Registered Nurse | Ambulatory Surgical Center | Full Time

Meritus Health; Hagerstown (MD); On-site; USD 85,000 - 105,000; Full time

Benefits offered by this job

Health, Dental, and Vision Insurance

401(k) Retirement Plan

Paid Time Off (PTO)

Education Assistance & Tuition Reim‑ b

Shift Differential Pay

Job summary

Meritus Health's Ambulatory Surgery Center is seeking a seasoned Registered Nurse to join a collaborative, multi-specialty surgical team. You will rotate across PAT, Pre-Op, OR, and PACU, supporting both adult and pediatric patients through the full perioperative experience.

This fast-paced role emphasizes cross-training, strong assessment and communication, and collaboration with anesthesia providers, surgeons, and nursing colleagues; ASN is required, BSN preferred, ENT and pediatric experience

Qualifications

• Graduate of an accredited nursing program; ASN required; BSN preferred.

Responsibilities

• Rotate through PAT, Pre-Op, OR, and PACU to support patients from preparation for surgery through recovery.
• Deliver preoperative assessments, review health histories and educate patients and families.
• Coordinate with anesthesia, surgeons and perioperative team to ensure patient readiness and safety.
• Maintain sterile technique and adhere to perioperative standards across multiple specialties.

Skills

RN experience

ENT experience

Pediatric nursing

Perioperative care

Education

ASN degree required

BSN preferred

Job description

Registered Nurse | Ambulatory Surgical Center

Full Time - 80 hrs. Biweekly

Monday - Friday Rotating Shifts between the hours of 6:15am - 5pm

Meritus Health is seeking an experienced and versatile Registered Nurse to join our Ambulatory Surgery Center (ASC) and work as part of a collaborative, multi-specialty surgical team.

Our ASC provides care to both adult and pediatric patients across a variety of surgical specialties, including ENT, gynecology, general surgery, cosmetic and plastic surgery, and other outpatient procedures. This is a unique opportunity for an RN who enjoys variety, thrives in a fast-paced surgical environment, and wants to remain clinically engaged throughout the entire perioperative experience.

Unlike roles focused on one phase of surgical care, our ASC RNs are cross-trained and rotate throughout Pre-Op, the Operating Room, PACU, and Pre-Admission Testing (PAT). You'll have the opportunity to build relationships across the surgical team while maintaining a broad and diverse perioperative skill set.

What You’ll Do

As an ASC RN, you won't be limited to just one area. You'll rotate throughout the surgical center and support patients from preparation for surgery through recovery.

Pre-Admission Testing (PAT)

• Complete preoperative nursing assessments and review patient health histories
• Review medications, allergies, diagnostic testing, and other clinical information in preparation for surgery
• Provide preoperative education and instructions to patients and families
• Identify potential clinical concerns and collaborate with anesthesia, surgeons, and other members of the care team to ensure patients are appropriately prepared for their procedures

Pre-Op

• Prepare adult and pediatric patients for surgery
• Complete assessments, verify documentation, and ensure surgical readiness
• Initiate IV access and administer medications as appropriate
• Educate and support patients and families before procedures
• Collaborate closely with anesthesia providers, surgeons, and OR staff

Operating Room / Circulator

• Serve as the circulating RN during surgical procedures
• Coordinate patient care and maintain patient safety throughout the intraoperative period
• Complete surgical safety checks, documentation, counts, positioning, and other circulating responsibilities
• Maintain sterile practice and ensure compliance with perioperative standards
• Anticipate the needs of the surgical team across multiple specialties and procedures

PACU

• Provide Phase I and/or Phase II postoperative nursing care
• Assess airway, respiratory status, hemodynamic stability, pain, nausea, and surgical recovery
• Administer medications and interventions according to patient needs
• Recognize and respond quickly to changes in patient condition
• Provide discharge education and ensure patients meet established criteria for safe discharge

What the job is really like

• Variety is a major part of this role. You may work in PAT, Pre-Op, the OR, or PACU depending on the needs of the surgical center
• You'll care for patients across multiple specialties rather than focusing on one surgical service line
• You'll work with both adult and pediatric populations, making strong assessment and communication skills essential
• ENT experience is particularly important due to the patient population and procedures performed within the center
• You'll work closely with surgeons, anesthesia providers, surgical technologists, nurses, and other clinical professionals as part of a highly collaborative team
• ASC nursing requires efficiency without sacrificing safety, quality, or the patient experience
• Patient turnover can be rapid, so strong organization, prioritization, and communication are essential
• You'll need to be comfortable transitioning between different roles, patient populations, and surgical specialties
• Successful nurses in this environment are flexible, clinically confident, team-oriented, and willing to step in wherever they are needed

Work Environment and Demands

• Fast-paced, multi-specialty ambulatory surgical environment
• Care provided to both pediatric and adult surgical patients
• Frequent standing, walking, positioning, and movement throughout the surgical center
• Ability to safely assist with patient positioning and transfers
• Requires sustained attention to patient safety, infection prevention, sterile technique, and surgical protocols
• Regular collaboration with surgeons, anesthesia providers, nursing colleagues, surgical technologists, and other members of the perioperative team
• Requires flexibility to rotate among PAT, Pre-Op, OR/Circulator, and PACU based on patient volume and operational needs

What Success Looks Like

• Patients receive safe, efficient, compassionate care throughout their entire surgical experience
• You are comfortable and competent working across PAT, Pre-Op, OR, and PACU
• You confidently care for both adult and pediatric surgical patients
• You adapt easily between different surgical specialties, procedures, and patient needs You anticipate the needs of your patients and surgical team
• You communicate effectively with patients, families, surgeons, anesthesia providers, and colleagues
• Surgical safety, infection prevention, documentation, and regulatory standards are consistently met
• You contribute to efficient patient flow and on-time surgical operations
• You are known as a dependable, flexible team member who can step into multiple areas of the ASC
• Most importantly, you help create a surgical experience where patients and families feel safe, informed, and well cared for from pre-admission through discharge

Qualifications

• Education: Graduate of an accredited nursing program; ASN requires. BSN preferred
• Experience:
  • Minimum of 3 years of RN experience in an Ambulatory Surgery Center, ambulatory procedural setting, or Operating Room
  • Prior ENT experience preferred
  • Prior pediatric nursing experience preferred
  • Experience across multiple phases of perioperative care strongly preferred
• Licensure & Certification:
  • Current Registered Nurse (RN) license to practice in Maryland
  • Current BLS certification
  • ACLS and PALS certification required or must be obtained within the designated timeframe
  • Perioperative or specialty nursing certification preferred

Happy to Help

At Meritus, we believe in a collaborative and caring work environment. Interactions are an opportunity to learn, listen and to be there for one another. Therefore, we provide warm welcomes, hospitality driven closures, and are always Happy to Help.

Caring for our Team

We are committed to supporting the well-being and professional development of our team members through a comprehensive benefits package, which includes:

• Health, Dental, and Vision Insurance Coverage begins on the first of the month following your hire date.
• Life Insurance & Disability Coverage Includes company-paid life insurance, as well as short- and long-term disability benefits to provide peace of mind.
• Paid Time Off (PTO) A generous PTO program designed to help you recharge and maintain a healthy work-life balance.
• 401(k) Retirement Plan Benefit from a robust company match to support your long-term financial goals.
• Education Assistance & Tuition Reimbursement Support for your continued learning and career growth.
• Flexible Spending Accounts (FSA) and Health Savings Accounts (HSA) Options to save pre-tax dollars for eligible healthcare and dependent care expenses.
• Shift Differential Pay Team members working evening, night, or weekend shifts may be eligible for additional pay.