Steps to Become a Surgical Nurse

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Are you considering a career in nursing? Do you have a passion for surgery and want to be a part of the operating room team? If so, becoming a surgical nurse may be the right path for you. Surgical nurses play a crucial role in the surgical process, assisting surgeons and ensuring the well-being of patients before, during, and after surgery.

There are several steps you need to take to become a surgical nurse. The first step is to obtain a nursing degree. You can choose to get an associate degree in nursing (ADN) or a bachelor’s degree in nursing (BSN). Both degrees will provide you with the necessary knowledge and skills to work as a nurse, but a BSN may offer more opportunities for career advancement and higher salary.



Once you have completed your nursing degree, the next step is to pass the National Council Licensure Examination for Registered Nurses (NCLEX-RN). This examination is required for all nurses in the United States and tests your knowledge and competency in nursing practice. Passing the NCLEX-RN will allow you to obtain a nursing license and start working as a registered nurse.

After obtaining your nursing license, you can then enroll in a surgical nurse training program. These programs are typically offered by hospitals or medical centers and provide intensive training in surgical nursing. During the program, you will learn about surgical procedures, patient care in the operating room, and the use of technology and equipment. The training program may also include clinical rotations, where you will work on the surgical floor and gain hands-on experience.

Once you have completed your training program, you can start working as a surgical nurse. Surgical nurses can find employment in various settings, including hospitals, outpatient surgery centers, and ambulatory care centers. The demand for surgical nurses is high, and there are many career opportunities available in this field.

As a surgical nurse, you will have the opportunity to work in different areas within the operating room. Some surgical nurses may specialize in a specific type of surgery, such as cardiovascular or orthopedic surgery, while others may work in the general operating room. You may also have the opportunity to work as a nurse educator, teaching other nurses about surgical nursing practices.



So, if you’re considering a career as a surgical nurse, it’s important to consider the requirements and demands of the role. Surgical nursing can be physically and emotionally demanding, as you will be working in a high-pressure environment and caring for patients who are undergoing surgery. However, it can also be a rewarding and fulfilling career, as you will be making a difference in the lives of patients and helping them through a difficult time.

Pursue a Bachelor’s Degree in Nursing

One of the essential steps to becoming a surgical nurse is to pursue a Bachelor’s degree in nursing. While it is possible to start a career as a surgical nurse with an Associate degree in nursing, obtaining a Bachelor’s degree can provide you with much more opportunities for advancement and specialization within the field.

A Bachelor’s degree in nursing typically takes around four years to complete. During this time, you will learn about various aspects of nursing, including anatomy, physiology, pharmacology, and patient care. You will also gain hands-on experience through clinical rotations in different healthcare settings, including operating rooms.



Obtaining a Bachelor’s degree in nursing is essential because it not only provides you with the necessary knowledge and skills to become a surgical nurse but also prepares you for the National Council Licensure Examination for Registered Nurses (NCLEX-RN). Passing this examination is a requirement to become a registered nurse (RN) and practice nursing in the United States.

Overall, pursuing a Bachelor’s degree in nursing is a crucial step in the process of becoming a surgical nurse. It not only provides you with the necessary education and training but also sets the foundation for a successful career in this specialized field of nursing.

Gaining Experience in Medical-Surgical Nursing

After becoming a registered nurse, the next step in becoming a surgical nurse is to gain experience in the field of medical-surgical nursing. Many healthcare professionals think that medical-surgical nursing is a great first step for those who are interested in pursuing a career in surgical nursing.

Medical-surgical nursing is a broad area that encompasses a wide range of patient care. Nurses in this area work with patients who have a variety of medical conditions and undergo different types of surgeries. They are responsible for providing direct patient care, monitoring vital signs, administering medications, and assisting with surgical procedures.

Medical-surgical nurses work in hospitals, outpatient clinics, and other healthcare settings. They may also work for travel nursing agencies, which allows them to travel and work in different locations. This can be a great opportunity for nurses who enjoy experiencing new environments and working with different patient populations.

One of the main duties of a medical-surgical nurse is to prepare patients for surgery and assist during the operation. This includes ensuring that the operating room is properly set up and sterile, and that all necessary equipment and supplies are available. During the surgery, the nurse may assist the surgeon by passing instruments and providing support to the patient.

Requirements for Becoming a Surgical Nurse

To become a surgical nurse, there are several requirements that must be met. First, nurses must have a Bachelor’s degree in nursing (BSN) from an accredited nursing program. This degree provides nurses with the knowledge and skills needed to provide high-quality patient care.

