Registered Nurse Circulator, ASC

The Surgical Clinic•Nashville, TN

About The Position

The RN Circulator delivers safe, efficient, and compassionate perioperative nursing care for patients receiving outpatient surgical and procedural services at Tennessee Surgery Center. Serving as the patient’s advocate, the Circulator coordinates care before, during, and after procedures in collaboration with surgeons, anesthesia providers, and perioperative staff. The role requires strong clinical judgment and communication, along with adherence to AORN standards, regulatory requirements, and Tennessee Surgery Center policies to support optimal outcomes in operating-room and procedure-room settings, including care for pediatric patients. The Surgical Clinic is a multi-specialty surgical practice in Middle Tennessee that emphasizes advanced medical technology, patient care, convenience, and satisfaction. It describes its workplace as supportive, collaborative, and innovative.

Requirements

Current, unrestricted Registered Nurse (RN) license in the State of Tennessee.
Graduation from an accredited School of Nursing.
Current BLS certification.
ACLS and PALS certification, or ability to obtain them based on the patient population.
Strong knowledge of aseptic technique, surgical and procedural workflows, and perioperative practice standards, including AORN.
Strong clinical assessment and critical-thinking skills to monitor patient status and respond to intraoperative needs or emergencies.
Ability to coordinate surgical workflow, patient positioning, and care transitions.
Knowledge of regulatory and safety standards, including AAAHC, CMS, OSHA, and infection-prevention practices.
Excellent communication, teamwork, and organizational skills.
Ability to work effectively in a fast-paced, team-oriented environment and remain composed in high-stress situations.
Ability to stand and walk for extended periods during surgical procedures.
Ability to lift, push, and pull up to 50 lbs. and assist with patient transfers and positioning.
Manual dexterity and visual acuity sufficient to operate equipment and monitor patient condition.
Ability to respond quickly in emergencies.

Nice To Haves

At least one year of perioperative, procedural, or pediatric nursing experience is preferred.
ASC or hospital OR experience is strongly preferred.

Responsibilities

Perform comprehensive, age-appropriate preoperative assessments and confirm patient identity, consent, procedure plan, and site marking according to safety protocols.
Prepare operating and procedure rooms by verifying the availability, sterility, and functioning of instruments, equipment, and supplies.
Circulate during surgical and procedural cases, monitoring sterile technique, anticipating team needs, documenting care, and supporting a safe, efficient workflow.
Advocate for patients and families by maintaining safety, dignity, confidentiality, and emotional support throughout the perioperative experience.
Assist with patient positioning, preparation, and intraoperative monitoring in collaboration with anesthesia providers and surgeons.
Coordinate patient flow and care transitions with Pre-Op, PACU, recovery, and sterile processing staff.
Manage and process surgical and procedural specimens according to protocols and chain-of-custody requirements.
Respond promptly and appropriately to intraoperative or procedural emergencies.
Participate in infection prevention, quality improvement, and compliance with AAAHC, CMS, OSHA, and AORN standards.
Provide education, mentorship, and clinical support to new staff and other team members in the OR or procedural setting.
Perform additional duties as assigned by the OR Director, Team Lead, or Administrator.