LH Doctors Comm Med Ctr - Operating Room Jobs

This is a full-time, on-site role for a Senior-Level Endoscopy Technician. The Senior-Level Endoscopy Technician will provide advanced support during all endoscopic procedures, apply advanced support and training, and assist with orientation to all endoscopy technicians. This position will provide advanced care to patients during routine and advanced interventional endoscopic procedures.

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Performs Endoscopy Technician duties as follows:

1.     Assists physician directly in procedures involving guidewire manipulation, stent placements, balloon dilations, stone retrieval, electrocautery, laser therapy including photodynamic therapy, endoscopic ultrasound, variceal and hemorrhoid banding, insertion of esophageal catheters, probes, naso and percutaneous gastric and jejunal tubes, polypectomies, fine needle aspiration, clipping of bleeding vessels, celiac plexus neurolysis, tumor obliteration, specimen processing, sphincterotomies and biliary manometry.

2.     Proficiency level of an expert in advanced interventional endoscopy, i.e., ERCPs, EUS, Endoscopic hemostasis, and capsule endoscopy.

3.     Assists physicians directly with obtaining various patient specimens such as biopsies for culture, pathology and viral studies, brush cytology, microbiology and pH specimens. Demonstrates proper handling of tissue samples and proficiency in obtaining, labeling and documenting each sample properly according to hospital and unit policy.

4.     Sets up, maintains and troubleshoots all endoscopic equipment. Notifies unit leadership and Biomed of any problems as indicated.

5.     Manually clean endoscopes to remove gross debris in preparation for reprocessing by Central Sterile Processing.  Follow all infection prevention standards for cleaning and testing of scopes.

6.     Assists in inventory and ordering of supplies for department. Ensures that adequate quantities of supplies are available. Identifies product needs for special orders to department manager. Participates in annual inventory

7.     Orients and trains new staff members to the unit. Plans in-service training of new technicians, ensuring proper orientation of technical associates and assists in the coordination of their in-house continuing education program. 

8.     Interacts with patients and families to ensure a positive patient experience.

9.     Transport patients, as necessary, within the facility according to policy and procedure. 

10.  Participates in quality review program by monitoring technical staff. Assists with developing new work methodologies to improve the quality of service rendered

The minimum level of education and experience for this position includes:

• High School Diploma or equivalent
• Associate’s degree or higher (preferred)
• At least five years of experience as an Endoscopy technician (see job duties item number 2) or equivalent training and verification of previous experience in advanced technology.

• American Heart Association Healthcare Provider BLS.
• ASGE and/or SGNA Certification (preferred)

·        There is a reasonable expectation that employees in this position will be exposed to blood-borne pathogens.

·        Physical

o   Medium work Exerting up to 50 pounds of force occasionally, and/or up to 30 pounds of force frequently, and/or up to 10 pounds of force constantly to move objects.

o   The physical demands and work environment that have been described are representative of those an employee encounters while performing the essential functions of this position.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions in accordance with the Americans with Disabilities Act.

Position Objective:

Under the supervision of the Registered Nurse, participates as a member of the multidisciplinary surgical team to assist with operating room set-up and turn-over to enable efficient use of operating room scheduling time in accordance with the Standards of Care at AAMC.

Essential Job Duties:

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions

1. Identifies and pulls specific equipment/instruments according to physician preference cards and have readily available for the surgical procedure. Pulls sutures according to physicians preference cards for the next days surgical procedures.
2. Prepares operating rooms for use: damp mops and dust all horizontal surfaces before the first case of the day, anticipates and provides needed equipment for surgical cases, i.e. positioning devices, light sources, towers, tanks, fluids, etc. Will assist EVS with room turn-over to maintain targeted room turnover between surgical cases.
3.  Will restock OR inventory according to PAR levels on a daily basis.  Assist with opening sterile supplies onto the back table for room readiness. Anticipates need for reprocessing of instruments and ensures items are ready when needed for Surgical procedure. Transports contaminated instruments to Central Sterile.
4. Assist surgical team in positioning the surgical patient and holding limbs for preps.
5. Assist with transport of surgical patient to the OR and to PACU; understands the importance of surgical specimens and transports specimens to the lab when required. Retrieves blood for transfusions from the lab under the direction of the RN.

Educational/Experience Requirements:

• High school diploma or equivalent.
• Preferred Experience: One year previous experience as a surgical patient care technician.

