CSCSB Pre-Op/PACU/OR Circulator RN
Company: Medbridge Development Company
Location: Santa Barbara
Posted on: April 1, 2026
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Job Description:
Description Coastal Surgery Center is a specialized ambulatory
surgery center that specializes in Pain Management with a focus on
physiatry medicine. Our goal is to exceed patient expectations and
guarantee satisfaction as an exceptional outpatient alternative to
inpatient hospital care. While applications need to be submitted
through this ad, you can learn more about the facility here:
https://coastalsurgerycenter.net/ Pre-Op/PACU/OR Circulator RN (
Per Diem Position ) Position Summary: The Pre-Op/PACU/OR Circulator
RN is the surgical team member who is responsible for coordinating
and controlling the multi-disciplinary activities required to
provide a safe environment for patients undergoing surgical
intervention. The RN provides nursing care to surgical patients
during the preoperative and postoperative phases. Involves
assessment, planning, implementation, and evaluation of surgical
patients. Provides safe, knowledgeable, compassionate, educative,
individualized and goal-directed nursing care to patients and their
families in the immediate post-anesthetic period. Applies
physiologic and psychosocial knowledge and skills to promote,
restore, and maintain the patient's physiological processes in a
safe, comfortable, and effective environment, while facilitating
the patient's adaptation to their surgical experiences. The Nurse
supports the center’s policies and procedures as well as its
nursing philosophy. Accountable To: Director of
Nursing/Supervisor/Manager Pre-Op/PACU Responsibilities:
Pre-Op/PACU RN duties will consist of, but are not limited to:
Assessment Assesses the physical status of the patient through
personal observation and interaction. Assesses the individual
psychosocial and spiritual needs of the patient and significant
other. Demonstrates understanding and interpretation of diagnostic
measures such as labs, chest x-ray and EKG. Obtains an overview of
the patient's status by reviewing the patient's chart. Consults
with the peri-operative nurse who interviewed the patient
pre-operatively. Planning Plans for a safe, efficient, effective,
and clean environment for preoperative and post-operative care.
Identifies problems and plans action to resolve problems.
Identifies goals for the individual patient and communicates these
goals to others involved in the patient's care. Assures that
patient has appropriate discharge instructions; is accompanied by a
responsible adult upon discharge; has the telephone number of the
physician to call in the event of need during the first 24 hours
post-surgery. Implementation Takes action to implement nursing care
and resolve the problems identified for the individual patient.
Utilizes supplies, equipment, and resources to contain cost without
compromising delivery of care. Reduces chances of nosocomial
infection by directing attention to infection control and
environmental safety practices. Reports and documents information
accurately and in a timely manner. Utilizes professional nursing
judgment in the delivery of care. Uses safe methods of handling
equipment. Evaluation Evaluates action taken to implement nursing
care plan and resolve problems accordingly. Modifies intervention
to achieve goals if previous intervention was not effective.
Evaluates own nursing practice and seeks ways of growing
professionally. Interpersonal Relationships Recognizes and utilizes
appropriate lines of communication. Foster cooperative efforts in
meeting the goals of nursing by sharing workload. Communicates a
positive and caring attitude toward unit, peers, staff, and all
other contacts. Seeks guidance, direction and assistance where
needed. Conveys ideas, concepts, and facts relative to patient care
in a logical, understandable, and concise manner. Accountability
Seeks appropriate learning opportunities. Demonstrates competence
and expertise in nursing practice. Assumes responsibility for
professional nursing practice within the law. Maintains
confidentiality of all patient and Center's
communications/documents. Utilizes judgment in determining nursing
actions. Acts as patient advocate in the coordination of patient
care. Always maintains safety rules. Has knowledge of equipment and
supplies and is familiar with their location in Recovery Room and
Surgery, i.e.: emergency call system, oxygen, mechanical ventilator
assistance equipment, including airways, ambu bag, defibrillator,
cardiac monitoring equipment, tracheostomy set, laryngoscope and
endotracheal tubes, suction equipment, emergency drugs and supplies
specified by the Medical Staff. Monitors emergency equipment. Has
an in-depth knowledge of anesthetic agents and their actions,
emergency drugs, impending complications, and emergency treatment
of complications, should they occur. Follows recovery room
guidelines. OR Circulator Responsibilities: Performance of the
duties of the Circulator, according to the set standards, is
crucial to the smooth flow of events before, during, and after a
surgical procedure. The Circulator duties will consist of, but are
not limited to: Be thoroughly familiar with and totally comfortable
in the role of patient advocate, as applied to Operating Room
nursing. Assume the responsibility for improvement of patient
safety during the state of enforced dependency created
intra-operatively. Responsible for creating a safe, therapeutic
environment in which the patient's psychological, physiological,
and physical needs are identified, anticipated, and met. Provide a
channel of communication between events and team members in the
operating room and persons who may not be in the immediate area,
but who are concerned with the patient's operative status. Make
provisions for instrument, supply, and equipment requirements of
surgical procedures, as assigned. Responsible for documenting
accurate, timely data appropriately. (This includes documentation
of Charge sheets, Incident Reports, Nursing Notes and Surgical
Logs.) Pre-Operative For proper identification of patient and plan
of action intra-operatively, check O.R. schedule to determine
patient's name, Surgeon, Anesthetist, and the nature of the
surgical intervention. Requests drugs as required by Anesthetist or
Physician. To ensure patient's safety and comfort and smooth flow
of procedure, inspect the O.R. to be certain it is clean, complete,
and safe. All equipment, to include lights and suction, should be
checked for safety, functioning capability, and complete assembly.
