Operating Room Registered Nurse for Ambulatory Surgery Center

Job Summary

Help us open the room.

Sphere Surgery Center is a brand new multi-specialty ambulatory surgery center opening this fall in Irving. We're hiring experienced OR circulators now — before the first case — so the nurses who join us help build the preference cards, set the par levels, run the mock cases, and decide how this OR actually runs.

If you've spent years working around someone else's system, this is the chance to build your own.

**Specialties:** Spine · Orthopedics · Interventional Pain

Duties

• Prepare operating rooms by ensuring all sterile equipment and supplies are ready for scheduled procedures, adhering strictly to aseptic technique standards.
• Conduct comprehensive patient assessments prior to surgery, including vital signs, medical history review, and physiological evaluations.
• Assist in the administration of anesthesia and monitor patient vital signs throughout procedures, responding promptly to any changes or complications.
• Support surgeons during procedures by providing instrument passing, suturing, and managing sterile fields with precision and efficiency.
• Circulate for spine, ortho, and pain management case. Anticipate the surgeons needs before they ask
• Manage implants, specimens, tourniquets, and equipment
• Maintain accurate medical documentation using electronic health record (EHR) systems such as HST Pathways or eClinicalWorks (eCW), ensuring compliance with HIPAA regulations.
• Participate in infection control protocols and quality improvement initiatives to uphold the highest standards of patient safety and care excellence.
• Help us build preference cards, validate equipment and get survey-ready

Skills

• Proven experience working in an operating room environment with strong OR experience; familiarity with ambulatory surgery center workflows is highly preferred.
• Proficiency in aseptic technique, suturing, IV infusion, catheterization, and airway management techniques.
• Knowledge of EMR/EHR systems such as Epic, Cerner, or Athenahealth for accurate documentation and patient record management.
• Ability to perform detailed patient assessments and recognize critical changes requiring immediate intervention.
• Excellent communication skills for effective collaboration with multidisciplinary teams including surgeons, anesthesiologists, and support staff.
• Strong understanding of medical terminology, physiology knowledge, and infection control practices.
• Certification in Basic Life Support (BLS) is required; additional certifications such as Advanced Cardiac Life Support (ACLS) are advantageous.

What You Need

- Active Texas RN license (or compact privilege)

- **2 years circulating in the OR**

- Current BLS and ACLS (AHA)

- Strong sterile technique, counts, positioning, and electrosurgical safety

- Comfort working in a facility without a rapid response team down the hall

- The willingness to speak up in the room, no matter who's holding the scalpel

Join us as we deliver outstanding outpatient surgical care! We value energetic professionals dedicated to making a difference in patients’ lives through compassionate nursing practice combined with technical expertise. Our team is committed to fostering a supportive environment where your skills grow alongside your career aspirations.

Pay: $40.00 - $65.00 per hour

Benefits:

• 401(k)
• 401(k) matching
• Health insurance
• Paid time off
• Vision insurance

Experience:

• OR circulating: 2 years (Required)
• spine or ortho case: 2 years (Required)

License/Certification:

• CNOR certification (Preferred)
• Texas or compact RN license (Required)
• ACLS Certification (Required)

Work Location: In person

Salary : $40 - $65