Staff Nurse OR

Peachtree Orthopaedic Clinic•Atlanta, GA

About The Position

The Staff Nurse OR provides comprehensive perioperative nursing care for patients undergoing surgical procedures in the Ambulatory Surgery Center (ASC). The role includes circulating and scrub duties, patient assessment and preparation, intraoperative nursing care, patient safety, documentation, care coordination, and regulatory compliance. The nurse partners with surgeons, anesthesia providers, surgical technologists, nursing staff, and leadership to support patient outcomes, efficient surgical workflows, compliance, and a safe surgical environment. The position has no direct supervisory responsibilities, but may provide clinical guidance, mentoring, orientation, and workflow support to surgical technologists, nursing personnel, and other assigned clinical staff. The work is performed in an ambulatory surgery center and requires prolonged standing, walking, lifting, bending, reaching, patient positioning, and continuous movement throughout the surgical suite. Lifting, moving, pushing, and pulling patients and equipment weighing up to 100 pounds with assistance may be required. The role involves exposure to bloodborne pathogens, bodily fluids, anesthetic gases, sharps, hazardous chemicals, cleaning solutions, and infectious materials, and requires adherence to sterile technique, infection prevention standards, and patient safety protocols in a fast-paced surgical environment.

Requirements

  • Current Georgia Registered Nurse (RN) license.
  • American Heart Association (AHA) Basic Life Support (BLS) certification.
  • Advanced Cardiovascular Life Support (ACLS) certification, or obtain it within three months of hire.
  • Ongoing continuing education and maintenance of required licenses and certifications.
  • Ability to perform the physical activities described, including prolonged standing, walking, lifting, bending, reaching, patient positioning, and continuous movement throughout the surgical suite.
  • Ability to lift, move, push, and pull patients and equipment weighing up to 100 pounds with assistance may be required.
  • Ability to work in an environment involving exposure to bloodborne pathogens, bodily fluids, anesthetic gases, sharps, hazardous chemicals, cleaning solutions, and infectious materials.
  • Ability to adhere to sterile technique, infection prevention standards, and patient safety protocols in a fast-paced surgical environment.

Nice To Haves

  • Certified Nurse Operating Room (CNOR) certification.

Responsibilities

  • Provide perioperative nursing care during the preoperative, intraoperative, and postoperative phases of surgical care.
  • Coordinate patient care as the circulating nurse, maintain sterile technique, ensure patient safety, and support the surgical team.
  • Perform scrub nurse duties as needed while maintaining competency in sterile technique and surgical instrumentation.
  • Assess patients before, during, and after procedures and develop individualized nursing care plans.
  • Verify patient identity, surgical site, physician orders, informed consent, and required documentation before procedures.
  • Position patients safely and protect skin integrity to prevent positioning-related injuries.
  • Prepare the operative field using accepted aseptic techniques and organizational standards.
  • Ensure surgical instruments, implants, medications, supplies, and equipment are available and functioning before procedures.
  • Maintain accurate sponge, needle, sharps, and instrument counts in accordance with policies and patient safety standards.
  • Assist surgeons, anesthesia providers, and surgical technologists during procedures and anticipate procedural needs.
  • Monitor patient condition during procedures, recognize changes in clinical status, and initiate appropriate nursing interventions.
  • Administer medications, intravenous fluids, and treatments in accordance with physician orders, policies, and nursing standards.
  • Coordinate care and communicate with Pre-Operative, PACU, Sterile Processing, and other clinical departments.
  • Escort patients to PACU and provide handoff communication about the procedure, patient condition, medications administered, and postoperative care requirements.
  • Maintain accurate, timely, and compliant documentation in the electronic medical record.
  • Handle, label, and dispose of surgical specimens in accordance with policies and regulatory requirements.
  • Maintain a clean, safe, and organized surgical environment and follow infection prevention practices, OSHA standards, and sterile processing guidelines.
  • Assist with inventory management, equipment maintenance, supply utilization, and operating room quality control.
  • Participate in scheduling coordination, room turnover, workflow management, and operational efficiency initiatives.
  • Assist with orientation, mentoring, education, and competency validation of new nursing and surgical staff as assigned.
  • Participate in quality improvement initiatives, patient safety programs, accreditation activities, and regulatory readiness efforts.
  • Ensure compliance with HIPAA, OSHA regulations, AAAHC accreditation standards, infection prevention requirements, organizational policies, and applicable state and federal regulations.
  • Identify process improvement opportunities and implement operational efficiencies to enhance patient safety, surgical quality, and departmental performance.
  • Perform other duties as assigned.
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