Direct and assist surgical technician in preparing for the surgical
procedure according to established procedure and the Surgeon's
preference card. Conduct surgical Count s with the surgical
technician and document. To decrease patient's anxiety and help
plan nursing actions intra-operatively, greet the patient in Pre-Op
Holding Area for the purposes of identification,
physical/psychological assessments. To ensure patient safety,
accompany patient to the O.R. and assist in the transfer to the
operative room table. From this point on, the Circulator remains at
the patient's side during the induction of anesthesia, until the
patient is anesthetized, positioned safely, and fastened securely
to the operating room table. Activities include, but are not
limited to: Placing and securing the safety belt. Placing monitor
electrodes per established procedures. Assures that oxygen flow
alarm is turned on at time oxygen is turned on. Intra-Operative
Anticipate the needs of the surgical team and provide supplies and
equipment as requested. Coordinates all activities within the O.R.
to provide for a non-eventful, safe, effective, and timely surgical
intervention. Provides for patient's needs, both physiologically as
well as psychologically. Maintains an environment free of
disturbing sounds and statements. Is ever alert for any break in
technique which may contaminate the operative field. To provide
safe patient care, maintains a running tally of sponge count
materials and needles, and documents, informing surgeon of
discrepancies. Be responsible for specimen handling to include
accurate and complete identification on labels and tickets,
placement in appropriate containers/solutions – and dispatch to
laboratory per established procedures. For medico-legal indices,
maintains accurate records of patient-oriented data during the
surgical procedure, i.e., vital signs. Assist with dressing.
Post-Operative To aid as needed for delivery of patient care,
remain at patient's side and assist Anesthesiologist as required
with suctioning, extubating, etc., transfer to post-op gurney or
wheelchair if patient receives only local anesthesia. Deliver a
patient condition report to the nurse in the Recovery Room area to
identify problems or potential problems, as well as identify any
dressings. For purposes of evaluation of patient care, complete
documentation and distribute to designated area. To ensure that
appropriate specimens are identified and delivered to appropriate
area, make certain that all specimens have been placed for dispatch
and entered in Specimen Log. Direct and assist with between case
clean-up to provide smooth flow of to-follow cases. To promote safe
patient care delivery, inspect the room and proceed to preparation
for the next case, as assigned. If last case of day, is responsible
to direct or perform all terminal cleaning activities. Turns off
oxygen at the end of surgery day. Assures that sufficient sterile
packs are prepared for following day's surgery. Other
Responsibilities: Must comply with all HIPAA privacy regulations
regarding the confidentiality of Protected Health Information
(PHI). Must file an incident report for any unusual event that
occurs to a patient or member of staff; this would include, but not
be limited to, falls, needlestick injuries, aspiration of gastric
contents, allergic reactions, and disruptive behavior by staff or
patients. Also required to report any incidences or alleged
incidences of abuse, harassment, or injury to self, other
employees, or patients occurring at the Center or relating to the
Center. Further specifications can be found in the Abuse Reporting
documents and Code of Safe Practices, provided by the Director of
Nursing. Meets the needs of the center as demanded by the surgical
schedule, particularly when overtime hours and time changes become
necessary. Serves as patients' advocate during the pre-operative,
intra-operative, and post-operative phases of surgical
intervention. Qualifications Qualifications: Must have spine & pain
experience. Must be licensed in the State as an R.N. and maintain
BLS & ACLS certifications. Has full command of the English language
both verbal and written. Is willing to serve as patients' advocate
during the pre-operative, intra-operative, and post-operative
phases of surgical intervention. Meets the needs of the center as
demanded by the surgical schedule, particularly when overtime hours
and time changes become necessary. Minimum of one year of
experience in peri-operative nursing (preferred but not mandatory)
including a thorough working knowledge of surgical and aseptic
technique. Have a working knowledge of the physiological and
anatomical aspects of the surgical intervention scheduled. May be
expected to lift twenty-five pounds without assistance. Required to
obtain assistance when moving patients unable to assist in moving
unless patient is in wheelchair or on gurney. May be required to
push patients in wheelchairs or on gurneys. Will be expected to
obtain assistance when needed.
Keywords: Medbridge Development Company, Bell Gardens , CSCSB Pre-Op/PACU/OR Circulator RN, Healthcare , Santa Barbara, California