RequiredLicense/Certifications:

American Heart Association Healthcare Provider BLS

Working Conditions, Equipment, Physical Demands:

There is a reasonable expectation that employees in this position will be exposed to blood-borne pathogens.

Physical Demands - Very heavy work: Exerting in excess of 100 pounds of force occasionally, and/or in excess of 50 pounds of force frequently, and/or in excess of 20 pounds of force constantly to move objects.

The physical demands and work environment that have been described are representative of those an employee encounters while performing the essential functions of this position. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions in accordance with the Americans with Disabilities Act.

The above job description is an overview of the functions and requirements for this position.  This document is not intended to be an exhaustive list encompassing every duty and requirement of this position; your supervisor may assign other duties as deemed necessary.

OR RN II

Position Objective:

The Registered Nurse in surgery provides expert, professional nursing care to patients during the perioperative course. The RN assesses, plans, implements, and evaluates the care of patients throughout surgical intervention. The RN in surgery will supervise Operating Room Technicians and ancillary personnel. The primary responsibility of the RN will be to perform the duties of a circulator in the Operating Room. The RN may also be competent in the role of a scrub nurse and perform the duties of that role, as staffing requires.

Job Responsibilities:

Clinical Decision-Making / Judgment

The nurse applies expert clinical knowledge to ensure safe and effective perioperative care. Responsibilities include:

• Assessing, planning, implementing, and evaluating patient care throughout the surgical experience.
• Performing comprehensive preoperative assessments, including verification of the procedure, operative site, allergies, and risk factors.
• Applying the nursing process effectively with attention to patient safety, sterile technique, and evidence-based standards.
• Organizing and reprioritizing patient care based on clinical changes and environmental factors.
• Monitoring patients intraoperatively, including EKG, vital signs, and sedation levels, and responding promptly to emergent situations such as codes or airway compromise.
• Administering medications, managing pain, and performing unit-specific technical skills (e.g., moderate sedation, hemodynamic monitoring).
• Ensuring aseptic technique, accurate sponge and needle counts, and specimen handling per protocol.
• Preparing and positioning patients safely for procedures.

Nurse–Patient Family Relationships

The nurse fosters therapeutic relationships with patients and families to promote trust, comfort, and learning. Responsibilities include:

• Introducing self and role to the patient and family in the preoperative area, assuring the patient of nursing presence throughout the procedure.
• Demonstrating compassion, professionalism, and cultural sensitivity in all interactions.
• Assessing patient and family learning needs, readiness, and potential barriers to understanding.
• Developing and implementing individualized teaching plans that address physical, psychosocial, spiritual, and educational needs.
• Providing thorough and accurate handoff reports to PACU staff to ensure continuity of care.

Clinical Scholarship

The nurse maintains professional competence and contributes to quality initiatives to improve patient outcomes. Responsibilities include:

• Meeting all continuing education requirements and remaining current with evolving health care practices.
• Participating in unit and organizational quality improvement, clinical practice improvement, and risk management activities.
• Supporting evidence-based practice by adhering to organizational policies, standards, and benchmarks.
• Updating and maintaining accuracy of surgeon preference cards to enhance efficiency and safety.

Clinical Leadership

The nurse contributes to team effectiveness through guidance, mentorship, and shared decision-making. Responsibilities include:

• Supervising Operating Room Technicians and ancillary personnel to ensure quality care delivery.
• Delegating tasks appropriately and evaluating delegated activities for patient outcomes.
• Educating, orienting, and mentoring new staff members within the department.
• Actively participating in shared governance and contributing to departmental decision-making.
• Utilizing real-time electronic documentation to maintain accurate patient records.
• Communicating effectively with surgical, anesthesia, and leadership teams regarding patient care and equipment needs.

Professional Practice & Teamwork

Some responsibilities extend beyond direct patient care and fit best within a broader domain of professional practice. These include:

• Assisting anesthesia personnel with supply and medication readiness, induction, and procedural support.
• Supporting patient transport to and from the operating room.
• Assisting with securing dressings, transferring patients post-procedure, and supporting recovery.
• Participating in room turnover, cleaning, and restocking of instruments and supplies.
• Offering assistance to other operating rooms and departments as time and need allow.
• Keeping leadership informed about equipment repairs or supply needs.
• Representing the hospital and surgical services professionally both at work and within the community.

