Who Are Operational Nurses and Why They Matter

Who are operational nurses?

Operational nurses, or perioperative nurses, are healthcare professionals who assist doctors during surgeries. They monitor patients and care for them before, during, and after operations. These nurses must remain calm under stress and handle complex tasks with focus and care.

Common responsibilities

While specific tasks may vary by role, operational nurses typically:

• Collaborate with doctors and communicate with patients
• Ensure consent forms are signed
• Answer pre-surgery questions
• Sterilize and manage surgical tools
• Monitor vitals and give medications before and after surgery

What are the educational qualifications?

To become an operational nurse:

• Earn a BSN (Bachelor of Science in Nursing) or ADN (Associate Degree in Nursing)
• Pass the NCLEX-RN
• Become a licensed Registered Nurse (RN)
• Complete a perioperative certification or surgical nursing specialization

What are the different types of operational nurses?

→ Scrub Nurses

Prepare tools, sterile gowns, and gloves for surgery, allowing surgeons to operate smoothly.

→ Circulating Nurses

Work pre-operatively by gathering medical histories, checking documentation, and educating patients and families.

→ RNFA (Registered Nurse First Assistant)

Advanced intra-operative nurses who can suture, control bleeding, and directly assist surgeons. Certifications may include RNAS-C and CRNFA.

→ PACU Nurses (Post-Anaesthesia Care Unit)

Care for patients post-surgery, monitoring recovery and handling discharge communication.

Why are they important?

Perioperative nurses create a sterile, safe surgical environment and ensure procedures run smoothly. Their role helps reduce complications and improve patient outcomes. With U.S. demand rising, the Bureau of Labor Statistics projects a 6% job growth rate for nurses by 2031.