Mid Level Operating Room Assistant Jobs
Mid level operating room assistant jobs go to professionals ready to take full ownership of instrument management, anticipate surgeon needs independently, and guide newer team members through sterile protocol. Roles are predominantly on-site across Healthcare & Medical Services, Science & Research, and Technology & Software, with employers like Ascension, Mary Washington Healthcare, and Orison Solutions hiring at this level now.
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Job Summary:Under the direct supervision of a Registered Nurse, performs direct patient care and delivers therapeutic interventions in a proficient, age specific manner. Duties and responsibilities are performed according to standards outlined in the competency based evaluation tool. This position is responsible for specific scrub duties in conjunction with policies, procedures and objectives of the Operating Room (O.R.).
Essential Functions & Responsibilities:
- Collaborates with the care team in formation of the patient’s plan of care to achieve desired outcomes.
- Displays adequate working knowledge of surgical procedures to assist and participate effectively as a surgical team member.
- Implements, prioritizes, and communicates safe therapeutic care for the patient throughout the patient’s operative experience.
- Prepares O.R. Rooms with appropriate instruments, sutures, supplies and equipment.
- Assists the surgical team during operative procedures.
- Follows aseptic technique in opening sterile supplies and set up for procedures.
- Drapes patients for surgical procedure.
- Performs proper handling of sharps on the surgical field.
- Executes accurate and proper handling of specimens.
- Demonstrates knowledge of medications and proper labeling of all solutions on sterile field.
- Performs surgical counts per policy with RN.
- Maintains and properly cares for equipment and supplies.
- Maintains physician’s preference cards.
- Assists with room turnover.
- Exhibits knowledge about the routine in the decontamination of instrumentation.
- Initiates action in emergency situations.
- Achieves infection control with adherence to the surgical attire and aseptic technique.
- Provides safe environment for the patient to include:
- Confirms patient identification and correct site surgery by participation in “Time Out” prior to start of procedure. Uses pneumatic tourniquets properly.
- Uses electrosurgery unit and lasers properly, when applicable.
- Performs surgical counts according to recommended standards.
- Handles specimens correctly and accurately.
- Disposes of medical waste suitably.
- Handles sharps appropriately to prevent exposures.
- Demonstrates knowledge about medications on the sterile field and labels all solutions appropriately.
- Supports and adheres to general performance standards and policies for all FASC staff.
- Assists in the maintenance of physician preference cards.
- Participates in Quality Improvement activities and evaluates effectiveness.
- Works toward cost containment by eliminating wasted resources.
- Displays flexibility and ability to perform duties in safe and time efficient manner. Maintains room turnover time at, or below, present facility average.
- Uses effective communication and team skills to provide good internal and external customer service. Notifies supervisor of team member counseling issues as appropriate.
- Exhibits accountability for professional growth and continuing education requirements.
- Participates in the orientation of new hires.
- Adheres to universal precautions.
- Uses proper body mechanics in all aspects of job tasks.
- Performs other duties as assigned.
Additional Duties for OR Tech at SH - LDRP:
- Document data collected, medications administered and nursing care provided.
- Scrubs for C/Sections, prepares patient for surgery. Passes instruments to physician during C/Section.
- Sets-up and assists nursing staff during delivery.
- Records vital signs.
Additional Duties for SH:
- On call required for OR and Endo Departments.
Additional Duties for Team Lead, OR Tech:
- Coordinates all training, orientation & precepting of new Surgical Technologist.
- Develops and maintains a comprehensive orientation program for Surgical Technologists.
- Coordinates and develops staff in-services and training on new procedures, equipment for all the various surgical procedures.
- Works as a liaison between the operating room and central sterile supply
- Functions as the Operating Room Technician for a wide variety of complex, extensive, and frequently prolonged procedures with each of the Surgical Service providers, such as General Surgery, Orthopedic Surgery, ENT Surgery, Urology, Ophthalmology, Dental, Neurosurgery, Cardiovascular Surgery, Plastic Surgery, and Gynecological Surgery
- Operates and uses a wide range of highly specialized equipment and disposable supplies used for the various procedures. Examples of such equipment and supplies are autoclaves, fracture table and accessories, urology table and accessories, electrocautery units, laparoscopic video equipment, arthroscopic video equipment, microscopes, electric and pneumatic power equipment, Harmonic Scalpel, internal staplers, cement mixers, a wide selection of internal fixation systems for bone fixation, and total joint replacement sets.
