Registered Nurse (OR) Full Time, Days

Intraoperative RN

Working as part of a multidisciplinary team, the RN ensures safe, efficient, and high-quality care before, during, and after surgical procedures. This role requires strong clinical judgment, adaptability, and the ability to function in multiple environments while maintaining compliance with established standards of care, policies, and regulatory requirements. The RN is accountable for coordinating care to achieve optimal patient outcomes, collaborating effectively with surgical, anesthesia, and support teams, and delegating responsibilities as appropriate. Practice must align with the Michigan Public Health Code Act 368 of 1978, Article 15 (Health Occupations), Part 172 (Nursing), and include the ability to provide age-appropriate care across the patient population. The OR RN performs multiple roles, including surgical setup, circulating nurse, and patient transfer coordination from pre-procedure through post-anesthesia recovery.

Pay Range: $34.00 - $49.18/hour

Employment Type: Full Time, 72 hours every 2 weeks

Schedule: Monday-Friday, one day off per week, mix of 8 and 10 hour shifts (during the 7am to 7:30pm time frame), Occasional weeknight and weekend call required with a 30 minute response time.

Requirements: Graduate of accredited Registered Nursing Program required, Current Michigan RN License (or completed by end of orientation) required, Current BLS for the Healthcare Provider (or completed within 60 days of hire) required.

Essential Duties & Responsibilities:

• Uses established techniques in preparing for and helping set up surgical procedures; provides and sets up necessary instruments, supplies, and equipment for different types of operations, according to established preference cards and instructions of the surgeon.
• Observes patients during surgical procedures to detect possible complications and/or breaks in sterile technique; able to locate and gather emergency equipment and supplies as needed.
• Places patients in appropriate position(s) to ensure access to the operative field; adjusts operating table and accessory equipment as may be required; prepares operative area and assists surgeon and anesthesia as indicated.
• Advocates for the patient by communicating with other members of the multidisciplinary team about patient status, and progress of surgical procedure(s) as needed.
• Observes progress of surgery; provides additional instruments, supplies or other items as needed; provides and regulates fluids as indicated.
• After operation, apply or assist in applying dressings, and transferring patients, from operating room to recovery room.

Surgical Preparation and Readiness:

• Prepares and organizes the OR based on the scheduled procedure, utilizing established preference cards and surgeon directives.
• Ensures all required instruments, supplies, and equipment are available, functional, and properly arranged.
• Assists with patient transfer to the OR and supports preoperative preparation, including positioning readiness and equipment setup.

Intraoperative Clinical Practice:

• Performs the circulating nurse role, ensuring adherence to surgical safety standards
• Positions patients safely to optimize surgical access while preventing injury (e.g., pressure injuries, nerve damage).
• Demonstrates expertise in aseptic technique and the proper handling and use of surgical instrumentation, supplies, and equipment.
• Prepares the operative site and assists the surgical and anesthesia teams as indicated.
• Monitors the sterile field and patient condition throughout the procedure, recognizing and responding to complications or breaks in technique
• Anticipates the needs of the surgical team and provides additional instruments, supplies, fluids, or equipment as required.

Patient Safety, Documentation, and Communication:

• Verifies patient identity, procedure, and surgical site in accordance with safety protocols (e.g., time-out procedures).
• Provides accurate and timely handoff communication to receiving staff.
• Coordinates and facilitates safe patient transfer from the operating room to PACU or phase II.
• Completes thorough and compliant documentation in accordance with organizational and regulatory standards.

Sterility, Safety & Quality Assurance:

• Maintains strict adherence to aseptic technique and infection prevention standards.
• Ensures a safe surgical environment, including proper handling of instruments, sharps, and equipment.
• Identifies and responds to emergency situations, ensuring immediate access to necessary equipment and supplies.
• Advocates for patient safety by communicating effectively with the multidisciplinary team regarding patient status and procedural progress.

Medical specialties:

• Orthopedics/Sports/ Total Joint Replacement
• Neuro Spine
• General Surgery
• Urology
• ENT
• Bariatrics
• Robotics
• GYN/ONC
• Plastics

Core Competencies:

• Strong understanding of sterile technique and infection prevention
• Critical thinking and rapid decision-making skills
• Effective communication and teamwork
• Patient advocacy and safety focus
• Comprehensive knowledge of perioperative nursing practices
• Commitment to patient safety and quality outcomes
• Flexibility and adaptability in a fast-paced environment
• Commitment to ongoing and continuous training and education
• Delegates activities to non-licensed staff within scope of license

Holland Hospital is an Equal Opportunity Employer, please see our EEO policy