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Registered Nurse (RN) -Pre-Op, PACU & Intra-Op OR Circulator

Maximus Plastic Surgery Center
San Antonio, TX Full Time
POSTED ON 10/26/2026
AVAILABLE BEFORE 2/23/2027

Overview
Join our dynamic healthcare team as a Registered Nurse (RN) specializing in Pre-Operative, Post-Anesthesia Care Unit (PACU), and Operating Room (OR) Circulating roles. In this vital position, you will be at the forefront of patient care, ensuring seamless surgical experiences from pre-op assessments through post-op recovery. Your expertise will contribute to delivering exceptional, patient-centered care in a fast-paced, collaborative environment. This role offers an exciting opportunity to utilize your diverse nursing skills across multiple perioperative settings, making a meaningful difference in patients’ surgical journeys.

Responsibilities

  • Conduct comprehensive pre-operative assessments, including vital signs, medical history review, and patient education on procedures and expectations
  • Prepare the operating room by ensuring all sterile equipment and supplies are ready and properly maintained according to aseptic technique standards
  • Circulate during surgical procedures, supporting the surgical team by managing sterile fields, instrument counts, and patient safety protocols
  • Monitor patients’ vital signs and physiological responses continuously during procedures and recovery phases
  • Administer medications and interventions such as IV infusions, sedation, or pain management under physician orders while adhering to HIPAA regulations and safety standards
  • Assist with post-anesthesia recovery by assessing patient status, managing airway and ventilator support if needed, and providing discharge instructions
  • Document all patient care activities accurately in electronic health record (EHR) systems like Epic or Cerner, ensuring compliance with healthcare documentation standards
  • Collaborate effectively with multidisciplinary teams including surgeons, anesthesiologists, and support staff to optimize patient outcomes

Experience

  • Proven nursing experience in perioperative environments such as OR circulation or PACU recovery units within hospitals or outpatient surgical centers
  • Critical care experience preferred, including ICU or emergency medicine backgrounds that demonstrate advanced patient assessment skills
  • Familiarity with EMR/EHR systems such as Epic or Cerner for accurate documentation and order entry
  • Knowledge of aseptic technique, sterile processing protocols, and infection control practices essential for surgical settings
  • Experience working with diverse patient populations including pediatrics, geriatrics, or individuals with developmental disabilities is highly valued
  • Certification in Basic Life Support (BLS) required; additional certifications such as Advanced Cardiac Life Support (ACLS) or Pediatric Advanced Life Support (PALS) are advantageous
  • Ability to handle high-pressure situations efficiently while maintaining compassionate patient care standards

Join us to be part of a dedicated team committed to delivering safe, efficient, and compassionate perioperative care. Your expertise will help ensure every surgical experience is safe, smooth, and positive for our patients.

Pay: $35.00 - $42.00 per hour

Expected hours: 30.0 – 50.0 per week

Benefits:

  • 401(k)
  • Health insurance
  • Life insurance
  • Paid time off

Application Question(s):

  • Must be able to work as early 5 am to evening as the need of the surgery center dictate
  • As part of the interview process, you must be able to complete a full day of shadowing to determine fit.

Experience:

  • Perioperative care: 2 years (Required)

Ability to Commute:

  • San Antonio, TX 78258 (Preferred)

Work Location: In person

Salary : $35 - $42

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