PERIOPERATIVE REGISTERED NURSE - FULL TIME POSITION

Job Description

Operating Room Registered Nurse - 9:00a - 7:30p w/Call (2600008L)

Overview

The Operating Room Nurse provides patient care in a surgical setting in accordance with applicable scope and standards of practice with the policies, values, and mission of the organization. Monitors and manages the patient and operative environment during surgery to maintain a safe environment, optimize outcomes and maximize available resources. All nursing practice is based on the legal scope of practice, national and specialty nursing standards, Children’s National Policies and Procedures, and in accordance with all applicable laws and regulations. The Professional Model of Care requires registered professional nurses to be responsible and accountable for their own practice. Children’s National supports the development of RN relationships within the community; specifically those relationships associated with the health and well‑being of the community at large. A RN is an independent practitioner who functions as an identified resource to staff in a patient care area. The RN will provide comprehensive patient care to a variety of patients, incorporate all members of the health care team in the planning and delivery of patient care, successfully handle complex clinical problems, conduct quick assessment of patients and handle emergency situations appropriately, and demonstrate evidence‑based practice through participation in unit projects and activities.

Functional Accountabilities

Consults and coordinates with healthcare team members to assess, plan, implement, and evaluate intraoperative patient care plans.

Serves as the communication liaison to patients, families, and members of the operating team.

Prepares the operating room for the patient and the surgical procedure. Assembles equipment, supplies and implants, and ensures equipment is functional, and supplies and implants are available.

Delivers perioperative patient and family centered care incorporating the nursing process while providing developmentally appropriate, culturally sensitive, evidence based care.

Utilizes outcome data at the patient level to make care decisions.

Participates in the quality improvement activities and uses quality measures to understand individual and unit performance.

Provides direct guidance and oversight of the orientee in all patient care and clinical activities and ensures that those behaviors adhere to documentation standards, standards of care, and policies and procedures.

Participates in unit shared governance initiatives to improve patient care, throughput as determined by leadership.

Navigates and documents in the EMR to support patient care.

Works within scope of practice and delegates according to Nurse Practice Act.

Actively participates in Universal Protocol and timeout, including the fire risk assessment with the surgical team prior to the start of the surgical procedure according to hospital policy guidelines.

Completes post procedure pause at conclusion of surgical case.

Understands purpose of positioning devices and uses them correctly, following policy, to protect the patient from injury and to promote optimal exposure.

Follows established policy and procedures for instrument counts; initiates corrective actions when instrument counts are incorrect.

Verifies medications, concentrations, expiration dates of all medication received on the sterile field in concert with ST, surgeon, and Anesthesia provider.

Communicates observations or concerns related to unsafe situations that pose a risk to patients, families or the healthcare team.

Stops in the face of uncertainty and takes time to resolve the situation.

Continuously validates and verifies information needed for decision making.

Demonstrates accurate, clear and timely verbal and written communication.

Actively promotes safety for patients, families, visitors and co‑workers.

Pay attention to detail, practice STAR - Stop, Think, Act, Review.

Assists the surgical team with emergency situations.

Arrives to the unit on time.

Handles difficult situations appropriately.

Utilizes downtime constructively.

Complies with departmental policies and procedures.

Consistently participates in staff meetings and in‑services to improve skills.

Completes, documents, and reports all mandatory education and training.

Initiates ways to improve operations through quality improvement and implements related solutions.

Serves as a resource for current, new information or changes in specialty area.

Mentors and precepts new nurses in clinical specialties.

Contributes to Magnet re‑designation as evidenced by independent involvement or leadership in committees, task forces and/or community outreach.

Role models critical thinking skills by problem‑solving patient care and unit/system issues.

Communication reflects development of plan of care and ability to advocate to meet patients’ needs; makes suggestions for resolution of system issues.

Role models procedures for escalation of issues; utilizes chain of command.

Demonstrates a collegial and respectful relationship with peers, physicians and other departments.

Demonstrates proper use of identified hand‑off processes; follows up on inconsistent practice related to hand‑off.

Takes the lead in implementing change and supports management decisions.

Role models behavior that reflects empathy, concern and a desire to help others.