Educational/Experience Requirements:

•        Graduate of an accredited school of nursing BSN

•        Adherence to the credentialing requirements of Luminis Health as stated in the nursing bylaws.

•        Minimum 2 years of operating room experience

Required License/Certifications:

•        Current licensure as a registered nurse by the Maryland Board of Nursing

•        BLS, ACLS- American Heart Association Health Provider

•        Certification preferred

Working Conditions, Equipment, Physical Demands:

Employees in this position may be exposed to blood-borne pathogens. The role requires sustained concentration on moderate to fine details and the ability to lift and carry items up to 50 pounds. Candidates must be able to hear normal sounds, even with background noise, and maintain attention to schedules, tasks, and ongoing activities. The position involves prolonged periods of sitting, standing, and walking. Staff must be able to conceptualize and carry out tasks effectively and adhere to radiation safety precautions, with protective equipment provided. Work is primarily on the day shift with rotating on-call responsibilities, including nights, weekends, and holidays.

The above job description is an overview of the functions and requirements for this position. This document is not intended to be an exhaustive list encompassing every duty and requirement of this position; your supervisor may assign other duties as deemed necessary.

OR RN II

Position Objective:

The Registered Nurse in surgery provides expert, professional nursing care to patients during the perioperative course. The RN assesses, plans, implements, and evaluates the care of patients throughout surgical intervention. The RN in surgery will supervise Operating Room Technicians and ancillary personnel. The primary responsibility of the RN will be to perform the duties of a circulator in the Operating Room. The RN may also be competent in the role of a scrub nurse and perform the duties of that role, as staffing requires.

Job Responsibilities:

Clinical Decision-Making / Judgment

The nurse applies expert clinical knowledge to ensure safe and effective perioperative care. Responsibilities include:

• Assessing, planning, implementing, and evaluating patient care throughout the surgical experience.
• Performing comprehensive preoperative assessments, including verification of the procedure, operative site, allergies, and risk factors.
• Applying the nursing process effectively with attention to patient safety, sterile technique, and evidence-based standards.
• Organizing and reprioritizing patient care based on clinical changes and environmental factors.
• Monitoring patients intraoperatively, including EKG, vital signs, and sedation levels, and responding promptly to emergent situations such as codes or airway compromise.
• Administering medications, managing pain, and performing unit-specific technical skills (e.g., moderate sedation, hemodynamic monitoring).
• Ensuring aseptic technique, accurate sponge and needle counts, and specimen handling per protocol.
• Preparing and positioning patients safely for procedures.

Nurse–Patient Family Relationships

The nurse fosters therapeutic relationships with patients and families to promote trust, comfort, and learning. Responsibilities include:

• Introducing self and role to the patient and family in the preoperative area, assuring the patient of nursing presence throughout the procedure.
• Demonstrating compassion, professionalism, and cultural sensitivity in all interactions.
• Assessing patient and family learning needs, readiness, and potential barriers to understanding.
• Developing and implementing individualized teaching plans that address physical, psychosocial, spiritual, and educational needs.
• Providing thorough and accurate handoff reports to PACU staff to ensure continuity of care.

Clinical Scholarship

The nurse maintains professional competence and contributes to quality initiatives to improve patient outcomes. Responsibilities include:

• Meeting all continuing education requirements and remaining current with evolving health care practices.
• Participating in unit and organizational quality improvement, clinical practice improvement, and risk management activities.
• Supporting evidence-based practice by adhering to organizational policies, standards, and benchmarks.
• Updating and maintaining accuracy of surgeon preference cards to enhance efficiency and safety.

Clinical Leadership

The nurse contributes to team effectiveness through guidance, mentorship, and shared decision-making. Responsibilities include:

• Supervising Operating Room Technicians and ancillary personnel to ensure quality care delivery.
• Delegating tasks appropriately and evaluating delegated activities for patient outcomes.
• Educating, orienting, and mentoring new staff members within the department.
• Actively participating in shared governance and contributing to departmental decision-making.
• Utilizing real-time electronic documentation to maintain accurate patient records.
• Communicating effectively with surgical, anesthesia, and leadership teams regarding patient care and equipment needs.

