Registered Nurse - Plastic Surgery Clinic, Operating Room & PACU

Adoreal; Baltimore (MD); On-site; USD 75,000 - 95,000; Full time

Job summary

Belcara Health in Baltimore, MD is seeking an experienced Registered Nurse to join our Plastic Surgery team in a unique combined clinic, operating room and PACU role, supporting patients from pre-operative education through surgery, recovery and post-operative care on-site.

The ideal candidate thrives in a fast-paced, team-oriented environment, is highly organized, and demonstrates excellent communication and documentation skills.

Qualifications

• Current and unrestricted Maryland Registered Nurse license.
• BLS certification required.
• ACLS certification preferred or ability to obtain.
• Previous operating room, perioperative, PACU, or surgical nursing experience strongly preferred.
• Plastic surgery, cosmetic surgery, ambulatory surgery center, or outpatient surgical experience is a plus.
• Strong clinical assessment and documentation skills.
• Excellent communication and patient-service skills.
• Ability to work effectively with surgeons, anesthesia providers, nurses, medical assistants, and administrative team members.
• Comfortable working across the clinic, OR, and PACU environments.
• Highly organized with strong attention to detail.
• Dependable, flexible, and willing to assist wherever needed to support the team and our patients.

Responsibilities

• Prepare the operating room for scheduled plastic surgery procedures.
• Assist with pre-operative patient preparation and surgical safety processes.
• Serve as a circulating RN during surgical procedures.
• Maintain sterile technique and infection-control standards.
• Complete intraoperative documentation and assist the surgical/ anesthesia teams.
• Support patient transition throughout the perioperative experience.
• Assist with room turnover and supplies management.
• Follow surgery center policies and regulatory requirements.
• Provide direct nursing care in PACU and recovery.
• Monitor vitals and recovery status; manage pain and nausea as directed.
• Review post-operative instructions with patients and caregivers.

Skills

Maryland RN

BLS

ACLS

OR/PACU

Surgical nursing

Job description

About the Opportunity

Adoreal partners with a select group of top-tier aesthetic and cosmetic medicine practices, providing the technology, operational support, and talent that help them deliver an exceptional patient experience while they scale. We are recruiting on behalf of one of our partner practices, a high-end, luxury plastic surgery practice based in Maryland.

Belcara Health is seeking an experienced, motivated Registered Nurse (RN) to join our Plastic Surgery team. This is a unique combined clinic, operating room, and PACU position, allowing the RN to participate in the full surgical patient journey—from pre-operative preparation and patient education through surgery, recovery, and post-operative care.

We are looking for a nurse who thrives in a fast-paced, team-oriented environment and is passionate about providing an exceptional patient experience. This is an on-site position in Baltimore, Maryland.

Position Overview

The Registered Nurse will divide responsibilities between our Plastic Surgery Clinic and on-site Surgery Center, including responsibilities in the Operating Room and Post-Anesthesia Care Unit (PACU). The ideal candidate is adaptable, organized, clinically strong, and comfortable transitioning between outpatient patient care and perioperative responsibilities based on the needs of the practice.

Plastic Surgery Clinic Responsibilities

• Room patients for plastic surgery and post-operative appointments
• Obtain and document patient histories, medications, allergies, vital signs, and Review of Systems
• Prepare patients for provider examinations and treatments
• Assist plastic surgeons with in-office procedures and treatments
• Provide pre-operative and post-operative patient education
• Review surgical instructions and help ensure patients are appropriately prepared for surgery
• Perform post-operative assessments, dressing changes, and wound care as directed
• Respond to clinical patient questions and escalat[e] concerns to the appropriate provider
• Assist with patient phone calls, portal messages, prescriptions, and clinical documentation
• Help manage patient flow and communicate delays or changes to patients and team members
• Maintain appropriate clinical supplies and treatment rooms

Operating Room Responsibilities

• Prepare the operating room for scheduled plastic surgery procedures
• Assist with pre-operative patient preparation and surgical safety processes
• Serve as a circulating RN during surgical procedures
• Maintain sterile technique and ensure adherence to infection-control and patient-safety standards
• Complete required intraoperative documentation
• Assist the surgical and anesthesia teams throughout procedures
• Participate in surgical counts, specimen handling, medication documentation, and other OR processes
• Support patient transition throughout the perioperative experience
• Assist with room turnover, supply management, and preparation for subsequent procedures
• Follow all surgery center policies, procedures, and regulatory requirements

PACU & Recovery Responsibilities

• Provide direct nursing care to patients recovering from anesthesia and surgical procedures
• Receive patients from the Operating Room and complete appropriate post-anesthesia assessments
• Continuously monitor vital signs, airway status, oxygenation, level of consciousness, pain, nausea, and overall recovery
• Recognize changes in patient condition and promptly communicate concerns to the surgeon and anesthesia provider
• Administer medications and treatments according to provider orders and established protocols
• Manage post-operative pain, nausea, and other common recovery needs
• Monitor surgical sites, dressings, drains, and other post-operative needs
• Maintain accurate and timely PACU documentation
• Ensure patients meet established discharge criteria prior to discharge
• Review post-operative instructions, medications, restrictions, and warning signs with patients and their responsible caregivers
• Ensure patients and caregivers understand follow-up instructions and when to contact the surgical team
• Facilitate a safe and comfortable discharge from the surgery center
• Maintain PACU readiness, supplies, equipment, and emergency preparedness
• Collaborate closely with surgeons, anesthesia providers, and the surgical team to provide safe continuity of care

• Current and unrestricted Registered Nurse license in Maryland
• BLS certification required
• ACLS certification preferred or ability to obtain
• Previous operating room, perioperative, PACU, or surgical nursing experience strongly preferred
• Plastic surgery, cosmetic surgery, ambulatory surgery center, or outpatient surgical experience is a plus
• Strong clinical assessment and documentation skills
• Excellent communication and patient-service skills
• Ability to work effectively with surgeons, anesthesia providers, nurses, medical assistants, and administrative team members
• Comfortable working across the clinic, OR, and PACU environments
• Highly organized with strong attention to detail
• Dependable, flexible, and willing to assist wherever needed to support the team and our patients

Why Join Belcara Health?

At Belcara Health, our patients experience highly personalized care throughout their entire surgical journey. Because our plastic surgery clinic and private surgery center work closely together, this position provides an opportunity to develop meaningful relationships with patients before surgery, care for them during their procedure and recovery, and continue supporting them throughout their post-operative journey.

We value teamwork, professionalism, patient safety, accountability, and an exceptional patient experience. We are looking for an RN who wants to be an integral part of that experience and grow with our team.

Schedule: Full-Time, Mon - Fri
Location: Belcara Health - Baltimore, Maryland

If you are a compassionate, detail-oriented RN who enjoys variety and wants the opportunity to work across the clinic, operating room, and PACU, we would love to hear from you.