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Job Details

BJC HealthCare

Operating Room Mastery Registered Nurse - Cardiothoracic/Heart Failure




Saint Louis, Missouri, United States

Additional Information About the Role

  • Up to $40,000 Sign On Bonus Eligible
  • Student Loan Forgiveness Eligible
  • Pod 3


    Barnes – Main Campus

    South West Tower


    Roshi Etemad Moghadam, Executive Director

    Julie Ostendorf, Patient Care Manager

    Emily Bell, Assistant Nurse Manager

    Team Details

    74 - Total Team Members

    55 - Registered Nurses

    10 - Surgical Technologists

    01 - Nurse Coordinator

    07 - Patient Care Techs

    01 - Resource Nurses


    • 13 Operating Rooms in South West Tower on BJH Main Campus
    • 24/7 Cardiac and transplant
    • Services: Transplant (heart, lung, kidney), cardiothoracic, heart failure, vascular, endovascular, hepatobiliary, robotic transplants, thoracic and HPB robotic

    Role Details (For Pod 3 RNs Only)

    • Four 10-hour shifts per week, three 12-hour shifts available for experienced nurses (2 years of experience)
    • Hours: 6:15a to 5:00p or 7:00p for CTOR, 6:30a to 5:00p or 7:00p for Vascular/THXPB
    • Call: Three to Five 12-hour weekday, one 12-hour weekend call shift each 6-week schedule period
    • Holidays: 1 per year, rotate Winter/Spring
    • Weekends: n/a
    • Orientation: 6 – 9 months for early career nurses, 3 months for experienced nurses


Barnes-Jewish Hospital at Washington University Medical Center is the largest hospital in Missouri and is ranked as one of the nation's top hospitals by U.S. News & World Report. Barnes-Jewish Hospital's staff is composed of full-time academic faculty and community physicians of Washington University School of Medicine, supported by a house staff of residents, interns, fellows and other medical professionals. Recognizing its excellence in nursing care, Barnes-Jewish Hospital was the first adult hospital in Missouri to be certified as a Magnet Hospital by the American Nurses Credentialing Center.

At Barnes-Jewish Hospital, Perioperative Services team members (RN, RNFA, ST) find the kind of fast-paced environment that will test their professional judgment and critical thinking skills, and encourage tremendous growth. It's an exhilarating place to build a nursing career. Here, you'll work with world-renowned surgeons and anesthesiologists, assist on unique and complex procedures, work with the latest technologies and treatments and play a vital role in developing new procedures and treatment protocols. In fact, people from all over the nation and the world come to Barnes-Jewish for our surgical specialties.

Preferred Qualifications

Role Purpose

The skill and experience of our Perioperative OR Nurses is a critical component at BJH and SLCH to support the type of cases that exist as a result of the Level 1 Trauma designation and Safety Net status. As a member of a highly skilled Magnet designated institution, working with an inter-professional team, this individual will provide care to complex, acute, and critically ill patients undergoing life-saving treatment. The mastery level nurse has exceptional critical thinking skills and clinical expertise to support the high-acuity complex case mix. These include high volume: trauma, transplant, cardiovascular, endovascular, cardiothoracic, complex spine procedures and specialty neurosurgical procedures unique to the St. Louis region. The work takes place in a dynamic, fast-paced environment & requires experiential as well as specialty knowledge with specific procedures, often with high acuity urgent/emergent needs, requiring intervention within 24 hours of patient presentation and frequently occurs during off-hours.


Serves as a resource and subject matter expert and mentor in the OR speciality area for complex cases. Experience in Level 1 Trauma program and specialized in one or more of these areas:- Experience in solid organ transplant, cardiovascular, heart failure, and endovascular cases- Experience with complex neurosurgical procedures including intraoperative MRI- Experience with complex orthopedic and neurosurgical spine casesEffectively collaborates with physicians and OR teams to meet clinical quality, safety, regulatory and clinical goals for the surgical patient population served. As well as, actively participates in clinical nursing and interdisciplinary committees to promote and enhance best practices within the surgical setting.Engages and leads team members, in collaboration with clinical partners and leadership, using experience, clinical judgement and evidence-based resources to identify practice standards or gaps and meet key operational and clinical metrics while supporting magnet initiatives.Promotes interprofessional care team participation by leading team communication, expert level of care delivery and advocating for patient safety and quality. Serves as mentor and preceptor to support and elevate skill set of team members.Educates patients and their families about the communication process during the procedure, what to expect, and any support resources, as appropriate. Serves as liaison between physician and the patient and family and demonstrates competence and independent practice in roles of scrubbing and/or circulating for all HSO-defined surgical services.Uses established safety techniques in preparing for and assisting with surgical procedures; provides and sets up necessary instruments, supplies and equipment for different types of surgeries or procedures according to established safety requirements and preferences of physician and focusing on keeping patients safe from adverse events associated with surgery/procedure, including but not limited to: infection, burns, pressure ulcers, wrong site surgery, etc. Has knowledge of wound stage classifications. Observes patient during procedure to detect possible complications and/or breaks in sterile technique; furnishes emergency equipment and supplies to prevent adverse outcomes. Preserves and labels operative specimens for analysis.

Minimum Requirements


Bachelor's Degree - Nursing


5-10 years

Licenses & Certifications

Cert Nurse OR (CNOR)RN

Preferred Requirements


Master's Degree


10+ years

Supervisor Experience

No Experience
Benefits and Legal Statement

BJC Total Rewards

At BJC we’re committed to providing you and your family with benefits and resources to help you manage your physical, emotional, social and financial well-being.

  • Comprehensive medical, dental, vison, life insurance, and legal services available first day of the month after hire date
  • Disability insurance* paid for by BJC
  • Pension Plan*/403(b) Plan funded by BJC
  • 401(k) plan with BJC match
  • Tuition Assistance available on first day
  • BJC Institute for Learning and Development
  • Health Care and Dependent Care Flexible Spending Accounts
  • Paid Time Off benefit combines vacation, sick days, holidays and personal time
  • Adoption assistance

To learn more, go to

*Not all benefits apply to all jobs

The above information on this description has been designed to indicate the general nature and level of work performed by employees in this position. It is not designed to contain or be interpreted as an exhaustive list of all responsibilities, duties and qualifications required of employees assigned to this job. Equal Opportunity Employer