RN Full-time
Holland Hospital

Registered Nurse (OR) Full Time, Days

$34 - $49.18 / hour

CURRENT HOLLAND HOSPITAL EMPLOYEES- Please apply through Find Jobs from your Workday employee account.

Working as part of a multidisciplinary team, the RN ensures safe, efficient, and high-quality care before, during, and after surgical procedures. This role requires strong clinical judgment, adaptability, and the ability to function in multiple environments while maintaining compliance with established standards of care, policies, and regulatory requirements.

The RN is accountable for coordinating care to achieve optimal patient outcomes, collaborating effectively with surgical, anesthesia, and support teams, and delegating responsibilities as appropriate. Practice must align with the Michigan Public Health Code Act 368 of 1978, Article 15 (Health Occupations), Part 172 (Nursing), and include the ability to provide age-appropriate care across the patient population.

The OR RN performs multiple roles, including surgical setup, circulating nurse, and patient transfer coordination from pre-procedure through post-anesthesia recovery.

Pay Range: $34.00 - $49.18/hour

Employment Type: Full Time, 72 hours every 2 weeks

Schedule: Monday-Friday, one day off per week, mix of 8 and 10 hour shifts (during the 7am to 7:30pm time frame), Occasional weeknight and weekend call required with a 30 minute response time.

Requirements:  Graduate of accredited Registered Nursing Program required, Current Michigan RN License (or completed by end of orientation) required, Current BLS for the Healthcare Provider (or completed within 60 days of hire) required.

ESSENTIAL DUTIES & RESPONSIBILITIES: 

  • Uses established techniques in preparing for and helping set up surgical procedures; provides and sets up necessary instruments, supplies, and equipment for different types of operations, according to established preference cards and instructions of the surgeon. 
  • Observes patients during surgical procedures to detect possible complications and/or breaks in sterile technique; able to locate and gather emergency equipment and supplies as needed. 
  • Places patients in appropriate position(s) to ensure access to the operative field; adjusts operating table and accessory equipment as may be required; prepares operative area and assists surgeon and anesthesia as indicated. 
  • Advocates for the patient by communicating with other members of the multidisciplinary team about patient status, and progress of surgical procedure(s) as needed. 
  • Observes progress of surgery; provides additional instruments, supplies or other items as needed; provides and regulates fluids as indicated.  
  • After operation, apply or assist in applying dressings, and transferring patients, from operating room to recovery room. 

Intraoperative RN 

Surgical Preparation and Readiness: 

  • Prepares and organizes the OR based on the scheduled procedure, utilizing established preference cards and surgeon directives.
  • Ensures all required instruments, supplies, and equipment are available, functional, and properly arranged.
  • Assists with patient transfer to the OR and supports preoperative preparation, including positioning readiness and equipment setup.

Intraoperative Clinical Practice: 

  • Performs the circulating nurse role, ensuring adherence to surgical safety standards 
  • Positions patients safely to optimize surgical access while preventing injury (e.g., pressure injuries, nerve damage). 
  • Demonstrates expertise in aseptic technique and the proper handling and use of surgical instrumentation, supplies, and equipment. 
  • Prepares the operative site and assists the surgical and anesthesia teams as indicated. 
  • Monitors the sterile field and patient condition throughout the procedure, recognizing and responding to complications or breaks in technique 
  • Anticipates the needs of the surgical team and provides additional instruments, supplies, fluids, or equipment as required. 

Patient Safety, Documentation, and Communication: 

  • Verifies patient identity, procedure, and surgical site in accordance with safety protocols (e.g., time-out procedures). 
  • Provides accurate and timely handoff communication to receiving staff. 

  • Coordinates and facilitates safe patient transfer from the operating room to PACU or phase II. 
  • Completes thorough and compliant documentation in accordance with organizational and regulatory standards. 