Independently maintains regulatory requirements e.g., license, BLS.

Initiates professional activities to enhance nursing practice.

Engages in active review of peers giving constructive feedback through timely participation in evaluations.

Role models adherence to national safety standards and service excellence standards; champions advancement of education and certification.

Orchestrates involvement of the healthcare team and role models professional behavior and teamwork with co‑workers.

Serves as a resource as needed and knows when to escalate to next level.

Analyzes assessment data gathered from patient and family to ensure completion of database and plan of care within identified timeframes.

Role models excellent clinical skills with complex patients; care reflects analysis of patient status and appropriate interventions.

Direct prioritization and organization for complex patient with rapidly changing needs.

Documentation exemplifies adherence to the highest standards of practice.

Anticipates and proactively plans for educational needs; verifies with patient and family throughout the hospital/outpatient stay and prior to discharge.

Excel in organizational skills, adjust for changes and be able to complete assignment on time.

Role models caring in all encounters with patient and family as evidenced by feedback from parents and an increase in patient satisfaction scores.

Qualifications

Minimum Education

Associate's Degree graduated from an approved school of nursing. (Required)

Bachelor's Degree BSN (Preferred)

Minimum Work Experience

At least 2 years of operating room experience required. (Required)

At least two of the following specialties: Neurosurgery, Ortho, Ortho‑Spine, General Surgery, Colorectal, ENT, Davinci Robotic, Kidney transplant. (Required)

1 year Pediatric OR experience preferred (Preferred)

Required Skills/Knowledge

Successfully complete the hospital and nursing orientation at Children’s National.

Excel in organizational skills, adjust for changes and be able to complete assignment on time.

Maintain proficiency in at least three of the following services: General Surgery, Colorectal, Kidney Transplant, ENT, Ortho/Ortho‑spine, Neurosurgery, Cardiac Surgery, Urology/Davinci‑Robotic, Plastic, Oral Maxillofacial, GI.

Knowledge of basic computer skill and ability to learn and apply new technology and skills.

Adaptability; maintaining effectiveness when experiencing major changes in work responsibilities or environment.

Building Partnerships; developing and leveraging relationships within and across work groups to achieve results.

Collaboration; working cooperatively with others to help a team or work group achieve its goals.

Communication; conveying information and ideas clearly and concisely to individuals or groups, listening actively to others, and using inclusive written and verbal skills.

Diversity and Inclusion; being sensitive to cultural diversity, race, gender, and other differences in the workforce.

Decision Making; identifying and understanding problems and opportunities by gathering, analyzing, and interpreting quantitative and qualitative information, choosing the best course of action.

Managing Relationships; meeting personal needs of individuals, building trust, and encouraging two‑way communication.

Managing Work; effectively manage one’s time and resources to ensure work is completed efficiently.

Required Licenses and Certifications

Registered Nurse in District of Columbia

Registered Nurse licensed in the District of Columbia, Maryland or Virginia depending on location of practice. (Required)

Basic Life Support for Healthcare Provider (BLS) (Required)

Certified Nurse OR (CNOR) (Preferred)

Primary Location

District of Columbia-Washington

Work Locations

CN Hospital (Main Campus) 111 Michigan Avenue NW Washington 20010

Job

Nursing

Organization

Surgery COE

Position Status: R (Regular) - FT - Full-Time

Shift: Day

Work Schedule: Monday-Friday 11a-9:30p with call

Job Posting

Jan 29, 2026, 7:59:19 PM

Full-Time Salary Range

75108.8 - 133099.2

Childrens National Hospital is an equal opportunity employer that evaluates qualified applicants without regard to race, color, national origin, religion, sex, age, marital status, disability, veteran status, sexual orientation, gender, identity, or other characteristics protected by law.

Please note that it is the policy of Children's National Hospital to ensure a “drug‑free” work environment: a workplace free from the illegal use, possession or distribution of controlled substances (as defined in the Controlled Substances Act), or the misuse of legal substances, by all staff (management, employees and contractors). Though recreational and medical marijuana are now legal in the District of Columbia, Children's National and its affiliates maintain the right, in accordance with our policy, to enforce a drug‑free workplace, including prohibiting recreational or prescribed marijuana.

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