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Operating Room Assistant Jobs in St Louis, MO (NOW HIRING)

Intraoperative Nursing Care: Assist in preparing the operating room (OR) environment, ensuring sterile conditions and proper functioning of surgical equipment. Collaborate with surgical team members ...

Intraoperative Nursing Care: Assist in preparing the operating room (OR) environment, ensuring sterile conditions and proper functioning of surgical equipment. Collaborate with surgical team members ...

Operating Room Nurse - Experienced

Saint Louis, MO · On-site

$36.25 - $49.25/hr

Operating Room Nurse Opportunity At Barnes-Jewish Hospital, OR nurses find the kind of fast-paced ... Here, you'll work with world-renowned surgeons and anesthesiologists assist on unique and complex ...

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Operating Room Assistant information

See St Louis, MO salary details

$11

$18

$39

How much do operating room assistant jobs pay per hour?

As of Sep 8, 2026, the average hourly pay for operating room assistant in St. Louis, MO is $18.36, according to ZipRecruiter salary data. Most workers in this role earn between $13.37 and $17.75 per hour, depending on experience, location, and employer.

What is an operating room assistant?

Operating Room Assistants, also known as OR Assistants or surgical support staff, are healthcare workers who play a vital role in maintaining the cleanliness, safety, and efficiency of the operating room. They transport patients, prepare and clean surgical areas, manage surgical instruments, and assist nurses and surgical teams with non-sterile tasks before, during, and after procedures. Their support ensures a sterile and organized environment, helping surgeries run smoothly and safely.

What are the key skills and qualifications needed to thrive as an operating room assistant?

To thrive as an Operating Room Assistant, you need a basic understanding of surgical procedures, infection control, and patient care, typically supported by a high school diploma and on-the-job training or certification in sterile processing. Familiarity with surgical instruments, sterilization equipment, and hospital inventory systems is essential. Attention to detail, teamwork, and strong communication skills help ensure smooth operations and patient safety in high-pressure environments. These abilities are vital for maintaining a sterile environment, supporting surgical teams, and ensuring successful surgical outcomes.

What are some common challenges operating room assistants face during surgical procedures?

Operating Room Assistants often encounter challenges such as maintaining strict sterility in a fast-paced environment, quickly adapting to changing surgical needs, and efficiently coordinating with the surgical team under pressure. They must be vigilant to prevent contamination, manage surgical instruments, and anticipate the needs of surgeons and nurses. Strong communication skills and the ability to remain calm during emergencies are essential for success in this role.

What is the difference between Operating Room Assistant vs Surgical Technologist?

AspectOperating Room AssistantSurgical Technologist
CredentialsHigh school diploma or equivalent; on-the-job trainingPost-secondary education; certification often required
Work EnvironmentHospitals, clinics, surgical centersHospitals, surgical centers, outpatient facilities
Job RoleAssist surgical team with supplies, prep rooms, and patient carePrepare operating rooms, sterilize instruments, assist during surgeries

While both roles support surgical teams, Operating Room Assistants typically focus on patient support and logistical tasks, whereas Surgical Technologists have specialized training to prepare surgical instruments and assist directly during procedures. Both roles are essential in surgical settings, but Surgical Technologists usually require formal certification and have more technical responsibilities.

How do you become an operating room assistant?

To become an operating room assistant, candidates typically need a high school diploma or equivalent and may pursue relevant certifications such as Certified Nursing Assistant (CNA) or Surgical Technologist. On-the-job training is common, and strong communication, attention to detail, and the ability to work in a fast-paced environment are important skills for the role.

How hard is it to become an operating room assistant?

Becoming an operating room assistant typically requires a high school diploma or equivalent, along with on-the-job training or certification in healthcare support. Some positions may prefer or require knowledge of medical terminology, basic patient care skills, and familiarity with surgical environments, but the entry process is generally accessible with minimal formal education.

What are popular job titles related to Operating Room Assistant jobs in St. Louis, MO?

For Operating Room Assistant jobs in St. Louis, MO, the most frequently searched job titles are:

What job categories do people searching Operating Room Assistant jobs in St. Louis, MO look for?

The top searched job categories for Operating Room Assistant jobs in St. Louis, MO are:

What cities near St. Louis, MO are hiring for Operating Room Assistant jobs?

Cities near St. Louis, MO with the most Operating Room Assistant job openings:

Infographic showing various Operating Room Assistant job openings in St. Louis, MO as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 16% Part Time, 4% Contract, and 1% Nights. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution, with an average salary of $38,197 per year, or $18.4 per hour.