Professional Practice & Teamwork

Some responsibilities extend beyond direct patient care and fit best within a broader domain of professional practice. These include:

• Assisting anesthesia personnel with supply and medication readiness, induction, and procedural support.
• Supporting patient transport to and from the operating room.
• Assisting with securing dressings, transferring patients post-procedure, and supporting recovery.
• Participating in room turnover, cleaning, and restocking of instruments and supplies.
• Offering assistance to other operating rooms and departments as time and need allow.
• Keeping leadership informed about equipment repairs or supply needs.
• Representing the hospital and surgical services professionally both at work and within the community.

Educational/Experience Requirements:

•        Graduate of an accredited school of nursing BSN

•        Adherence to the credentialing requirements of Luminis Health as stated in the nursing bylaws.

•        Minimum 2 years of operating room experience

Required License/Certifications:

•        Current licensure as a registered nurse by the Maryland Board of Nursing

•        BLS, ACLS- American Heart Association Health Provider

•        Certification preferred

Working Conditions, Equipment, Physical Demands:

Employees in this position may be exposed to blood-borne pathogens. The role requires sustained concentration on moderate to fine details and the ability to lift and carry items up to 50 pounds. Candidates must be able to hear normal sounds, even with background noise, and maintain attention to schedules, tasks, and ongoing activities. The position involves prolonged periods of sitting, standing, and walking. Staff must be able to conceptualize and carry out tasks effectively and adhere to radiation safety precautions, with protective equipment provided. Work is primarily on the day shift with rotating on-call responsibilities, including nights, weekends, and holidays.

The above job description is an overview of the functions and requirements for this position. This document is not intended to be an exhaustive list encompassing every duty and requirement of this position; your supervisor may assign other duties as deemed necessary.

Position Objective:

Contributes to the provision of high-quality, cost-effective healthcare as a provider of direct and indirect patient care and by effective of the health care team. Functions as a competent member of the health care team.

1. Clinical Decision Making/Judgment

• Demonstrates clinical nursing knowledge and skill in the specialization of the unit.
• Demonstrates the ability to apply the nursing process effectively in the care of culturally diverse patients and families. Demonstrates the ability to utilize all applicable laws, policies, standards, guidelines and evidence-based practice in the provision of patient/family care.
• Organizes and reprioritizes patient care activities based on subtle and overt and/or environmental changes.
• Consistently and thoroughly assesses patients to collect data and identify learning needs according to established standards and policies.
• Utilizes a systematic, continuous and complete analysis of assessment data to develop individualized problem lists for assigned patients.
• Develops and individualizes a plan of care for each patient in accordance with established standards, appropriate prioritization of problems/needs, and mutually agreed upon goals.
• Efficiently implements the patients plan of care in accordance with applicable standards, policies, procedures and guidelines.
• Demonstrates proficiency in medication administration, pain management and other unit or initiative specific skills.
• Continuously evaluates the effectiveness of the plan(s) of care, making revisions and recommendations based on analysis of patient responses to interventions.

2. Nurse-Patient Family Relationships

• Demonstrates the ability to assess the patients/familys learning needs, readiness to learn, learning style, and presence of barriers to learning.
• Demonstrates the ability to develop, implement and evaluate teaching plans for patient populations in unit specialty in accordance with applicable standards.
• Demonstrates the ability to apply knowledge of growth and development across the life span to the care of patients.
• Provides direct patient care to patients and families in a culturally, developmentally and ethically appropriate manner.
• Plans of care address the physical, psychosocial, spiritual and learning needs of the patient/family.

3. Clinical Scholarship

• Participates in QI, CPI and risk management activities at the unit, department or organizational level.
• Demonstrates the ability to effectively perform and improve all processes in order to achieve excellence with regard to Luminis Healths quality standards and benchmarks.
• Supports the use of evidence based guidelines and organizational policies and procedures to promote safe patient care and a safe practice environment.

4. Clinical Leadership

• Participates in unit shared governance according to departmental standards.
• Participates in the education and orientation of new staff.
• Delegates patient care activities as appropriate; evaluates delegated activities for expected patient care outcomes.
• Employs real time computer documentation when completing patient record.

Educational/Experience Requirements:

• Graduate of an accredited school of nursing
• Adherence to the credentialing requirements of Luminis Health as stated in the nursing bylaws.
• Where applicable, completion of a BSN is required within 5 years of date of hire

Required License/Certifications:

• Current licensure as a registered nurse by the Maryland Board of Nursing
• BLS - American Heart Association Health Provider
• If serving as a bilingual/multilingual interpreter, certification in Medical Interpretation is required to perform the duties of a qualified interpreter.

