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Pre-Op / PACU Registered Nurse (RN) – Ambulatory Surgery Center
Pre-Op / PACU Registered Nurse (RN) – Ambulatory Surgery Center
Must be available to work 40 hours a week, 4 - 10 hour shifts on a weekly basis.
This is a FT opportunity.
Position Summary
We are seeking a seasoned Gastroenterology Pre-Op and PACU Registered Nurse (RN). Responsible for comprehensive perioperative nursing care in a fast-paced ambulatory surgery center. This role supports patients through the full surgical experience—from pre-operative preparation through post-anesthesia recovery and safe discharge. The RN ensures patient safety, comfort, and optimal clinical outcomes for patients coming to complete a GI Procedure - Colonoscopy/Endoscopy.
Key Responsibilities
Pre-Operative Care
- Perform initial patient assessment, including medical history, allergies, medications, and NPO status
- Verify surgical consent, procedure site, and patient identification (surgical safety checklist compliance)
- Establish IV access and administer pre-operative medications as ordered
- Provide patient and family education regarding procedure, anesthesia expectations, and post-op care
- Collaborate with anesthesia and surgical teams to ensure patient readiness for surgery
- Identify and escalate any abnormal findings or safety concerns prior to surgery
PACU (Post-Anesthesia Care Unit) Responsibilities
- Provide immediate post-anesthesia recovery care following surgical procedures
- Continuously monitor airway, breathing, circulation, vital signs, and neurological status
- Manage pain control, nausea/vomiting, and post-operative symptoms per protocol
- Recognize and respond to post-anesthesia complications such as respiratory depression, hypotension, bleeding, or agitation
- Administer medications including analgesics, antiemetics, and oxygen therapy as ordered
- Ensure safe patient stabilization and progression toward discharge criteria (e.g., Aldrete scoring)
- Communicate effectively with anesthesia providers and surgeons regarding patient status
- Complete accurate and timely EMR documentation
Discharge & Continuity of Care
- Ensure patients meet discharge criteria for ambulatory surgery center release
- Provide clear verbal and written discharge instructions to patients and caregivers
- Reinforce post-operative care guidelines including pain management, wound care, activity restrictions, and follow-up instructions
- Coordinate safe patient discharge and transportation verification
Required Qualifications
- Active and current Registered Nurse (RN) license (NYS or compact state equivalent)
- Current BLS certification (required)
- Current ACLS certification (required or obtained within specified timeframe)
- Minimum 4 years of nursing experience, preferably in:
- PACU
- Emergency Department/Level 1 Trauma
- Perioperative / Surgical Services
- Strong knowledge of anesthesia recovery, perioperative protocols, and outpatient surgical care
- Excellent IV administration skills
- Proficiency in electronic medical records (EMR) systems
Required Experience
- Ambulatory surgery center (ASC) experience
- Experience across multiple specialties (gastroenterology, orthopedics, ENT, urology, general surgery, pain procedures)
- Strong IV skills and conscious sedation recovery experience
Key Skills & Competencies
- Excellent clinical assessment and critical thinking skills
- Ability to manage multiple patients in a fast-paced environment
- Strong communication with patients, families, and interdisciplinary teams
- High attention to detail and adherence to safety protocols
- Ability to respond rapidly to clinical changes and emergencies
- Strong organizational and documentation skills
- Compassionate, patient-centered approach
Work Environment
- Outpatient ambulatory surgery center setting
- Fast-paced perioperative workflow with same-day discharge focus
- Exposure to multiple surgical specialties and varying patient acuity
- Requires standing, walking, and physical support of patients throughout shift
Job Type: Full-time
Pay: $55.00 - $63.00 per hour
Experience:
- PACU/ Pre Op/Or Circulating: 2 years (Preferred)
- excellent IV skills : 2 years (Preferred)
- Hospital, Acute Care or PACU RN: 2 years (Preferred)
License/Certification:
- NY RN (Preferred)
Ability to Commute:
- New York, NY 10128 (Required)
Work Location: In person
