Registered Nurse (RN) Operating Room
Fort Worth , Texas
December 17, 2017
Medical City Alliance
Registered Nurse - RN
Surgical Services - Surgery
Operating Room - OR
Full-time - FT

Medical City Alliance is a 55-bed, acute care hospital that opened in February 2015. The three-story, 155,000 square foot full-service facility serves the communities of Fort Worth, Keller, Roanoke, Haslet, Saginaw and surrounding communities in northern Tarrant county and southern Denton county. Medical City Alliance offers a full range of services, specializing in women's, cardiology, robotic-assisted laparoscopic surgery, and emergency care and has been recognized by The Joint Commission for the Hospital Accreditation Program for 2015.


The Surgery Registered Nurse is responsible for decisions and actions within the domain of nursing practice. Important aspects of this responsibility are the promotion of a safe and therapeutic environment for both the recipients and providers of nursing care; acquisition of specialized knowledge skills and additional formal education to provide specialized care; demonstration and validation of competence in nursing practice; clinical practice consistent with the policies, procedures and standards of this facility; and supervision of other staff as designated within the department.


  • Assures quality of care by adhering to therapeutic standards; measuring health outcomes against patient care goals and standards; making or recommending necessary adjustments; following hospital and nursing standards of care set by state board of nursing, state nurse practice act, and other governing agency regulations.
  • Resolves patient problems and needs by utilizing multidisciplinary team strategies.
  • Protects patients and employees by adhering to infection-control policies and protocols, medication administration and storage procedures, and controlled substance regulations.
  • Performs and documents patient assessments and reassessments following Nursing and Departmental P/P, using appropriate techniques for data collection and analysis, at regular and indicated intervals
  • Performs interventions based on critical thinking and technical skills assimilated from assessment, reports and information communicated by other health care providers to achieve optimal patient outcome.
  • Ensures adherence to principles of asepsis throughout the perioperative continuum.
  • Systematically ensures documentation of physician orders and their completion.
  • Administers medications using accurate calculations against age specific guidelines.
  • Uses specialized equipment and supplies safely and effectively.
  • Monitors patient closely during anesthesia induction and reversal
  • Applies special precautions supervising care provided to sedated patients to minimize potential for injury.
  • Provides direct patient care for the pre-, intra, and immediate post-operative phases of the perioperative continuum.
  • Organizes equipment and supply availability to promote patient safety and minimize delays.
  • Actively participates in the Time-Out process.
  • Follows AORN guidelines for circulator duties in the OR.
  • Achieves the expected patient outcomes or revises plan of care and implementation of care based on the results of the prescribed plan of care.
  • Evaluates and records patient response to interventions (esp. pain management, safety precautions). Ensures that problems arising are promptly communicated and resolved.
  • Provides accurate and complete report to incoming nursing unit staff.
  • Applies universal precautions according to potential exposure routes. Wears indicated protective barriers without supervision or reminders.
  • Uses Meditech automation system or manual records to perform scheduling, order entry, care documentation, communications, and to keep abreast of departmental information.
  • Acts as a patient advocate; facilitates appropriate communication of and resolution for questionable orders or practices from any caregiver. Actively participates in the Time-Out process and SCIP initiatives.
  • Maintains proficiency in own job duties, cross trains to other duties as appropriate. Identifies inservices/learning activities to enhance job performance. Participates in professional organization (AORN).
  • Collaborates with OR Supervisor and Director of Perioperative Services to identify critical changes required to improve efficiency and effectiveness.



  • Associate's degree required; BSN preferred. BSN will be required within 3 years of employment.


  • Texas State RN license or compact license is accepted; Texas State RN license required 30 days after hire;
  • Current BLS required;
  • Current ACLS;
  • PALS within 90 days of hire;


  • One year of experience is required.

A little about us:
HCA is the nation’s leading private provider of healthcare services. Comprised of locally managed facilities which include 230,000 employees at over 160 hospitals, over 120 surgery centers and 100 urgent care facilities in 20 states and the United Kingdom

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