLS) certification from the American Heart Association required.
Advanced Cardiac Life Support (ACLS) certification from the American Heart Association required.
Maintain applicable licensure and certification requirements.

Responsibilities

Assess patients’ physiological health status before and during surgery, including vital signs, skin condition, mobility, nutrition status, allergies, diagnostic results, and operative procedure verification.
Assess patients’ and families’ psychological needs, expectations, understanding, and relevant cultural, philosophical, or religious beliefs; communicate and document findings.
Formulate nursing diagnoses and establish attainable goals and plans of care based on patient needs.
Coordinate care with the surgical and health care team, assign activities to qualified personnel, and communicate and document plans and patient information relevant to care and discharge planning.
Transfer patients safely according to the plan of care, verify patient identity, select appropriate transport personnel and methods, and provide emotional support and pre-operative teaching as needed.
Scrub cases and create and maintain a sterile field using aseptic technique; inspect sterile items, monitor traffic and movement, address breaks in technique, and document sterile-field status.
Anticipate, select, provide, and operate appropriate equipment and supplies; confirm equipment is functional, remove malfunctioning equipment from service, communicate service needs, use supplies cost-effectively, and document supplies and charges.
Perform ancillary center tasks when facilitating outside the operating room, including handling supplies and case carts, specimen checks, lunch relief, stocking supplies, communicating low inventory levels, and preparing implant carts.
Perform sponge, sharps, and instrument counts according to policy; address incorrect counts and document results.
Administer and label medications and solutions according to policy, verbally confirm medication and dosage as required, and document administration or errors.
Monitor patients’ physical symptoms, behavioral changes, intake and output, vital signs, and peri-operative response; initiate appropriate nursing actions or obtain physician orders.
Control the peri-operative environment, follow safety and infection-control policies, maintain appropriate traffic patterns, and assist with room turnover.
Protect patient rights, safety, and confidentiality in accordance with the Patient’s Bill of Rights and Center policy.
Evaluate patient outcomes and the effectiveness of nursing care, adjust plans as needed, and participate in Quality Improvement Program activities.
Demonstrate accountability, sound judgment, adaptability, ethical and legal practice, continued learning, and good relations with patients, visitors, staff, and physicians.
Serve as a resource to other staff and participate in orientation of new employees, students, and approved program participants.
Attend Center staff and unit meetings and educational opportunities; maintain required certifications and participate in annual competency assessment.
Use appropriate personal protective equipment and follow OSHA Universal Precautions for exposure to blood and body fluids.
Participate in department- or hospital-wide process and outcome improvement activities and complete assigned projects within expected time frames.
Use equipment and supplies prudently and follow the charge process.