Registered Nurse Surgery

Registered NurseThe Staff Registered Nurse delivers comprehensive nursing care to patients undergoing surgery, endoscopic procedures, and post-anesthesia recovery. This role includes pre-operative, intra-procedural, and post-operative phases, spanning Same Day Surgery (SDS), Post-Anesthesia Care Unit (PACU), and Endoscopy. Care is provided across the lifespan and in accordance with hospital policies, evidence-based practice, and the New Hampshire Nurse Practice Act.Pre-Operative / Pre-ProceduralReview patient history, verify consents, and ensure pre-procedure testing is complete. Collect and document patient data (labs, progress notes, history and physical) using EHR and other systems. Conduct complete pre-procedure nursing assessments for both surgical and endoscopy patients. Evaluate patient education needs and reinforce understanding of the procedure, including NPO status, sedation expectations, and post-procedure care. Initiate IV access and complete all physician/CRNA pre-op orders, including EKGs and medication administration. Ensure timely coordination of care to support patient flow and surgical schedule readiness.Intra-Procedural Support (SDS / Endoscopy)Assist in preparing patients and procedure rooms for surgery or endoscopy. Support the procedural team by ensuring all documentation, supplies, and medications are ready and available. Maintain situational awareness to anticipate team needs and patient status changes.Post-Operative / Post-Procedure Recovery (PACU / Endo Recovery)Provide ongoing monitoring and assessment during Phase I and II recovery using ASPAN guidelines and the Modified Aldrete Score. Deliver post-procedure education including wound care, dietary guidance, activity restrictions, and signs of complications. Communicate discharge instructions to patients and caregivers and confirm follow-up appointments as needed. Ensure all discharge criteria are met prior to patient release and support smooth transitions in care.Professional ResponsibilitiesParticipate in staff meetings, training, and skills validation for all SDS, PACU, and Endoscopy responsibilities. Maintain open communication with physicians, anesthesia providers, and interdisciplinary staff to ensure safe, coordinated care. Support quality and safety initiatives, including infection prevention and patient experience efforts. Precept and mentor new staff as assigned. Participate in review and follow-up of adverse events, variances, and near misses.CertificationsACLS – Required within 45 days of hire PALS – Required within 45 days of hireAncillary DutiesOrder and restock supplies in SDS, PACU, and Endoscopy areas. Clean rooms and equipment in off-hours or between cases. Maintain readiness of all clinical and patient care spaces.Working Conditions / Physical RequirementsFast-paced, high-acuity environment with exposure to blood, body fluids, and chemicals. Requires frequent standing, lifting (up to 50 lbs.), and full range of motion for patient handling and equipment setup. Must be able to respond rapidly to patient care needs and changing conditions. May include irregular hours and call coverage as required by the surgical schedule.