The RN Board Runner plays a critical coordination role within the perioperative environment, serving as the real-time operational hub for the surgical schedule. This role is responsible for managing the surgical board, facilitating patient flow, and ensuring effective communication among nursing staff, physicians, anesthesia, and support departments to keep cases running safely, efficiently, and on time.
Key Responsibilities
Manage and maintain the surgical board, ensuring accurate, real-time updates to case status, room assignments, delays, add-ons, and cancellations
Coordinate patient flow from Pre-Op through PACU, identifying and resolving bottlenecks proactively
Serve as the primary communication liaison between surgeons, anesthesia, nursing staff, sterile processing, and leadership
Anticipate staffing, room, and equipment needs based on case volume and acuity
Support charge nurses with operational decision-making and prioritization of cases
Monitor case progress and intervene as needed to minimize delays while maintaining patient safety
Assist with problem-solving related to staffing, room turnover, emergencies, and schedule changes
Ensure compliance with regulatory, safety, and infection control standards
Provide clinical support as needed within scope (may include patient assessment, triage, or hands-on care depending on setting)
Document and communicate key operational updates clearly and professionally
Minimum of 2–3 years of perioperative, surgical services, or acute care nursing experience
Strong understanding of surgical workflows and patient throughput
Excellent communication, critical thinking, and multitasking skills
Ability to remain calm and decisive in a fast-paced environment
Preferred:
Previous experience as a Charge Nurse, Flow Coordinator, or Board Runner
ASC or hospital OR experience
Familiarity with electronic health records (EHR) and surgical scheduling systems
Leadership or coordination experience in a high-volume setting
Skills & Competencies
Exceptional organizational and prioritization skills
Strong situational awareness and operational judgment
Collaborative, team-oriented mindset
Clear, confident verbal and written communication
Flexibility and adaptability in dynamic clinical environments
Physical & Work Requirements
Ability to stand and walk for extended periods
May require lifting or assisting patients per policy
Schedule may include early mornings, variable shifts, or extended hours based on surgical volume
Benefits:
Comprehensive health, dental, and vision insurance
Health Savings Account with an employer contribution
Life Insurance
PTO
401(k) retirement plan with a company match
And more!
Equal Employment Opportunity & Work Force Diversity
Our organization is an equal opportunity employer and will not discriminate against any employee or applicant for employment based on race, color, creed, sex, religion, marital status, age, national origin or ancestry, physical or mental disability, medical condition, parental status, sexual orientation, veteran status, genetic testing results or any other consideration made unlawful by federal, state or local laws. This practice relates to all personnel matters such as compensation, benefits, training, promotions, transfers, layoffs, etc. Furthermore, our organization is committed to going beyond the legal requirements of equal employment opportunity to take positive actions which ensure diversity in the workplace and result in a multi-cultural organization.
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