Sterility, Safety & Quality Assurance 

  • Maintains strict adherence to aseptic technique and infection prevention standards. 
  • Ensures a safe surgical environment, including proper handling of instruments, sharps, and equipment. 
  • Identifies and responds to emergency situations, ensuring immediate access to necessary equipment and supplies. 
  • Advocates for patient safety by communicating effectively with the multidisciplinary team regarding patient status and procedural progress.

Medical specialties: 

  • Orthopedics/Sports/ Total Joint Replacement 
  • Neuro Spine 
  • General Surgery 
  • Urology 
  • ENT 
  • Bariatrics 
  • Robotics 
  • GYN/ONC 
  • Plastics 

Core Competencies:

  • Strong understanding of sterile technique and infection prevention 
  • Critical thinking and rapid decision-making skills 
  • Effective communication and teamwork 
  • Patient advocacy and safety focus 
  • Comprehensive knowledge of perioperative nursing practices 
  • Commitment to patient safety and quality outcomes 
  • Flexibility and adaptability in a fast-paced environment 
  • Commitment to ongoing and continuous training and education 
  • Delegates activities to non-licensed staff within scope of license

#PRM123

Holland Hospital is an Equal Opportunity Employer, please see our EEO policy

Share this job

Share to FB Share to LinkedIn Share to Twitter

Related Jobs

Fresenius Medical Care

Outpatient Registered Nurse - RN

PURPOSE AND SCOPE: The professional registered nurse Outpatient RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP). This position is accountable and responsible for the provision and coordination of clinically competent care including assessment, planning, intervention and evaluation for an assigned group of patients. This may include delegation of appropriate tasks to direct patient care staff including but not limited to RNs, LVN/LPNs and Patient Care Technicians. As a member of the End Stage Kidney Disease (ESKD) health care team, this position participates in decision-making, teaching, leadership functions, and quality improvement activities that enhance patient care outcomes and facility operations. PRINCIPAL DUTIES AND RESPONSIBILITIES: All duties and responsibilities are expected to be performed in accordance with Fresenius Kidney Care policy, procedures, standards of nursing practice, state and federal regulations. · Performs all essential functions under the direction of the Supervisor and with guidance from the Clinical Educator, Preceptor or in collaboration with other Registered Nurses. · Performs ongoing, systematic collection and analysis of patient data pre – during – post hemodialysis treatment for assigned patients and documents in the patient medical record, makes adjustments or modifications to treatment plan as indicated and notifies Team Leader, Charge Nurse, Supervisor or Physician as needed. · Assesses, collaborates, and documents patient/family’s basic learning needs to provide initial and ongoing education to patients and family. · Directs and provides, in collaboration with direct and ancillary patient care staff, all aspects of the daily provision of safe and effective delivery of hemodialysis therapy to assigned patients. · Administers medications as prescribed or in accordance with approved algorithm(s), and documents appropriate medical justification and effectiveness. · Initiates or assists with emergency response measures. · Serves as a resource for health care team, participates in staff training and orientation of new staff as assigned. · Ensures correct laboratory collection, processing and shipping procedures are performed and reschedules missed or insufficient laboratory collections. · Identifies expected outcomes, documents and updates the nursing assessment and plan of care for assigned patients through collaboration with the Interdisciplinary Team. · Ensures patient awareness related to transplant and treatment modality options. · Required to complete CAP requirements to advance. · Performs all other duties as assigned by Supervisor. PHYSICAL DEMANDS AND WORKING CONDITIONS: The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. · The position provides direct patient care that regularly involves heavy lifting, moving of patients and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. · This position requires frequent, prolonged periods of standing and the employee must be able to bend over. · The employee may occasionally be required to move, with assistance, machines and equipment of up to 200 lbs., and may lift chemical and water solutions of up to 30 lbs. as high as 5 feet. · The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. · May be exposed to infectious and contagious diseases/materials. · Day to day work includes desk work, computer work, interaction with patients, facility/hospital staff and physicians. · The position may require travel to training sites or other facilities. · May be asked to provide essential functions of this position in other locations with the same physical demands and working conditions as described above. SUPERVISION: Assigned oversight of Patient Care Technicians/LPNs/LVNs/RNs as a Team Leader or designated Nurse in Charge, after meeting all the following: · Successful completion of all FKC education and training requirements for new employees. · Must have a minimum of 9 months experience as a RN. · Must have a minimum of 3 months experience in chronic/acute hemodialysis as a RN. EDUCATION and LICENSURE: · Graduate of an accredited School of Nursing. · Current appropriate state licensure. · Current or successful completion of CPR BLS Certification. · Must meet the practice requirements in the state in which he or she is employed. EXPERIENCE AND REQUIRED SKILLS: · Entry level for RNs with less than 2 years of Nephrology Nursing experience as a Registered Nurse. · Chronic/acute hemodialysis experience (preferred). Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws. Fresenius Medical Care is an equal opportunity employer and does not discriminate on the basis of race, color, religion, sexual orientation, gender identity, parental status, national origin, age, disability, military service, or other non-merit-based factors
Fresenius Medical Care

