Surgical OR Circulator RN — Lead Patient Safety & Care

Paycom - ATS; Harrison (AR); On-site; USD 65,000 - 85,000; Part time

Job summary

North Arkansas Regional Medical Center (NARMC) in Harrison, AR seeks an RN to serve as the circulating nurse in the Operating Room, coordinating the surgical team and safeguarding sterile technique throughout procedures.

You will verify readiness, document accurately, manage counts, and support patient comfort and safety from wheels in to handoff, with opportunities for CNOR development and a team-focused culture in a community hospital setting.

Qualifications

• Current Arkansas RN license (or compact RN eligibility).
• BLS at hire; ACLS within 12 months of hire.
• Effective communication with providers, staff, patients, and families; ability to read, write, speak, and understand English.
• Prior Operating Room/Perioperative nursing experience; knowledge of OR policies, asepsis, and surgical workflows.
• CNOR certification (or commitment to pursue) preferred.

Responsibilities

• Serve 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 aseptic technique and infection prevention practices.
• Perform, document, and reconcile sponge/needle/instrument counts per policy; escalate 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.

Skills

Effective communication

Team collaboration

Attention to detail

Clinical documentation

English proficiency

Education

Arkansas RN license

BLS certification

ACLS within 12 months

Job description

North Arkansas Regional Medical Center (NARMC) in Harrison, AR seeks an RN to serve as the circulating nurse in the Operating Room, coordinating the surgical team and safeguarding sterile technique throughout procedures.

You will verify readiness, document accurately, manage counts, and support patient comfort and safety from wheels in to handoff, with opportunities for CNOR development and a team-focused culture in a community hospital setting.