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Operating Room Nurse

- Fulltime  

Provides safe, quality patient care in the operating room for pediatric, adolescent, adult and geriatric patients in accordance with the established procedures of the Ambulatory Surgical Center.


Reasonable Accommodations Statement
To accomplish this job successfully, an individual must be able to perform, with or without reasonable accommodation, each essential function satisfactorily. Reasonable accommodations may be made to help enable qualified individuals with disabilities to perform the essential functions.

Essential Functions Statement(s)

  • Checks the schedule for any additions, changes, or cancellations
  • Wipes down lights and all horizontal surfaces with disinfectant prior to the first case of the day
  • Opens sterile supplies with the help of the surgical technician/nurse. Checks surgeon's card carefully with the surgical technician/nurse to see that everything is prepared for the case. Updates physician preference card(s) as needed
  • Performs and documents initial and ongoing assessments on pediatric, adolescent, adult and geriatric patients
  • Verifies patient identity
  • Assesses health, physical and psychosocial status of the patient experiencing surgical intervention by collecting pertinent health data from their observation chart
  • Reassesses patient as appropriate and/or according to policy
  • Provides psychosocial care to patient
  • Implements medical and nursing plans of care for patients which reflect pertinent age specific, physical, psychological, environmental and discharge planning factors
  • Reports any unusual circumstances concerning the patient's condition or the procedure to the surgeon and/or anesthesiologist. Completes occurrence report as indicated
  • Assists anesthesiologist during induction
  • Makes sure the surgical tech/nurse have everything they need before starting the prep, including pouring solutions, double- checking the local anesthesia with the surgical tech/nurses, etc.
  • Positions patient and performs surgical prep. Places grounding pad on patient's thigh, or on muscular area away from bony prominence. Make sure there is good contact between the patient's skin and the pad
  • Connects bovie and suction, after patient is draped
  • Checks all supplies for the next case. Leaves room only when necessary and for minimal periods. Is aware that a relief person must be available for all breaks, unless breaks in the schedule allow time between cases
  • Relieves other nurses for breaks as assigned. Voluntarily helps other nurses or works overtime as needed
  • Performs closing sponge and needle count. Places specimen in a container with formalin when indicated. Makes sure the specimen is labeled correctly. Gives frozen sections to pathologist without formal immediately upon excision
  • Helps move patient from OR table. Physician and nurse should accompany patient to the Recovery Room if needed, and if requested, giving the receiving nurse a report from the operating room
  • Helps clean the room in preparation for the next case, if a case is immediately following
  • Notifies Perioperative Coordinator at least half an hour before the next scheduled case if there will be delays on the following cases
  • Participates with instrument processing and case cart preparation in Sterile Supply Decontamination
  • Cleans and restocks the OR jointly with the surgical tech/nurse as needed. Wipes down all furniture/counters with disinfectant.
  • Selects scheduled cases for the next day in Sterile Supply
  • Knows the legal risks and implications of operating room nursing and is ready to assume them
  • Responds as an OR Coordinator by coordinating activities of OR and other surgical staff members, as needed
  • Recognizes and responds appropriately to patient and environmental safety factors. Monitors patient for safety-related issues. Provides patient instruction regarding safety issues
  • Notifies appropriate authority of potential and actual safety hazards and takes immediate, proper intervention to correct
  • Assists in ensuring that productivity and QI data is compiled and reports prepared for ASC management and regulatory bodies
  • Understands, applies, supports and follows department/ASC policies, procedures and standards at all times
  • Regular and predictable attendance
  • Ability to work in a cooperative manner with others
  • Performs all other duties as assigned