 Additional requirements by department:

PALS Requirement:

The following department(s) require PALS: Pediatrics Unit, Postanesthesia Care Unit, Endoscopy, Procedural Care Unit, Interventional Radiology.

ACLS Requirement:

The following department(s) require ACLS: Heart and Vascular Unit, Neuro Care Unit, ICU/IMU, Interventional Radiology, Postanesthesia Care Unit, Progressive Care Unit, Resource Nurses, Emergency Department, Prep, Telemetry, Outpatient Infusion, DRCC Bowie, Observation Unit, Endoscopy, Procedural Care Unit, Cardiac Cath Lab, Flex Nursing Unit, Operating Room (LHDCMC only), Cardiac Cath Lab, Observation Unit, DCMC IP Mental Health, and Edwards Pre-Op and PACU.

New Grad and New to Specialty RN’s in ICU must get their ACLS within 6 months

Chemotherapy/Immunotherapy Certification requirement:

Certification within 6 months of hire if experienced or within 1 year for new graduate nurse

The following department(s) require a Chemotherapy/Immunotherapy Certification: Oncology Unit

NRP - Neonatal Resuscitation requirement:

The following department(s) require NRP - Neonatal Resuscitation: Mother and Baby Unit, Neonatal Intensive Care Unit, Labor and Delivery Unit, and Women's Surgical Unit.

BLS requirement:

The following department(s) require BLS: Employee Health, Performance Improvement, Special Pathogens Unit, Neuro Care Unit, Pre-Anes Testing, Wound Care Center, Medical Staff Office, Nursing Administration, Nursing Graduate Program, Women's Surgical Unit, Joint and Spine Unit, 4 Medical, IV Therapy, Nursing Quality and Research, HSCRC Nursing Grant, Flex Nursing Unit, ICU, Operating Room, Short Stay Unit, Postanesthesia Care Unit, Progressive Care Unit, 4TH FLOOR, DCH 3 East Med Surg Telemetry, 3 West Oncology, Emergency Room, Oncology Unit, ACE Unit and 2 EAST OBS, Vascular Access Team.

Working Conditions, Equipment, Physical Demands:

There is a reasonable expectation that employees in this position will be exposed to blood-borne pathogens.

Physical Demands - 

The physical demands and work environment that have been described are representative of those an employee encounters while performing the essential functions of this position. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions in accordance with the Americans with Disabilities Act.

The above job description is an overview of the functions and requirements for this position.  This document is not intended to be an exhaustive list encompassing every duty and requirement of this position; your supervisor may assign other duties as deemed necessary.

OR RN II

Position Objective:

The Registered Nurse in surgery provides expert, professional nursing care to patients during the perioperative course. The RN assesses, plans, implements, and evaluates the care of patients throughout surgical intervention. The RN in surgery will supervise Operating Room Technicians and ancillary personnel. The primary responsibility of the RN will be to perform the duties of a circulator in the Operating Room. The RN may also be competent in the role of a scrub nurse and perform the duties of that role, as staffing requires.

Job Responsibilities:

Clinical Decision-Making / Judgment

The nurse applies expert clinical knowledge to ensure safe and effective perioperative care. Responsibilities include:

• Assessing, planning, implementing, and evaluating patient care throughout the surgical experience.
• Performing comprehensive preoperative assessments, including verification of the procedure, operative site, allergies, and risk factors.
• Applying the nursing process effectively with attention to patient safety, sterile technique, and evidence-based standards.
• Organizing and reprioritizing patient care based on clinical changes and environmental factors.
• Monitoring patients intraoperatively, including EKG, vital signs, and sedation levels, and responding promptly to emergent situations such as codes or airway compromise.
• Administering medications, managing pain, and performing unit-specific technical skills (e.g., moderate sedation, hemodynamic monitoring).
• Ensuring aseptic technique, accurate sponge and needle counts, and specimen handling per protocol.
• Preparing and positioning patients safely for procedures.

Nurse–Patient Family Relationships

The nurse fosters therapeutic relationships with patients and families to promote trust, comfort, and learning. Responsibilities include:

• Introducing self and role to the patient and family in the preoperative area, assuring the patient of nursing presence throughout the procedure.
• Demonstrating compassion, professionalism, and cultural sensitivity in all interactions.
• Assessing patient and family learning needs, readiness, and potential barriers to understanding.
• Developing and implementing individualized teaching plans that address physical, psychosocial, spiritual, and educational needs.
• Providing thorough and accurate handoff reports to PACU staff to ensure continuity of care.

