Administers complex care to patients with advanced illnesses or injuries in the PACU/PREOP setting to stabilize their medical conditions. Responsibilities include monitoring specialized equipment, responding to life-saving situations, and collaborating with interdisciplinary teams to manage patient care plans.
Position Summary
Department
Pacu/Preop
Shift:
Varies /
POOL/
PER
DIEM
Location:
Horizon
West
Title:
Advanced,
RN
Summary: Administers patient care in an area in a hospital or inpatient setting where patients have an advanced illness or injury that routinely requires timely, intense, and complex care to stabilize and support the patient’s medical condition. These areas require a lower caregiver-to-patient ratio and highly trained team members with advanced skills. “Orlando Health Is Your Best Place to Work” is not just something we say, it’s our promise to you.” Orlando Health proudly embraces and honors the individuality of our team members. By sharing different ideas and perspectives and working together as a team, we are better able to relate to, care for and authentically serve our patients and families who make up the collective populations in our community. So, no matter who you are, what you believe or how you express yourself, you are welcome here.
ORLANDO
HEALTH -
Benefits &
PERKS: Competitive Pay Evening, nights, and weekend shift differentials offered for qualifying positions. All Inclusive Benefits (start day one) Student loan repayment, tuition reimbursement, FREE college education programs, retirement savings, paid paternity leave, fertility benefits, back up elder and childcare, pet insurance, PTO/Holidays, and more for full time and part time employees. Forbes Recognizes Orlando Health as a Best-In-State Employer Forbes has named Orlando Health as one of America's Best-In-State Employers for 2021. Orlando Health is the top healthcare organization in the Metro Orlando area to make the prestigious list. "We are proud to be named once again as a best place to work," said Karen Frenier, VP (HR). "This achievement reflects our positive culture and efforts to ensure that all team members feel respected, supported and valued. Employee-centric Orlando Health has been selected as one of the “Best Places to Work in Healthcare” by Modern Healthcare. #RNjobs #NightShift #NursingCareers #NursingJobs #NightShift #HospitalJobs #HealthcareCareers #NursingCareers #RegisteredNurse #OrlandoHealth #JobOpening #CareerOpportunity #NurseRecruitment #HealthcareStaffing #OrlandoJobs #FloridaJobs
Qualifications
Education/Training
Graduate of an approved school of nursing.
Meets all mandatory, developmental, and performance competency requirements for Orlando Health and unit/department.
Licensure/Certification
Maintains current State of Florida RN license or valid eNLC multistate RN license
Maintains current BLS/Healthcare Provider certification.
ACLS, NRP, PALS, TNCC are required for certain areas. NRP required for Neonatal Intensive care Unit (NICU).
Experience
1 year experience required. Essential Functions
Demonstrates critical knowledge, skills, and judgement to care for patients requiring complex assessment and therapies, high intensity interventions, and high-level continuous nursing vigilance.
Utilizes information and assessment data to anticipate and respond with confidence and adapt to rapidly changing patient conditions.
Identifies and prioritizes information to take immediate and decisive evidence-based, patient focused action.
Monitors and adjusts specialized equipment used on patients, and interprets and records electronic displays, such as intracranial pressures, central venous pressures, pulmonary artery pressures, and cardiac rhythms from cardiac monitors, respirators, ventilators, oxygen pumps, etc.
Responds to life-saving situations based on nursing standards and protocol.
Observes, monitors, and assesses patients’ condition, recognizes, identifies, and interprets serious situations and calls Physician or takes preplanned emergency measures when Physician is not immediately available.
Assesses patient’s needs and develops/revises an individualized plan of care based on patient needs and responses. Evaluates the patient’s progress toward attaining expected outcomes.
Respects diversity by building respectful relationships with all team members and customers.
Functions as a patient and family advocate.
Demonstrates advanced knowledge and skills necessary to provide care appropriate to the age of the patients served on his or her assigned unit/ department.
Serves as a preceptor, charge nurse, unit educator, and/ or nurse clinician.
Communicates and collaborates with medical staff and interdisciplinary team to effectively plan and manage the unit/department.
