Provide technical assistance during surgical procedures. Prepare patients and maintain the operating room environment. Manage equipment and supplies. Oversee surgical technician assignments and provide guidance. Ensure adherence to OR standards and regulations. Identify and act on process improvement opportunities. Resolve concerns and act as a troubleshooter. Provide performance documentation to supervisor/manager. Assume department leadership in absence of supervisor. Demonstrates sound knowledge of surgical techniques, both routine and specialized. Applies knowledge to improve skills in assisting the surgeon and organizing work efficiently. Demonstrates competency with aseptic technique during surgery. Uses all equipment and supplies necessary for surgical procedures. Explores new surgical procedures and subjects relating to the operating room and surgical patient. Differentiates sterilization methods for special equipment and instruments. Retracts, suctions, irrigates, applies pressure, and assists in homeostasis under the direction of the surgeon. Performs co-circulating role with appropriate credentialing. Restocks rooms, returns equipment/supplies, and cleans work areas. Provides patient care in OR by performing scrub role. Assists in the circulating role as needed. Collaborates with SPD to maintain instruments and specialty trays. Meets required inventory and working orders. Reviews the surgical schedule and service line shift report daily to ensure resources are available for surgical procedures. Adheres to and advocates accepted practices and protocols of OR job performance standards and CMS/JACHO regulations. Seeks ways to eliminate errors, reduce turnaround time, maintain work-flow and to improve customer service. Performs all other duties as assigned.