Clinical Scholarship

The nurse maintains professional competence and contributes to quality initiatives to improve patient outcomes. Responsibilities include:

• Meeting all continuing education requirements and remaining current with evolving health care practices.
• Participating in unit and organizational quality improvement, clinical practice improvement, and risk management activities.
• Supporting evidence-based practice by adhering to organizational policies, standards, and benchmarks.
• Updating and maintaining accuracy of surgeon preference cards to enhance efficiency and safety.

Clinical Leadership

The nurse contributes to team effectiveness through guidance, mentorship, and shared decision-making. Responsibilities include:

• Supervising Operating Room Technicians and ancillary personnel to ensure quality care delivery.
• Delegating tasks appropriately and evaluating delegated activities for patient outcomes.
• Educating, orienting, and mentoring new staff members within the department.
• Actively participating in shared governance and contributing to departmental decision-making.
• Utilizing real-time electronic documentation to maintain accurate patient records.
• Communicating effectively with surgical, anesthesia, and leadership teams regarding patient care and equipment needs.

Professional Practice & Teamwork

Some responsibilities extend beyond direct patient care and fit best within a broader domain of professional practice. These include:

• Assisting anesthesia personnel with supply and medication readiness, induction, and procedural support.
• Supporting patient transport to and from the operating room.
• Assisting with securing dressings, transferring patients post-procedure, and supporting recovery.
• Participating in room turnover, cleaning, and restocking of instruments and supplies.
• Offering assistance to other operating rooms and departments as time and need allow.
• Keeping leadership informed about equipment repairs or supply needs.
• Representing the hospital and surgical services professionally both at work and within the community.

Educational/Experience Requirements:

•        Graduate of an accredited school of nursing BSN

•        Adherence to the credentialing requirements of Luminis Health as stated in the nursing bylaws.

•        Minimum 2 years of operating room experience

Required License/Certifications:

•        Current licensure as a registered nurse by the Maryland Board of Nursing

•        BLS, ACLS- American Heart Association Health Provider

•        Certification preferred

Working Conditions, Equipment, Physical Demands:

Employees in this position may be exposed to blood-borne pathogens. The role requires sustained concentration on moderate to fine details and the ability to lift and carry items up to 50 pounds. Candidates must be able to hear normal sounds, even with background noise, and maintain attention to schedules, tasks, and ongoing activities. The position involves prolonged periods of sitting, standing, and walking. Staff must be able to conceptualize and carry out tasks effectively and adhere to radiation safety precautions, with protective equipment provided. Work is primarily on the day shift with rotating on-call responsibilities, including nights, weekends, and holidays.

The above job description is an overview of the functions and requirements for this position. This document is not intended to be an exhaustive list encompassing every duty and requirement of this position; your supervisor may assign other duties as deemed necessary.

Position Objective:

Contributes to the provision of high-quality, cost-effective healthcare as a provider of direct and indirect patient care and by effective of the health care team. Functions as a competent member of the health care team.

1. Clinical Decision Making/Judgment

• Demonstrates clinical nursing knowledge and skill in the specialization of the unit.
• Demonstrates the ability to apply the nursing process effectively in the care of culturally diverse patients and families. Demonstrates the ability to utilize all applicable laws, policies, standards, guidelines and evidence-based practice in the provision of patient/family care.
• Organizes and reprioritizes patient care activities based on subtle and overt and/or environmental changes.
• Consistently and thoroughly assesses patients to collect data and identify learning needs according to established standards and policies.
• Utilizes a systematic, continuous and complete analysis of assessment data to develop individualized problem lists for assigned patients.
• Develops and individualizes a plan of care for each patient in accordance with established standards, appropriate prioritization of problems/needs, and mutually agreed upon goals.
• Efficiently implements the patients plan of care in accordance with applicable standards, policies, procedures and guidelines.
• Demonstrates proficiency in medication administration, pain management and other unit or initiative specific skills.
• Continuously evaluates the effectiveness of the plan(s) of care, making revisions and recommendations based on analysis of patient responses to interventions.

