About The Position

The Registered Nurse Operating Room provides individualized, outcome-oriented nursing care using the nursing process and coordinates assessment, planning, and delivery of care in accordance with departmental and hospital policies and procedures. The role requires scrub and circulating experience and provides perioperative care in an ambulatory surgery setting. The nurse assesses patients and families, develops and revises plans of care, implements nursing interventions, administers and documents medications, maintains accurate medical records, and coordinates care with the healthcare team. The role includes preparing for procedures, maintaining aseptic technique, performing scrub and circulating duties, supporting patients and families, and ensuring safe intraoperative care. The nurse may direct or delegate work to other personnel and may manage staff assignments when given charge responsibilities. The position is full-time, budgeted for 36 hours per week, with day shifts and variable start and end times. Occasional overtime may be required. Compensation is $39.50–$84.02.

Requirements

  • Graduate of an accredited School of Nursing, validated through the Massachusetts Board of Registration in Nursing.
  • Demonstrated proficiency in acute care nursing, with relevant knowledge and skills.
  • Current Registered Nurse license/registration in Massachusetts.
  • Advanced Cardiac Life Support (ACLS) certification.
  • Must have both scrub and circulating experience.
  • Days with variable start and end times; occasional overtime.

Responsibilities

  • Assess and reassess patients’ and families’ nursing care needs, document findings, recognize abnormal laboratory values, and evaluate responses to interventions.
  • Complete and verify perioperative assessments, pre-operative checklists, patient identification, surgical-site marking, and required laboratory, EKG, history and physical, and medical-clearance documentation.
  • Develop, communicate, document, and revise individualized plans of care, patient and family teaching, and discharge plans.
  • Prepare for procedures by updating physician preference cards and assembling and checking instruments, supplies, equipment, and implants.
  • Provide intraoperative care, including scrub and circulating duties, applying aseptic technique, preparing surgical sites according to AORN standards, and addressing contamination risks.
  • Administer and document medications according to policy; manage medication reconciliation, narcotic counts, Pyxis processes, IV access, and procedure medication documentation.
  • Maintain accurate nursing and intraoperative documentation, including patient records, charges, implants, medication records, and physician preference-card changes.
  • Delegate care according to patient needs, caregiver skills, legal requirements, and hospital policy; manage assignments when assigned charge responsibilities.
  • Promote patient and staff safety through verification procedures, time-outs, counts, specimen handling, hand hygiene, precautions, equipment safety, fall-risk assessment, safe transport, and patient hand-offs.
  • Maintain professional development, required licensure and certification, continuing education, mandatory training, and participation in departmental and hospital initiatives.
  • Use required clinical, administrative, reporting, payroll, and communication technology and equipment.
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