In our rural hospital setting, the OR/PACU Charge Nurse ensures safe surgical and recovery care, efficient patient flow, regulatory compliance, and strong collaboration across perioperative services while supporting staff, surgeons, and anesthesia providers. Essential Duties & Responsibilities Core competency is demonstrated by the ability to carry out the following responsibilities: Provide shift oversight of nursing care delivery and adherence to standards, policies, and procedures Supervise staff and offer professional coaching, feedback, and support Assess patient care activities and the environment to identify continuous improvement opportunities Coordinate daily staffing based on surgeon block schedules and departmental needs Serve as a clinical resource expert for perioperative nursing care and procedures Assist with challenging situations through effective communication, de‑escalation, and risk mitigation; utilize debriefing processes and escalate concerns to the Surgery Director as appropriate Anticipate patient, staff, and team needs to improve outcomes and operational efficiency Problem‑solve and adjust staffing to maintain safe, effective operations Support orientation and preceptorship of new staff Provide direct patient care in the OR and PACU as needed while balancing charge nurse responsibilities Conduct and facilitate staff huddles in the manager's absence Address surgeon and CRNA needs to support efficient surgical services Maintain comprehensive working knowledge of unit policies, procedures, and available resources Act as a liaison to medical staff and collaborate effectively with interdisciplinary departments Assist with evaluation and utilization of clinical equipment Adhere to and promote the 7 C's among team members Perform other duties as assigned Qualifications Current Registered Nurse (RN) license in good standing Minimum of 1 year combined OR and PACU experience, or equivalent; rural or community hospital experience preferred Demonstrated ability to work independently and lead effectively in low‑resource settings Current BLS required ACLS and PALS required within six months of hire Why Join The Richland Hospital? At The Richland Hospital, our patients above all else is more than a statement. It is the foundation of everything we do. When you join our team, you become part of a compassionate healthcare organization dedicated to providing exceptional care to our community. We offer a supportive work environment, opportunities for professional growth, and a comprehensive benefits package for eligible employees. Equal employment opportunity employer The Richland Hospital & Clinics provides Equal Employment Opportunities (EEO) to all associates and applicants for employment without regard to race, color, religion, sex/gender, sexual orientation, gender identity or expression, pregnancy, childbirth, and related medical conditions, lactation, breastfeeding, national origin, citizenship, age, disability, genetic information, veteran status, marital status, all as defined by applicable law, and any other legally protected status or characteristic in accordance with applicable federal, state and local laws. For further information, view the EEO Know Your Rights (English) (https://www.eeoc.gov/sites/default/files/2023-06/22-088_EEOC_KnowYourRights6.12.pdf)poster or EEO Know Your Rights (Spanish) (https://www.eeoc.gov/sites/default/files/2023-06/22-088_EEOC_KnowYourRightsSp6.12.pdf)poster. Fraud prevention notice Prospective applicants should be vigilant against fraudulent job offers and interview requests. Scammers may use sophisticated tactics to impersonate Richland Hospital & Clinics employees. To ensure your safety, please remember: Richland Hospital & Clinics will never ask for payment or to provide banking or financial information as part of the job application or hiring process. Our legitimate email communications will always come from an @richlandhospital.com email address; do not trust other domains, and an official offer will only be extended to candidates who have completed a job application through our authorized applicant tracking system. E-Verify statement Employer participates in the Electronic Employment Verification Program. Please click here (https://www.e-verify.gov/about-e-verify)for more information. Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights (https://www.eeoc.gov/poster) notice from the Department of Labor.