Operating Room Nurse

DHA•Tacoma, WA

19h•Onsite

About The Position

Seeking an Operating Room Nurse for Madigan Army Medical Center in Tacoma, Washington, located on Joint Base Lewis-McChord. This role offers the opportunity to practice alongside premier civilian and military healthcare experts, providing world-class perioperative care to active-duty military, their families, and retirees. The position is in a highly supportive clinical setting that values clinical excellence and professional growth. You will encounter a varied clinical caseload across multiple surgical specialties, including routine outpatient procedures, obstetrics, spine, trauma, and pediatric cases. This is a dynamic, yet manageable environment for dedicated Operating Room Nurses seeking a fast-paced, highly collaborative, and multidisciplinary team setting. Madigan provides a competitive compensation package with opportunities for night and weekend differential pay, potential yearly retention bonuses, and performance incentives. Employees also receive access to top-tier health insurance benefits and a vested pension plan after five years of employment. Madigan Army Medical Center emphasizes academic and teaching excellence in perioperative care and seeks highly capable Operating Room Nurses motivated by clinical leadership, patient safety, and mentoring future military surgical staff.

Requirements

Must be a US Citizen
Graduate degree, Bachelor's, Associate's, or Diploma from a CCNE-accredited nursing program. (Note: Official transcripts required. Foreign degrees require CGFNS certification).
Current, active, full, and unrestricted RN license from a U.S. State, D.C., or Territory, AND a passing score on the NCLEX.
At least one (1) full year of professional operating room nursing experience OR a PhD or equivalent doctoral degree in nursing or a related medical science field.

Responsibilities

Perform circulating or scrub roles for diverse, complex surgical cases across all age groups.
Enforce strict aseptic/sterile techniques and conduct accurate instrument, needle, and sponge counts.
Actively assist surgeons and anesthesia providers (including induction, extubation, and invasive line placement).
Administer prescribed medications and controlled substances.
Continuously monitor patient status, respond to emergencies/codes, and maintain meticulous documentation (nursing notes, implant logs).
Set up, operate, and troubleshoot highly technical surgical equipment (e.g., lasers, robotics, operative microscopes, electrosurgical generators).
Oversee the handling, assembly, sterilization, and reprocessing of surgical instruments.
Manage unit inventory, review surgeon preference cards, and coordinate with vendors for new equipment training.
Function as Charge Nurse when required, distributing workload, delegating tasks, and monitoring work quality.
Precept, train, and mentor military personnel, civilians, medical students, and residents.
Drive process improvement, risk management, and update facility policies in accordance with national evidence-based practices.