RN – Circulator | PRN or Full-Time (General Surgery, Ortho, OB/GYN)


Why Blue Mountain Hospital District?

The Blue Mountain Hospital District (BMHD) is comprised of a Critical Access Hospital (CAH), Family Clinic, Home Health and Hospice, Emergency Medical Services, and a Care Center.  BMHD offers a wide range of services, one of them being General and Emergency Surgery.  Our Surgery Team is essential for our patients and serves the needs of many in our Rural community.  Join our family-like team in beautiful Eastern Oregon!

Our District spans from John Day to Prairie City, nestled in the Heart of Grant County in 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 lower 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!

For more information on our Rural and Remote area, visit our Grant County Chamber of Commerce page at: https://www.gcoregonlive.com/

Position Summary:

The RN Circulator provides direct patient care from neonate through geriatric patient populations.  Addresses the psychosocial, physical and general aspects of care related to the surgical environment.  Communicates with surgeon and Nurse Anesthestist (CRNA) continuously and as needed about patient condition.  Assists with the maintenance of surgical equipment and inventory.  Participates in performance improvement activities.  Assesses operating room for equipment functioning and readiness, obtains supplies for individual cases and ensures all appropriate needs of surgical operating team are met.  Monitors, positions and assists patient during procedure.

Essential Duties & Responsibilities:

  • Promotes the mission, vision and values of the BMHD.
  • 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; utilizing 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.
  • 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.
  • Verifies that narcotics and controlled substances are counted and locked, per hospital policy.
  • Provides orientation for new staff members as needed.
  • 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.

Core Accountabilities:


Demonstrate ability to maintain a high level of output without sacrificing quality.

  • Able to demonstrate and maintain consistent and efficient performance.
  • Able to work with small products with repetitive motion and dexterity required.
  • Ability to determine appropriate course of action in more complex situations.
  • Ability to manage multiple and simultaneous responsibilities and to prioritize scheduling of work.
  • Ability to complete work assignments accurately and in a timely manner.
  • Completes annual education requirements.

Technical Skills

Demonstrate ability to learn and maintain appropriate technical skills to effectively support the electronic medical record system.

  • Displays proficient understanding of patient documentation in the electronic medical record.
  • Displays the ability to demonstrate leadership, managerial, good interpersonal relationships and the application of sound administrative principles.
  • Ability to communicate effectively, both oral and written, through e-mail, presentations etc.
  • Displays an understanding of the facility’s learning management system and keeping required education up to date.
  • Ability to use basic computer functions such as communicating via e-mail, completing computer based education, charting on patients in the electronic medical record.
  • Is knowledgeable of equipment within the units such as IV pumps, blood/fluid warmers, lifts, patient monitors and other department specific equipment.
  • Performs all aspects of patient care in an environment that optimizes patient safety and reduces the likelihood of medical/health care errors.


Establish & maintain solid work relationships, through communication, cooperation, and positive interaction with all employees, staff and physicians.

  • Approachability – build rapport by making the effort to be cooperative and adaptive, put others at ease, and support co-workers.
  • Listening – practice active listening; display patience when listening to the views of others, and discuss differing opinions with an open mind.
  • Problem Solving work with others to prevent problems & find a solution when issues arise.
  • Effectively and consistently communicates administrative directives to personnel and encourages interactive departmental meetings and discussions.
  • Staff meetings- Expected to attend departmental staff meetings and other meetings as required by administration.
  • Completes orientation skills checklist assigned for departments.

Customer Service:

Exhibit professional behavior while being caring and compassionate.

  • Customer Focusdedicated to meeting the expectations of the internal customer.  Demonstrate sensitivity, empathy, concern and respect for others.  Act with the patient care in mind, gain trust and respect by building, maintaining effective relationships and including patient in care decisions.
  • Maintain confidentiality in accordance with Blue Mountain Hospital policies and federal HIPAA regulations.
  • Demonstrate sensitivity, empathy, concern and respect for others.  Gain trust and respect by building and maintaining effective relationships.
  • Represents the organization in a positive and professional manner at all times.
  • Presents a neat and professional appearance.
  • Establish and maintain cooperative working relationships with others including physicians, nurses, administrators, managers, vendors, and other health care industry personnel.

Effective Use of Resources:

Maximize the resources while minimizing waste and controlling expenses.  This includes the effective use of work time and supplies, working safely, following established work practices, and seeking ways to improve operations.

  • Improvement – recommend procedures that reduce costs and streamline operations while improving quality.
  • Maintain neat, clean and professional work area.


  • Improvements – initiate improvements and apply new methods of working to help achieve goals.
  • Learning on the go develop an action plan when facing new problems, and be open to change.

Supervisor Responsibilities:

  • None.

Reports to:

  • Reports to the Surgical Services Department Manager/Lead for daily duties.
  • Reports to the Director of Nursing Services

Education Requirements:

Required:  Bacherlor’s Degree in Nursing Science

Certification/Licensure Requirements:


  • Basic Life Support (BLS) certified by American Heart Association (AHA).
  • Maintain current certifications as listed and recertify prior to expiration date.
  • Maintains RN License, in good standing with State of Oregon.
  • ACLS
  • PALS
  • TNCC
  • NRP
  • AORN