Charge Nurse OR- Days

Methodist McKinney Hospital•McKinney, TX

5h•Onsite

About The Position

The OR Charge Nurse will serve as the clinical leader and resource for Operating Room staff during assigned shifts. This role coordinates patient flow throughout the surgical continuum, provides guidance and support to perioperative team members, and assists with clinical decision-making and problem resolution. The Charge Nurse ensures adherence to hospital policies, AORN guidelines, and regulatory requirements, while also facilitating communication among surgeons, anesthesia providers, nursing staff, and ancillary departments. Responsibilities include coordinating the daily surgical schedule and room assignments, assigning personnel based on patient acuity and complexity, monitoring surgical progress, and managing emergency and add-on procedures. The role also ensures the availability of necessary equipment and supplies, assists in managing schedule changes, and maintains awareness of block utilization and case flow. Furthermore, the Charge Nurse promotes a culture of patient safety and accountability, ensures compliance with Universal Protocol and surgical time-outs, monitors adherence to infection prevention practices, and assists in the investigation and resolution of safety events. This position also involves coordinating staffing assignments, break coverage, managing on-call personnel, evaluating staffing needs, and assisting with the orientation and competency validation of new employees.

Requirements

Graduate of an accredited School of Nursing.
Current Texas Registered Nurse License.
Current BLS Certification.
ACLS Certification required.
PALS Certification required.
Minimum 3–5 years Operating Room experience.
Minimum 2 years circulating experience.

Nice To Haves

BSN preferred.
Leadership or charge nurse experience preferred.
CNOR Certification preferred.
AORN Membership encouraged.

Responsibilities

Serves as the clinical leader and resource for Operating Room staff during assigned shifts.
Coordinates patient flow throughout the surgical continuum.
Provides guidance and support to perioperative team members.
Assists with clinical decision-making and problem resolution.
Ensures adherence to hospital policies, AORN guidelines, and regulatory requirements.
Facilitates communication among surgeons, anesthesia providers, nursing staff, and ancillary departments.
Coordinates daily surgical schedule and room assignments.
Assigns personnel based on patient acuity, procedure complexity, competency, and staffing needs.
Monitors surgical progress and adjusts staffing and room utilization throughout the day.
Coordinates emergency and add-on procedures.
Ensures availability of equipment, supplies, implants, and instrumentation.
Assists in managing schedule changes, delays, and turnover efficiency.
Maintains awareness of block utilization and case flow.
Promotes a culture of patient safety and accountability.
Ensures compliance with Universal Protocol and surgical time-outs.
Monitors adherence to infection prevention practices and sterile technique.
Assists in the investigation and resolution of safety events and occurrences.
Supports quality improvement initiatives and performance metrics.
Participates in Root Cause Analysis (RCA) and corrective action planning as needed.
Coordinates staffing assignments and break coverage.
Assists with management of on-call personnel.
Evaluates staffing needs and communicates shortages to leadership.
Monitors productivity and staffing efficiency.
Assists with orientation and competency validation of new employees.
Functions as Circulator RN as needed.
Assists with patient care during periods of high census or staffing shortages.
Provides emergency clinical support during intraoperative events.
Ensures documentation is accurate and complete.
Lead by example.
Promote teamwork and accountability.
Demonstrate professionalism and excellent customer service.
Support surgeon engagement and satisfaction initiatives.
Foster a positive and collaborative work environment.
Drive continuous process improvement and operational excellence.
Ensures compliance with Joint Commission standards, CMS Conditions of Participation, State and Federal regulations, AORN Standards and Recommended Practices, and Hospital policies and procedures.
Supports accreditation readiness and survey preparation.
Serves as primary communication liaison for perioperative services.
Collaborates with surgeons, anesthesia providers, PAT, SPD, PACU, Pre-Op, and inpatient units.
Communicates operational concerns to leadership.
Participates in daily huddles and operational planning meetings.
Facilitates resolution of physician and staff concerns.