The CVOR RN demonstrates specialized knowledge of complex cardiac, thoracic, and vascular surgical procedures, advanced surgical technology, patient safety principles, and perioperative nursing practice while exercising sound clinical judgment and critical thinking in a high-acuity surgical setting. As the circulating nurse, the RN coordinates the intraoperative environment to ensure the delivery of safe, efficient, and high-quality patient care by maintaining a sterile surgical environment, coordinating resources, promoting effective communication among the interdisciplinary team, and serving as the patient's advocate throughout the surgical experience.