Outpatient Registered Nurse - RN

PURPOSE AND SCOPE: The professional registered nurse Outpatient RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP). This position is accountable and responsible for the provision and coordination of clinically competent care including assessment, planning, intervention and evaluation for an assigned group of patients. This may include delegation of appropriate tasks to direct patient care staff including but not limited to RNs, LVN/LPNs and Patient Care Technicians. As a member of the End Stage Kidney Disease (ESKD) health care team, this position participates in decision-making, teaching, leadership functions, and quality improvement activities that enhance patient care outcomes and facility operations. PRINCIPAL DUTIES AND RESPONSIBILITIES: All duties and responsibilities are expected to be performed in accordance with Fresenius Kidney Care policy, procedures, standards of nursing practice, state and federal regulations. · Performs all essential functions under the direction of the Supervisor and with guidance from the Clinical Educator, Preceptor or in collaboration with other Registered Nurses. · Performs ongoing, systematic collection and analysis of patient data pre – during – post hemodialysis treatment for assigned patients and documents in the patient medical record, makes adjustments or modifications to treatment plan as indicated and notifies Team Leader, Charge Nurse, Supervisor or Physician as needed. · Assesses, collaborates, and documents patient/family’s basic learning needs to provide initial and ongoing education to patients and family. · Directs and provides, in collaboration with direct and ancillary patient care staff, all aspects of the daily provision of safe and effective delivery of hemodialysis therapy to assigned patients. · Administers medications as prescribed or in accordance with approved algorithm(s), and documents appropriate medical justification and effectiveness. · Initiates or assists with emergency response measures. · Serves as a resource for health care team, participates in staff training and orientation of new staff as assigned. · Ensures correct laboratory collection, processing and shipping procedures are performed and reschedules missed or insufficient laboratory collections. · Identifies expected outcomes, documents and updates the nursing assessment and plan of care for assigned patients through collaboration with the Interdisciplinary Team. · Ensures patient awareness related to transplant and treatment modality options. · Required to complete CAP requirements to advance. · Performs all other duties as assigned by Supervisor. PHYSICAL DEMANDS AND WORKING CONDITIONS: The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. · The position provides direct patient care that regularly involves heavy lifting, moving of patients and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. · This position requires frequent, prolonged periods of standing and the employee must be able to bend over. · The employee may occasionally be required to move, with assistance, machines and equipment of up to 200 lbs., and may lift chemical and water solutions of up to 30 lbs. as high as 5 feet. · The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. · May be exposed to infectious and contagious diseases/materials. · Day to day work includes desk work, computer work, interaction with patients, facility/hospital staff and physicians. · The position may require travel to training sites or other facilities. · May be asked to provide essential functions of this position in other locations with the same physical demands and working conditions as described above. SUPERVISION: Assigned oversight of Patient Care Technicians/LPNs/LVNs/RNs as a Team Leader or designated Nurse in Charge, after meeting all the following: · Successful completion of all FKC education and training requirements for new employees. · Must have a minimum of 9 months experience as a RN. · Must have a minimum of 3 months experience in chronic/acute hemodialysis as a RN. EDUCATION and LICENSURE: · Graduate of an accredited School of Nursing. · Current appropriate state licensure. · Current or successful completion of CPR BLS Certification. · Must meet the practice requirements in the state in which he or she is employed. EXPERIENCE AND REQUIRED SKILLS: · Entry level for RNs with less than 2 years of Nephrology Nursing experience as a Registered Nurse. · Chronic/acute hemodialysis experience (preferred). Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws. Fresenius Medical Care is an equal opportunity employer and does not discriminate on the basis of race, color, religion, sexual orientation, gender identity, parental status, national origin, age, disability, military service, or other non-merit-based factors
University of Michigan Health-West

