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Billings Clinic RN Surgery Center ( .6 FTE - Nights) in Billings / Billings, Montana

You can make a difference as a part of our region's largest health care system, based locally in Billings, Montana. Join our amazing team with a focus on safe, high quality care and an excellent patient experience. Billings Clinic is here to take care of our community and region.

We look forward to meeting you.

About Us
Billings Clinic is a community-owned, not-for-profit, Physician-led health system based in Billings with more than 4,700 employees, including over 550 physicians and non-physician providers. Our integrated organization consists of a multi-specialty group practice and a 304-bed hospital. Learn more about Billings Clinic (our organization, history, mission, leadership and regional locations) and how we are recognized nationally for our exceptional quality.

Your Benefits
We provide a comprehensive and competitive benefits package to all full-time employees (minimum of 24 hours/week), including Medical, Dental, Vision, 403(b) Retirement Plan with employer matching, Defined Contribution Pension Plan, Paid Time Off, employee wellness program, and much more. Click here for more information or download the 2021 Employee Benefits Guide.

RN Surgery Center ( .6 FTE - Nights)

SURGERY CENTER (Billings Clinic Main Campus)


Shift: Evening, Nights

Employment Status: Part-Time (.5 - .74)

Hours per Pay Period: 0.60 = 48 hours(Non-Exempt)

Starting Wage DOE: 27.81 - 35.32 + Night Differential

The successful Surgery Center RN will be an integral component in facilitating patient flow and throughput while maintaining high levels of quality care which are consistent with recognized national nursing standards, legal requirements and Surgery Center policies and procedures. Duties will encompass the operating room, pre -operative care or post-operative care to include both phase 1 and phase 2 recovery.

Essential Job Functions

• Directs all nursing activities relating to the procedures performed. Evaluates and completes assessment of patient needs to provide supportive care before, during and after surgery and maintains complete and accurate records. Recognizes and interprets symptoms indicative of changes in condition of patient. Communicates pertinent information to co-workers and works collaboratively with all members of the health care team to provide optimal care to the patient throughout the patient’s experience.
• Assists in patient education during all phases of the patient’s experience. Ensures informed signed consents are completed prior to administration of sedation.
• Prepares all records pertaining to the procedure
• Maintains equipment and supplies to include cleaning and disinfection of equipment, operates and troublesh oots specialized equipment and patient monitoring equipment, anticipates and assists with maintaining adequate inventory of supplies and medications. Post procedure, assists with inventory control by proper count of supplies/time used. Directs and assists with the cleaning and restocking of operating rooms at the completion of assignments. Assists in crash cart maintenance and defibrillator checks
• Provides oversight and direction to other Surgery Center technical and ancillary personnel. Assists with orientation and training of new or existing staff members. Takes responsibility for identification of own professional growth and development needs; meets all system/departmental educational requirements. Participates with in-service opportunities and staff meetings.
• Maintains competency in all organizational, departmental and outside agency environmental, employee or patient safety standards relevant to job performance. Adheres to national patient safety standards and identifies and anticipates problems and safety issues and initiates appropriate action to minimize or eliminate risks and maximize safety in the Surgery Center.
• Incorporates the 14 forces of Magnetism in transforming the work environments and for enhancing quality of nursing care.
• Performs other duties as assigned or as needed to meet the needs of the Surgery Center
• Pre/Post Op
• Accountable for administration of drugs, IV procedures and other therapeutic and diagnostic measures in a safe and accurate manner. Initiates orders, and follows anesthesia protocol.
• Will maintain ACLS
• Labels specimen containers in front of the patient and prepares specimens for the laboratory
• Checks assignment for the day noting routine and special equipment/supplies needed for each procedure. Checks OR suite/procedure room for cleanliness and order damp dust rooms prior to usage. Assembles equipment and supplies needed for each procedure; checks equipment to ensure it is properly functioning. Arranges furniture and equipment in such a manner that all pieces are accessible for efficient work by the scrub tech, anesthesia and surgeon. Directs and assists with the cleaning and preparation of the operating/procedure room between cases. Assembles instruments, supplies and equipment for all cases.
• Observes sterile techniques in preparing for and assists with surgical procedures. Assists scrub tech by opening sterile packs and delivering necessary packets of materials; operates autoclaves for sterilization of necessary accessory items.
• Prepares the operative site by doing a sur gical scrub to the operative area according to the surgeon’s preferences.
• Assists with transfer of patients to the operating/procedure room from pre-op, giving assistance to anesthesia and surgeons and helps transfer patients to recovery following procedures
• Assists scrub techs in dressing members of the operating team. Observes all members of the operating team for sterile practices, reports any breaks immediately and takes steps to correct any break in technique.
• Observes progress of the procedure and provides additional instruments, supplies or equipment as necessary.
• Labels specimen containers and prepares specimens for the laboratory.

Knowledge, Skills, and Abilities

• Analytical skills necessary to understand a variety of basic and/or routine problem scenarios
• Adheres to established policies, procedures and practices without deviation, and utilizes sound judgment and decision making abilities within training/skill level. Seeks assistance from Level II or Clinical Coordinator as appropriate.
• Refers more difficult problems to a Level II staff person or Clinical Coordinator
• Interpersonal skills which enable the incumbent to appropriately respond to a variety of requests and inquiries, from physicians, nursing staff and other health care providers
• Ability to utilize and apply PSE skills
• Work is performed independently in accordance with established policies, procedures and regulatory requirements based upon the AAMI, AORN & IAHCSMM standards, recommend practices and guidelines
• Assumes responsibility for the follow-up of problem scenarios and coordinates appropriately with Level II staff and/or Clinical Coordinator
• Adheres to patient safety goals and standards
• Participates in QI/RM activities within the department
• Participates in the financial viability of Billings Clinic by ensuring appropriate utilization of supplies and equipment and adherence to patient safety standards

Minimum Qualifications


• Graduate of an accredited school of nursing, Bachelors degree in nursing is preferred


• One (1) year of operating room experience is desired in the OR
• Critical care experience preferred for PACU phase 1

Certifications and Licenses

• Current Montana state license as a registered nurse required
• CNOR and/or AORN professional affiliation preferred for the OR
• Healthcare Provider CPR Certification

Billings Clinic is Montana’s largest health system serving Montana, Wyoming and the western Dakotas. A not-for-profit organization led by a physician CEO, the health system is governed by a board of community members, nurses and physicians. Billings Clinic includes an integrated multi-specialty group practice, tertiary care hospital and trauma center, based in Billings, Montana. Learn more

Billings Clinic is committed to the principles of Equal Employment Opportunity. All policies and processes are designed toward achieving fair and equitable treatment of all employees and job applicants. Employees are encouraged to discuss any concerns they have in this regard with their immediate supervisor and/or the Vice President People Resources. All employees and job applicants will be provided the same treatment in all aspects of the employment relationship, regardless of race, color, creed, religion, national origin, gender, gender identity, sexual orientation, age, marital status, genetic information or disability.