Perioperative Nurse
Healthcare Career Guide

Overview
What is a Perioperative Nurse?
A Perioperative Nurse, often referred to as a Surgical or Operating Room Nurse, specializes in caring for patients before, during, and after surgical procedures. These nurses play a pivotal role in ensuring the safety, comfort, and preparation of patients throughout the surgical process. They work closely with surgeons, anesthesiologists, and other members of the surgical team to deliver high-quality care.
Perioperative Nurses manage tasks such as preparing the operating room, assisting during surgery, and monitoring patients during recovery. They are also responsible for maintaining sterile techniques and ensuring that all equipment and instruments are ready for use. In addition to their technical duties, they provide emotional support and education to patients and families to ease anxiety and improve understanding of the surgical process.
With their specialized knowledge and skills, Perioperative Nurses are integral to ensuring positive surgical outcomes and patient safety in high-pressure environments.
Education
How Do I Become a Perioperative Nurse?
Becoming a Perioperative Nurse requires education, clinical experience, and specialized training in surgical nursing. Here are the steps to pursue this healthcare career:
- Earn a Nursing Degree. Complete an Associate Degree in Nursing (ADN) or Bachelor of Science in Nursing (BSN). A BSN is often preferred for specialized roles like perioperative nursing and provides broader career advancement opportunities.
- Pass the NCLEX-RN. Obtain your nursing license by passing the National Council Licensure Examination for Registered Nurses (NCLEX-RN).
- Gain Clinical Experience. Work as a Registered Nurse (RN) in a hospital or surgical unit to develop foundational skills in patient care and surgical procedures.
- Pursue Specialized Training. Enroll in a perioperative nursing training program or participate in on-the-job training offered by hospitals and surgical centers.
- Obtain Certification. Consider earning the Certified Perioperative Nurse (CNOR) credential through the Competency and Credentialing Institute (CCI) to demonstrate expertise in surgical nursing.
Becoming a Perioperative Nurse typically takes 4-6 years, including nursing school, licensure, and gaining experience. Certifications can enhance your qualifications and increase job opportunities in this specialized field.

Average Salary
How Much Does a Perioperative Nurse Make?
Salaries for Perioperative Nurses vary based on factors such as geographic location, years of experience, and certifications. On average, a Perioperative Nurse can expect to earn between $70,000 and $100,000 annually.
Average annual salary for a Perioperative 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 Perioperative 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 highest 10% earn more than $45.00 per hour, resulting in an annual salary range of $62,400 to $93,600 per year.
Job Duties
What Does a Perioperative Nurse Do?
Perioperative Nurses are responsible for a wide range of duties that ensure the safety and success of surgical procedures. Their tasks encompass preoperative, intraoperative, and postoperative care.
The most common job duties of a Perioperative Nurse:
- Preparing Patients for Surgery. Conduct preoperative assessments, verify medical histories, and provide patients with pre-surgical instructions.
- Setting Up the Operating Room. Arrange surgical instruments, equipment, and sterile supplies before procedures.
- Assisting During Surgery. Support the surgical team by passing instruments, managing equipment, and maintaining sterile techniques.
- Monitoring Patient Vital Signs. Observe patients' vital signs and assist the anesthesiologist during surgery.
- Maintaining Sterility. Ensure the operating room remains sterile to minimize the risk of infection.
- Documenting Procedures. Record detailed notes about the surgery, including instruments used, patient responses, and any complications.
- Providing Postoperative Care. Monitor patients in the recovery room and provide care instructions to ensure a smooth recovery.
- Advanced Duties. Experienced Perioperative Nurses may lead surgical teams, train new staff, or assist with developing surgical protocols.
Perioperative Nurses primarily work in hospitals, ambulatory surgical centers, and outpatient clinics. Their role requires technical expertise, communication skills, and a commitment to patient safety.

Essential Skills
What Skills Does a Perioperative Nurse Need?
Perioperative Nurses require a unique set of skills to perform effectively in the operating room. These include both technical proficiencies and interpersonal abilities to ensure patient safety and team collaboration.
Here are some of the skills a Perioperative Nurse needs to succeed:
- Attention to Detail. Monitor every aspect of the surgical process to prevent errors and ensure smooth operations.
- Technical Proficiency. Operate and troubleshoot surgical instruments and equipment.
- Communication. Effectively communicate with the surgical team, patients, and families to ensure seamless care.
- Critical Thinking. Respond quickly to emergencies or complications during surgery.
- Teamwork. Collaborate with surgeons, anesthesiologists, and surgical technologists to deliver high-quality care.
- Infection Control Expertise. Maintain sterile techniques and enforce infection prevention protocols.
- Emotional Resilience. Stay calm and composed in high-pressure situations.
- Time Management. Coordinate tasks efficiently to ensure timely and successful surgical outcomes.
While the role of a Perioperative Nurse can be physically and emotionally demanding, it is also highly rewarding. These nurses directly contribute to successful surgical outcomes and play an essential role in patient recovery.
Last updated: January 29, 2025
References:
- Registered Nurses. Bureau of Labor Statistics, U.S. Department of Labor. Occupational Outlook Handbook. Retrieved January 29, 2025.
- Perioperative Nursing: Definition, Duties and Career Path. Indeed, Career Guide. Retrieved January 29, 2025.
- What Is the Average Operating Room Registered Nurse Salary by State. ZipRecruiter, Healthcare Careers. Retrieved January 29, 2025.
- Perioperative Nurse. Mayo Clinic, College of Medicine and Science. Retrieved January 29, 2025.
- Perioperative Nurse Career Guide. Johnson & Johnson, Nursing Career Guidance. Retrieved January 29, 2025.
- 10 Traits of Successful Perioperative Nurses. Eisenhower Health, Nursing Resources. Retrieved January 29, 2025.
- Perioperative Nurse: How to Become & What to Expect from a Career in the OR. Nightingale College, Career Guidance. Retrieved January 29, 2025.
- Certified Perioperative Nurse (CNOR). CCI Competency and Credentialing Institute. Retrieved January 29, 2025.
- The importance of the perioperative nurse. Mathenge C., Community Eye Health. Retrieved January 29, 2025.