Registered Nurse Circulator, ASC

About Oneoncology (TNONC)

The Surgical Clinic (TSC) is Middle Tennessee’s premier multi-specialty surgical practice, dedicated to utilizing the latest medical technology while prioritizing patient care, convenience, and satisfaction.

With over 40 surgeons, our patient-focused clinics are conveniently located, providing access to advanced surgical procedures close to home.

Why Join Us?

• At The Surgical Clinic (TSC), we believe that our people are the heart of our success.
• As Middle Tennessee’s premier multi-specialty surgical practice, we are committed to fostering a supportive, collaborative, and innovative workplace where every team member can thrive.

Responsibilities

• The RN Circulator is responsible for delivering safe, efficient, and compassionate perioperative nursing care for patients undergoing outpatient surgical and procedural services at Tennessee Surgery Center.
• Serving as the patient’s advocate, the Circulator coordinates all aspects of care before, during, and after procedures by collaborating with surgeons, anesthesia providers, and perioperative staff.
• This role requires strong clinical judgment, communication skills, and adherence to AORN standards, regulatory requirements, and TnSC policies to ensure optimal patient outcomes in both operating room and procedure-room settings, including pediatric populations.
• Perform comprehensive, age-appropriate preoperative nursing assessments, confirming patient identity, consent, surgical/procedural plan, and site marking according to safety protocols. · Prepare operating and procedure rooms by verifying availability, sterility, and proper functioning of instruments, equipment, and supplies. · Circulate during surgical and procedural cases by monitoring sterile technique, anticipating team needs, documenting care, and ensuring safe, efficient workflow. · Act as the patient and family advocate, maintaining safety, dignity, confidentiality, and emotional support throughout the perioperative experience. · Assist with patient positioning, prepping, and intraoperative monitoring in collaboration with anesthesia providers and surgeons. · Coordinate patient flow and care transitions with Pre-Op, PACU, recovery, and sterile processing staff to support timely case progression. · Manage and process surgical and procedural specimens according to established protocols and chain-of-custody requirements. · Respond quickly and appropriately to intraoperative or procedural emergencies. · Participate in infection prevention, quality improvement activities, and compliance with AAAHC, CMS, OSHA, and AORN regulatory standards. · Provide education, mentorship, and clinical support to new staff and team members working in the OR or procedural setting. · Perform additional duties as assigned by the OR Director, Team Lead, or Administrator.
• Ability to coordinate surgical workflow, patient positioning, and care transitions to support efficient case flow.

Requirements

• Advanced knowledge of perioperative nursing practices, sterile technique, and AORN standards in an ambulatory surgery setting.
• Strong clinical assessment and critical thinking skills to monitor patient status and respond to intraoperative needs or emergencies.
• Knowledge of regulatory and safety standards, including AAAHC, CMS, OSHA, and infection prevention practices. · Excellent communication and teamwork skills to collaborate with surgeons, anesthesia providers, and perioperative staff while advocating for patient safety.

Current, unrestricted

• Registered Nurse (RN) license in the State of Tennessee. · Graduate of an accredited
• School of Nursing. · Minimum of one year perioperative, procedural, or pediatric nursing experience preferred; ASC or hospital OR experience strongly preferred. · Current BLS required; ACLS and PALS required or obtained based on patient population. · Strong knowledge of aseptic technique, surgical/procedural workflows, and perioperative practice standards (AORN). · Excellent critical-thinking, communication, and organizational skills. · Ability to function effectively in a fast-paced, team-oriented environment and maintain composure in high-stress situations.

PHYSICIAL REQUIREMENTS

Ability to stand and walk for extended periods during surgical procedures. · Ability to lift, push, and pull up to 50 lbs. and assist with patient transfers/positioning. · Manual dexterity and visual acuity sufficient to operate equipment and monitor patient condition. · Ability to respond quickly in emergency situations.