Operating Room Nurse

Healthcare Career Guide

Operating Room Nurse provides care during surgical procedures.
Operating Room Nurses perform a variety of tasks during a surgical procedure.

What is an Operating Room Nurse?


An Operating Room Nurse, also known as a Perioperative Nurse, is a specialized healthcare professional who provides care to patients before, during, and after surgical procedures. They play a critical role in ensuring the operating room runs smoothly and that patients receive safe and effective care. Operating Room Nurses work closely with surgeons, anesthesiologists, and surgical technologists to ensure all aspects of surgery are coordinated and successful.

The responsibilities of an Operating Room Nurse include preparing the operating room, assisting the surgical team during procedures, and monitoring patients post-surgery. They also ensure strict adherence to sterile techniques and infection control protocols to minimize risks to patients.

This role requires advanced clinical skills, attention to detail, and the ability to remain calm under pressure. Operating Room Nurses are essential in ensuring positive surgical outcomes and patient safety.

How Do I Become an Operating Room Nurse?


Becoming an Operating Room Nurse involves obtaining a nursing education, gaining clinical experience, and pursuing specialized training in perioperative nursing. Here are the steps to pursue this healthcare career:

  1. Earn a Nursing Degree. Complete an Associate Degree in Nursing (ADN) or Bachelor of Science in Nursing (BSN). Many hospitals prefer candidates with a BSN for specialized roles like perioperative nursing.
  2. Pass the NCLEX-RN. Take and pass the National Council Licensure Examination for Registered Nurses (NCLEX-RN) to obtain your nursing license.
  3. Gain Clinical Experience. Work as a Registered Nurse (RN) in a hospital or surgical unit to develop a foundation in patient care and surgical procedures.
  4. Specialize in Perioperative Nursing. Pursue a perioperative nurse training program or complete on-the-job training offered by your employer. These programs provide the skills needed to succeed in the operating room.
  5. Obtain Certification. Consider earning the Certified Perioperative Nurse (CNOR) credential to demonstrate your expertise and commitment to perioperative nursing.

Becoming an Operating Room Nurse typically takes 4-6 years, including nursing school, licensure, and gaining clinical experience. Additional certifications can enhance your qualifications and job opportunities.

Operating Room Nurses sterilize and prepare medical equipment.
Surgical instruments, equipment, and sterile supplies are set up by an Operating Room Nurse before a procedure.

How Much Does an Operating Room Nurse Make?


Salaries for Operating Room Nurses vary depending on factors such as location, experience, and certifications. On average, an Operating Room Nurse can expect to earn between $70,000 and $100,000 annually.

Average annual salary for an Operating Room Nurse:

  • Entry-level: $70,000 - $80,000 per year.
  • Mid-career: $80,000 - $90,000 per year.
  • Experienced: $90,000 - $100,000 per year.

The U.S. Department of Labor reports that Operating Room Nurses earn an average hourly wage of approximately $37.00 per hour. Assuming a 40-hour workweek, this equates to an annual salary of $76,960. The lowest 10% earn less than $30.00 per hour, while the top 10% earn more than $45.00 per hour, resulting in an annual salary range of $62,400 to $93,600 per year.

What Does an Operating Room Nurse Do?


Operating Room Nurses perform a variety of tasks to ensure the safety and efficiency of surgical procedures. Their responsibilities span preoperative, intraoperative, and postoperative care.

The most common job duties of an Operating Room Nurse:

  • Preparing the Operating Room. Set up surgical instruments, equipment, and sterile supplies before procedures.
  • Patient Preparation. Assess and prepare patients for surgery, including verifying medical histories and answering questions.
  • Assisting During Surgery. Support the surgical team by passing instruments, managing equipment, and maintaining a sterile field.
  • Monitoring Patient Status. Observe vital signs and assist the anesthesiologist in monitoring the patient's condition during surgery.
  • Enforcing Infection Control. Ensure that all surgical procedures adhere to sterile techniques and infection control protocols.
  • Documenting Procedures. Record detailed notes about the surgery, including instruments used and patient responses.
  • Postoperative Care. Assist with transferring patients to recovery areas and provide post-anesthesia care until they regain stability.
  • Advanced Duties. Experienced Operating Room Nurses may take on leadership roles, train new staff, or develop operating room protocols.

Operating Room Nurses work primarily in hospitals, outpatient surgery centers, and specialized surgical units. Their job duties require a combination of technical skills, communication, and teamwork to ensure patient safety and positive outcomes.

Two operating room nurses caring for a patient in the recovery room.
An Operating Room Nurse in the recovery room prepares a patient for transfer back to their hospital room.

What Skills Does an Operating Room Nurse Need?


Operating Room Nurses require a unique combination of clinical skills, technical expertise, and the ability to work well under pressure. These skills are critical for ensuring the safety and success of surgical procedures.

Here are some of the skills an Operating Room Nurse needs to succeed:

  • Attention to Detail. Monitor every aspect of the surgical process to ensure nothing is overlooked.
  • Technical Proficiency. Operate and troubleshoot surgical equipment and instruments.
  • Communication. Coordinate effectively with the surgical team to ensure smooth procedures.
  • Critical Thinking. Respond quickly to emergencies or complications during surgery.
  • Teamwork. Collaborate closely with surgeons, anesthesiologists, and other healthcare professionals.
  • Time Management. Prepare for surgeries and manage tasks efficiently to avoid delays.
  • Emotional Resilience. Stay calm and focused in high-stress situations.
  • Infection Control Expertise. Apply strict sterile techniques to prevent contamination and infections.

One of the main challenges of being an Operating Room Nurse is managing the physical and emotional demands of the job. However, the rewards include contributing directly to life-saving procedures and helping patients on their journey to recovery.

Last updated: January 30, 2025

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