PACU RN (Hospital) - Great Ratios, Benefits, Montana

Top Echelon Software LLC; Great Falls (MT); On-site; USD 55,000 - 83,000; Full time

Benefits offered by this job

Nurse-to-patient ratios

Medical insurance

Dental insurance

Vision insurance

Retirement matching

Paid time off

Job summary

Top Echelon Software LLC is seeking a Hospital PACU Registered Nurse (RN) in Great Falls, MT for full-time, on-site work. You will supervise pre-op to post-anesthesia recovery, manage complex post-op patients, and collaborate with anesthesia and nursing leadership.

The role emphasizes excellent nurse-to-patient ratios, comprehensive benefits, and a strong teamwork culture in a hospital setting. Montana RN licensure and 2–4 years of acute care experience are required.

Qualifications

• Graduate of an accredited nursing program.
• RN licensure in Montana (or compact/endorsement).
• BLS, ACLS, and PALS required upon hire.
• 2–4 years of recent hospital experience in acute Medical/Surgical or Critical Care.
• CCU/ICU experience preferred.

Responsibilities

• Pre-Operative preparation: assess, admit, and optimize patients for elective/outpatient surgery; complete pre-op checklists and safety parameters.
• Phase I Recovery: monitor and stabilize patients waking from anesthesia; manage airway/ventilation and hemodynamics; perform neuro checks.
• Advanced Visual & Device Care: monitor high-acuity post-op patients with tubes/lines and short-term ventilator support.
• Wound & Line Management: monitor wounds, dressings, drains to prevent post-op complications.
• Symptom & Pain Control: titrate IV meds for pain, PANV, and hypothermia management.
• Observation Unit Care: care for observation patients admitted from ED or post-surgical status.
• Collaborative Leadership: coordinate with providers, anesthesia, nurse managers; guide LPNs/CNAs.
• Discharge & Transfer Planning: use Aldrete scoring for discharge or hand-offs to inpatient units.

Skills

Nursing skills

IV insertion

Asepsis

Patient safety

Education

Associate Degree in Nursing

Bachelor of Science in Nursing (preferred)

Job description

Top Echelon Software LLC is seeking a Hospital PACU Registered Nurse (RN) in Great Falls, MT for full-time, on-site work. You will supervise pre-op to post-anesthesia recovery, manage complex post-op patients, and collaborate with anesthesia and nursing leadership.

The role emphasizes excellent nurse-to-patient ratios, comprehensive benefits, and a strong teamwork culture in a hospital setting. Montana RN licensure and 2–4 years of acute care experience are required.