Registered Nurse (RN) – Operating Room Circulator Lead (General Surgery, Ortho, OB/GYN) | Full-Time

Dalaney Tuholski

Position Summary

The RN Circulator Lead manages all necessary care or tasks inside the surgery room; assisting the team in maintaining and creating a comfortable, safe environment for the patient and observing the team from a wide perspective.  The RN Circulator Lead must ensure all surgical team members perform in a unified effort.  The RN Circulator Lead directs care and the activities of the team for the patient’s best interest.  The RN Circulator Lead provides care and support for the patient before, during and after surgery, delivers care to patients utilizing the nursing process of assessment, planning, implementation and evaluation.  The RN Circulator Lead must collaborate with other professional disciplines to ensure effective patient care delivery and achievement of desired outcomes.  Assists the surgeon and the surgical team in their tasks.  Performs general nursing duties in all departments.

Essential Functions & Responsibilities

  • Assess and evaluate the organization of supplies, equipment, unit needs and initiates changes, as deemed necessary, working with departmental staff and nursing leadership.  The lead will also follow up on changes until fully implemented.
  • Contribute to policy development and updates.
  • Environmental Rounding- ensures that equipment and department is clean and items in good repair. Submits monthly environmental rounding reports.  Notifies nursing leads of needed items and repairs.
  • Participate with interviews of prospective new hires.
  • Responsible for schedules and payroll
  • Ensure that cart checks, medication drawer checks are completed monthly and outdated supplies are removed.
  • Develop quality improvement projects and indicators for department, collect data and submit monthly report to Clinical Lead.
  • Assist with promoting staff development, assessing educational needs.
  • Encourage ideas from team members and work collaboratively with them on implementation when feasible.  The Lead will promote positive team dynamics and work to improve the patient experience.
  • Teaches and directs other surgery staff for maximum utilization of their skills and abilities
  • Demonstrates skills in sterile technique and maintaining the sterile field.
  • Familiar with central processing.
  • Understands and practices the principles of sterile technique.
  • Demonstrates a working knowledge of surgical instruments and their applications.
  • Ability to perform a head to toe assessment on all patients and reassessments as per policy.  This includes neonate, pediatric, adolescent and geriatric patients and the general patient population. 
  • Demonstrates knowledge of the principles of growth and development over the life span and the skills necessary to provide age appropriate care to the patient population served.
  • Ability to adequately assess and reassess pain.  Utilizes appropriate pain management techniques.  Educates the patient and family regarding pain management.
  • Ability to revise plan of care as indicated by the patient response to treatment and overall plan daily for effectiveness.
  • Ability to perform point-of-care, interpret, and take appropriate action on test results, per Clinical Laboratory’s and the patient care unit’s policies and procedures..
  • Knowledge of medications and their correct administration based on age of the patient and their clinical condition.  Follows the seven (7) medication rights and reduces the potential for medication errors.
  • Formulates a teaching plan based upon identified learning needs and evaluates effectiveness of learning, family is included in teaching as appropriate.
  • Demonstrates an ability to assist physicians with procedures and perform services requiring technical and manual skills.
  • Demonstrates ability to perform treatments and provide services to level of licensure.
  • Treats patients and their families with respect and dignity.  Identifies and addresses psychosocial, cultural, ethnic and religious/spiritual needs of patients and their families.
  • Functions as a liaison between administration, patients, physicians and other healthcare providers.
  • Interacts professionally with patient/family and involves patient/family in the formation of the plan of care.
  • Maintains professional and technical knowledge by attending educational workshops; reviewing professional publications, attending webinars, establishing professional networks, participates in professional organizations.
  • Any additional duties pertaining to the daily operations of the Nursing Departments as assigned by the Director of Nursing Services.
  • Manage patient admission processes to preoperative department.
  • Ensure that operative consents are in order.
  • Take and record vital signs, initiate IVs to ensure readiness of procedure.
  • Ensure that patients are informed about the procedure and who the attending medical staff will be.
  • Ensures that operation is on correct patient and correct procedure is being performed.
  • Assesses and documents patient’s condition, responds to life saving situations based upon nursing standards and protocol.
  • Knowledge and compliance of AORN standards and practices.
  • Coordinates and integrates services within department and with other departments.
  • Manages coordination and record-keeping of outpatient services provided in the department, as needed or assigned.
  • Verifies that narcotics and controlled substances are counted and locked, per hospital policy.
  • Provides orientation for new staff members as needed or assigned.
  • Utilizes initiative; strives to maintain steady level of productivity; self-motivated.
  • Supports and maintains a culture of safety and quality.

 Knowledge, Skills & Abilities

  • Maintains self-motivation and sustains a high level of momentum.
  • Able to successfully prioritize when faced with requests, demands and deadlines.
  • Knowledge of customer service concepts.
  • Must be extremely detail oriented and able to accurately assess patient and document findings in the electronic medical record.
  • Ability to communicate effectively in English, both verbally and in writing.
  • Proven ability to work as part of a team, in a fast-paced environment.
  • Expresses excellent judgment, discretion and decision making abilities.
  • Supports and maintains a culture of safety, quality and positive patient experience.
  • Working knowledge of relevant regulatory requirements, CMS, National Patient Safety Goals (NPSGs), HIPPA and continued readiness related to healthcare or hospital standards.
  • Ability to prioritize, highly organized.
  • High work ethic, low absenteeism, attends staff meetings and other mandatory trainings as required.

Education, Experience & Certification/Licensure


  • Basic Life Support (BLS) certified by American Heart Association (AHA).
  • Maintains RN License, in good standing with State of Oregon.
  • ACLS
  • PALS


  • Bacherlor’s Degree in Nursing Science (BSN)
  • TNCC
  • NRP
  • AORN

For More Information, Contact

Dalaney Tuholski, Human Resources Recruiter | 541-640-6901

Why Blue Mountain Hospital District & Grant County?

The Blue Mountain Hospital District (BMHD) is located in Grant County, Oregon, at the heart of the John Day River, in beautiful, rural, Eastern Oregon.  Our District is comprised of a Critical Access Hospital (CAH), Family & Rural Medicine Clinic, Home Health and Hospice, Emergency Medical Services, an Intermediate Care Center and all of the supporting ancillary departments necessary to care for the health and wellness of our community.

Our District spans from John Day to Prairie City, nestled in a valley surrounded by the Blue Mountains.  The Strawberry Mountain Range and John Day River Valley offers a variety of outdoor activities, from abundant hiking/mountain biking/horse riding trails, to high and low lakes and ponds.  Our area is known to be a “go to” place not just for recreation, but also for big game hunting and fishing!

Join our family-like team and settle into a lifestyle that is hard to beat!

For more information on our area, visit our Grant County Chamber of Commerce and Discover John Day pages at: and