2. Nurse-Patient Family Relationships

• Demonstrates the ability to assess the patients/familys learning needs, readiness to learn, learning style, and presence of barriers to learning.
• Demonstrates the ability to develop, implement and evaluate teaching plans for patient populations in unit specialty in accordance with applicable standards.
• Demonstrates the ability to apply knowledge of growth and development across the life span to the care of patients.
• Provides direct patient care to patients and families in a culturally, developmentally and ethically appropriate manner.
• Plans of care address the physical, psychosocial, spiritual and learning needs of the patient/family.

3. Clinical Scholarship

• Participates in QI, CPI and risk management activities at the unit, department or organizational level.
• Demonstrates the ability to effectively perform and improve all processes in order to achieve excellence with regard to Luminis Healths quality standards and benchmarks.
• Supports the use of evidence based guidelines and organizational policies and procedures to promote safe patient care and a safe practice environment.

4. Clinical Leadership

• Participates in unit shared governance according to departmental standards.
• Participates in the education and orientation of new staff.
• Delegates patient care activities as appropriate; evaluates delegated activities for expected patient care outcomes.
• Employs real time computer documentation when completing patient record.

Educational/Experience Requirements:

• Graduate of an accredited school of nursing
• Adherence to the credentialing requirements of Luminis Health as stated in the nursing bylaws.
• Where applicable, completion of a BSN is required within 5 years of date of hire

Required License/Certifications:

• Current licensure as a registered nurse by the Maryland Board of Nursing
• BLS - American Heart Association Health Provider
• If serving as a bilingual/multilingual interpreter, certification in Medical Interpretation is required to perform the duties of a qualified interpreter.

 Additional requirements by department:

PALS Requirement:

The following department(s) require PALS: Pediatrics Unit, Postanesthesia Care Unit, Endoscopy, Procedural Care Unit, Interventional Radiology.

ACLS Requirement:

The following department(s) require ACLS: Heart and Vascular Unit, Neuro Care Unit, ICU/IMU, Interventional Radiology, Postanesthesia Care Unit, Progressive Care Unit, Resource Nurses, Emergency Department, Prep, Telemetry, Outpatient Infusion, DRCC Bowie, Observation Unit, Endoscopy, Procedural Care Unit, Cardiac Cath Lab, Flex Nursing Unit, Operating Room (LHDCMC only), Cardiac Cath Lab, Observation Unit, DCMC IP Mental Health, and Edwards Pre-Op and PACU.

New Grad and New to Specialty RN’s in ICU must get their ACLS within 6 months

Chemotherapy/Immunotherapy Certification requirement:

Certification within 6 months of hire if experienced or within 1 year for new graduate nurse

The following department(s) require a Chemotherapy/Immunotherapy Certification: Oncology Unit

NRP - Neonatal Resuscitation requirement:

The following department(s) require NRP - Neonatal Resuscitation: Mother and Baby Unit, Neonatal Intensive Care Unit, Labor and Delivery Unit, and Women's Surgical Unit.

BLS requirement:

The following department(s) require BLS: Employee Health, Performance Improvement, Special Pathogens Unit, Neuro Care Unit, Pre-Anes Testing, Wound Care Center, Medical Staff Office, Nursing Administration, Nursing Graduate Program, Women's Surgical Unit, Joint and Spine Unit, 4 Medical, IV Therapy, Nursing Quality and Research, HSCRC Nursing Grant, Flex Nursing Unit, ICU, Operating Room, Short Stay Unit, Postanesthesia Care Unit, Progressive Care Unit, 4TH FLOOR, DCH 3 East Med Surg Telemetry, 3 West Oncology, Emergency Room, Oncology Unit, ACE Unit and 2 EAST OBS, Vascular Access Team.

Working Conditions, Equipment, Physical Demands:

There is a reasonable expectation that employees in this position will be exposed to blood-borne pathogens.

Physical Demands - 

The physical demands and work environment that have been described are representative of those an employee encounters while performing the essential functions of this position. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions in accordance with the Americans with Disabilities Act.

The above job description is an overview of the functions and requirements for this position.  This document is not intended to be an exhaustive list encompassing every duty and requirement of this position; your supervisor may assign other duties as deemed necessary.

OR RN II

Position Objective:

The Registered Nurse in surgery provides expert, professional nursing care to patients during the perioperative course. The RN assesses, plans, implements, and evaluates the care of patients throughout surgical intervention. The RN in surgery will supervise Operating Room Technicians and ancillary personnel. The primary responsibility of the RN will be to perform the duties of a circulator in the Operating Room. The RN may also be competent in the role of a scrub nurse and perform the duties of that role, as staffing requires.