- Anticipates the surgeon’s need of instruments or supplies during an operative procedure.
- Anticipates and prepares for emergencies or untoward developments during a surgical procedure.
- Performs other duties as assigned.
Qualifications:
- High School Diploma or GED equivalent required
- AHA BLS Provider CPR required
- Graduation from and accredited surgical technologist program with a minimum of 5 years of continuous Operating Room experience
- Certification as a Surgical Technologist is preferred
- Experience in all surgical applications
- Must have a vast knowledge of neurosurgical, general surgery, cardio-thoracic surgery and orthopedic surgical procedures and equipment.
- Effective December 2021, registration with the Virginia Board of Medicine as a Surgical Technologist required.
MWHC will not discriminate in its employment practices due to an applicant's race, color, religion, sex, sexual orientation, gender identity, national origin, and veteran or disability status (EOE). We are also committed to equitable and transparent compensation practices and comply with all applicable pay transparency and pay equity laws.
Required
Physical Requirements: Constant (67-100% of workday) walking, standing, use of arms and hands; frequent (34-66% of workday) bending, stooping, kneeling, and squatting; ability to lift 35 lbs.; ability to push and pull 20 lbs.; auditory and visual skills to include color determination; ability to work in confined spaces; ability to reach above/overhead.
Mental Requirements: Possesses critical thinking and analytical skills. Ability to multi-task. Ability to communicate effectively and collaborate with a multi-disciplinary team. Capacity to cope with difficult situations. Ability to tolerate irregular hours including evenings, nights, and weekends.
Environmental Requirements and Exposure Hazards: Potential risk of exposure to radiation and toxic chemicals. Potential for exposure to bloodborne pathogens; must be able to wear appropriate personal protective equipment.
- Clinical positions in Mary Washington Home Health and/or Hospice must also meet driving requirements.
“It is the policy of Mary Washington Healthcare to provide reasonable accommodations to qualified individuals with a disability who are applicants for employment or Associates.”
Compensation Pay Range:
$34.07 - $51.10I’m here to help.
Let’s talk about your career plans and how we can make them a reality.
Stephanie Spuchesi
Senior Recruiter
- stephanie.spuchesi@mwhc.com
Due to the high volume of applications, we are unable to respond to individual status inquiries. Refer to the FAQs for more information.
All inquiries/CVs are kept strictly confidential.
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- Healthcare & Medical Services21
- Science & Research2
- Technology & Software2
- Consulting & Professional Services2
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Mid Level Operating Room Assistant Jobs: Frequently Asked Questions
How do I get a mid level operating room assistant job?
Position your experience around ownership and reliability rather than task completion. Highlight cases you've managed end to end, your familiarity with multiple surgical specialties, and any role you've played in onboarding or coaching newer staff. Employers at this level screen for candidates who can anticipate needs in the room and perform consistently under pressure without constant direction.
Which companies hire mid level operating room assistants?
Companies hiring mid level operating room assistants right now include Ascension, Mary Washington Healthcare, and Orison Solutions, based on current listings on Migrate Mate as of November 2026. At this level, hiring is concentrated among large health systems, specialty surgical centers, and academic medical facilities that run high-volume caseloads and need experienced assistants who can work across multiple procedure types.
Are there remote mid level operating room assistant jobs?
Yes, though the role is overwhelmingly hands-on and on-site by nature. About 6% of mid level operating room assistant openings are remote or hybrid as of November 2026, and those positions typically involve coordination, training, or supply chain support functions rather than direct patient care duties in the surgical suite.
How do I move up to a mid level operating room assistant role?
Moving from entry level to mid level means building consistent competency across a range of surgical specialties and demonstrating that you can work with minimal supervision. The clearest path involves deepening instrument knowledge, volunteering for complex or high-acuity cases, taking on supply or inventory responsibilities, and showing measurable reliability that surgical teams and charge nurses come to depend on.
Which industries hire the most mid level operating room assistants?
Mid Level operating room assistant roles concentrate in Healthcare & Medical Services, Science & Research, and Technology & Software, based on current listings on Migrate Mate as of November 2026. These sectors drive hiring at this level because they operate high-volume surgical programs that require experienced assistants who already understand sterile technique, instrument sets, and the pace of a live operating environment.