RN-PACU/Circulator (Full Time)

North Country Healthcare•Berlin, NH

34d•Onsite

About The Position

The Perioperative Registered Nurse functions in both the intraoperative (Circulator) and postoperative (PACU) phases of surgical care. This dual-role nurse is responsible for coordinating and delivering safe, high-quality, evidence-based nursing care to patients undergoing surgical procedures. The role requires flexibility, critical thinking, and collaboration with surgeons, anesthesia providers, and the multidisciplinary team to ensure optimal patient outcomes throughout the surgical continuum.

Requirements

Current, active RN license in the state of practice
ADN required; BSN preferred
BLS and ACLS (required)
Minimum 1 year of nursing experience in PACU, OR, critical care, or emergency nursing
New graduates considered if enrolled in a perioperative training program
Strong assessment and critical thinking skills in fast-paced environments
Proficient in sterile technique, patient positioning, and perioperative safety standards
Excellent communication and teamwork abilities
Competent with EMR systems and medical equipment (e.g., monitors, infusion pumps, ventilators)
Ability to adapt to changing situations and respond effectively in emergencies
Ability to stand and walk for prolonged periods
Lift, move, and position patients and equipment (up to 50 lbs)
Exposure to bloodborne pathogens, radiation, and surgical chemicals
Must wear PPE including surgical masks, lead aprons, and protective eyewear as appropriate

Nice To Haves

PALS
CNOR and/or CPAN/CAPA certification

Responsibilities

Serve as the patient advocate throughout the surgical procedure
Perform and document preoperative verification and surgical time-out
Ensure the sterility of the operative field and adherence to aseptic technique
Anticipate and provide necessary supplies and equipment during surgery
Collaborate with surgical and anesthesia teams to optimize workflow and patient safety
Manage intraoperative documentation, including counts, specimens, implants, and events
Respond to intraoperative emergencies and support the team during urgent situations
Receive and monitor patients emerging from anesthesia following surgery
Conduct rapid physical assessments including airway, vital signs, neurologic status, and surgical sites
Manage post-op pain, nausea, and hemodynamic stability with medications and interventions
Provide emotional support and post-op education to patients and families
Coordinate patient transfer to the next level of care or discharge
Accurately document patient recovery and maintain safety protocols throughout stay