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The Surgery Department at North Alabama Shoals Hospital offers RNs a supportive, patient-focused environment where teamwork and high-quality care are at the center of everything they do. Nurses care for a diverse patient population, build strong clinical skills, and collaborate closely with interdisciplinary teams in a department that values professional growth, compassion, and meaningful patient connections.

North Alabama Shoals Hospital, is part of Lifepoint Health, a diversified healthcare delivery network with facilities coast to coast. We are driven by a profound commitment to prioritize your well-being so you can provide exceptional care to others. As a Registered Nurse on our Surgery Unit, you will play a vital role in our mission of Making Communities Healthier®. Join us on this meaningful journey where your skills, compassion, and dedication will make a remarkable difference in the lives of those we serve.

A Registered Nurse (RN) who excels in:

• Perform comprehensive preoperative assessment and verify patient, procedure, and consent.
• Ensure proper room setup, equipment, and supplies based on surgeon preference and procedure.
• Maintain sterile environment and enforce aseptic technique.
• Serve as patient advocate throughout the perioperative experience.
• Document intraoperative care accurately in the electronic medical record.
• Communicate effectively with surgical team, anesthesia, and ancillary departments.
• Assist with positioning, prepping, and intraoperative patient safety measures.
• Manage specimens according to policy.
• Participate in time-out and ensure compliance with safety protocols.

Board Runner Role:

• Coordinate daily OR schedule and monitor case progression in real time.
• Adjust staffing assignments based on case volume, acuity, and staff skill mix.
• Facilitate room turnover efficiency and minimize delays.
• Communicate with surgeons, anesthesia, PACU, SPD, and leadership regarding schedule changes or issues.
• Troubleshoot workflow disruptions, equipment needs, or staffing shortages.
• Prioritize add-on and emergency cases in collaboration with leadership.
• Monitor on-time starts, turnover times, and overall OR efficiency metrics.
• Serve as a resource and support for OR staff throughout the shift.

Additional Duties:

• Assist with orientation and training of new staff.
• Ensure compliance with hospital policies, AORN standards, and regulatory requirements.
• Participate in quality improvement initiatives.
• Maintain competency in specialty procedures and equipment (e.g., robotics, endoscopy, vascular, plastics, pain, cataract surgery, general)

The Operating Room Registered Nurse (RN) Circulator/Board Runner is responsible for coordinating and delivering patient care in the perioperative setting. This role functions both as a circulator within assigned surgical cases and as a board runner, overseeing daily OR flow, staffing, and case progression to ensure safe, efficient operations.

• Current Registered Nurse (RN) license Alabama/Multistate
• Minimum 2–3 years OR experience preferred (circulator experience preferred).
• Strong knowledge of surgical procedures, instrumentation, and sterile technique.
• Ability to multitask and make real-time decisions in a fast-paced environment.
• Excellent communication and leadership skills.

Preferred Qualifications:

• CNOR certification preferred
• Experience with OR scheduling or charge/board runner role.
• Experience with robotic surgery and multiple specialties.

Schedule: Full Time Days- No call or weekends

We believe that investing in our employees is the first step to providing excellent patient care. In addition to your base compensation, this position also offers:

• Comprehensive Benefits: Multiple levels of medical, dental and vision coverage for full-time and part-time employees.
• Financial Protection & PTO: Life, accident, critical illness, hospital indemnity insurance, short- and long-term disability, paid family leave and paid time off.
• Financial & Career Growth: Higher education and certification tuition assistance, loan assistance and 401(k) retirement package and company match.
• Employee Well-being: Mental, physical, and financial wellness programs (free gym memberships, virtual care appointments, mental health services and discount programs).
• Professional Development: Ongoing learning and career advancement opportunities.

EEOC Statement

"North Alabama Shoals is an Equal Opportunity Employer. North Alabama Shoals Hospital is committed to Equal Employment Opportunity for all applicants and employees and complies with all applicable laws prohibiting discrimination and harassment in employment."