Registered Nurse Operating Room

Operating Room Registered Nurse

A confidential healthcare organization in the Westover Hills, TX area is seeking an experienced Operating Room Registered Nurse to support surgical services in a fast-paced acute care environment. The OR RN will provide direct perioperative nursing care, serve as a patient advocate during surgical procedures, and collaborate closely with surgeons, anesthesia providers, surgical technologists, and other members of the perioperative team.

This role is ideal for a registered nurse with strong operating room experience, sound clinical judgment, and the ability to maintain patient safety, sterile technique, and procedural efficiency across a variety of surgical cases.

Key Responsibilities

• Provide direct nursing care to surgical patients before, during, and immediately after operative procedures.
• Function as a circulating nurse in the operating room, ensuring patient safety, proper positioning, surgical counts, documentation, and coordination of intraoperative care.
• Assist with preparation of the operating room, equipment, supplies, and instrumentation based on scheduled procedures.
• Maintain strict adherence to sterile technique, infection prevention standards, and perioperative safety protocols.
• Collaborate with surgeons, anesthesia, surgical technologists, and ancillary staff to support efficient case flow.
• Monitor patient condition throughout the surgical procedure and respond appropriately to changes in status.
• Verify patient identity, surgical site, consent, allergies, implants, medications, and required documentation prior to procedure start.
• Participate in surgical time-outs, handoffs, and post-procedure communication.
• Document nursing assessments, interventions, counts, specimens, implants, medications, and patient responses accurately and timely.
• Support quality improvement, patient safety initiatives, and compliance with hospital policies and regulatory standards.
• Maintain competency in assigned surgical specialties, equipment, and emergency procedures.

Qualifications

• Active Registered Nurse license in Texas or compact state required.
• BLS required.
• ACLS preferred or required based on facility standards.
• CNOR preferred but not required.
• Prior Operating Room / perioperative nursing experience strongly preferred.
• Acute care hospital experience preferred.
• Strong understanding of surgical asepsis, intraoperative nursing responsibilities, and perioperative patient safety standards.
• Ability to work effectively in a high-volume, team-based surgical environment.