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Registered Nurse - Operating Room at Angel Staffing

Posted in Health Care 30+ days ago.

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Type: Full-Time
Location: Bethesda, Maryland

Job Description:

  • Degree: Associates Degree of Nursing.

  • Education: Nurse will have successfully completed the undergraduate or graduate degree from a college or university accredited by National League for Nursing Accrediting Commission {NLNAC), or The Commission on Collegiate Nursing Education (CCNE).

  • Experience: Possess experience as an Operating Room Nurse of at least 24 months, with 12 months within the preceding 36 months. Experience must include competency in multiple surgical specialties, including at least 2 of the following major complex specialties: General Surgery, Orthopedics, Neurosurgery, GYN Surgery, Cardio-thoracic surgery.

  • Licensure: Current, full, active, and unrestricted license to practice as a Registered Nurse.

  • In addition to BLS Advanced Cardiac Life Support (ACLS).

  • Letter of Recommendation: Provide two letters of recommendation written within the last two years attesting to the Perioperative skills and competencies of the applicant.  A minimum of one letter must be from a supervisor.  Reference letters must include name, title, and phone number, date of reference, address and signature of the individual providing reference.

  • US citizenship

Core Duties:

The RN will provide the following services and in strict compliance with standing orders and protocols set forth by WRNMMC and Department of Defense (DoD) guidelines to include, but will not necessarily be limited to the following:

  1. The ability to react to any emergency situation, e.g., cardiac or respiratory arrest, hemorrhage, shock, severe physical trauma and psychiatric reaction. Serve as member of the resuscitation team.

  2. Perform a full range of operating room nursing services to include performance as a circulation nurse; pass instruments to surgeon and/or surgical assistants; prepare patients for surgery and assists in preparation of patient’s operative site; assist the anesthesiologist; adjust lights and other equipment as directed; verify proper identification of patients and scheduled surgical procedure; review to ensure appropriate consent forms are complete; assist in positioning patient in prescribed position for surgery; and assist as directed in moving patient to and from the surgery site.

  3. Ensure completion of count of sponges, needles and instruments used during surgery and assist in clean-up of operating room using standard MTF policies as directed by OR leadership.

  4. Prepare operative specimens as directed, label and deliver them to the laboratory and move equipment to and from operating rooms as necessary for scheduled procedures.

  5. Place proper furnishings, equipment, sterile and nonsterile supplies, and instruments in operating room; check equipment for proper functioning and manage case cart system; and provide and place appropriate sterile drapes for surgical procedure. Perform equipment and instrument sanitation; disassemble and sort instruments and transfer to cleaning area.

  6. Oversee pick-up and delivery service for such items as blood gasses, supplies, specimens, and materials to support Operating Room needs.

  7. Oversee sterile supply service for assigned cases: ensure all instruments, equipment, etc are prepared and available for all assigned cases per OR leadership

  8. Conduct inventory; determine need; orders, obtains, receives, and stores surgical supplies; and inspect and monitor stocking of Cardiopulmonary Resuscitation (PR) crash cart.

  9. Respond to CPR situations, acute respiratory problems and other emergencies as needed.


Incumbent provides nursing care to eligible beneficiaries at Walter Reed National Military Medical Center (WRNMMC). Provides direct nursing care, of a highly specialized nature, to patients undergoing major surgical procedures in the main Operating Room. As directed, provides specialized surgical procedures for patients in the surgery clinic, general, urology, ENT, plastic ortho, vascular, and other areas. Performs duties in support of sterile processing, as assigned

  1. Ensure compliance with standard of care and practice in accordance with all established policies, procedures, and guidelines used in the medical treatment MTF and IAW JC guidelines. Provides care within ethical and legal boundaries.

  2. Complete orientation and competency verification programs in accordance with unit guidelines.

  3. Will report to the Nurse Manager. Will take direction from charge nurse and house supervisor as required in maintaining a safe environment for the staff and patient(s).

  4. When assigned, will serve and participate in committees, functions and other meetings. Provide relevant and timely information, and assists with de decision-making and process improvement.

  5. As required, participate in customer service initiatives and medical readiness activities, designed to enhance health services.

  6. When required, participate in the orientation, training, and evaluation of duty performance of newly assigned personnel, as appropriate.

