Take These 5 Steps To Become A Surgical Nurse - Herzing University

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The OR isn't only for surgeons. Discover how to become a scrub nurse, including education requirements, license/certification and job duties/responsibilities.

If you are passionate about nursing, detail-oriented, flexible, and thrive in a fast-paced, challenging medical environment, you may consider exploring a career as a surgical nurse.

Surgical nurses, also called perioperative nurses, are registered nurses (RNs) who specialize in surgical care. They work in hospital surgical departments, day-surgery units, or clinics or physician offices that perform invasive procedures. Surgical nurses generally work with health practitioners and technicians in pre-op and post-op areas where they educate the patient and family members before and after surgery.

If you enjoy healthcare, work well under pressure, and pride yourself on offering exceptional patient care, follow these steps to help you prepare for a career in perioperative nursing:

1. Understand the specialized role of a surgical nurse
2. Enroll in a nursing degree program
3. Become an RN
4. Gain experience and get certified (optional)
5. Start your career as a surgical nurse

1. Understand the role of a surgical nurse

What does a surgical nurse do?

Surgical nurses, also known as perioperative or operating room (OR) nurses, provide a variety of services, such as assisting surgeons in the operating room and providing care before, during, and immediately after surgical and diagnostic procedures. There are several different roles surgical nurses may fill. Some roles and sample job descriptions are below:

• Scrub nurse: Selects and handle instruments and supplies used for surgeries.
• Circulating nurses: Manages the overall nursing care in the operating room. Ensure all necessary personnel, equipment, and supplies are readily available.
• RN First Assistants (RNFA): Assists the surgeon(s) in controlling bleeding, providing wound exposure, and suturing.
• Pre-op nurse: Performs the necessary duties to prepare a patient for surgery. This may include collecting vital stats and health history, starting IVs, verifying paperwork, and providing emotional support and instruction.
• Post-Op nurse (also known as post-anesthesia care unit (PACU) nurse): Receives the patient immediately after the surgical procedure. Monitors for complications as the patient wakes from anesthesia, then coordinates patient transfer or discharge.

Jobs you may get as a surgical nurse

Surgical nurses typically work in hospitals (in areas including: inpatient and ambulatory operating rooms, recovery rooms, medical-surgical care units), ambulatory surgery centers or day-surgery, outpatient centers, clinics, or physician offices. In addition, surgical nurses may take on other responsibilities and titles, including operating room director or manager, clinical educator, and researcher.

Perioperative nurses can also focus on many subspecialties, including:

• Neurosurgery
• Cardiac surgery
• Transplant surgery
• Plastic and reconstructive surgery
• Oncology
• Pediatrics
• Ear, nose, and throat
• Trauma
• General surgery

2. Enroll in a nursing degree program

To become a surgical nurse, you are usually required to be an RN with either an associate or bachelor’s degree. Herzing University offers pathways to help you earn the degree you want and become a registered nurse, including current professionals looking to go from surgical tech to RN.

• An Associate of Science in Nursing (ASN) degree for entry-level RNs that can be completed in 20-24 months. We offer an on-campus program at several campus locations, as well as an online associate in nursing program which is available in select U.S. states.
• A Bachelor of Science in Nursing (BSN) degree that can be earned in 3 years or less, based on transfer credit and applicable prior learning experience you may already have. Choose an on-campus program, or apply for our online BSN program designed for those without RN experience.
• An online RN to BSN program that can be completed in less than 12 months if you are already working as a licensed RN with an associate’s degree.
• An accelerated nursing program (BSN degree) that can be completed in as few as 20 months if you already have a non-nursing bachelor’s degree from a regionally-accredited college or university. You may also be eligible for our Direct Entry MSN program, in which you can alternatively earn a master’s degree in as few as 20 months.
• Bridge options for LPNs, paramedics, military medics, Respiratory Therapists (RT), and Cardiovascular Technologists (CVT) which can be completed faster than traditional ASN/BSN programs.

** - Program availability varies by campus. Click through to each program for further detail.

At Herzing you’ll be immersed into hands-on training designed to prepare you for life as a nurse in your clinicals as well as your future career.

3. Pass the NCLEX exam and become an RN

Once you have graduated from an accredited college or university, you are eligible to take the National Council Licensure Examination for Registered Nurses (NCLEX-RN). Once you have passed the exam and met the requirements of the board of nursing in your state, you will be a certified RN.

4. Get certified

Many employers require additional education and training to become a perioperative nurse who works in the preoperative, intra-operative, and post-operative areas. This experience can be gained from a post-bachelor’s perioperative certificate program or in on-the-job programs offered by hospitals and clinics.

Not all employers may require additional education and/or certification for surgical nurses, but it may help increase your earning potential. Certifications that are currently offered include:

• CMSRN (Certified Medical-Surgical Registered Nurse)
• CNFA (Certified Nurse First Assistant)
• CNOR

Additional certification can be gained through the Association of Perioperative Nurses by passing the Certified Operating Room Certification Examination.

Note: Herzing University does not offer these certifications.

5. Start your career as a surgical nurse

Surgical nursing is a fast-paced, exciting career that offers you many opportunities to make a difference every day. You can assist surgical teams and take part in life-saving work, improve patient outcomes, and educate and support patients and family members. There are many areas of perioperative nursing you can focus on, and no matter which one you choose, you can enjoy a rewarding career that offers opportunities for professional growth and financial benefits.

Ready to make an impact in the lives of patients? Start on the path to becoming a surgical nurse today.

Take our quiz to discover what type of nursing is right for you

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* BLS pay estimates calculate the median annual wage for various occupations. Per the BLS the median wage for an occupation is: "The wage at which half of the workers in the occupation earned more than that amount, and half earned less. Median wage data are from the BLS Occupational Employment and Wage Statistics survey." Bureau of Labor Statistics (BLS), U.S. Department of Labor, Occupational Outlook Handbook 2024. BLS median wage estimates do not represent entry-level wages and/or salaries. Multiple factors, including prior experience, age, geographic market in which you want to work, and degree level and field, will affect career outcomes, including starting salary and earnings as an experienced employee. Herzing neither represents that its graduates will earn the median salaries calculated by BLS for a particular job nor guarantees that graduation from its program will result in a job, promotion, particular wage or salary, or other career growth.

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