Job Responsibilities:

Clinical Decision-Making / Judgment

The nurse applies expert clinical knowledge to ensure safe and effective perioperative care. Responsibilities include:

• Assessing, planning, implementing, and evaluating patient care throughout the surgical experience.
• Performing comprehensive preoperative assessments, including verification of the procedure, operative site, allergies, and risk factors.
• Applying the nursing process effectively with attention to patient safety, sterile technique, and evidence-based standards.
• Organizing and reprioritizing patient care based on clinical changes and environmental factors.
• Monitoring patients intraoperatively, including EKG, vital signs, and sedation levels, and responding promptly to emergent situations such as codes or airway compromise.
• Administering medications, managing pain, and performing unit-specific technical skills (e.g., moderate sedation, hemodynamic monitoring).
• Ensuring aseptic technique, accurate sponge and needle counts, and specimen handling per protocol.
• Preparing and positioning patients safely for procedures.

Nurse–Patient Family Relationships

The nurse fosters therapeutic relationships with patients and families to promote trust, comfort, and learning. Responsibilities include:

• Introducing self and role to the patient and family in the preoperative area, assuring the patient of nursing presence throughout the procedure.
• Demonstrating compassion, professionalism, and cultural sensitivity in all interactions.
• Assessing patient and family learning needs, readiness, and potential barriers to understanding.
• Developing and implementing individualized teaching plans that address physical, psychosocial, spiritual, and educational needs.
• Providing thorough and accurate handoff reports to PACU staff to ensure continuity of care.

Clinical Scholarship

The nurse maintains professional competence and contributes to quality initiatives to improve patient outcomes. Responsibilities include:

• Meeting all continuing education requirements and remaining current with evolving health care practices.
• Participating in unit and organizational quality improvement, clinical practice improvement, and risk management activities.
• Supporting evidence-based practice by adhering to organizational policies, standards, and benchmarks.
• Updating and maintaining accuracy of surgeon preference cards to enhance efficiency and safety.

Clinical Leadership

The nurse contributes to team effectiveness through guidance, mentorship, and shared decision-making. Responsibilities include:

• Supervising Operating Room Technicians and ancillary personnel to ensure quality care delivery.
• Delegating tasks appropriately and evaluating delegated activities for patient outcomes.
• Educating, orienting, and mentoring new staff members within the department.
• Actively participating in shared governance and contributing to departmental decision-making.
• Utilizing real-time electronic documentation to maintain accurate patient records.
• Communicating effectively with surgical, anesthesia, and leadership teams regarding patient care and equipment needs.

Professional Practice & Teamwork

Some responsibilities extend beyond direct patient care and fit best within a broader domain of professional practice. These include:

• Assisting anesthesia personnel with supply and medication readiness, induction, and procedural support.
• Supporting patient transport to and from the operating room.
• Assisting with securing dressings, transferring patients post-procedure, and supporting recovery.
• Participating in room turnover, cleaning, and restocking of instruments and supplies.
• Offering assistance to other operating rooms and departments as time and need allow.
• Keeping leadership informed about equipment repairs or supply needs.
• Representing the hospital and surgical services professionally both at work and within the community.

Educational/Experience Requirements:

•        Graduate of an accredited school of nursing BSN

•        Adherence to the credentialing requirements of Luminis Health as stated in the nursing bylaws.

•        Minimum 2 years of operating room experience

Required License/Certifications:

•        Current licensure as a registered nurse by the Maryland Board of Nursing

•        BLS, ACLS- American Heart Association Health Provider

•        Certification preferred

Working Conditions, Equipment, Physical Demands:

Employees in this position may be exposed to blood-borne pathogens. The role requires sustained concentration on moderate to fine details and the ability to lift and carry items up to 50 pounds. Candidates must be able to hear normal sounds, even with background noise, and maintain attention to schedules, tasks, and ongoing activities. The position involves prolonged periods of sitting, standing, and walking. Staff must be able to conceptualize and carry out tasks effectively and adhere to radiation safety precautions, with protective equipment provided. Work is primarily on the day shift with rotating on-call responsibilities, including nights, weekends, and holidays.

The above job description is an overview of the functions and requirements for this position. This document is not intended to be an exhaustive list encompassing every duty and requirement of this position; your supervisor may assign other duties as deemed necessary.