After earning a BSN, nurses must gain experience in medical-surgical nursing. This can be done through working in a medical-surgical unit in a hospital or other healthcare setting. Many hospitals offer training programs for nurses who are interested in transitioning into the surgical nursing field.

In addition to education and experience, nurses must also obtain a surgical nurse certification. This certification is offered by organizations such as the Association of periOperative Registered Nurses (AORN) and the Academy of Medical-Surgical Nurses (AMSN). Certification demonstrates that nurses have met certain standards of knowledge and competency in the field of surgical nursing.

Continuing education and training are also important for surgical nurses. The field of surgery is constantly evolving, and nurses must stay up-to-date on the latest advancements and techniques. This can be done through attending conferences, taking courses, and participating in professional organizations.

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Advancement opportunities are available for surgical nurses who wish to further their careers. Some nurses choose to specialize in a specific area of surgery, such as orthopedics or neurosurgery. Others may pursue advanced degrees, such as a Master’s degree in nursing or a Doctor of Nursing Practice (DNP) degree.

Obtain a Surgical Nurse Certification

After gaining experience in medical-surgical nursing, the next step to become a surgical nurse is to obtain a surgical nurse certification. This certification is not mandatory for employment as a surgical nurse, but it can greatly enhance your career prospects and earning potential.

There are several organizations that offer certifications specifically for surgical nurses. The most recognized certification is the Certified Perioperative Nurse (CNOR) credential, which is awarded by the Competency and Credentialing Institute (CCI). To be eligible for the CNOR certification, you must have a current, unrestricted registered nurse (RN) license and at least two years of full-time experience as an RN in an operating room (OR) setting.

The CNOR certification exam covers a wide range of topics related to perioperative nursing, including preoperative assessment, intraoperative care, and postoperative care. It tests your knowledge and skills in areas such as sterile technique, surgical technology, and patient safety. The exam consists of 200 multiple-choice questions and takes about four hours to complete.

In addition to the CNOR certification, there are other certifications available for surgical nurses, depending on your area of specialization. For example, if you work in a pediatric surgical unit, you may consider obtaining the Certified Pediatric Nurse (CPN) credential. If you work in a cardiovascular surgical unit, you may consider obtaining the Certified Cardiac Surgery Nurse (CCSN) credential.

Obtaining a surgical nurse certification not only demonstrates your commitment to the profession, but it also validates your knowledge and skills in the field. It can open up new opportunities for career advancement and increase your earning potential. Many healthcare organizations and employers prefer to hire certified surgical nurses, as it ensures a certain level of competence and expertise.

To prepare for the certification exam, you can enroll in review courses and study materials offered by professional nursing organizations and agencies. These programs provide comprehensive review of the exam content and help you identify areas where you may need further study. They also offer practice questions and sample exams to familiarize you with the format and structure of the actual exam.

Once you have obtained your certification, you will need to maintain it by fulfilling certain requirements, such as continuing education and professional development. This ensures that you stay up-to-date with the latest advancements and best practices in surgical nursing.

Continuing Education and Training for Surgical Nurses

Continuing education and training play a crucial role in the career of a surgical nurse. As medical procedures and technologies continue to advance, it is essential for surgical nurses to stay updated and knowledgeable in their field.

1. Pursue Advanced Certifications

One way to further enhance your skills and knowledge as a surgical nurse is by pursuing advanced certifications. These certifications are offered by various organizations such as the Association of periOperative Registered Nurses (AORN) and the American Medical Surgical Nursing (AMSN) Certification Board.

Obtaining these certifications demonstrates your commitment to professional growth and can open up new opportunities for career advancement. Some certifications you may consider include Certified Perioperative Nurse (CNOR), Certified Medical-Surgical Registered Nurse (CMSRN), and Certified Surgical Services Manager (CSSM).

2. Attend Workshops and Conferences

Attending workshops and conferences related to surgical nursing is another excellent way to expand your knowledge and skills. These events often feature expert speakers who share the latest advancements and best practices in surgical nursing.

3. Stay Informed through Journals and Articles

Reading journals and articles related to surgical nursing is a great way to stay informed about the latest trends and developments in the field. Many professional organizations, such as AORN and AMSN, publish their own journals that cover a wide range of topics in surgical nursing.

By regularly reading these publications, you can stay updated on new surgical procedures, evidence-based practices, and research findings. This knowledge can help you provide the best possible care to your patients and stay ahead in your career.

