Surgical Services RN***Eligible for $20,000.00***Commitment Bonus

Registered Nurse (RN) – Surgical Services (OR/PACU)

Perioperative Services | Ashe Memorial Hospital | West Jefferson, NC

At Ashe Memorial Hospital, our mission guides everything we do:
“To meet the needs of the community by delivering patient-centered, high-quality health care.”

We are proud to be recognized as Ashe’s Best Place to Work and for excellence across our providers, nurses, and care teams. Join a hospital where your skills directly impact patient outcomes in a close-knit, community-focused environment.

Position Overview

The Registered Nurse (RN) in Surgical Services provides comprehensive perioperative care, including Operating Room (OR) and Post-Anesthesia Care Unit (PACU) responsibilities. This role involves delivering high-quality, patient-centered care across the surgical continuum—from pre-operative preparation through post-operative recovery.

Position Details

Employment Type: Full-Time

Shift: Day Shift (1st shift; days vary)

Department: Surgical Services (OR/PACU)

Call: Required

Travel: None required

Supervisory Responsibilities: None

Compensation: Competitive; commensurate with experience

Incentive: Up to $20,000 Commitment Bonus

Why Join Ashe Memorial Hospital

Opportunity to work across the full surgical care continuum

Supportive, team-oriented perioperative environment

Recognition as a multi-year Best Place to Work

Meaningful work in a close-knit community

Comprehensive benefits beginning the first of the month following employment

Key Responsibilities

Provide direct, individualized nursing care using the nursing process

Prepare patients for surgery and provide post-operative recovery care

Monitor patient physiological status and respond to changes

Collaborate closely with surgeons, anesthesiologists, and interdisciplinary teams

Administer medications and document care accurately

Maintain surgical equipment, supplies, and sterile environment

Educate patients and families before and after procedures

Participate in quality improvement and performance initiatives

Specialty Responsibilities

Operating Room (OR) / Circulating Nurse:

Coordinate surgical care and serve as liaison between surgical team and family

Ensure correct patient, procedure, and site verification

Maintain sterile field and enforce aseptic technique

Monitor equipment and ensure safe surgical environment

Manage documentation and specimen handling

Scrub Nurse:

Prepare and manage surgical instruments and supplies

Assist surgeon by passing instruments and maintaining sterile field

Perform surgical counts before and after procedures

First Assist (if applicable):

Assist surgeons during procedures

Support wound exposure, hemostasis, and suturing

PACU (Recovery):

Monitor patients’ post-anesthesia recovery

Assess and manage airway, pain, and vital signs

Respond to complications and maintain patient stability

Minimum Qualifications

Licensure: Current Registered Nurse (RN) license in North Carolina

Certification:

Basic Life Support (BLS) – required

Advanced Cardiovascular Life Support (ACLS) – required

Pediatric Advanced Life Support (PALS) – required

Experience: Minimum of one (1) year of nursing experience required

Preferred: Previous OR and/or PACU experience

Core Competencies

Strong clinical judgment and critical thinking skills

Ability to perform in high-acuity, fast-paced environments

Excellent communication and teamwork abilities

Attention to detail and commitment to patient safety

Professionalism and accountability

Employment Requirements

Compliance with all hospital policies, including vaccination requirements (approved exemptions considered)

Successful completion of a criminal background check and pre-employment drug screening (post-offer)

How to Apply

Interested candidates should submit:

Completed application

Resume

Cover letter (including explanation of any employment gaps)

Equal Opportunity Employer

Ashe Memorial Hospital is an Equal Opportunity Employer. Employment decisions are based on qualifications, merit, and organizational needs.

Make a Meaningful Impact

Join a surgical team where your expertise supports patients through critical moments—delivering safe, high-quality care every step of the way.