Nurse Coordinator - UMHP Specialty/Procedural - Wound Clinic * Days - 40hrs/wk.

General Purpose of Job : The Nurse Coordinator – Specialty/Procedural Services provides clinical and operational leadership for service lines requiring advanced nursing competencies, certifications, and procedure-based workflows. This role oversees teams delivering care that goes beyond standard ambulatory practice, with an emphasis on specialized training, technical skill, and adherence to procedural and regulatory standards. Knowledge, Skills and Experience : Bachelor of Science in Nursing preferred. Michigan Registered Nurse licensure required. Certification in clinical specialty, required within 3 years of hire. Current Basic Life Support (BLS/CPR) provider, required HPE Infusion/Cancer Center Infusion RN: Must obtain ONS/ONCC Chemotherapy Immunotherapy Certificate prior to administering chemotherapy. Cardiovascular Physician Practice: ACLS, CV-BC required within 1 year of hire. Wound: ACLS, HBO certifications required within 1 year of hire. Previous experience in ambulatory setting, preferred Previous experience in the specific clinical area and patient population type Demonstrated leadership ability Essential Duties : Coordination: Provides clinical direction, evaluates staff performance, and completes evaluations on time according to schedule. Manages appropriate staff resources and allocates based budgeted hours/FTEs, skill mix, and patient needs.. Collaborates with clinical teams to develop and educate staff to the scope and standards of ambulatory care. Clinical: Serves as a clinical role model, demonstrating advanced judgment and technical skill. Coaches staff on clinical practice, delegation, and procedural competencies. Participate in temporary assignment measures, as needed Leadership: Participates and serves on committees, task forces, and work groups at the department and organizational or regional level as determined by the manager Supports the development, maintenance and revision of standards, policies, and clinical guidelines. Ensures adherence to organizational policies and professional standards of care. Supports professional growth and development of all employees. Partners effectively with providers and interdisciplinary teams to support safe, efficient operations. Proactively manages risk and promotes a culture of safety. Communication/Customer Service: Demonstrates clear and effective communicate, both written and verbal. Demonstrates strong conflict resolution and appropriate use of escalation pathways. Promotes a high standard of patient, family, and team experience while maintain confidentiality. Quality/Outcomes: Supports quality improvement, infection control, and survey readiness activities. Actively promotes and reinforces patient safety initiatives Professionalism: Leads and supports change initiatives Innovation: Supports improvements in care delivery, team development, and use of technology to enhance patient care.
University of Michigan Health-West

RN - Registered Nurse - Intensive Care Unit * Nights - 36hrs/wk (New Hire Incentive)

