# Operating Room Registered Nurse PRNKCOA Lenexa ASC - Lenexa, KS 66219## OverviewPosition TypePart Time## Description**Join the KCOA Team at Our New Ambulatory Surgery Center – Center for Advanced Orthopedics in Lenexa!**Kanas City Orthopedic Alliance is excited to announce the opening of our new Ambulatory Surgery Center – Center for Advanced Orthopedics located in Lenexa. We are seeking talented, dedicated professionals to join us as we build a team committed to excellence.This new facility represents an exciting opportunity to be part of something from the ground up. Team members will play a key role in shaping the culture, delivering exceptional service, and helping us provide outstanding care and support to our patients and community.**Why Join Us?*** Be part of a brand-new, state-of-the-art facility* Collaborate with an experienced and supportive team* Help establish processes and best practices from day one* Opportunities for professional growth and career advancement* Competitive compensation and benefitsWe are seeking individuals who:* Demonstrate professionalism and integrity* Thrive in a collaborative environment* Are committed to exceptional patient and customer experiences* Bring enthusiasm, adaptability, and a positive attitude**We are seeking an experienced OR Registered Nurse (PRN)** to provide direct, high-quality perioperative nursing care to patients undergoing orthopedic surgical procedures, including total joint replacement, sports medicine, spine, foot/ankle and hand/upper extremity cases. The OR RN functions as a circulator, ensuring patient safety, infection control, and efficient case flow in a fast-paced ASC environment, and shares responsibility for turning over the OR and cleaning between cases.**Responsibilities*** Circulate for orthopedic surgical cases (total joints, arthroscopy, spine, foot/ankle, hand/wrist, etc.)* Perform pre-operative patient assessment, verification, and site marking confirmation per protocol* Maintain sterile technique and a safe, organized OR environment* Manage surgical positioning, including specialty positioning for joint procedures* Anticipate surgeon needs and coordinate with scrub tech and surgical team* Accurately document intraoperative care, implants, and supplies used (including implant log/tracking for joint replacements)* Manage specimen handling and labeling* Monitor patient status and hemodynamics throughout the procedure* Coordinate with PACU for smooth patient handoff using SBAR* Participate in surgical counts (sponge, sharps, instrument) per policy* Ensure proper handling and turnover of orthopedic equipment (power tools, C-arm, tourniquets, traction devices)* Perform or oversee OR turnover between cases, including terminal cleaning of surfaces, equipment, and the surgical suite to meet infection control and case-time standards* Maintain compliance with AORN/TJC/state ASC accreditation and infection control standards## Qualifications**Experience/Education/Licensing.*** Minimum 2 years OR nursing experience required; orthopedic/ASC experience strongly preferred* Experience with total joint replacement instrumentation and implants a plus* Current Kansas RN license (or compact license)* Associate's or Bachelor's Degree in Nursing* BLS required; ACLS preferred* CNOR certification preferred**Physical Requirements*** Ability to stand for extended periods, lift/position patients (up to 50 lbs. with assistance), and work in a fast-paced surgical environment, including room turnover and cleaning duties between cases.