Pre-Op/PACU Registered Nurse - PRN

PRECISION ORTHOPEDICS AND SPORTS MEDICINE LLC•Laurel, MD
•$41 - $47

About The Position

The PRN Pre-Op/PACU Registered Nurse cares for patients before and after outpatient surgical and procedural services. In pre-op, the nurse assesses and prepares patients to help ensure they are safe to proceed with surgery. In PACU, the nurse monitors patients during recovery, responds to changes in condition, and prepares patients and caregivers for a safe discharge home. The nurse must be available to work at least two shifts per month and cover additional shifts as needed based on case volume and staffing needs. The role floats between pre-op and PACU according to patient flow and staffing needs. Compensation is $41.00–$47.00 per hour. The position is non-exempt.

Requirements

  • Active, unrestricted Registered Nurse license in Maryland or a compact multistate license.
  • Current BLS and ACLS certification.
  • Minimum of 1 year of nursing experience.
  • Proficiency in IV insertion, blood draws, and comprehensive nursing assessments.
  • Strong critical thinking skills and ability to respond quickly in emergencies.
  • Excellent communication and teamwork skills.
  • Availability to work at least 2 shifts per month and cover additional shifts as needed based on case volume and staffing needs.

Nice To Haves

  • Ambulatory surgery center experience.
  • Pain Management experience.

Responsibilities

  • Admit patients and verify identity, procedure, surgical site, and consent.
  • Complete pre-op nursing assessments, including health history, allergies, current medications, and NPO status.
  • Obtain and record baseline vital signs.
  • Start peripheral IVs and perform blood draws as ordered.
  • Perform ordered point-of-care testing, such as blood glucose and pregnancy tests.
  • Administer pre-op medications according to provider orders and center policy.
  • Complete the pre-op checklist and ensure required documents are in the chart.
  • Educate patients and caregivers about what to expect before, during, and after surgery.
  • Confirm the patient has a responsible adult to drive them home and stay with them as required.
  • Provide a clear handoff report to the OR team.
  • Receive patients from the OR and procedure rooms and obtain handoff reports from anesthesia and the surgical team.
  • Monitor vital signs, level of consciousness, and recovery progress using approved scoring tools.
  • Maintain and discontinue peripheral IVs.
  • Educate patients and caregivers about post-op care, medications, warning signs, and follow-up instructions.
  • Determine discharge readiness using established criteria and discharge patients safely.
  • Document all care accurately and on time in the medical record.
  • Follow infection control, patient safety, and regulatory standards.
  • Communicate clearly with surgeons, anesthesia providers, and team members.
  • Help with room turnover, stocking, and unit readiness as needed.
  • Float between pre-op and PACU based on patient flow and staffing needs.
  • Complete pre-op and post-op phone calls.
  • Sterilize surgical tools.
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