Operating Room Staff Nurse

Specialty Surgery of St. Louis

Saint Louis, MO

$35 - $47.50/hr

Full-time

Re-posted 25 days ago


Job description

The primary responsibility of this position is to provide nursing care to ensure the safety of the patient during their transfer and stay in the surgical suite.

I.    POSITION DUTIES

A.    To utilize specialized nursing knowledge while giving direct and indirect patient care.

1.    Performs assessment of patient for specific nursing care needed.
2.    Plans care to ensure patient safety.
3.    Directs and assists in carrying out safe aseptic techniques and procedures.
4.    Documents assessment and nursing care performed accurately and timely. 
5.    Supervises and directs the activities of non-professional personnel as necessary.


B.    To perform the tasks delegated to the “circulating” role.

1.    Checks room for needed supplies and prepares room for specific patient and procedure.
2.    Conducts a time out prior to surgical procedure
3.    Assist in transporting patient to O.R. and checks patient record for appropriate pre-op preparation and procedures (i.e. lab, x-ray, appropriate consents).
4.    Performs and/or directs appropriate surgical prep.
5.    Completes documentation for O.R. records, laboratory requisitions, and patient chart including medications and physician orders.
6.    Directs proper care of instruments, supplies, sterilization, and storage of equipment.
7.    Supervises and assists with the proper, safe positioning of the patient.
8.    Performs sponge, needle, and instrument counts and documentation of same, as appropriate.
9.    Identifies, labels, and cares for all surgical specimens properly.
10.    Secures emergency equipment and supplies as needed.
11.    Controls the general “tone” of the operating room.
12.    Scrub, gowns, and gloves members of surgical team following aseptic techniques.
13.    Sets up operating room with all necessary equipment and supplies.
14.    Arranges instruments according to routine for a given procedure.
15.    Handles instruments correctly and checks for cleanliness and proper working condition.
16.    Maintains sterile field throughout the surgical procedure.
17.    Performs clean up following procedures, as well as general housekeeping duties.
18.    Functions in the role of second assistant following successful skills demonstration.


C.    To function efficiently as a member of surgical team.

1.    Provides assistance to team members, physicians, and anesthesia personnel as needed (i.e. “time out” protocol, reliability, working relations, initiative, training needs). 
2.    Reviews physicians’ preference cards and updates as needed.
3.    Assists in stocking, preparation, and waste management of supplies.
4.    Performs other related duties as assigned.

D.    To support quality activities.

1.    Develop communication skills and promote departmental relationships to ensure continuity of care.
2.    Participates in on-going committees and other educational programs to enhance patient care.
3.    Maintains current CPR certification.
4.    Participates in QA activities (fire drills, QI studies, OSHA, etc…)
5.    Uses critical thinking and problem solving skills, making suggestions for improvements.
6.    Attends and actively participates in mandatory staff meetings.


II.    REPORTING RELATIONSHIPS

A.   Immediate Supervisor:             Nursing Supervisor / Medical Director
B.   Positions to be supervised:     Surgical Technician
                                                         Non-professional Personnel in O.R.

III.    CONTACT WITH OTHERS

A.   Internal:    Staff in Clinical Operations and Business Office
B.   External:    Physicians, Allied Health Professionals, Patients and Families, Representatives of Medical Industry


IV.    POSITION CHARACTERISTICS

It is necessary to perform some overtime beyond regularly scheduled work hours to provide patient care.  Additionally, some on-call duty may be required.  Because of the nature of procedures in the O.R. and patient care issues, this job can be stressful and hectic.


V.    POSITION REQUIREMENTS

Physical and mental – Walking, standing, pushing, pulling, required to move patients.  Potential exists for exposure to blood and body fluids as well as other hazardous materials.  Personal protective equipment should be utilized as needed.  Must have a thorough knowledge of general nursing theory and practice; a knowledge of operating room technique; possess strong organization skills and flexibility; present good communication skills; have the ability to assess priorities; present a professional image; and be able to handle periods of stress.

VI.    POSITION SPECIFICATIONS

The Operating Room Staff Nurse must be a graduate of an accredited School of Nursing and be currently licensed to practice nursing.  A minimum of one year experience in the operating room is preferred.  The successful candidate must have the ability to work independently as well as function within a team; have the ability to assess patient needs, determine priorities, plan and direct care for the surgical patient, and must possess the ability to handle stress.