Perioperative Services Registered Nurse (Evening Shift)

Cutting-edge SPOT Technology that detects sepsis earlier than the human eye. An Enhanced Surgical Recovery program that reduces opioid prescriptions and post-surgical readmissions. As a national learning health system, we're transforming care delivery, advancing clinical outcomes, and empowering our nursing teams in a collaborative effort to give people a healthier tomorrow. The Nurse Residency Program focuses on training licensed Registered Nurses with no prior operating room experience to work in the intra-operative environment. This program is open to nurses who are either new graduates or seasoned nurses with a non-surgical background. This internship prepares nurses with the foundational skills that are essential for providing safe patient care in the operating room.

This program is open to all Nashville area TriStar medical centers including Centennial, Summit, Southern Hills, StoneCrest, Horizon, Skyline, Hendersonville, Greenview and NorthCrest. Residents from all facilities will start the program as a cohort and attend didactic classroom days together. Clinical hours will be completed in the intern’s facility and department of hire. An active nursing license in good standing for the state of your hiring facility (Tennessee or Kentucky) is required to begin the program.

During the 5-month program, interns will work five 8-hour days (Monday – Friday). Alternative shifts will be at the discretion of the hiring manager after completion of the program. For example, if your preceptor starts their shift at 0630, you will be expected to start at 0630. This program helps you develop the foundational skills of the perioperative RN. You will still be a novice when you graduate and will continue to gain specialty experiences following completion of the program. Departmental and service line orientation will build on foundational skills learned in the internship program. Regular rounding and progress meetings will be set with the course instructors, preceptors, and managers to track the resident’s progress.

For clinical days, please refer to your facility’s attendance policy.

Nurse Residents must demonstrate successful completion of the following criteria in order to graduate from the internship:

• Attend at least one Middle Tennessee Chapter AORN meeting Residents that do not meet the above criteria must meet with surgery management, preceptor, and education team to develop an individualized action plan, which may include remediation, reassignment, or resignation from the program.

How long is the Periop Nurse Residency Program? This blended-learning program combines didactic, online modules, lab, and clinical hours. Upon completion of the residency program, residents will orient to their hired unit/specialty until competency is demonstrated.

What are the hours of the training? During the program, hours are five 8-hour days (Monday – Friday). Clinical will be held at resident’s hired facility. Overtime hours during the program are not typically permitted without management approval. Alternative shifts (3 12-hour, 4 8-hour) will be at the discretion of the hiring manager after program has ended. Will I know where I will be working after the training? You will complete your clinical in the department that you will work in after training. Flexibility will be required regarding service line, shift, holiday or weekend hours when needed. You may be expected to cover holiday call and late stay call upon completion of your orientation. This may involve evenings, nights or weekend shifts.

During the program, may I observe in other surgical departments? Residents will have an orientation binder that contains specific criteria for validation of competency on specific skills in the Circulating role. The Intern will be responsible for obtaining documentation from the preceptor to determine competency in the clinical area. What are the responsibilities of a Circulating nurse? Responsibilities of the Circulator include but are not limited to: • Management of personnel, equipment, supplies, and environment during surgical procedure • Patient care including assessment, assisting the anesthesia team, positioning, prepping, and documentation • Manages flow of information as well as supplies to and from the surgical team members scrubbed at the field

What are the responsibilities of a scrub nurse? Will this be part of my training? The scrub nurse is responsible for assisting the surgeon and assistants with instrumentation, set-ups, suture presentation, sponges, etc., while maintaining the sterility of the surgical field through aseptic practices. The primary focus of this program is to train you to be a circulating nurse. Whether you are trained to scrub is determined by facility.

Vacations are not granted during the didactic portion of the program. Will this role prepare me for a goal of becoming a CRNA? A CRNA program requires critical care experience rather than OR experience. It would be better to pursue an ICU unit if becoming a CRNA is your personal goal.

Will this role prepare me for a goal of becoming an RNFA? This experience will prepare you for the goal of becoming an RNFA if desired. First, however, you must obtain two years of full-time hours and become certified (CNOR). After that you will be eligible to pursue RNFA programs.

Will this internship prepare me for OR Certification (CNOR)? This program teaches AORN standards, so graduates of this program are well prepared to sit for certification.

Evaluate patients prior to surgery

Assume responsibility for patient preparation, including intravenous therapy, preoperative medications, and surgical site verification

Participate in surgical site verification, including briefing, time out, debriefing, and universal protocols, according to hospital policy

Recognize and respond to patient emergencies

Deliver high-quality, patient-centered care while managing evidence-based practices and continuous improvement initiatives

Be an integral member of a dynamic interdisciplinary team – consisting of the provider(s), surgeons, surgical technologists and more

Consistently apply the nursing process, critical thinking skills, scientific judgment, technical skills and leadership to independently deliver safe nursing care to patients

Assess patient condition, monitor throughout your shift, and document changes in patient condition along with the care provided thoroughly

Educate patients and families/caregivers about the patient’s medical condition, treatment and follow-up measures

RN) Registered Nurse

~ At least 1 year of RN experience required. TriStar Horizon Medical Center, offers a total rewards package that supports the health, life, career and retirement of our colleagues. Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services

Wellbeing support, including free counseling and referral services

Time away from work programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence

Savings and retirement resources , including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling

Education support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing

Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts

TriStar Horizon Medical Center is an accredited, 150+ bed regional medical center. These include cardiology and diagnostic imaging. These include emergency, inpatient rehabilitation. Also including oncology, orthopedics, and women’s services. TriStar Horizon is a leading provider of emergency heart and stroke care. Our satellite campus, TriStar Natchez, offers imaging and oncology services. They offer a 24/7, full-service ER that provides the same services as our main campus emergency room.

HCA Healthcare has been named one of the World’s Most Ethical Companies by Ethisphere Institute for ten consecutive years ). In 2019, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.

"The great hospitals will always put the patient and the patient's family first, and the really great institutions will provide care with warmth, compassion, and dignity for the individual."- HCA Healthcare Co-Founder

We are interviewing candidates for our Operating Room Nurse Internship opening. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.