Operating Room

Surgical Services RN

Surgical Services RN needed for a Critical Access Hospital to Circulate, Scrub, and Recovery.

Performs patient duties in pre-operative, intra-operative, in PACU and post-operative areas.

Adapts nursing procedures to meet the needs for treatment of individual neonate, pediatric, adolescent, adult and geriatric patients.

Prepares the patient for surgery in cooperation with the anesthesia provider.

Begins and continues discharge planning and education throughout the peri-operative experience.

Observes behavioral and physiologic changes and takes appropriate actions and documents.

Assessment and reassessment of the patient is clearly and concisely communicated in charting.

Documentation meets current standards, policies and procedures and is completed within shift.

Assess the general needs of patient, review of all systems, and assess cardio-respiratory systems for changes in patients and is able to treat appropriately.

Identifies physical symptoms and changes and takes appropriate actions in a timely manner.

Ability to adequately assess and reassess pain. Utilizes appropriate pain management techniques.

Educates the patient and family regarding pain management.

Ensures Pre-op Checklist is complete (H&P present, informed consent signed, test results present, surgical site identified, etc.) before patient is taken into surgical suite.

Is consistently ready and prepared for assigned cases and has patient in the surgical suite at or before the scheduled time.

Demonstrates competence in preparing and cleaning of OR suites before and between cases and after terminal case, based on patient's infection class.

Carries out established techniques for safe administration of medications and parenteral fluids, as per hospital policies and procedures

Coordinates and supervises patient care; provides patient and family with teaching/education, as necessary.

Demonstrates knowledge of anesthetic drugs, actions and side effects.

Demonstrates thorough knowledge of location, care and operation of all surgical equipment. Directs and assists in maintenance and handling of special equipment and instruments.

Gives thorough report of patient's intra-operative condition to PACU nurse.

Demonstrates thorough knowledge of instrument processing, sterilization and biological monitoring. Actively participates in instrument processing if needed.

Is able to perform all duties of circulating RN and scrub RN (once trained to scrub).

Graduate from an accredited school of nursing with Associates, Diploma or BSN Degree required

Active Idaho or compact state RN license required upon hire.

Minimum of two (2) years of surgical experience preferred

Circulating experience required

Basic Life Support (BLS) certification upon hire. Advanced Life Support (ACLS) certification within one year of hire.

Must be able to use a high level of abstract reasoning to assess patient, evaluate interventions, and revise plan of care according to patient outcomes

Strong knowledge of surgical instrumentation, sterile field management, and anesthesia recovery protocol

Ability to work independently and collaboratively in a rural environment

Excellent communication, critical thinking, and patient advocacy skills.

Competitive salary and comprehensive benefits package, including dental, vision, life & disability coverage and 457 Retirement with a match every pay period. We work hard at maintaining a healthy work-life balance through flexible employee work scheduling. Fun wellness program with potential health deduction savings of up to $1,200 annually and generous Paid Time Off !

Also, because we are surrounded by mountains and rivers and unmatched outdoor recreation. Our hospital is a vital resource for the region, and our OR team plays a critical role in delivering high-quality surgical care. We're not just filling positions- we're building a team that makes a difference every single day. And yes, we've got the best fries in town!

Ready to scrub in? Apply today and bring your OR superpowers to Salmon, ID - the quietest, most beautiful, small town around!