OrthoNY is opening a brand new, state-of-the-art Ambulatory Surgery Center in Wilton, NY and we're looking for an experienced Operating Room Nurse to support the Clinical Nurse Manager!
The Lead Operating Room Registered Nurse (RN) - Flow Coordinator provides real-time clinical and operational coordination within the perioperative environment. This role is responsible for optimizing OR case flow, resource utilization, and interdisciplinary communication to ensure safe, efficient, and high-quality surgical care.
The Lead OR RN functions as a central point of coordination, supporting adherence to AORN standards, promoting patient safety, and fostering a collaborative, team-based environment consistent with Magnet principles.
Responsibilities:Case Flow & Operations- Manage the OR schedule board in real time, ensuring accurate case progression.
- Coordinate case sequencing, room assignments, and workflow adjustments to maintain efficiency.
- Identify and address delays, barriers, or opportunities to improve throughput.
- Optimize room utilization and turnover efficiency in collaboration with perioperative teams.
- Serve as the primary communication hub for OR operations.
- Communicate updates, delays, and changes with surgeons, anesthesia providers, Pre-op and PACU teams, and Sterile Processing Department (SPD).
- Participate in daily huddles and communicate operational needs to leadership.
Resource & Staffing Coordination- Assist with real-time staffing adjustments to support workflow demands.
- Coordinate staff breaks and meal coverage while maintaining patient care and flow.
- Ensure availability of necessary equipment, supplies, and instrumentation.
Room Turnover & Efficiency- Monitor and facilitate timely room turnover and readiness for subsequent cases.
- Coordinate with SPD and environmental services to minimize delays.
- Identify and escalate barriers impacting turnover or case readiness.
Clinical Support- Provide clinical support as needed, including room preparation, patient transport, or specialized assistance to maintain efficient patient care and workflow.
- Serve as a resource for perioperative procedures and processes, guiding staff on protocols, resolving workflow issues, and upholding standards throughout surgical care.
- Take assignments as necessary to support clinical needs and ensure continuous patient care.
Quality & Safety- Ensure adherence to AORN standards and guidelines, surgical safety checklists and protocols, and infection prevention and sterile technique practices.
- Monitor compliance with safety and documentation requirements.
- Escalate safety concerns in alignment with a Just Culture approach.
Documentation & Systems- Maintain accurate, real-time updates in the OR scheduling system (SIS).
- Document delays, changes, and workflow updates as required.
Professional Practice- Promote a collaborative, respectful, and team-oriented environment.
- Support staff through communication, coordination, and informal guidance.
- Contribute to a culture of safety, accountability, and continuous improvement.
QualificationsEducation and Certifications- Associate Degree in Nursing (ADN) required; Bachelor of Science in Nursing (BSN) preferred
- Current NYS Registered Nurse (RN) license required
- Basic Life Support (BLS) required
- Advanced Cardiac Life Support (ACLS) preferred
- CNOR certification preferred
- Minimum 3-5 years of perioperative (OR) nursing experience
- Prior experience in charge nurse, flow coordination, or high-volume surgical setting preferred
Key Competencies- Strong organizational and prioritization skills
- Effective communication and teamwork
- Ability to manage multiple tasks in a fast-paced environment
- Critical thinking and problem-solving
- Knowledge of OR workflow, surgical procedures, and sterile technique
Work Environment- Fast-paced surgical setting with frequent interruptions
- Requires prolonged standing and physical activity