General Purpose of Job : The RN Staff Nurse is a professional care giver who assumes responsibility and accountability for a group of patients for a designated time frame and provides care to these patients via therapeutic use of self, the nursing process, the environment / instrumentation, and other health care team members. Assigns and directs the work of related staff. Knowledge, Skills and Experience : Bachelor of Science in Nursing preferred. Michigan Registered Professional Nurse licensure required. Current Basic Life Support (BLS/CPR) provider—required. Endoscopy RN: Current Advanced Cardiac Life Support (ACLS) provider preferred. Must obtain ACLS certification within 60 days of hire or placement in the unit. Level 4/Level 5 RN: Current Advanced Cardiac Life Support (ACLS) provider preferred. Must obtain ACLS certification within one year of hire or placement in the unit. Level 4/Level 5 RN: Competence in basic cardiac dysrhythmia interpretation required, will train. Level 6: Current Pediatric Advanced Life Support (PALS) provider preferred. ED: Current Pediatric Advanced Life Support (PALS) provider preferred. Must obtain PALS certification within six months of hire or placement in the unit. Advanced Cardiac Life Support (ACLS) certification within three (3) months after hire or transfer. Must maintain ACLS certification with re-certification every two (2) years. IR/NEURO IR RN: Current Advanced Cardiac Life Support (ACLS) must be obtained within 30 days of hire or transfer. Previous experience in specialty preferred. Essential Duties : ASSESSMENT—Assess the patient's condition and physical, psychological, cognitive, social, rehabilitative, and discharge needs. PLANNING—Develop a plan of care using nursing diagnoses and setting patient outcome goals. IMPLEMENTATION—Implement nursing plan of care and physician's orders. IMPLEMENTATION—Establish priorities of patient care based on essential patient needs and available resources of time, personnel, equipment and supplies. IMPLEMENTATION—Perform nursing procedures, assist physicians, and use equipment following established standards. EVALUATION—Evaluate the patient’s response to nursing interventions and physician ordered therapy / diagnostics. Update or modify plan of care to meet the current needs of the patient. PATIENT EDUCATION—Educate the patient and significant others based on the cognitive needs of each and defined by patient outcome goals. DOCUMENTATION—Document concise, accurate and timely information in the patient care record. PATIENT/FAMILY RIGHTS—Demonstrate knowledge of and respect for patient and significant others’ rights, including confidentiality. SAFETY/RISK MANAGEMENT—Follow established standards in provision for safety. LEGAL ISSUES—Demonstrate awareness of legal issues in all aspects of patient care and department function and strive to manage situations in a reduced risk manner. EMERGENCIES—Perform efficiently in emergency patient situations following established standards, remaining calm, informing appropriate persons, and documenting events. KNOWLEDGE BASE—Maintain a current knowledge base and use standards of care in professional practice. PROFESSIONALISM—Assume responsibility for own practice including appearance, attendance, punctuality and flexibility in scheduling. SELF EDUCATION—Pursue self-directed learning experiences, continuing education, and seek direction when necessary. STAFF DEVELOPMENT—Participate in and promote staff development activities and achievement of department goals. QUALITY ASSURANCE/STANDARDS DEVELOPMENT—Participate in peer review, quality assurance, standards development, and research activities. COORDINATION/ORGANIZATION—Use delegation skills and therapeutic use of self to coordinate and organize patient care delivery. COORDINATION/ORGANIZATION—Set priorities in work using effective time management and support personnel to complete assigned work. PROBLEM SOLVING/DECISION MAKING—Practice effective problem identification and resolution skills as a method of sound decision making. COMMUNICATION—Use written and oral communication through designated channels to attain desired patient outcomes as well as department and hospital goals. STAFFING—Demonstrate flexibility in staffing patterns and resolution of staffing conflicts; participate in temporary assignment measures. ORIENTATION-Successful completion of unit-specific core competencies as defined in the orientation checklist. DELEGATION--Evaluates and identifies patient needs and assigns appropriate staff to address specific individual patient needs. Directs and reviews the work of support staff to assure nursing care plan is fully implemented and patient needs are addressed. Assumes supervisory duty for department employees in absence of Clinical Director and Clinical Coordinator per HR-45 policy.
University of Michigan Health-West

RN - Registered Nurse - Observation Unit * Nights - 36hrs/wk (New Hire Incentive)

