Registered Nurse - Operating Room - Day/Evening

WellSpan Health; Chambersburg (Franklin County); On-site; USD 75,000 - 110,000; Full time

Job summary

WellSpan Health is seeking a Registered Nurse for Surgical Services (OR) to join a unit with 11 operating room suites and a broad range of specialties. The role includes 7–8 ORs on weekdays, call coverage seven days a week, and full participation in nursing processes to support patient care from pre-admission through postoperative stages.

Responsibilities cover medication safety, orders transcription, patient education, and continuous intraoperative assessment.

Qualifications

• Graduate of an accredited School of Nursing; BSN preferred.
• Ongoing education to update clinical skills.

Responsibilities

• Demonstrate safe medication practice.
• Maintain a professional image and positive impression.
• Complete chart checks to ensure no missed orders.
• Accurately transcribe physician orders.
• Use therapeutic communication skills.
• Assess patient education needs and utilize educational resources.
• Lead through the nursing process and supervise while ensuring accountability for outcomes.
• Serve as a resource for patient care and staff education.
• Respond calmly to delays and offer alternatives.
• Analyze assessment data and document in the Plan of Care.
• Identify and respond to critical changes in patient condition.
• Document discharge assessment against plan of care goals.
• Prepare rooms and equipment for procedures; maintain sterile fields.
• Assist surgeons by retracting tissues under direction.

Skills

Customer service

Communication skills

Education

Bachelor of Science in Nursing (BSN)

Tools

Meditech

Job description

Job Description

Registered Nurse – Surgical Services (OR). The unit consists of 11 operating room suites, including cystoscopy and obstetrics suites. The schedule opens seven to eight ORs Monday–Friday from 7:00 am to 3:30 pm or 5:30 pm, operating eight rooms until 3:30 pm and five rooms afterward. Minimal staffing per OR is one RN and one or two scrub personnel (RNs, CSFAs, surgical techs, LPNs). Call coverage is provided seven days a week by an RN and two surgical technicians from 3:30 pm to 7:00 am, with additional call on Saturdays and two shift changes. The unit performs a broad range of specialties: orthopedics, general, vascular, neurosurgery, ENT, plastics, OB/GYN, urology, and robotics (Da Vinci Xi). It also handles urgent/emergent cases and cesarean sections 24/7. Nursing orientation includes a comprehensive Relias program. Full‑time work averages 80 hours biweekly with an 8‑hour day shift and weekend coverage as needed, eligible for a weekend differential.

Responsibilities

• Demonstrate safe medication practice.
• Maintain a professional image and positive impression.
• Complete chart checks to ensure no missed orders.
• Accurately transcribe physician orders.
• Use therapeutic communication skills.
• Assess patient education needs and utilize educational resources.
• Attend 50% of staff/committee meetings and in‑services.
• Lead through the nursing process and supervise while ensuring accountability for outcomes.
• Serve as a resource for patient care, specialty, orientation, and staff teaching.
• Respond calmly to delays, apologize for inconveniences, and offer alternatives.
• Analyze assessment data, identify priority problems, and document in the Plan of Care.
• Apply problem‑solving skills to plan patient care.
• Identify and respond to critical changes in patient condition.
• Document discharge assessment against plan of care goals.
• Initiate and maintain IV therapy per IV standards.
• Respond appropriately to emergency situations.
• Use proper body mechanics to prevent injury; safely position, transfer, and transport patients.
• Function as a virtual nurse, managing admissions, discharges, education, documentation, and collaboration via a virtual platform.
• Identify patients pre‑admission to OR and assess operative site.
• Review H&P and anesthesia assessment forms for protocol adjustments (e.g., obesity, deafness, diabetes).
• Provide continuous patient assessment during surgery, reporting abnormalities immediately.
• Report all pertinent intraoperative information to PACU personnel.
• Plan equipment and supplies based on surgical type and physician preference, including radiological procedures.
• Maintain equipment and equipment supplies in accordance with standards of care.
• Position and drape patients to prevent exposure, nerve injury, and blood vessel damage.
• Prepare skin per protocols to prevent infection and skin damage.
• Create and maintain a sterile field.
• Account for needles, sponges, sutures, instruments, and other supplies; document on OR Count Sheet, Implant Records, and count board.
• Handle surgical specimens per policy and procedure.
• Assist in patient transfer to PACU per surgeon and anesthesia direction.
• Complete unit‑based competencies: electrosurgical unit, procedural counts, Orthopat‑Zimmer.
• Document accurately in the ORM portion of Meditech.
• Enforce safety measures including Universal Protocol, sharps safety, no‑pass zone, PPE, medication labeling, and specimen handling.
• Monitor SCIPS information as it applies to practice.
• Perform SBAR hand‑off communication between care levels.
• Prepare OR for cases by setting up table, instruments, and supplies.
• Prepare rooms between procedures and after terminal cleaning; monitor and restock supplies.
• Drape patients and assist the surgical team during procedures.
• Assist in maintaining correct counts of instruments, sutures, and sponges.
• Maintain aseptic technique and monitor for breaches.
• Assist surgeons by retracting tissues under direction.
• Identify and care for specimens.

Qualifications

Education

• Graduate of an accredited School of Nursing; Bachelor of Science in Nursing preferred.
• Evidence of ongoing educational participation to update and maintain current knowledge and clinical skills.

Experience

• Demonstrated customer service behavior and communication skills.
• Preferred: previous nursing experience in the specialty area.
• Other area‑specific requirements (e.g., acute care experience, NICU experience, device management, etc.) are listed in the full position posting.

Certifications / Licensure

• Registered Professional Nurse license in Pennsylvania.
• CPR certification required.
• Specialty certifications as required per service (ACLS, PALS, NRP, CNOR, CPAN/CAPA, WOCNCB, CWCN, PMH‑BC, etc.).
• Temporary staff will work in a limited scope consistent with credentials and be supervised accordingly.