PreOp PACU RN

United Surgical Partners International, Inc; Fletcher (NC); On-site; USD 65,000 - 85,000; Full time

Benefits offered by this job

Medical, dental, vision coverage

401(k) retirement plan

Job summary

Western Carolina Surgery Center is seeking a FT PreOp PACU RN to join our ambulatory surgical team. The role involves preoperative assessments, patient education, and administering preop medications, with collaboration among surgeons, anesthesiologists, and staff.

The RN will provide PACU care, monitor vitals, manage pain and post-anesthesia recovery, document care, and assist with discharge planning. Requires active RN license, BLS/ACLS, and 2 years PACU/critical care experience preferred.

Qualifications

• Licensed RN with active state license.
• BLS and ACLS required; PALS if center requires.
• 2 years PACU or Critical Care experience preferred.
• Strong clinical judgment and ability to prioritize workload.
• Excellent verbal and written communication.

Responsibilities

• Perform preoperative assessments and educate patients and families.
• Administer preoperative medications per orders and protocols.
• Maintain infection control and IV line management.
• Collaborate with surgical team and anesthesiologists.
• Provide PACU care, monitor vitals, manage pain and safety.
• Document care accurately and discharge planning when appropriate.
• Support circulating and scrub roles as needed.

Skills

Critical care experience

PACU experience

Decision making

Prioritization

Communication skills

Education

RN license (state)

Job description

Job ID 94909 Date posted 09/10/2026

Western Carolina Surgery Center is hiring a FT PreOp PACU RN!

Western Carolina Surgery Center is a patient-focused ambulatory surgery center dedicated to delivering high-quality outpatient surgical care through advanced technology, clinical excellence, and a collaborative team environment. Accredited by the Accreditation Association for Ambulatory Health Care (AAAHC), the center features a state-of-the-art facility with one operating room and three treatment rooms, supporting a variety of specialties including Orthopedics, Spine Surgery, Podiatry, ENT, and Ophthalmology. Physicians maintain an ownership interest in the center, fostering a strong culture of partnership, innovation, and quality patient outcomes. Team members enjoy a supportive workplace committed to professional growth, exceptional patient care, and making a positive impact in the community.

PreOp PACU RN at Western Carolina Surgery Center:

Preoperative Duties:

• Patient Assessment: Conduct thorough preoperative assessments to collect patient medical histories, vital signs, and current medications.
• Patient Education: Educate patients and their families on the surgical process, postoperative care instructions and any necessary preparations.
• Medication Administration: Administer prescribed medications, including preoperative sedatives and antibiotics, in accordance with physician orders and best practices.
• Infection Control: Ensure strict adherence to infection control protocols to minimize the risk of surgical site infections.
• IV Line Management: Establish and maintain intravenous (IV) lines as required, and monitor fluid and electrolyte balance.
• Collaboration: Collaborate closely with the surgical team, anesthesiologists, and other healthcare professionals to ensure the smooth flow of preoperative preparations.

Postoperative Duties:

• Recovery Care: Provide postoperative care to patients in the post-anesthesia care unit (PACU), monitoring vital signs, pain levels, and overall well-being.
• Patient Advocacy: Advocate for patients' comfort and safety, managing pain and addressing any immediate postoperative concerns.
• Assessment: Continuously assess patients for signs of complications or adverse reactions, taking prompt action as needed.
• Medication Management: Administer postoperative medications, including pain management and antiemetics, while closely monitoring their effects.
• Documentation: Maintain accurate and comprehensive patient records, documenting all care provided, observations, and patient responses.
• Discharge Planning: Collaborate with the surgical team to ensure patients are ready for discharge and providing discharge instructions.

Additional Job Duty:

• Performs circulating and/or scrub responsibilities as needed to support surgical procedures and ensure efficient patient care and operating room workflow.

Qualifications

• Graduate of an accredited RN School of Nursing
• Active RN license in the state
• BLS and ACLS Required, PALS if required by the center
• 2 years of experience in PACU or Critical Care preferred
• Ability to make decisions based on nursing judgment
• Able to prioritize and organize workload to meet the needs of patients and the unit
• Strong communication skills, verbal and written

What We Offer

As an organization, one way we care for our communities and each other is by providing a comprehensive benefits package that includes the following, subject to employment status:

• Medical, dental, vision, and prescription coverage
• Life and AD&D coverage
• Availability of short- and long-term disability
• Flexible financial benefits including FSAs and HSAs
• 401(k) and access to retirement planning
• Paid holidays and vacation

Who We Are

At USPI, we create relationships that create better care. We partner with physicians and healthcare systems to provide first-class ambulatory solutions throughout the United States. We are committed to providing surgical services in the most efficient and clinically excellent manner. USPI is committed to, and proud of our inclusive culture. An inclusive culture, in our view, is respectful of differences and nurtures and supports the contributions of each individual, while also embracing and leveraging diversity. A diverse workforce, combined with an inclusive culture, makes USPI stronger and better able to meet the needs of our diverse patient and physician population.