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Job Details

BJC HealthCare

Pediatric Operating Room - Mastery Registered Nurse




Saint Louis, Missouri, United States

Additional Information About the Role


St. Louis Children's Hospital - Main Location

- $40,000 Sign-On Bonus (external candidates)

- Benefits Eligible

- $10,000 Relocation Assistance

Level 1 Trauma Center

Open 24/7

15 OR suites and 1 Procedure Room

Core Services:Cardiothoracic, Ear/Nose/Throat, Dental, General Surgery, Gastrointestinal, Genitourinary, Gynecology, Neurosurgery, Ophthalmology, Plastics, Pulmonary, Orthopedics, and Spine.

Additional Preferred Requirements


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St. Louis Children’s Hospital is dedicated to improving the health and lives of children. As one of the top-ranked children’s hospitals in the country, St. Louis Children’s provides care in more than 50 specialty areas through a dedicated team of physicians, nurses, staff and volunteers. Along with inpatient and outpatient medical care, the hospital offers education, wellness and injury-prevention programs to fulfill its mission to “do what’s right for kids.”

Providing comprehensive, high-quality care and serving as an advocate for children has been St. Louis Children’s commitment since its inception in 1879. Today, the hospital serves patients and families across a 300-mile service area, and has seen patients from all 50 states and more than 80 countries.

St. Louis Children’s consistently ranks among America’s Best Children’s Hospitals by U.S.News & World Report in all surveyed categories. In 2021, St. Louis Children’s was one of eight children’s hospitals to rank in the top 25 of all 10 specialties. The hospital’s academic and physician partner, Washington University School of Medicine, is one of the top-ranked medical schools in the United States. Since 2005, St. Louis Children’s has been designated as a Magnet® hospital for nursing excellence from the American Nurses Credentialing Center® (ANCC).

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

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*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