4. Take Advantage of Online Resources

In today’s digital age, there are numerous online resources available for surgical nurses. These resources include webinars, online courses, and virtual conferences.

Continuing education and training are essential for surgical nurses to provide the highest level of care to their patients. By pursuing advanced certifications, attending workshops and conferences, staying informed through journals and articles, and taking advantage of online resources, you can continue to grow and excel in your career as a surgical nurse.

Advance Your Career as a Surgical Nurse

Once you have completed the necessary education and training to become a surgical nurse, there are several ways to advance your career in this field.

Specializing in Surgical Nursing

One option is to specialize in a specific area of surgical nursing. There are various types of surgical procedures, such as cardiovascular surgery, orthopedic surgery, and neurosurgery, among others. By specializing in a specific area, you can become an expert in that field and provide specialized care to patients undergoing those types of surgeries.

Specializing in a specific area of surgical nursing may require additional education and training. There are advanced practice nursing programs, such as nurse practitioner or clinical nurse specialist programs, that focus on specific surgical specialties. These programs generally require a master’s degree in nursing and may also require certification in the specialized field.

Obtaining Advanced Certifications

In addition to specializing in a specific area, obtaining advanced certifications can also help advance your career as a surgical nurse. There are several certifications available for surgical nurses, such as Certified Perioperative Nurse (CNOR) and Certified Surgical Services Manager (CSSM), among others.

These certifications demonstrate your expertise and knowledge in the field of surgical nursing and can help you stand out among other candidates for job opportunities. They may also lead to higher salaries and more advanced job roles.

Joining Professional Organizations and Societies

Joining professional organizations and societies related to surgical nursing can also be beneficial for career advancement. These organizations provide opportunities for networking, continuing education, and professional development.

Some examples of national professional organizations for surgical nurses include the Association of periOperative Registered Nurses (AORN) and the American Society of PeriAnesthesia Nurses (ASPAN). By becoming a member of these organizations, you can stay up-to-date with the latest advancements in surgical nursing and connect with other professionals in the field.

Continuing Education and Training

Continuing education and training is crucial for staying current in the field of surgical nursing. Advances in surgical techniques, anesthesia, and technology require surgical nurses to continuously update their knowledge and skills.

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There are many educational programs and courses available for surgical nurses to enhance their skills and knowledge. These programs may cover topics such as advanced surgical procedures, patient care management, and leadership skills.

Leadership Roles

As you gain experience and expertise in surgical nursing, you may have the opportunity to take on leadership roles within your organization. This could include roles such as charge nurse, nurse manager, or nurse educator.

Leadership roles allow you to have a greater impact on patient care and contribute to the overall success of the surgical unit. They also offer opportunities for professional growth and development.

Advancing your career as a surgical nurse requires dedication, hard work, and a commitment to lifelong learning. By specializing in a specific area, obtaining advanced certifications, joining professional organizations, continuing education and training, and taking on leadership roles, you can achieve success and make a difference in the field of surgical nursing.

What do OR nurses do?

OR nurses, also known as perioperative nurses or surgical nurses, are an essential part of the surgical team. They work alongside surgeons, anesthesiologists, and other healthcare professionals to ensure that surgical procedures are safe and successful.

OR nurses are responsible for many tasks before, during, and after surgeries. Before the operation, they prepare the operating room by sterilizing equipment, ensuring that all necessary supplies are available, and setting up the surgical table. They also collaborate with the surgical team to create a safe and efficient plan for the procedure.

During the surgery, OR nurses assist the surgeon by passing instruments, sutures, and other supplies needed for the operation. They also monitor the patient’s vital signs and provide support and comfort. OR nurses are skilled in anticipating the surgeon’s needs and are ready to respond quickly and effectively.

After the surgery, OR nurses continue to care for the patient in the postoperative phase. They monitor the patient’s recovery, administer medications as needed, and provide education on post-surgical care and nutrition. They ensure that the patient is stable and comfortable before transferring them to the recovery room or the hospital floor.

OR nurses may work in various settings, including hospitals, outpatient surgery centers, and specialized surgical centers. They may specialize in a particular type of surgery, such as cardiac or orthopedic surgery, or work in a general operating room where a wide range of procedures are performed.

Becoming an OR nurse typically requires a Bachelor’s degree in nursing (BSN) and passing the National Council Licensure Examination for Registered Nurses (NCLEX-RN). Some organizations may also require additional certifications, such as the Certified Perioperative Nurse (CNOR) credential. OR nurses may further advance their career by pursuing advanced degrees or becoming nurse educators.

