HCA, Hospital Corporation of America Registered Nurse (RN) Operating Room (PRN) in San Antonio, Texas

The professional Perioperative Registered Nurse (RN) is a direct care provider who assists surgeons with surgical procedures and acts as the patient and patient’s family advocate. The RN consistently applies and utilizes the nursing process, critical thinking skills, scientific judgment, technical skills, and leadership in accordance with the Association of Perioperative Nursing (AORN) standards and Hospital policy. The Perioperative RN collaborates with the patient care team to achieve quality patient outcomes in alignment with the Hospital mission and Methodist Excellence goals. Communicates and utilizes interpersonal skills effectively and role models confidence and professionalism within nursing as evidenced by active engagement in unit and organizational activities. The Perioperative RN demonstrates team work, adaptability, and is a resource person to the patient care team. The RN is accountable for the quality of nursing care services delivered by self or others under their direction in accordance with the Texas Nurse Practice Act, hospital policies, and the Texas Board of Nursing rules for delegated nursing tasks (Chapter 224).

Essential Job Functions:

1. Applies nursing judgment through a thorough, systematic approach of applying the nursing process before, during, and after surgery by: o Assessment: Conducts comprehensive and ongoing focused physical, psycho-social, and pain assessments (includes assessment of patient education needs). o Planning: Utilizes the perioperative assessment, identifies problems, makes nursing diagnoses, formulates goals, teaching plans and outcomes to create an individualized perioperative plan of care. o Ensures surgical supplies and equipment are available and in good working order. o Identifies individual patient goals related to the perioperative experience, readiness to learn, and incorporates family into the perioperative plan of care. o Implementation: Prioritizes and implements a competent, prioritized, and efficient perioperative nursing plan of care. o Evaluation/Reassessment: Consistently conducts timely evaluations, anticipates and recognizes changes in patient conditions, determines when reassessments are needed, and adjusts the plan of care as necessary. Compares expected and achieved outcomes of nursing care utilizing the perioperative plan of care. 2. Collaborates with patient care team members (surgeon, anesthesia, surgical technologists, surgical first assistants, and post-operative RN staff), incorporating consistent use of hand-off communication and SBAR communication methods. 3. Demonstrates critical thinking skills, scientific judgment, and organizational skills. Prioritizes tasks and adjusts priorities when necessary. Maintains an orderly and efficient flow of patients. Recognizes and reports errors and unusual occurrences Initiates corrective action when appropriate. 4. Makes accurate, complete, and timely entries into the patient medical record addressing all steps of the perioperative nursing process. Actively communicates with members of the healthcare team, patient, and patient family. 5. Maintains current perioperative nursing knowledge in accordance with the Association of Perioperative Nurses (AORN) to assure a safe working environment for the patient and surgical team. Demonstrates practical application of all policies relative to safety and the pillars of Methodist Excellence to include: Applicable quality core measures, infection prevention, medication administration safety, and AIDET principles. Demonstrates surgical conscience and enforces strict standards of asepsis; applies knowledge current sterilization practices; and demonstrates technical competence in the use of surgical equipment. 6. Responsible to supervise tasks delegated to unlicensed personnel (surgical technologists, surgical first assistants, anesthesia technicians and perioperative service technicians) and accountable for tasks performed by unlicensed personnel according to the Texas BON rules for delegated nursing tasks (Chapter 224).


  • Graduate of an accredited school of nursing (required)

    o Acceptable degrees from an accredited school include: Diploma Program in Nursing, an Associate Degree in Nursing or a Bachelor’s Degree in Nursing.

Preferred : Certified Nurse in Perioperative Nursing (CNOR) from Competency and Credentialing Institute (CCI).


  • RN License in this state (required)

  • American Heart Association Basic Life Support (BLS) Health Care Provider (required)


  • Minimum of 1 year of experience as a Circulator in the Operating Room.

Title: Registered Nurse (RN) Operating Room (PRN)

Location: Texas-San Antonio-Metropolitan Methodist Hospital

Requisition ID: 01578-71488