OR RN Days

Baylor Scott & White Health•Waxahachie, TX

6d•Onsite

About The Position

Baylor Scott & White Medical Center – Waxahachie is seeking an experienced Operating Room Registered Nurse to provide safe, high-quality perioperative care across a variety of surgical specialties. The RN coordinates patient care using the BSWH nursing model and nursing process: assessing patients, identifying nursing diagnoses, developing and implementing individualized care plans, and evaluating patient responses. The RN promotes safe transitions through healthcare and delegates interventions in accordance with the Texas Nursing Practice Act, patient condition, and employee competencies. In the operating room, the nurse assists anesthesia providers during induction, positions patients, coordinates and verifies surgical counts with the scrub technologist, leads safety practices such as time-outs and debriefs, and maintains accurate clinical documentation throughout the surgical experience. The department currently operates seven OR suites and plans to add three more in the spring. The team provides exposure to Robotics, General Surgery, Gynecology, Urology, Neuro, and Orthopedics, working collaboratively with surgeons, anesthesia providers, scrub technologists, and nursing professionals. This is a full-time position scheduled for 40 hours per week over four 10-hour day shifts on Monday, Tuesday, Wednesday, and Friday. The role requires 3–5 call shifts per six-week schedule, with the ability to arrive at the hospital within 30 minutes while on call.

Requirements

Graduate of an accredited nursing program, or two years of work experience above the minimum qualification.
Major in Nursing.
Current Registered Nurse (RN) license.
At least one year of experience as a circulating Operating Room RN is required in the role description.
The qualifications section also lists two years of experience.
Basic Life Support (BLS) certification, or obtain BLS within 30 days of hire or transfer.
Ability to arrive at the hospital within 30 minutes when on call.
Knowledge of nursing and patient care standards and procedures, applicable laws and regulations, and hospital and department protocols, policies, and procedures.
Knowledge of medical terminology, health promotion, risk reduction, disease prevention and management, and medications, including common dosages, effects, and possible adverse reactions.
Knowledge of nursing ethics and patient privacy rights.
Clear verbal and written communication, interpersonal, critical-thinking, and problem-solving skills.
General computer skills, including Microsoft Office, information security, scheduling and payroll systems, electronic medical documentation, and email.

Nice To Haves

Experience across multiple specialties, including Robotics, General Surgery, Gynecology, Urology, Neuro, and Orthopedics.
Ability to both circulate and scrub surgical cases.
Strong teamwork, communication, and critical-thinking skills.

Responsibilities

Assess patients and identify nursing diagnoses using clinical reasoning and applicable standards.
Develop, implement, evaluate, and modify individualized nursing care plans to meet patient outcomes.
Assist anesthesia providers during induction and position patients for surgery.
Coordinate and verify surgical counts with the scrub technologist.
Lead patient safety practices, including time-outs and debriefs.
Maintain accurate clinical documentation throughout the surgical experience.
Promote safe patient transitions and help prevent complications or delays.
Delegate interventions and tasks appropriately based on the Texas Nursing Practice Act, patient condition, and staff competencies.
Evaluate the quality and effectiveness of nursing practice, participate in quality improvement initiatives, and support evidence-based practice changes.
Create a safe, therapeutic environment and develop appropriate therapeutic relationships with patients and families.
Recognize and incorporate patients' and families' differences, culture, beliefs, values, and goals into care.
Protect patient confidentiality, autonomy, dignity, and rights, and help resolve ethical or clinical concerns.
Facilitate learning for patients, families, staff, the healthcare team, and the community; assess and document learning needs and outcomes.
Collaborate with colleagues and the community to create and implement care plans and ensure timely follow-up.
Observe changes in patients' medical conditions and communicate them to nursing staff and physicians or providers.