What are the responsibilities and job description for the RN-PACU/Circulator (Full Time) position at 5 - Androscoggin Valley Hospital?
This position is eligible for a commencement bonus of $7,500.00, with 50% payable at or around the hire date and the remaining 50% payable after six (6) months of continuous employment.
Position Title: Perioperative Registered Nurse (OR Circulator & PACU Nurse)
Department: Surgical Services
Reports To: Director of Perioperative Services
Status: Full time
Position Summary
The Perioperative Registered Nurse functions in both the intraoperative (Circulator) and postoperative (PACU) phases of surgical care. This dual-role nurse is responsible for coordinating and delivering safe, high-quality, evidence-based nursing care to patients undergoing surgical procedures. The role requires flexibility, critical thinking, and collaboration with surgeons, anesthesia providers, and the multidisciplinary team to ensure optimal patient outcomes throughout the surgical continuum.
Key Responsibilities
Intraoperative (Circulator Nurse) Duties
Serve as the patient advocate throughout the surgical procedure
Perform and document preoperative verification and surgical time-out
Ensure the sterility of the operative field and adherence to aseptic technique
Anticipate and provide necessary supplies and equipment during surgery
Collaborate with surgical and anesthesia teams to optimize workflow and patient safety
Manage intraoperative documentation, including counts, specimens, implants, and events
Respond to intraoperative emergencies and support the team during urgent situations
Post-Anesthesia (PACU Nurse) Duties
Receive and monitor patients emerging from anesthesia following surgery
Conduct rapid physical assessments including airway, vital signs, neurologic status, and surgical sites
Manage post-op pain, nausea, and hemodynamic stability with medications and interventions
Provide emotional support and post-op education to patients and families
Coordinate patient transfer to the next level of care or discharge
Accurately document patient recovery and maintain safety protocols throughout stay
Qualifications
Licensure: Current, active RN license in the state of practice
Education: ADN required; BSN preferred
Certifications:
BLS and ACLS (required)
PALS (preferred)
CNOR and/or CPAN/CAPA certification (preferred but not required)
Experience:
Minimum 1 year of nursing experience in PACU, OR, critical care, or emergency nursing
New graduates considered if enrolled in a perioperative training program
Skills & Abilities
Strong assessment and critical thinking skills in fast-paced environments
Proficient in sterile technique, patient positioning, and perioperative safety standards
Excellent communication and teamwork abilities
Competent with EMR systems and medical equipment (e.g., monitors, infusion pumps, ventilators)
Ability to adapt to changing situations and respond effectively in emergencies
Physical & Environmental Requirements
Ability to stand and walk for prolonged periods
Lift, move, and position patients and equipment (up to 50 lbs)
Exposure to bloodborne pathogens, radiation, and surgical chemicals
Must wear PPE including surgical masks, lead aprons, and protective eyewear as appropriate
Core Competencies
Patient advocacy and safety
Collaboration and interdisciplinary communication
Quality improvement and regulatory compliance
Cultural competence and ethical care
Lifelong learning and professional development
Equal Opportunity Employer
NCH and AVH are committed to a diverse and inclusive work environment. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status.
Please Note: All new hires are required to attend a mandatory three-day orientation at Weeks Medical Center in Lancaster, NH. This orientation provides essential training, compliance information, and an introduction to our organizational culture to ensure a smooth and successful transition into your role. Attendance on all three days is required for onboarding completion.
About North Country Healthcare (NCH):
North Country Healthcare is a non-profit affiliation of four medical facilities, Androscoggin Valley Hospital, North Country Home Health & Hospice Agency, Upper Connecticut Valley Hospital, and Weeks Medical Center, located in the White Mountains Region of New Hampshire. NCH includes numerous physicians and medical providers at multiple locations. This leading comprehensive healthcare network which employs hundreds of highly-trained individuals delivers integrated patient care through three community hospitals, specialty clinics, and home health and hospice services. NCH remains committed to the health and well-being of the communities we serve.
North Country Healthcare is an equal-opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.
If you require a reasonable accommodation in completing this application, interviewing, completing any pre-employment testing, or otherwise participating in the employee selection process, please direct your inquiries to the Human Resources department at the affiliate to which you are applying.
Please Note: All new hires are required to attend a mandatory three-day orientation at Weeks Medical Center in Lancaster, NH. This orientation provides essential training, compliance information, and an introduction to our organizational culture to ensure a smooth and successful transition into your role. Attendance on all three days is required for onboarding completion.
Salary : $44,262 - $67,030