Perioperative Circulating Registered Nurse

The circulating nurse’s duties in the operating room are performed outside the sterile field. The circulating nurse is responsible for managing all nursing care within the operating room, observing the surgical team from a broad perspective, and assisting the team to create and maintain a safe, comfortable environment for the patient’s surgery. The circulating nurse ensures that all members of the surgical team perform in a united effort. The perioperative RN is dedicated to the patient during that patient’s entire intraoperative experience. By employing critical thinking, assessment, diagnosing, outcome identification, planning, and evaluation skills, RN circulators direct the nursing care and coordinate activities of the surgical team for the benefit of the patient, whose protective reflexes or self‑care abilities are compromised by the procedure. These critical nursing functions of the RN circulator are not delegable in the operating room.

Assessment
a. Assesses physical, psychological, spiritual, cultural, educational, and developmental dimensions of the patient and provides written documentation of findings upon admission to the unit.
b. Assesses and documents patient condition and responses to nursing and/or medical interventions and communicates the information to the appropriate persons.
c. Assesses instrumentation, supply, and equipment needs based on the scheduled procedure, assessed patient need, and physician preferences.

Planning
a. Develops an individual plan of care based on nursing assessment, medical diagnoses, and knowledge of specific illnesses, injuries, diseases, surgical procedures, and appropriate standards of care.
b. Collaborates with other disciplines to maximize patient outcomes and effect a smooth flow of surgical experience.
c. Plans and utilizes resources efficiently to complete the daily schedule in a timely manner while providing safe and individualized patient care.

Implementation
a. Prioritizes and provides nursing care based on the individualized plan of care.
b. Provides equipment and supplies based on identified needs in a timely, efficient, and safe manner.
c. Demonstrates appropriate knowledge of special needs for various age groups, including infant, child, adolescent, adult, and geriatric when providing resources for the surgical procedure.
d. Communicates pertinent information in an organized, logical, and concise manner to physicians, patients, and families.
e. Properly identifies patient by asking their name, procedure, operative site, allergies, and surgeon.
f. Correctly positions patients to prevent injury (i.e., pads extremities as needed).
g. Minimizes traffic flow in the operating room and keeps noise level to a minimum.
h. Keeps surgical team and liaison informed of changes in assignments and patient status.

Evaluation
a. Reassesses, evaluates, and revises the implementation of the plan of care to meet the changing needs of the patients.
b. Responds appropriately to changes in the patient’s condition and/or behavior.
c. Evaluates the patient post‑operatively for any injuries related to positioning, extraneous objects, or chemical, physical, and electrical/equipment hazards.

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Education: Graduate of an NLN‑accredited school of registered nursing.
Licensure: Current, unencumbered RN license in the State of Illinois.
Experience: At least one year of operating room experience within the past 3–5 years (preferred).
Strong interpersonal skills.
CPR required; ACLS within 6 months of hire.

Preferred:
Current member of the Association of Operating Room Nurses.

Benefit packages for this role will start on the 1st day of employment and include medical, dental, and vision insurance, as well as HSA, FSA, and DCFSA account options, and 401k retirement account access with employer matching. Employees in this role are also entitled to paid sick leave and/or other paid time off as provided by applicable law.