Registered Nurse Peri-Anesthesia

Columbia Memorial Hospital; Astoria (OR); On-site; USD 80,000 - 113,000; Full time

Benefits offered by this job

Employee referral bonus

Job summary

Columbia Memorial Hospital in Astoria, OR, is seeking a PACU Staff RN to perform direct and indirect nursing duties in the post-anesthesia care unit. You will collaborate with anesthesia and nursing staff to ensure safe, quality patient care before and after surgery.

The role requires Oregon RN licensure, BLS, ACLS/PALS, and the ability to manage chaotic conditions while communicating effectively in English. Shift options are day-focused, with required availability for varied emergencies.

Qualifications

• RN license in good standing with Oregon Board of Nursing.
• Ability to perform IV starts and monitor post-operative patients.
• Experience in PACU or critical care settings preferred.

Responsibilities

• Provide direct and indirect nursing care to pre- and post-operative patients in PACU.
• Assist anesthesia personnel in emergencies and in OR as needed.
• Support planning, organizing, and delivering quality patient care during routine and emergent cases.

Skills

IV access

Patient assessment

English communication

Ability to multitask

Ability to work in chaotic environment

Education

Oregon RN license

ACLS / PALS certifications

BLS certification

Job description

Columbia Memorial Hospital (Astoria, OR) · Recovery - PACU

Astoria , OR

Nursing & Nursing Support

Full Time , Primarily Days , Shift Length: 10

Posted 07/27/2026

Call: Yes

ONA Wage Range: $57.63 to $82.02, dependent on experience

ELIGIBLE FOR CMH EMPLOYEE REFERRAL BONUS: PRIORITY RECRUITMENT

The PACU Staff RN performs clerical, plus direct and indirect nursing duties in cooperation with other nursing staff and Anesthesia personnel in PACU. The position also performs and assists with planning, organizing, and delivering quality patient care to pre- and post-operative patients during routine and emergency situations in PACU. Assists Anesthesia personnel in emergency situations in OR as available or necessary. Works as scheduled or as required to fulfill requirements.

Job Requirements

• Knowledge of /Skill/Ability to: Ability to work in chaotic and demanding environment. Ability to assess patients and act on findings accurately following protocols, procedures and policy. Able to access resources for regulatory and practice issues. Ability to perform skills to provide IV access, products to use considering size and volume of fluid needed to infuse. Ability to handle multiple tasks and duties simultaneously. Ability to mentally prioritize. Ability to maintain a professional, low-key, pleasant and tactful affect during patient care to all those encountered. Able to speak, write, and read English consistently to communicate effectively with others.

License/Certification

Currently licensed as a Registered Nurse with the Oregon State Board of Nursing and Washington State Board of Nursing. Current BLS from American Heart Association is required upon hire. ACLS and PALS certification through the American Heart Association required or ability to obtain within six months of hire.

Education and/or Experience

Either previous PACU experience and or critical care nursing experience preferred. Highly motivated and should understand that the success of the patient's experience is dependent on their performance. For RNs graduating within the last 12 months, or RNs that have not practiced in an acute care facility within the last 24 months, and have not previously completed a residency program will be required to complete the CMH-provided program if available.

Physical Demands and Work Environment Conditions / ADA Compliance

Standing and walking most of the time while on duty is necessary. Must be able to push/pull stretchers and lift patients, unassisted, using proper body mechanics. Pushes/pulls loaded adult stretchers, beds, wheelchairs, crash carts and equipment carts. Tolerates bending, sitting, standing, walking, lifting, carrying, pushing, pulling for 8 – 12 hours (shift dependent). Lifts or carries up to 50 lbs. Able to adapt to various degrees of lighting in clean, well-ventilated working areas. Visual acuity to read and interpret monitors, computer screen information, and written documentation during working hours. Manual dexterity is required to operate equipment. Dexterity to perform skills for auscultating, IV starts and fluid profusion, etc. to perform skills independently when needed. Works inside. Occasionally will work extended hours or variation of usual shift and will be dependent on patient requirements. Normal to corrected vision is required. Normal or corrected hearing is necessary to distinguish differences in monitor alarms, heartbeats, and breathing. Subject to physical and emotional stress of work environment. Must be willing and committed to safe management of potentially infectious diseases and the handling of toxic drug therapies. Required to use personal protective apparel. Subject to occasional physical and emotional stress within a fast-paced environment.

About Us

Columbia Memorial Hospital (CMH) is located in the beautiful and historic town of Astoria, Oregon, where the Columbia River meets the Pacific Ocean. At CMH, we are committed to providing person-centered care to our patients and Caregivers. We are a full-service, 25-bed, critical access, not-for-profit, Level III trauma, Planetree Certified, hospital which includes a robust Medical Group.

As a Planetree Hospital, CMH has developed dynamic and focused efforts to involve the perspective of patients, family members and staff to increase person-centered care throughout our organization. We value compassionate, courteous and respectful interactions, patient and family involvement in care planning to include the patient’s goals and preferences, healing design of spaces, community health and a strategic plan that emphasizes person-centered care for the patient and caregiver alike.

CMH is committed to fostering a diverse, equitable, and inclusive workplace where all employees feel valued, respected, and supported. We believe that diversity in our workforce strengthens our ability to provide compassionate, culturally responsive care to the patients and communities we serve. We welcome applicants of all backgrounds, experiences, and perspectives, and are proud to be an equal opportunity employer.