PRN Circulating Nurse (72762)

Orthopedic Associates of Lancaster•Manheim Township, PA

4d•Onsite

About The Position

Join Our Team at Orthopedic Associates of Lancaster (OAL) At Orthopedic Associates of Lancaster (OAL), we’re more than just a medical practice—we’re a trusted part of the community. For generations, families across Central Pennsylvania have turned to us for expert orthopedic care delivered with compassion, innovation, and integrity. With five convenient locations—Lancaster, Willow Street, Manheim (at the Spooky Nook Sports Complex), Lebanon, and Ephrata—OAL offers a dynamic and patient-centered work environment. We’re proud to be consistently recognized for our cutting-edge technology, advanced procedures, and warm, professional staff. Our team includes not only leading orthopedic physicians and surgeons, but also dedicated professionals across clinical and administrative roles who make exceptional care possible every day. OAL is privately owned by our surgeons and supported by a team of 400+ employees who share a commitment to excellence. At our Lancaster and Lebanon campuses, we operate our own outpatient orthopedic surgery center—NPSC—where we perform a wide range of surgeries, including total joint replacements, using the most advanced techniques available. When you join OAL, you're joining a respected organization where your work makes a difference. Whether you’re clinical, clerical, or somewhere in between, we offer a culture of collaboration, opportunity, and purpose—all in service of helping people live stronger, healthier lives. Location: The per diem Circulating Nurse may be expected to provide coverage in both our Lancaster and Lebanon outpatient surgery centers. Responsible for the delivery of safe, effective, and quality patient-family centered care in the OR and other areas of perioperative services for all patient populations. Functions as a first and/or second assistant during the surgical episode, including incision, excision, repair of pathology, and wound closure throughout the perioperative period on procedures for which privileges have been granted. NOTE: Circ RN to assist with Surg Tech coverage in the OR setting as identified by OR management. Expectation is for the Circ RN to rotate through Surg Tech to ensure continued competency.

Requirements

Graduate from an accredited school of nursing is required.
Current registered nurse licensure in the State of Pennsylvania is required.
Basic Computer skills (e.g., Microsoft Word) required.
Advanced Cardiac Life Support (ACLS) certification required after one year.
Pediatric Advanced Life Support (PALS) certification required after two years.

Nice To Haves

Two years perioperative service experience or related healthcare experience is preferred.
Bachelor’s degree in nursing, healthcare or related field is preferred.
Certified Nurse, Operating Room (CNOR); Orthopedic Nurse Certified (ONC); or other related nursing certification preferred.
Graduate of an accredited schools’ program for surgical technologist.

Responsibilities

Promotes the mission, vision, and values of the organization.
Assesses patients at intervals as stated in policies and procedures.
Develops an individualized perioperative patient plan of care.
Participates in a professional organization
Collaborates effectively with other disciplines as appropriate.
Maintains competency, regulatory, credentialing, privileging requirements.
Participates in quality review and performance improvement projects.
Acts as a patient advocate and maintains patient privacy and confidentiality.
Other duties as required and assigned.
protecting the patient from injury caused by chemical, electrical, laser, mechanical, and thermal sources and extraneous objects.
performing accounting procedures to protect the patient from unintended retained surgical items.
performing interventions necessary to ensure that the patient’s procedure is performed on the correct site, side, and level.
managing the patient’s specimens in the appropriate manner.
communicating the patient’s current status to the appropriate parties throughout the continuum of care.
administering medications safely and correctly.
performing interventions to maintain the patient’s wound and tissue perfusion at or above baseline levels.
performing interventions to maintain the status of the patient’s genitourinary, gastrointestinal, musculoskeletal, endocrine, respiratory, cardiovascular, and neurological systems and fluid, electrolyte, and acid-base balances at or above baseline levels.
performing interventions to ensure the patient is at or returned to normothermia at the conclusion of the immediate postoperative period.
performing interventions to protect the patient from surgical site infection.
assessing the knowledge level of the patient or designated support person.
providing education regarding the expected psychosocial response, nutritional management, medication management, pain management, wound management, and expected responses to the operational or invasive procedure.
actively involving the patient or designated support person in decisions affecting his or her perioperative plan of care and the rehabilitation process.
protecting the patient’s rights, dignity, and privacy.
providing culturally and age-appropriate, ethical care within legal standards of practice; and providing consistent and comparable care regardless of the setting
Evaluates the patient’s progress toward attaining outcomes.
Transfers care as appropriate.
Delegates tasks as appropriate according to the state Nurse Practice Act and job descriptions.
Documents of nursing care accurately, completely, and legibly.
Performs other duties as assigned.
Setting up the operating room prior to surgery in a timely manner ensures that all items for each procedure are available in the room.
Stocking surgical supplies
Notifies Materials Manager when supplies need reordered
Monthly rotating stock to eliminate out dates
Assists with physical inventory count as directed
Maintaining Sterile and Aseptic environment through proper:
Maintaining standards of practice for sterilization of instruments and implants
Opening of supplies and set-up of case
Use of gowns, gloves, and other proper surgical attire
Passing instruments to surgeons during surgery
Terminal cleaning of surfaces and other supplies
Checking surgical machines and equipment prior to each procedure to ensure proper functioning.
Active participation in Time Out/Universal Protocol.
Adapts procedures to meet the individual needs of the patient
Provides the patient with verbal reassurance as necessary
Ensures the use of proper positioning to prevent injury
Assists with positioning, prepping, and draping of the patient
Anticipates the needs of the surgeon during the intraoperative phase.
Accurately completes counts (instruments, sponges, needles):
Follows proper procedure in case of incorrect counts
Reports on all discrepancies to circulating registered nurse and surgeon
Immediately take corrective action
Transporting patients to and from surgery.
Completes documentation to ensure compliance with standards, policies, and procedures.
Demonstrates competence in care of specimens and accurately always handles specimens.
Recognizing safety hazards and initiating appropriate preventative and corrective actions
Providing the surgeon, the appropriate instruments, retractors, suctioning, and sponging technique
Works as a professional colleague with the perioperative team and influences multidisciplinary relationships by enhancing collaborative processes.
Performs other duties as assigned.