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Registered Nurse
Career Insights for Registered Nurse (General)
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Based on Texas 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.
$66,553 / year median in Texas
+13% projected growth
Job Description
SCHEDULE
This position is for surgery days only. Surgery days could range in hours, but one could expect 10 hours days. Days of the week are currently Tuesday and Thursday but are subject to change. Specific scheduling will be discussed during the interview process.PREOPERATIVE
Complete and document preoperative nursing assessments: patient identity, procedure verification, consent status, allergies, medications, NPO status, vital signs, comorbidities, and readiness for surgery Verify required labs, EKGs, medical clearances, surgical consents, anesthesia documentation, and photo documentation workflow Escalate abnormal findings, incomplete documentation, or contraindications to the surgeon and anesthesia provider before proceeding Provide preoperative education on medications, caregiver requirements, recovery expectations, drain and wound care, and emergency instructions Start and maintain IV linesOPERATING ROOM
—CIRCULATOR AND SCRUB
Serve as circulating nurse: room readiness, patient positioning, surgical time-out, specimen handling, implant documentation, sterile field support, and intraoperative documentation Function in the scrub role when assigned: sterile setup, instrument and suture preparation, passing instruments, anticipating the surgeon's needs, and maintaining sterile technique Participate in sponge, sharps, and instrument counts. Manage equipment, supplies, medications, implants, energy devices, positioning aids, warming and compression devices, and emergency equipment Maintain infection control standards, traffic control, and environmental safety Complete pre-case, intra-case, and post-case documentation including counts, time-outs, specimens, implants, medications and local anesthetic totals, and transfer-of-care recordsPACU / RECOVERY
Provide post-anesthesia recovery care under anesthesia orders and practice protocols Assess and document airway, breathing, oxygen saturation, circulation, temperature, mental status, pain, nausea, bleeding, surgical sites, drains, dressings, and discharge readiness Recognize and promptly escalate respiratory depression, desaturation, airway obstruction, hypotension, arrhythmia, excessive bleeding, uncontrolled pain, altered mental status, allergic reaction, or malignant hyperthermia concerns Manage pain and nausea, dressings, drains, and bleeding checks through to safe dischargeEMERGENCY RESPONSE
Participate in emergency protocols including crash cart readiness, malignant hyperthermia response, airway support within scope, 911/EMS transfer, and post-event documentation and reviewPOSTOPERATIVE AND CLINIC SUPPORT
(occasional, as needed) Postoperative visits: wound checks, dressing changes, drain teaching and removal, suture and staple removal, medication reconciliation, and patient education Postoperative phone triage using approved protocols, with immediate escalation of red-flag symptoms to the physician Assist with injectables, minor procedures, and energy-based devices when trained, delegated, and competentSTERILE PROCESSING AND INFECTION CONTROL
Instrument decontamination, cleaning, packaging, and sterilization Load documentation, biological monitoring, chemical indicators, storage, and release processes Compliance with universal precautions, bloodborne pathogen and PPE standards, sharps safety, terminal cleaning, waste handling, and specimen handlingACCREDITATION AND COMPLIANCE SUPPORT
Maintain logs and checklists including crash cart, medication refrigerator, temperature and humidity, cleaning, sterilization, and equipment checks Participate in drills, quality improvement, incident reporting, policy review, and accreditation readiness activities Document accurately and thoroughly in ourEMR TEAM SUPPORT
Assist with room turnover, surgical supply inventory, ordering, and vendor coordination Support patient flow and patient communication as needed Help maintain a clean, organized, professional environment across clinical, surgical, and recovery areasREQUIREMENTS
Active, unrestricted Texas RN license Current BLS certification Current ACLS certification, or willingness to obtain within 60 days of hire (required to independently cover PACU/recovery) OR circulator experience — required PACU or post-anesthesia recovery experience — required, or strong OR experience with willingness to cross-train Prior nursing experience in a surgical, procedural, or ambulatory surgery setting Comfortable working independently and cross-covering multiple roles in a small-practice environment Strong documentation, communication, and patient-education skillsPREFERRED
Scrub experience in addition to circulating Bilingual — English/Spanish Experience with injectables (neuromodulators, dermal fillers) or in a med-spa or aesthetic setting Prior experience supporting facility accreditationPay:
$40.00 per hour Expected hours: 20.0 - 30.0 per weekBenefits:
Paid time offWork Location:
In personBenefits
- Paid Time Off (PTO)
- Dental Insurance