RN Circulator

Paycom - ATS; Harrison (AR); On-site; USD 52,000 - 69,000; Part time

Job summary

North Arkansas Regional Medical Center (NARMC) in Harrison, AR is seeking a Surgical Services RN (Circulator) to lead the OR team, ensure sterile technique, and safeguard patient safety from wheels in to handoff.

As the circulating nurse, you coordinate the surgical team, document charges, and support a collaborative, high-trust culture while delivering compassionate perioperative care.

Qualifications

• Current Arkansas RN license (or compact)
• BLS required at hire; ACLS within 12 months
• Strong communication with providers, staff, patients, and families
• Successful completion of facility medication/pharmacology competency during orientation

Responsibilities

• Function as the circulating RN for assigned cases; coordinate surgeons, anesthesia, and scrub staff
• Complete pre-procedure readiness: verify H&P, consents, pre-op checklist, anesthesia record, labs/imaging
• Ensure correct patient positioning and aseptic technique; infection prevention
• Perform, document, and reconcile counts per policy; address discrepancies
• Accurately handle and label specimens; document nursing notes and patient charges
• Communicate with OR supervisor/charge; keep leadership informed of issues
• Participate in call rotation; respond to urgent/emergent cases
• Support a positive, collaborative culture with physicians and interprofessional team

Skills

Effective communication

English proficiency

Education

Arkansas RN License

BLS

ACLS

CNOR (preferred)

Job description

Job Details: Job Location: Harrison, AR 72601, Position Type: PRN, Job Shift: Day, Job Category: Health Care, Registered Nurse (RN) - Operating Room / Surgical Services (Circulator)

Be the steady advocate for patient safety in the OR. As a Surgical Services RN at North Arkansas Regional Medical Center (NARMC), you’ll lead the room as the circulating nurse- coordinating care, safeguarding sterile technique, and ensuring every detail is right from “wheels in” to handoff. If you thrive on teamwork, precision, and impact, this is your next step.

About Us

North Arkansas Regional Medical Center (NARMC) is an innovative, non-profit healthcare system anchored by a central hospital in Harrison, Arkansas, and 13 clinics serving the rural communities of North Arkansas. More than 750 team members deliver a comprehensive range of services close to home. Guided by our values of safety, quality, integrity, and community, our mission is to provide comprehensive healthcare across Northwest Arkansas. Our vision is to be the region’s most trusted and preferred healthcare provider—one patient, one family, one neighbor at a time.

Job Summary

Provide professional, evidence-based perioperative nursing care with primary responsibility as circulating nurse in the operating room. You’ll verify readiness, coordinate the surgical team, protect sterile fields, maintain accurate documentation and counts, and champion patient comfort and safety throughout the surgical experience.

Key Responsibilities

• Function as the circulating RN for assigned surgical cases; coordinate surgeons, anesthesia, and scrub staff for safe, efficient workflows.
• Complete pre-procedure readiness: verify H&P, consents, pre-op checklist, anesthesia record, and required labs/imaging; document per policy.
• Ensure correct patient positioning and skin preparation; maintain strict aseptic technique and infection prevention practices.
• Perform, document, and reconcile sponge/needle/instrument counts per policy; escape discrepancies immediately.
• Accurately handle and label specimens; complete nursing notes and patient charges in the EHR.
• Communicate promptly with the OR supervisor/charge and keep leadership informed of issues affecting patient flow or staff coordination.
• Participate in call rotation; respond within required timeframes to support urgent/emergent cases.
• Support a positive, collaborative culture with physicians and interprofessional team members.

Job Qualifications

Required

• Current Arkansas Registered Nurse (RN) license (or compact RN eligibility).
• BLS at hire; ACLS within 12 months of hire.
• Effective communication skills with providers, staff, patients, and families; ability to read, write, speak, and understand English.
• Successful completion of facility medication/pharmacology competency during orientation (per policy).

Preferred

• CNOR certification (or commitment to pursue).
• Prior Operating Room/Perioperative nursing experience; knowledge of OR policies, asepsis, and surgical workflows.

Compensation & Schedule

• Status: PRN
• Schedule: Day shift (varies)
• Pay: Competitive base pay with applicable shift and call differentials; details discussed during the interview process.

Why Join Us

• High-trust OR culture that values teamwork, safety, and continuous improvement.
• Diverse case mix in a community setting- see the impact of your expertise daily.
• Professional growth with CNOR support, in-services, and precepting opportunities.