Overall, OR nurses play a crucial role in ensuring the safety and success of surgical procedures. Their hard work and dedication make them an integral part of the surgical team, and their expertise and compassion help provide the best possible care for patients undergoing surgery.

Preparing the Operating Room

Preparing the operating room is a critical aspect of a surgical nurse’s responsibilities. The operating room, also known as the OR, is where surgical procedures take place. Whether you’re working in a hospital, outpatient surgery center, or any other healthcare facility, the OR is where you’ll spend most of your time as a surgical nurse.

As a surgical nurse, you are responsible for ensuring that the operating room is clean, organized, and properly equipped for each procedure. This includes setting up surgical instruments and equipment, sterilizing surgical tools, and preparing the patient for surgery.

Before a surgical procedure, you will work closely with the surgical team, including the surgeon, anesthesiologist, and other healthcare personnel. You will assist in the setup of the surgical table, positioning the patient correctly, and ensuring that all necessary supplies and equipment are readily available.

During the operation, you will be responsible for assisting the surgeon by passing instruments, sutures, and other necessary items. You will also help with maintaining a sterile field and ensuring patient safety throughout the procedure.

After the surgery is complete, you will assist with the postoperative care of the patient. This may include monitoring vital signs, administering medications, and providing emotional support to the patient and their family.

It is important for a surgical nurse to have good organizational skills and attention to detail. The operating room can be a fast-paced and stressful environment, so being able to stay calm under pressure is crucial. Laparoscopic procedures, in particular, require precision and dexterity.

To become a surgical nurse, you must have a registered nursing (RN) license and complete additional training and certifications. The highest level of certification for surgical nurses is the Certified Perioperative Nurse (CNOR) credential, which is offered by the Competency and Credentialing Institute (CCI). This certification demonstrates your expertise and commitment to providing the highest level of care in the operating room.

Many healthcare organizations and employment agencies require surgical nurses to have at least one year of experience in medical-surgical nursing before working in the operating room. This experience helps you develop a strong foundation in patient care and clinical skills.

In addition to the CNOR certification, there are other certifications available for surgical nurses, such as the Certified Surgical Services Manager (CSSM) and the Certified Post Anesthesia Nurse (CPAN). These certifications can further enhance your knowledge and skills in specific areas of surgical nursing.

Continuing education and training are essential for surgical nurses to stay current with the latest advancements in surgical techniques and technologies. There are many organizations and educational resources available that offer courses, workshops, and conferences specifically for surgical nurses.

Whether you choose to specialize in a specific surgical specialty or work as a surgical nurse on a general surgery floor, the role of a surgical nurse is crucial in providing safe and effective patient care in the operating room. It is a challenging yet rewarding career that allows you to make a difference in the lives of patients every day.

FAQ

What is the NCLEX-RN exam?

The NCLEX-RN exam is a standardized test that nurses must pass in order to become licensed to practice as a registered nurse (RN) in the United States.

How can I prepare for the NCLEX-RN exam?

There are several ways to prepare for the NCLEX-RN exam. You can take review courses, study from textbooks and practice questions, and use online resources and practice tests. It is important to develop a study plan and dedicate enough time to review all the necessary content.

What is the passing score for the NCLEX-RN exam?

The passing score for the NCLEX-RN exam is determined by the National Council of State Boards of Nursing (NCSBN) and varies from state to state. It is important to check with your state’s nursing board to find out the specific passing score requirement.

Can I retake the NCLEX-RN exam if I fail?

Yes, if you fail the NCLEX-RN exam, you are eligible to retake it. However, there may be certain waiting periods and additional fees involved. It is important to review the requirements and policies of your state’s nursing board regarding retaking the exam.

What happens after passing the NCLEX-RN exam?

After passing the NCLEX-RN exam, you will be eligible to apply for a nursing license in your state. Once you receive your license, you can start working as a registered nurse. Many nurses choose to gain some experience in general nursing before specializing in surgical nursing.

Dave Pennells

By Dave Pennells

Dave Pennells, MS, has contributed his expertise as a career consultant and training specialist across various fields for over 15 years. At City University of Seattle, he offers personal career counseling and conducts workshops focused on practical job search techniques, resume creation, and interview skills. With a Master of Science in Counseling, Pennells specializes in career consulting, conducting career assessments, guiding career transitions, and providing outplacement services. Her professional experience spans multiple sectors, including banking, retail, airlines, non-profit organizations, and the aerospace industry. Additionally, since 2001, he has been actively involved with the Career Development Association of Australia.