  7. Collaborates with surgeons in one or more surgical services to assess, coordinate, plan, and implement the newest approaches and practices to deliver efficient, cost effective surgical care for the beneficiary population. Coordinates with physicians and other staff, preoperatively, to develop a multi-disciplinary, intra-operative plan of care. Reviews surgeons’ preference cards for desired medications, equipment, and surgical supplies. Sets up, uses, reprocesses, and maintains all unit/department-specific equipment. Monitors and utilizes simple and highly technical equipment, such as lasers, electrosurgical generators, sterilization equipment, video towers, operative microscopes, endoscopes, multiple complex surgical instruments and drills, implants, positioning devices, insufflators, and robotic equipment. Ensures equipment is working properly, preoperatively, and throughout surgical procedures.

  8. Conducts initial perioperative assessment, acquiring pertinent information, such as allergies, NPO status, and consent. Utilizes the perioperative nursing process to identify patient problems and generate a nursing diagnosis. Designs a plan of care; writes and implements nursing orders to achieve established goals; and evaluates nursing interventions, relative to desired outcomes, based upon patient's response to care. Documents patient's status, on a continual basis, and revises plan of care, as needed. Maintains medical record, keeping a log of implants, devices, instructions, and product information. Provides for psychological needs of patient. Opens all sterile packs and supplies, according to aseptic technique.

  9. Responds to the needs of the surgeon, anesthesia provider, and patient during each surgical procedure. Assists physician with examination, as well as, treatment prior to, during, and following invasive procedures. Assists with patient positioning for surgical procedures. Assures patient is free from skin injury and burns. Assists the anesthesia team with induction and emergence. Communicates progress and/or changes to the patient, family, and members of the health care team, throughout surgical procedures. Responsible for accuracy of all items counted (e.g., sponges, needles, instruments). Provides oversight of sedated patients prior, during, and post-procedures. Initiates emergency measures, as appropriate. Promptly reports abnormal assessments, or changes in patient’s status, to the anesthesiologist and surgeon. Administers topical, intravenous, and intraoperative medications. Schedules and manages post-procedure cases, as required. Incumbent may perform all, or one or more functions, involving preoperative, intraoperative, or postoperative duties, as directed.

  10. Provides direction and training to military and civilian personnel, para-professionals, medical students, residents, and other healthcare professionals. Orients and welcomes new surgeons. Serves as role model and teacher for personnel. Acts as patient education facilitator, providing individual and family teaching/counseling. Delegates duties and tasks to others, following assessment of patient needs and capabilities, and determines the scope of responsibilities, with awareness of staff members’ performance standards.

  11. As required, functions as charge nurse of a particular shift, assuming the responsibility for promoting quality, cost-effective nursing care, within the framework of the medical treatment facility (MTF) philosophy and mission objectives. Within that function, incumbent is delegated authority and responsibility to implement, coordinate, and direct nursing care for assigned shift. Identifies, distributes, and balances workload and tasks among personnel, based on their competency level and experience; makes adjustments to assignments to ensure timely accomplishment of tasks and procedures. Monitors and reports on status and progress of work; reviews completed work to ensure supervisor's instructions on work priorities, methods, quality, and deadlines have been met. Resolves simple, informal complaints of employees, patients, and other interdisciplinary team members, and refers unusual issues to supervisor or appropriate management person. Upon direction, serves as head nurse, charge nurse, or service coordinator. Orders and replenishes necessary equipment, instruments, and supplies used in one or more highly specialized surgical services. Maintains stock levels of instruments, supplies, implants, and equipment to ensure its availability during operating procedures. Responsible for technical, operational, and maintenance aspects of state-of-the-art equipment in the Operating Room and Surgical Procedure Room. Coordinates care, handling, assembly and sterilization of instruments. Arranges with vendors for equipment demonstrations, no-cost evaluations, and training programs on new equipment.

Work Schedule:
This is a Full-time position, The RNs will support the missions of the Main Operation Room (MOR) at WRNMMC Bethesda 24 hours a day, seven (7) days a week. Duty hours will normally be required Monday through Friday. Shifts consist of the following:  0645-1515 (6:45 a.m. to 3:15 p.m.), 0645-1715 (6:45 a.m. to 5:15 p.m.), 1445-2315 (2:45 p.m. – 11:15 p.m.), and 2245-0715 (1045 p.m. – 7:15 a.m.).  The nurse shall be on duty for approximately 40 hours each week 

Angel Staffing, Inc. offers a comprehensive benefits package for those who qualify which includes Major Medical, Dental, Vision, Long-Term Disability, Life insurance, Paid Holidays and a generous PTO policy.

Angel Staffing is a preferred employer. Make a difference; be an Angel. Please call 210-616-9526 or apply at our website

Angel Staffing, Inc. is and Equal Opportunity Employer (EOE). Employment is offered without regard to race, color, national origin, religion, sex, disability, veteran status, gender identity and sexual orientation, and other statuses protected by law.