General Purpose of Job : The RN Staff Nurse is a professional care giver who assumes responsibility and accountability for a group of patients for a designated time frame and provides care to these patients via therapeutic use of self, the nursing process, the environment / instrumentation, and other health care team members. Assigns and directs the work of related staff. Knowledge, Skills and Experience : Bachelor of Science in Nursing preferred. Michigan Registered Professional Nurse licensure required. Current Basic Life Support (BLS/CPR) provider—required. Endoscopy RN: Current Advanced Cardiac Life Support (ACLS) provider preferred. Must obtain ACLS certification within 60 days of hire or placement in the unit. Level 4/Level 5 RN: Current Advanced Cardiac Life Support (ACLS) provider preferred. Must obtain ACLS certification within one year of hire or placement in the unit. Level 4/Level 5 RN: Competence in basic cardiac dysrhythmia interpretation required, will train. Level 6: Current Pediatric Advanced Life Support (PALS) provider preferred. ED: Current Pediatric Advanced Life Support (PALS) provider preferred. Must obtain PALS certification within six months of hire or placement in the unit. Advanced Cardiac Life Support (ACLS) certification within three (3) months after hire or transfer. Must maintain ACLS certification with re-certification every two (2) years. IR/NEURO IR RN: Current Advanced Cardiac Life Support (ACLS) must be obtained within 30 days of hire or transfer. Previous experience in specialty preferred. Essential Duties : ASSESSMENT—Assess the patient's condition and physical, psychological, cognitive, social, rehabilitative, and discharge needs. PLANNING—Develop a plan of care using nursing diagnoses and setting patient outcome goals. IMPLEMENTATION—Implement nursing plan of care and physician's orders. IMPLEMENTATION—Establish priorities of patient care based on essential patient needs and available resources of time, personnel, equipment and supplies. IMPLEMENTATION—Perform nursing procedures, assist physicians, and use equipment following established standards. EVALUATION—Evaluate the patient’s response to nursing interventions and physician ordered therapy / diagnostics. Update or modify plan of care to meet the current needs of the patient. PATIENT EDUCATION—Educate the patient and significant others based on the cognitive needs of each and defined by patient outcome goals. DOCUMENTATION—Document concise, accurate and timely information in the patient care record. PATIENT/FAMILY RIGHTS—Demonstrate knowledge of and respect for patient and significant others’ rights, including confidentiality. SAFETY/RISK MANAGEMENT—Follow established standards in provision for safety. LEGAL ISSUES—Demonstrate awareness of legal issues in all aspects of patient care and department function and strive to manage situations in a reduced risk manner. EMERGENCIES—Perform efficiently in emergency patient situations following established standards, remaining calm, informing appropriate persons, and documenting events. KNOWLEDGE BASE—Maintain a current knowledge base and use standards of care in professional practice. PROFESSIONALISM—Assume responsibility for own practice including appearance, attendance, punctuality and flexibility in scheduling. SELF EDUCATION—Pursue self-directed learning experiences, continuing education, and seek direction when necessary. STAFF DEVELOPMENT—Participate in and promote staff development activities and achievement of department goals. QUALITY ASSURANCE/STANDARDS DEVELOPMENT—Participate in peer review, quality assurance, standards development, and research activities. COORDINATION/ORGANIZATION—Use delegation skills and therapeutic use of self to coordinate and organize patient care delivery. COORDINATION/ORGANIZATION—Set priorities in work using effective time management and support personnel to complete assigned work. PROBLEM SOLVING/DECISION MAKING—Practice effective problem identification and resolution skills as a method of sound decision making. COMMUNICATION—Use written and oral communication through designated channels to attain desired patient outcomes as well as department and hospital goals. STAFFING—Demonstrate flexibility in staffing patterns and resolution of staffing conflicts; participate in temporary assignment measures. ORIENTATION-Successful completion of unit-specific core competencies as defined in the orientation checklist. DELEGATION--Evaluates and identifies patient needs and assigns appropriate staff to address specific individual patient needs. Directs and reviews the work of support staff to assure nursing care plan is fully implemented and patient needs are addressed. Assumes supervisory duty for department employees in absence of Clinical Director and Clinical Coordinator per HR-45 policy.