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Registered Nurse - Operating Room (OR)
Career Insights for Registered Nurse (General)
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Based on South Dakota data
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What they do
A Registered Nurse provides medical care and treatment, educates patients about their conditions, and provides emotional support to patients and families. Works in hospitals, schools, clinics or community health centers. Works under the supervision of a physician or other specialist, and serves as the primary point of care for patients in a hospital setting. May specialize in emergency room work, or treatment for a particular condition, or specialize in working with infants, the elderly or other patient groups. May work as an advanced practice specialists and prescribe medications in addition to offering specialty care.
$69,372 / year median in South Dakota
+2% projected growth
Job Description
- Operating Room (OR) Akicita Federal is hiring Registered Nurses to deliver direct surgical nursing care for the Indian Health Service at the Pine Ridge Service Unit in Pine Ridge, SD serving the Oglala Lakota Nation on one of the most storied reservations in the American West.
- Provide comprehensive pre-operative assessments and prepare patients for surgical procedures in a rural hospital setting.
- Perform surgical timeouts, surgical counts, and sterile supply passes to maintain patient safety and OR integrity.
- Administer medications via oral, transdermal, intravenous, intramuscular, sublingual, and subcutaneous routes as part of perioperative and post-operative care plans.
- Manage post-operative pain, monitor patient recovery, and coordinate handoff to appropriate care teams.
- Perform adult and neonatal venipuncture and skin puncture for IV placement and blood collection.
- Operate and maintain sterile operating suites and surgical equipment, including oxygen therapy systems and extremity tourniquets.
- Float as needed to the Emergency Room, Outpatient Clinic, or Acute Care In-Patient units to support patient observation, medication administration, or other intermittent care needs.
Weekly rate:
$3,200$3,400 per week.- Active, unrestricted Registered Nurse (RN) license valid for practice in South Dakota or a compact state license accepted by South Dakota.
- Hands-on experience in surgical nursing, perioperative care, or a closely related acute care nursing specialty.
- Demonstrated ability to perform sterile technique, surgical counts, and OR safety protocols.
- Competency in IV insertion, medication administration across multiple routes, and post-operative pain management.
- Availability to work MondayFriday, 7:00 AM3:30 PM (five 8-hour shifts per week) on-site at Pine Ridge IHS Hospital.
What sets candidates apart:
- Prior experience working in a rural, critical-access, or tribal health care facility.
- Familiarity with Indian Health Service care environments, policies, or patient populations.
- Certification in perioperative nursing (e.g., CNOR) or related specialty credential.
- Experience floating across multiple units including emergency, outpatient, or inpatient acute care settings.
- Demonstrated commitment to culturally responsive care for Native American communities.
- $176,800 a year