Operating Room Registered Nurse

UNC Health Appalachian•Boone, NC
•Onsite

About The Position

UNC Health Appalachian is hiring an Operating Room Registered Nurse to provide specialized surgical nursing care in a collaborative perioperative environment in Boone, North Carolina. The RN supports patient safety and successful surgical outcomes while working with surgeons, anesthesiologists, and multidisciplinary staff. Compensation starts at $34.00 per hour and is commensurate with education, experience, certification, and internal equity. The schedule is Monday through Thursday, 8:30 AM to 5:00 PM, with some on-call requirements. The position is non-exempt. Applicable benefits begin on the first day of the month following 60 days of employment from new-hire orientation. The role includes direct and indirect care addressing surgical patients’ psychosocial, physical, and restorative needs; delivery of specialized nursing care under sterile conditions; monitoring patients during procedures; and maintaining accurate counts of instruments, sponges, and supplies. The RN collaborates with surgical and perioperative teams, applies evidence-based practice, documents care, and follows organizational policies, regulatory standards, and the Nurse Practice Act. The role requires responsiveness to changes in patient condition and emergencies, as well as professionalism, teamwork, and accountability. UNC Health Appalachian describes itself as a High Country healthcare provider operating three hospitals, 13 medical practices, the Seby B. Jones Regional Cancer Center, The Rehabilitation Center, and Appalachian Regional Healthcare Foundation. The employer emphasizes patient-centered care, quality, service excellence, professional development, clinical career advancement, and an inclusive, collaborative culture. Employment is contingent upon successful completion of a background check and drug screening.

Requirements

  • Graduate of an accredited school of nursing.
  • Associate Degree in Nursing (ADN) required.
  • Current, unrestricted Registered Nurse (RN) license in North Carolina.
  • Basic Life Support (BLS) certification from the American Heart Association required at the time of hire.
  • Advanced Cardiovascular Life Support (ACLS) certification from the American Heart Association required within one year of hire.
  • Ability to communicate effectively with patients, families, staff, and physicians.
  • Competence in delivering safe and effective nursing care within licensure and regulatory guidelines.
  • Knowledge of perioperative nursing care and patient safety standards.
  • Ability to work within the chain of command using effective verbal and non-verbal communication.
  • Strong commitment to patient-centered care and service excellence.
  • Ability to lift, position, push, pull, and/or transfer patients weighing 50 pounds or more.
  • Manual dexterity and mobility for clinical procedures.
  • Ability to tolerate prolonged sitting, standing, and walking during surgical procedures, as well as frequent bending, squatting, twisting, and reaching.
  • Near visual acuity for detailed clinical tasks at 20 inches or less.
  • Ability to work irregular hours, including days, evenings, nights, weekends, holidays, and emergency situations.
  • Ability to stand and walk for extended periods during procedures, including 8 or more hours per shift.
  • Ability to work with regular exposure to bloodborne pathogens and infectious materials, mechanical and electrical equipment, surgical instruments, chemicals, specimens, and environmental hazards, and occasional exposure to radiation including X-ray and related imaging equipment.

Nice To Haves

  • Previous experience as a Registered Nurse.
  • Prior healthcare experience in an acute or clinical setting.
  • One year of experience in a similar role.

Responsibilities

  • Provide direct and indirect patient care that meets surgical patients’ psychosocial, physical, and restorative needs.
  • Deliver specialized nursing care in the operating room under sterile conditions.
  • Monitor patient condition throughout procedures and communicate changes to physicians and anesthesiologists.
  • Maintain accurate counts of instruments, sponges, and surgical supplies to support patient safety.
  • Collaborate with surgeons, anesthesiologists, and perioperative staff to support surgical procedures.
  • Apply evidence-based practice to support optimal patient outcomes.
  • Maintain accurate documentation and communicate with interdisciplinary teams.
  • Follow organizational policies, regulatory standards, and the Nurse Practice Act.
  • Promote a patient-centered environment focused on safety, quality, and service excellence.
  • Respond promptly and effectively to changes in patient condition and emergency situations.
  • Demonstrate professionalism, teamwork, and accountability in care delivery.

Benefits

  • Comprehensive medical, dental, and vision coverage.
  • Retirement plan with employer match.
  • Paid time off.
  • Tuition reimbursement and tuition assistance.
  • Wellness incentives and resources.
  • Additional employee support programs.
  • Continuing education opportunities.
  • Clinical career advancement pathways.
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