OR Circulator Registered Nurse
Company: MedBridge Development
Location: Santa Barbara
Posted on: May 28, 2023
The Circulator RN is the surgical team member who is responsible
for coordinating and controlling the multi-disciplinary activities
required to provide a safe environment for patients undergoing
surgical intervention. The RN will be required to travel to our
clinics located both in Northern and Southern California.
Accountable To: Director of Nursing/Supervisor/ and/or Manager
Performance of the duties of the Circulator, according to the set
standards, is crucial to the smooth flow of events before, during,
and after a surgical procedure. The Circulator should:
- Be thoroughly familiar with and totally comfortable in the role
of patient advocate, as applied to Operating Room nursing.
- Assume the responsibility for Improvement of patient safety
during the state of enforced dependency created
- Responsible for creating a safe, therapeutic environment in
which the patient's psychological, physiological, and physical
needs are identified, anticipated, and met.
- Provide a channel of communication between events and team
members in the operating room and persons who may not be in the
immediate area, but who are concerned with the patient's operative
- Make provisions for instrument, supply, and equipment
requirements of surgical procedures, as assigned.
- Responsible for documenting accurate, timely data
appropriately. (This includes documentation of Charge sheets,
Incident Reports, Nursing Notes and Surgical Logs.)
- Must file an incident report for any unusual event that occurs
to a patient or member of staff; this would include, but not be
limited to, falls, needlestick injuries, aspiration of gastric
contents, allergic reactions, and disruptive behavior by staff or
patients. Also required to report any incidences or alleged
incidences of abuse, harassment, or injury to self, other
employees, or patients occurring at the Center or relating to the
Center. Further specifications can be found in the Abuse Reporting
documents and Code of Safe Practices, provided by the Director of
- For proper identification of patient and plan of action
intra-operatively, check O.R. schedule to determine patient's name,
Surgeon, Anesthetist, and the nature of the surgical
- Requests drugs as required by Anesthetist or Physician.
- To ensure patient's safety and comfort and smooth flow of
procedure, inspect the O.R. to be certain it is clean, complete,
and safe. All equipment, including lights and suction, should be
checked for safety, functioning capability, and complete
- Direct and assist surgical technician in preparing for the
surgical procedure according to established procedure and the
Surgeon's preference card.
- Conduct surgical Count s with the surgical technician and
- To decrease patient's anxiety and help plan nursing actions
intra-operatively, greet the patient in Pre-Op Holding Area for the
purposes of identification, physical/psychological
- To ensure patient safety, accompany patient to the O.R. and
assist in the transfer to the operative room table.
- From this point on, the Circulator remains at the patient's
side during the induction of anesthesia, until the patient is
anesthetized, positioned safely and fastened securely to the
operating room table. Activities include, but are not limited
- placing and securing the safety belt.
- placing monitor electrodes per established procedures.
- Assures that oxygen flow alarm is turned on at time oxygen is
turned on. Intra-Operative
- Anticipate the needs of the surgical team and provide supplies
and equipment as requested.
- Coordinates all activities within the O.R. in order to provide
for a non-eventful, safe, effective and timely surgical
- Provides for patient's needs, both physiologically as well as
psychologically. Maintains an environment free of disturbing sounds
and statements. Is ever alert for any break in technique which may
contaminate the operative field.
- To provide safe patient care, maintains a running tally of
sponge count materials and needles, and documents, informing
surgeon of discrepancies.
- Be responsible for specimen handling -- to include accurate and
complete identification on labels and tickets, placement in
appropriate containers/solutions - and dispatch to laboratory per
- For medico-legal indices, maintains accurate records of
patient-oriented data during the surgical procedure, i.e., vital
- Assist with dressing. Post-Operative
- To provide assistance as needed for delivery of patient care,
remain at patient's side and assist Anesthesiologist as required
with suctioning, extubating, etc., transfer to post-op gurney or
wheelchair if patient receives only local anesthesia.
- Deliver a patient condition report to the nurse in the Recovery
Room area to identify problems or potential problems, as well as
identify any dressings.
- For purposes of evaluation of patient care, complete
documentation and distribute to designated area.
- 4. To ensure that appropriate specimens are identified and
delivered to appropriate area, make certain that all specimens have
been placed for dispatch and entered in Specimen Log.
- 5. Direct and assist with between case clean-up to provide
smooth flow of to-follow cases.
- 6. To promote safe patient care delivery, inspect the room and
proceed to preparation for the next case, as assigned.
- 7. If last case of day, is responsible to direct or perform all
terminal cleaning activities.
- 8. Turns off oxygen at the end of surgery day.
- 9. Assures that sufficient sterile packs are prepared for
following day's surgery. Qualifications:
- Fully vaccinated against COVID-19
- Minimum of one year of experience in peri-operative nursing
(preferred but not mandatory) including a thorough working
knowledge of surgical and aseptic technique.
- Have a working knowledge of the physiological and anatomical
aspects of the surgical intervention scheduled.
- Must be licensed in the State as an R.N. and have current BLS.
certification. ACLSPALS, if applicable
- Must be able to communicate and understand the English
language, both verbal and written.
- Must possess the physical ability and perceptive acuity (e.g.,
visual, hearing) to satisfactorily perform all direct and indirect
- May be expected to lift twenty-five pounds without assistance.
Is required to obtain assistance when moving patients unable to
assist in moving, unless patient is in wheelchair or on gurney. May
be required to push patients in wheelchairs or on gurneys. Will be
expected to obtain assistance when needed.
- Ability to travel between our clinics.
Keywords: MedBridge Development, Santa Barbara , OR Circulator Registered Nurse, Healthcare , Santa Barbara, California
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