Clinical Nurse II - Surgery - Sharp Tri-City - Variable Shift - Full Time

12-hour shift (12/36 schedule). Variable start and end times. Weekend work as needed. On-call required. This position is covered by a Collective Bargaining Agreement (CBA) with CNA.

Hourly pay range: $63.00 – $73.06 – $83.13.

About the Role

The Operating Room Registered Nurse (OR RN) at the Clinical Nurse II (CN II) level is a vital part of the surgical team, responsible for delivering high-quality, patient-centered care during the perioperative period. This role requires advanced competencies, specialized certifications, and a strong ability to function autonomously while collaborating with interdisciplinary team members to ensure patient safety and optimal surgical outcomes.

Responsibilities

• Maintain a safe, clean working environment, including unit-based safety and infection control requirements.
• Patient Care
  • Coordinate the interprofessional health care team to deliver safe, efficient, patient-centered, timely, and equitable care to surgical patients.
  • Conduct comprehensive preoperative assessments to identify patient-specific needs.
  • Develop and implement individualized perioperative care plans.
  • Monitor and evaluate patient responses intraoperatively, ensuring swift intervention as needed.
  • Act as patient advocate and protect patient dignity and confidentiality.
  • Administer moderate sedation for patients undergoing Endoscopy procedures.
  • Evaluate effectiveness of care provided by all health care team members, including oneself, and contribution of systems, environment, and instrumentation in progressing patients toward desired outcomes.
  • Advocate for evidence-based practices in perioperative care.
  • Serve as a liaison to the cardiac surgeons, anesthesia providers, and department leadership (CVOR RN position only).
• Surgical Support
  • Ensure proper handling of surgical instruments, equipment, and sterile supplies.
  • Handle and document surgical specimens according to facility policy and physician orders.
  • Anticipate the needs of the surgical team and maintain a seamless workflow.
  • Responsible for inventory management, including storage and distribution of all cardiac-related items, notifying the CVOR RN Specialty Coordinator when supplies are low for reordering purposes (CVOR RN position only).
• Safety and Compliance
  • Maintain a safe, clean working environment, adhering to infection control and hospital policies.
  • Maintain strict adherence to aseptic techniques and infection control protocols.
  • Comply with hospital and regulatory standards, including The Joint Commission, OSHA, and AORN guidelines.
  • Adhere to facility policies to ensure safe surgical care, including patient identification, pre-procedure verification, Universal Protocol, and prevention of unintended retained surgical items.
  • Identify and report safety concerns; demonstrate willingness to address pervasive systemic issues.
• Documentation
  • Accurately document perioperative care, patient progress, and any intraoperative incidents in the electronic medical record (EMR).
• Professional Development and Leadership
  • Provide preceptorship and mentorship to New Graduate Nurses, New Hires, and students, fostering their professional development.
  • Participate in professional development activities, including continuing education, certifications, workshops, and quality improvement initiatives.
  • Serve as a resource and advocate for best practices within the surgical services department.
  • Function in the charge nurse or service line coordinator role as needed.
• Emergency Preparedness
  • Act decisively in critical situations, such as cardiac arrest or massive hemorrhage, demonstrating advanced clinical skills and composure under pressure.

Requirements

• Bachelor’s Degree in Nursing.
• Associate’s Degree in Nursing with five years’ experience as a Registered Nurse in a high-acuity operating room in lieu of BSN.
• Two (2) years of experience as a Registered Nurse in a high-acuity operating room or two (2) years of experience as a CVOR RN (CVOR RN position only) or five (5) years of experience as a Registered Nurse in an ICU, ED, or PACU setting (Transitional RN Program, Main OR only).
• California Registered Nurse (RN) license – REQUIRED.
• AHA Basic Life Support for Healthcare Professional (AHA BLS Healthcare) – REQUIRED.
• Current ACLS; American Heart Association Healthcare Provider certification – REQUIRED (current incumbents must obtain within 90 days of accepting position).

Preferred Qualifications

• Scrub experience.
• Certified Perioperative Nurse (CNOR) or equivalent certification.

Skills

• Demonstrated proficiency in handling complex cases across various surgical specialties, including but not limited to: Neuro, Spine, HEENT, General, GYN, Vascular, Thoracic, Minimally Invasive, Robotic, Orthopedics.
• Proficient in operating advanced surgical equipment and technology.
• Strong understanding of surgical anatomy, physiology, and pharmacology.
• Expertise in managing sterile fields and ensuring adherence to surgical protocols.
• Rapid decision-making skills in high-pressure environments.
• Ability to prioritize tasks and adapt to dynamic surgical cases.
• Effective verbal and written communication with the surgical team, patients, and families.
• Strong interpersonal skills to support a collaborative team environment.