Registered Nurse-Hourly Operating Room Circulator

Amsurg•Texarkana, TX

About The Position

The Registered Nurse-Hourly Operating Room Circulator supports the surgical process as a team member and supervises and directs patient care in the operating or procedure room. The role organizes nursing activities, personnel, equipment, and supplies to provide efficient case management and delegates activities based on staff capabilities. It also supports cost-effective supply use, inventory management, and efficient room turnover. The nurse addresses patient needs related to the procedure, verifies patient identity and planned procedures, reviews the medical record, and provides comfort while maintaining privacy and dignity. Working collaboratively with the healthcare team, the nurse prepares the room and equipment, verifies instrument and supply sterility or disinfection, positions and monitors the patient, administers medications as ordered, documents care, handles specimens, and helps ensure continuity and safety throughout the procedure. The role includes confirming aseptic technique, performing required checks and time-outs, ensuring appropriate counts, and performing the surgical preparation.

Responsibilities

Participate proactively as a team member in support of the total surgical process.
Organize time, equipment, supplies, and personnel for effective and efficient case management.
Supervise and direct patient care in the operating or procedure room.
Organize nursing activities and delegate tasks appropriate to the abilities of available staff.
Use supplies economically, manage efficient turnover time, and assist with inventories of supplies, drugs, and equipment.
Address patient needs specific to the surgical procedure and transport patients to or from the operating or procedure room as needed, following safety requirements and policies.
Identify the patient and correct procedure using two patient identifiers, and communicate with the healthcare team.
Review the patient's medical record and needs to support collaborative continuity of care.
Provide comfort and reassurance while maintaining patient privacy and dignity.
Verify planned procedures with the patient and discuss the plan of care.
Collaborate with the healthcare team to prepare the operating or procedure room, including assembling and providing functioning equipment, supplies, and instruments.
Collaborate with the surgical or procedure team to verify instrument and supply sterility or high-level disinfection according to policy.
Handle and log tissue specimens correctly and accurately.
Work with the healthcare team to maintain and update physician preference cards.
Ensure safe and appropriate patient positioning and monitor the patient throughout the procedure.
Administer medications as ordered by the physician and document them appropriately.
Monitor the patient's condition and maintain accurate documentation during the procedure.
Comprehend and interpret physician orders and directions, following policies and procedures.
Complete medical records and other forms accurately, legibly, and promptly.
Collaborate with the healthcare team to ensure safe continuity of patient care.
Confirm proper aseptic and sterile techniques and identify breaks in sterile technique.
Verify the correct site and ensure required radiologic images are present, as applicable.
Perform a time-out before the start of the procedure, tourniquet inflation, or incision.
Ensure correct sponge, needle, sharps, and instrument counts as applicable to the procedure.
Perform the surgical preparation.
Perform other miscellaneous duties as assigned.