Registered Nurse (Surgical/OR)

WHAT WE'RE ABOUT

AESTHETX is a luxury plastic surgery and dermatology practice serving some of the most well-known Bay Area clientele from Silicon Valley to Marin. Our highly trained experts are renowned for skilled, personalized service delivering safe, effective, medically-proven treatments and optimal results. We ensure patients achieve a natural result focused on skin health and healthy aging — not just the aesthetic. We thrive in a people-first culture with an authentic emphasis on wellbeing. As we grow, we reinforce the integrity of our unique culture by leading with love and an unparalleled passion for what we do. We offer world-class training and education, and as industry leaders we are always innovating — bringing state-of-the-art equipment and services to our clinics.

POSITION SUMMARY

We are seeking a skilled, compassionate OR Registered Nurse to join the Aesthetx surgical team. As a key member of our perioperative care continuum, you will deliver the same premium, white-glove experience in the OR that defines every touchpoint of the Aesthetx brand. The ideal candidate brings deep surgical nursing expertise, an instinct for anticipating patient needs, and a genuine passion for patient-centered care in a high-end aesthetic surgery environment.

KEY RESPONSIBILITIES

PRE-OPERATIVE CARE & PATIENT CHECK-IN

Welcome and check in surgical patients with warmth and professionalism, setting the tone for a five-star experience from the moment of arrival. Perform comprehensive pre-op assessments: review medical history, verify surgical consent, confirm NPO status, and document baseline vitals. Verify patient identity, procedure site, and procedure type per established time-out protocol. Place IV access and draw pre-op labs as ordered; administer. Educate patients on the day-of-surgery process, answer questions, and alleviate anxiety — ensuring informed, confident patients before they enter the OR. Coordinate with the surgical team to confirm room readiness, instrument availability, and equipment functionality prior to each case.

INTRAOPERATIVE NURSING

Function as circulating RN throughout surgical procedures: manage patient positioning, monitor physiological status, and maintain OR safety and flow. Prepare, organize, and pass surgical instruments and supplies; anticipate surgeon needs to maintain efficient, uninterrupted case progression. Maintain strict sterile field technique; promptly identify and correct any breaches in sterility. Perform accurate surgical counts (instruments, sponges, sharps) with the scrub technician before, during, and after each case. Administer intraoperative medications, IV fluids, and local anesthetics as directed; verify dosages and document all administrations in real time. Monitor and document vital signs, anesthesia status, and physiological responses; communicate changes immediately to the anesthesia provider and surgeon. Manage specimen collection, labeling, and chain-of-custody documentation per pathology protocols. Operate and troubleshoot OR equipment including electrosurgical units, imaging systems, and patient warming devices.

POST-OPERATIVE RECOVERY (PACU)

Receive patients from the OR with a structured hand-off and assume care in the PACU with a focus on comfort and safety. Continuously monitor recovery progress: assess consciousness, airway patency, hemodynamic stability, pain level, nausea, and wound status. Administer post-operative analgesics, antiemetics, and recovery medications per standing orders and provider direction. Review post-op instructions with patients and caregivers in detail. Provide compassionate emotional support during the vulnerable recovery phase, managing expectations with empathy. Complete thorough discharge documentation and schedule follow-up care before releasing patients from the facility.

DELIVERING THE AESTHETX PATIENT EXPERIENCE

Uphold the Aesthetx standard of concierge-level care at every patient interaction — before, during, and after surgery. Personalize the experience by anticipating individual comfort needs, preferences, and concerns; ensure every patient feels seen, safe, and cared for. Communicate proactively with patients' support persons regarding procedure timelines and recovery status. Collaborate with coordinators, aestheticians, and clinical staff to ensure seamless care transitions throughout the surgical journey.

SAFETY, COMPLIANCE & DOCUMENTATION

Maintain and enforce infection prevention best practices including hand hygiene, PPE use, and environmental disinfection between cases. Manage controlled substance counts and narcotic documentation per DEA regulations and facility policy. Complete accurate, timely clinical documentation; ensure all records meet Quad A (AAAASF) accreditation and state regulatory standards. Respond to intraoperative and post-operative emergencies with clinical composure; initiate BLS/ACLS protocols as indicated. Participate in quality improvement initiatives, case reviews, and ongoing staff education.

QUALIFICATIONS

Current RN license in California — required Active BLS and ACLS certifications — required 3–5 years RN experience in perioperative, plastic surgery, emergency, or critical care — required Demonstrated expertise in surgical nursing workflows and sterile technique Familiarity with Quad A (AAAASF) accreditation standards Plastic/reconstructive surgery experience — strongly preferred BSN from an accredited nursing program or equivalent experience Exceptional organizational, interpersonal, and communication skills High emotional intelligence in patient-facing, high-touch care settings

BENEFITS & PERKS

Full-Time Benefits (32+ hrs/week): 401k with Employer Match Medical, Dental & Vision — 100% Employee Portion Paid Flexible Spending & Health Savings Accounts Life Insurance | Short & Long-Term Disability | Legal Plan Discounted Beauty Products Complimentary Aesthetic Treatments (Facials, Botox & more) Friends & Family Discount Program Gourmet Coffee, Fully Stocked Lunchroom & Frequent Catered Lunches Fun Themed Employee Events Throughout the Year Aesthetx is an equal opportunity employer. #J-18808-Ljbffr AESTHETX