Competency Statement(s)/Mental Demands
  • Active Listening - Ability to actively attend to, convey, and understand the comments and questions of others.
  • Customer Service - Manages difficult or emotional customer situations; Responds promptly to customer needs; Solicits customer feedback to improve service; Responds to requests for service and assistance; Meets commitments.
  • Oral Communication - Speaks clearly and persuasively in positive or negative situations; Listens and gets clarification; Responds well to questions; Demonstrates group presentation skills; Participates in meetings.
  • Written Communication - Writes clearly and informatively; Edits work for spelling and grammar; Varies writing style to meet needs; Presents numerical data effectively; Able to read and interpret written information.
  • Teamwork - Balances team and individual responsibilities; Exhibits objectivity and openness to others' views; Gives and welcomes feedback; Contributes to building a positive team spirit; Puts success of team above own interests; Able to build morale and group commitments to goals and objectives; Supports everyone's efforts to succeed
  • Quality - Demonstrates accuracy and thoroughness; Looks for ways to improve and promote quality; Applies feedback to improve performance; Monitors own work to ensure quality.
  • Dependability - Follows instructions, responds to management direction; Takes responsibility for own actions; Keeps commitments; Commits to long hours of work when necessary to reach goals; Completes tasks on time or notifies appropriate person with an alternate plan.
  • Problem Solving - Identifies and resolves problems in a timely manner; Gathers and analyzes information skillfully; Develops alternative solutions; Works well in-group problem solving situations; Uses reason even when dealing with emotional topics.
  • Technical Skills - Assesses own strengths and weaknesses; Pursues training and development opportunities; Strives to continuously build knowledge and skills; Shares expertise with others.
  • Interpersonal Skills - Focuses on solving conflict, not blaming; Maintains confidentiality; Listens to others without interrupting; Keeps emotions under control; Remains open to others' ideas and tries new things.
  • Quality Management - Looks for ways to improve and promote quality; Demonstrates accuracy and thoroughness.
  • Ethics - Treats people with respect; Keeps commitments; Inspires the trust of others; Works with integrity and ethically; Upholds organizational values.
  • Organizational Support - Follows policies and procedures; Completes administrative tasks correctly and on time; Supports organization's goals and values; Benefits organization through outside activities; Supports affirmative action and respects diversity.
  • Judgement - Displays willingness to make decisions; Exhibits sound and accurate judgment; Supports and explains reasoning for decisions; Includes appropriate people in decision-making process; Makes timely decisions.
  • Professionalism - Approaches others in a tactful manner; Reacts well under pressure; Treats others with respect and consideration regardless of their status or position; Accepts responsibility for own actions; Follows through on commitments.
  • Initiative - Volunteers readily; Undertakes self-development activities; Seeks increased responsibilities; Takes independent actions and calculated risks; Looks for and takes advantage of opportunities; Asks for and offers help when needed.
  • Safety and Security - Observes safety and security procedures; Determines appropriate action beyond guidelines; Reports potentially unsafe conditions; Uses equipment and materials properly.
  • Adaptability - Adapts to changes in the work environment; Manages competing demands; Changes approach or method to best fit the situation; Able to deal with frequent change, delays, or unexpected events.


Education:                           Graduate of an Accredited School of Nursing required; BSN or equivalent preferred.

Experience:                         OR experience preferred.

Computer Skills:                  Must be computer literate. Basic computer skills required.

Certifications & Licenses:     Current TN RN license required. Current CPR certification required. ACLS certification preferred.

Other Requirements:           Must be able to read and interpret EKG monitor.

Must have knowledge of anesthetic agents used - inhalation, moderate sedation and injection; the usual dosages, symptoms of and toxic amounts, duration of action, contra indications, antidotes, etc.

Able to operate and troubleshoot equipment found in surgery.


N (Not Applicable)       Activity is not applicable to this position.
O (Occasionally)          Position requires this activity up to 33% of the time (0 - 2.5+ hrs/day)
F (Frequently)              Position requires this activity from 33% - 66% of the time (2.5 - 5.5+ hrs/day)
C (Constantly)              Position requires this activity more than 66% of the time (5.5+ hrs/day)

Physical Demands

10 lbs or less

Walk F 11-20 lbs C
Sit O 21-50 lbs F
Manually Manipulate F 51-100 lbs O
Reach Outward F Over 100 lbs O
Reach Above Shoulder F
Climb O Push/Pull
Crawl O 12 lbs or less C
Squat or Kneel O 13-25 lbs C
Bend O 26-40 lbs F
Grasp F 41-100 lbs O
Speak C

Other Physical Requirements

  • Vision
  • Sense of Sound - Ability to hear
  • Sense of Touch
  • Ability to wear Personal Protective Equipment (PPE) - gloves, eye protection, face mask, gown.


Work is performed in a healthcare and office environment. The noise level is usually moderate. Must understand the risks involved in working with or around blood borne and airborne pathogens. Must maintain a safe work environment in compliance with all standards, rules and regulations under the OSHA act. Must adapt to schedule changes as needed.