OR RN Circulator (Full time) - no weekends, no call, no holidays

Operating Room Circulator – Registered Nurse

The Operating Room (OR) Circulator is a professional caregiver who assumes responsibility and accountability for the perioperative nursing care of surgical patients and their significant others in collaboration with surgeons, anesthesia providers, and the interdisciplinary team. This role supports safe, efficient, patient‑centered care in a fast‑paced ambulatory surgery center with predictable daytime hours, no call, and no weekends or holidays.

Schedule and Work Hours

• Heavy ortho (including spine) and pain management ASC, cataract replacement and podiatry cases. 
• Arrival time typically between 5:00 a.m. and 6:00 a.m., depending on the daily schedule.
• End of day varies with case volume, with most days ending between 1:00 p.m. and 3:00 p.m.
• No nights, no weekends, and no on‑call responsibilities.
• Closed on major holidays, supporting work–life balance.

Essential Responsibilities

• Provide perioperative nursing care using the nursing process (assessment, planning, implementation, evaluation) for patients undergoing surgical and procedural interventions.
• Verify patient identity, procedure, consent, site, and allergies; participate in the surgical time‑out and other safety checks.
• Prepare the OR, ensuring appropriate equipment, instruments, supplies, positioning devices, and implants are available and functional.
• Serve as the patient’s advocate in the OR, monitoring physiological and emotional status and communicating needs to the surgical and anesthesia teams.
• Maintain aseptic technique and support infection prevention practices, including traffic control, attire, and environmental cleanliness.
• Accurately document intraoperative care, implants, medications, specimens, and patient responses in the medical record.
• Coordinate care and patient flow with pre‑op, PACU, sterile processing, and scheduling to support on‑time starts and efficient turnover.
• Safely administer and accurately document medications according to facility policy and scope of practice.
• Handle, label, and manage specimens according to policy and regulatory requirements.
• Participate in quality improvement, risk reduction, and patient safety initiatives, including reporting and following up on variances or near‑miss events.

Minimum Requirements

• High school diploma or GED.
• Graduate of an accredited school of nursing.
• Current RN license in the state of practice.
• At least 2 years of nursing experience (perioperative or critical care experience).
• Current BLS/CPR certification.
• Current ACLS certification (or obtained within facility‑specified timeframe).
• Demonstrated leadership qualities (e.g., charge, preceptor, committee participation, or equivalent experience).
• Strong ethical standards and professional references.
• Proficient in spoken and written English with clear interpersonal and telephone communication skills.

Preferred Qualifications

• Current PALS certification.
• Prior ambulatory surgery center experience.
• At least 2 years of OR nursing experience (circulator and/or scrub strongly preferred).
• Basic computer literacy and comfort with electronic medical records and documentation systems.

Core Competencies

• Positive, cooperative work attitude with colleagues, management, physicians, patients, and visitors.
• Ability to promote a professional, welcoming image of the facility to physicians, patients, families, and payors.
• Strong critical thinking and problem‑solving skills with sound clinical judgment.
• High level of accuracy, attention to detail, and organization.
• Consistently meets timelines and manages multiple priorities with minimal supervision.
• Demonstrated ability to handle frequent interruptions and reprioritize safely and effectively.

Dependability and Professionalism

• Reliable attendance and punctuality to support safe patient care and efficient OR scheduling.
• Follows policies, procedures, and work rules; receptive to feedback and coaching.
• Completes required tasks and documentation within established timeframes.

Environmental and Working Conditions

• Works in a well‑lighted, ventilated surgical environment with exposure to both non‑hazardous and hazardous equipment and materials.
• Position is classified as Category I for occupational exposure to blood and other potentially infectious materials; adherence to standard and transmission‑based precautions required.

Physical Demands

• Ability to stand and walk for extended periods; occasional sitting as duties allow.
• Ability to perform frequent bending, reaching (including overhead and low), pushing, and pulling associated with patient positioning and equipment movement.
• Sufficient physical strength to assist with patient transfers and movement of equipment.
• Adequate visual and auditory acuity to monitor patients, equipment, and alarms and to communicate effectively.
• Ability to move quickly and safely in response to changing patient or OR needs.
• Ability to make frequent clinical judgments in routine situations and respond appropriately to emergencies, disasters, or drills.

Benefits

• PTO accrued from day 1
• Health, dental, and vision insurance.
• 401(k) with employer matching.