Per Diem Registered Nurse - Ambulatory Surgical Center

Position Summary

The Operating Room Registered Nurse (RN) is responsible for delivering safe, high-quality perioperative nursing care to patients undergoing surgical procedures in the Center for Aesthetic Surgery (CAS), an accredited outpatient Ambulatory Surgery Center (ASC). The RN functions primarily as a circulating nurse while also providing support in pre-operative and post-anesthesia care areas as needed. This position requires excellent clinical judgment, strong communication skills, attention to detail, and the ability to thrive in a fast-paced surgical environment while maintaining exceptional patient care and safety.

Education & Experience

Required

• Current Registered Nurse (RN) license in the State of Maryland or compact state.
• Current Basic Life Support (BLS) certification.
• Current Advanced Cardiovascular Life Support (ACLS) certification.
• Minimum of one (1) year of recent perioperative nursing experience.

Preferred

• Previous Ambulatory Surgery Center (ASC) or Operating Room experience.
• CNOR (Certified Nurse Operating Room) certification.
• Plastic surgery, cosmetic surgery, emergency room, or outpatient surgical experience.

Essential Skills & Abilities

• Thorough knowledge of sterile technique and surgical asepsis.
• Strong assessment and critical thinking skills.
• Excellent communication and patient education abilities.
• Ability to remain calm during emergency situations.
• Highly organized with exceptional attention to detail.
• Ability to multitask in a fast-paced surgical environment.
• Professional, compassionate, and team-oriented.
• Commitment to patient confidentiality and HIPAA compliance.

Essential Duties & Responsibilities

Preoperative Responsibilities

• Perform comprehensive preoperative nursing assessments.
• Verify patient identity, procedure, surgical site, allergies, medications, and required documentation.
• Confirm informed consent, physician orders, laboratory results, and required clearances.
• Establish and maintain IV access when appropriate.
• Prepare patients physically and emotionally for surgery.
• Collaborate with surgeons and anesthesia providers regarding patient readiness.
• Complete accurate medical chart documentation

Intraoperative Responsibilities

• Function as the circulating RN during surgical procedures.
• Maintain patient safety throughout the operative experience.
• Perform surgical time-outs according to facility policy.
• Ensure sterile technique and infection prevention practices are followed.
• Coordinate surgical team activities during procedures.
• Prepare and maintain operating room supplies and equipment.
• Assist with patient positioning while preventing injury.
• Monitor the sterile field and advocate for patient safety.
• Document all intraoperative events accurately and completely.
• Anticipate surgeon and procedural needs.
• Assist with room turnover between surgical cases.
• Participate in emergency response situations as needed.

Post-Anesthesia Care Responsibilities

• Receive handoff reports from anesthesia and circulating nurse.
• Monitor patients during Phase I and/or Phase II recovery.
• Assess airway, respiratory status, circulation, pain level, nausea, neurological status, and surgical site.
• Administer medications per physician order and nursing protocol.
• Provide discharge instructions to patients and caregivers.
• Verify discharge criteria are met prior to patient release.
• Coordinate discharge with responsible adult caregivers.

General Responsibilities

• Assist with opening and closing procedures such as quality control checks
• Maintain compliance with CMS, AAAHC/Joint Commission, OSHA, and infection prevention standards.
• Participate in quality improvement initiatives.
• Assist with inventory management and supply organization.
• Maintain emergency equipment readiness.
• Participate in continuing education and competency assessments.
• Serve as a patient advocate throughout the surgical experience.
• Cross-train to assist in Pre-Op, PACU, and other clinical areas as needed.
• Foster a positive, professional, and collaborative team environment.
• Perform Pre-Op and Post-Op calls
• Perform Daily Deep Cleaning

Quality & Safety

• Adhere to Universal Protocol and surgical safety checklists.
• Report safety concerns, incidents, and near misses promptly.
• Participate in performance improvement activities.
• Ensure medication safety and controlled substance accountability.
• Maintain current competencies and required certifications.
• Support accreditation readiness and regulatory compliance.

Physical Requirements

• Ability to stand and walk for prolonged periods.
• Ability to lift up to 50 pounds with assistance when necessary.
• Frequent bending, reaching, pushing, pulling, and positioning patients.
• Manual dexterity sufficient to operate surgical equipment.
• Visual acuity to assess patients and surgical fields.

Work Environment

• Fast-paced outpatient ambulatory surgery center.
• Exposure to bloodborne pathogens, bodily fluids, sharps, surgical plume and surgical equipment.
• Requires use of appropriate personal protective equipment (PPE).

Why Join Center for Aesthetic Surgery?

At Center for Aesthetic Surgery, you'll work alongside highly skilled surgeons dedicated to providing exceptional patient care in a state-of-the-art outpatient facility. We value teamwork, professionalism, efficiency, and a patient-first culture while promoting a healthy work-life balance with no weekends, holidays, or overnight shifts.

Pay: $38.00 - $40.00 per hour

Benefits:

• Employee discount
• Paid time off

Work Location: In person

Salary : $38 - $40