Hospital - PACU RN III (Part Time, Days, 2x10s)

UT Health San Antonio•San Antonio, TX

About The Position

The RN III, PACU functions at a proficient level and provides expert post-anesthesia nursing care at UT Health San Antonio Multispecialty & Research Hospital. The role supports recovery of complex patients, mentors staff, leads recovery room initiatives, serves as a clinical resource, and advances evidence-based practices to improve outcomes and meet department-wide performance and safety goals. The position may lead unit and shared governance activities, serve as charge nurse as needed, assess practice and improvement needs, provide clinical support to unit and hospital staff, and coordinate education with management. Responsibilities also include expert patient care, clinical mentoring and staff development, quality improvement, emergency response support, interdisciplinary coordination, policy review, and helping maintain PACU readiness. The position is part-time, working days in two 10-hour shifts. A Bachelor of Science in Nursing is required, along with a current Texas Board of Nursing or Compact State RN license (or a temporary Texas RN license, with a permanent Texas license required within 90 days of hire) and American Heart Association Basic Life Support certification within seven days of hire. UT Health San Antonio offers eligible employees medical, dental, vision, disability, flexible spending, retirement, paid time off, paid family leave, paid holidays, and discounts. Benefits eligibility requires working at least 20 hours per week with an appointment of at least 4.5 months.

Requirements

  • Bachelor of Science in Nursing.
  • Current Texas Board of Nursing or Compact State RN license, or a temporary Texas RN license with a permanent Texas RN license obtained within 90 days of hire.
  • American Heart Association Basic Life Support (BLS) certification within seven days of hire.

Responsibilities

  • Provides expert-level post-anesthesia care to patients recovering from sedation or general anesthesia.
  • Serves as a shift resource for complex clinical interventions, including ventilator care, airway management, and EKG monitoring.
  • Mentors PACU nurses in patient recovery scoring, pain management, and responses to sedation-related complications.
  • Leads orientation, skills training, and clinical development programs for new staff, travel nurses, and float pool nurses.
  • Monitors recovery trends and collaborates with anesthesia and inpatient care teams to optimize discharge or transfer planning.
  • Serves as an expert consultant during rapid response events, CERT activations, or emergency codes within PACU.
  • Supports team situational awareness through real-time coaching, education, and post-event team debriefs.
  • Leads quality improvement initiatives related to PACU-specific indicators, including unplanned admissions or delayed recoveries.
  • Develops and delivers in-service training or clinical huddles on recovery best practices and safety interventions.
  • Participates in documentation audits and supports EMR optimization across recovery workflows.
  • Acts as a liaison for interdisciplinary rounding and patient throughput coordination.
  • Assists with policy reviews and standard updates aligned with anesthesia recovery best practices.
  • Collaborates with the Nurse Manager on peer evaluations, performance coaching, and identifying skill gaps.
  • Supports patients and families during recovery transitions and reinforces discharge education and expectations.
  • Supports PACU readiness through supply checks, equipment troubleshooting, and process refinement.
  • Represents PACU interests on hospital-wide nursing councils, research pilots, or shared governance initiatives.
  • Functions as relief charge nurse and supports workload adjustments based on acuity and census.
  • May lead unit and shared governance activities, assess practice and improvement needs, serve as a clinical resource, and coordinate unit and hospital-wide education in partnership with management.
  • Performs other job-related duties to promote safety, efficiency, and excellence in post-anesthesia care.

Benefits

  • UT SELECT medical insurance, offered free to employees, with family coverage available through payroll deduction.
  • Group term life insurance and basic accidental death and dismemberment insurance, with options to purchase additional coverage.
  • Three dental insurance plan options through Delta Dental.
  • Two vision plan options through Superior Vision Services.
  • Disability insurance enrollment option.
  • Flexible spending accounts for qualifying dependent day care or out-of-pocket health care expenses.
  • Eligibility for the Teacher Retirement System or Optional Retirement Plan, plus voluntary retirement programs.
  • Front-loaded paid time off of 128 to 208 hours per fiscal year based on years of service, potentially prorated in the first year.
  • Extended Illness Bank accrual of eight hours per month.
  • Paid family leave of up to 240 hours after six months of consecutive employment.
  • Twelve paid holidays each year.
  • Discounts on services, tickets, and gym membership.
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