Serves as a role model for staff and supports the hospital and nursing department’s goals and strategies.
Demonstrates knowledge of the principles of growth and development over the life span, assesses the data reflective of the patient’s status, and interprets the necessary information needed to identify each patient’s requirements relative to his or her age specific needs.
Coordinates the care and delegates as appropriate to other team members on a defined group of patients.
Documents patient care in a knowledgeable, skillful, and consistent manner meeting all required and regulatory standards. This includes but is not limited to patient assessment, education, medication administration, treatments, and patient safety.
Requirements
Requires graduation from an approved school of nursing and a current State of Florida or eNLC multistate RN license. Candidates must have at least 1 year of experience and current BLS certification, with ACLS, NRP, PALS, or TNCC required for specific areas.
professional certificate
Patient Advocacy
Care Planning
Medication Administration
Patient Assessment
Patient Safety
Emergency Response
Clinical Documentation
Interdisciplinary Collaboration
Precepting
Crisis Management
Evidence-Based Practice
Ventilator Management
Critical Care Nursing
Hemodynamic Monitoring
ECMO Management
Charge Nursing
Benefits
Retirement Savings
Competitive Pay
Paid Paternity Leave
Tuition Reimbursement
Pet Insurance
Fertility Benefits
Student Loan Repayment
Free College Education Programs
Back Up Elder And Childcare
Evening, Nights, And Weekend Shift Differentials
Pto/Holidays
Posting details
Employment type
Unknown
Work arrangement
On Site
Experience
2-5 yrs
Location
Winter Garden, Florida
Posted
Jun 25, 2026
Closes
Jun 25, 2027
Application
Employer website
Demonstrates competency in nursing skills and use of patient care/unit equipment as defined by unit/department-specific requisite skills.
Prioritizes patient care in an ongoing manner in accordance with Evidence-Based Practice Standards of Care.
Practices effective problem identification and resolution.
Delegates tasks and duties to healthcare team members in accordance with the patient’s needs and the team member’s capabilities and qualifications.
Communicates appropriate information regarding patient condition or unit concerns to other health care team members.
Demonstrates caring practices by providing a compassionate and therapeutic environment for patients and their families.
Demonstrates awareness of legal issues and patients’ rights. Collaborates with the education department and nursing leadership team to effectively transition and support new team members and/or students.
Maintains reasonably regular, punctual attendance consistent with Orlando Health policies, the ADA, FMLA, and other federal, state, and local standards.
Maintains compliance with all Orlando Health policies and procedure. Specific Essential Function for trained Advanced Care Registered Nurse ECMO Specialist Job responsibilities
Registered Nurses who have received specialized training and are able to function as an Extracorporeal Membrane Oxygenator (ECMO) Specialist provide daily staffing for Extracorporeal life support (ECLS) services.
Specialists work under the direction of unit leadership, intensivist services, perfusion services, and in collaboration with bedside staff to ensure that the patient on ECMO has adequate perfusion, corrects for proper acid-base balance, and provides for hemodynamic stability within ordered parameters.
Nursing ECMO Specialists work in the Cardiac Intensive Care Unit and communicate with physicians, perfusionists and other members of the healthcare team to interpret, adjust and complete treatment specific care for the ECMO patient.
ECMO specialists are expected to perform required technical skills with efficiency, accuracy and safety while anticipating, troubleshooting, and managing crises and emergency situations according to policy and procedure.
Performs scheduled, un-scheduled, and emergency ECLS in the hospital setting.
Operates all ECMO equipment under the direction of MD/perfusion providers.
Monitors and optimizes the ECMO circuit and related equipment during the management period.
Accurately administers blood products and medications through the ECMO circuit when ordered.
Manages any equipment when connected in-line with ECMO circuit.
Management of ECLS during transport.
Ensures continuous ECLS coverage.
Attends Mandatory Quarterly Simulations. Other Related Functions
The professional nurse contributes to the knowledge and skills of others, and the continuous improvement of the quality of health care practice and organizational outcomes.
Participates and may lead unit level and/or organizational level committees of nursing practice and performance improvement.
Participates in department and organizational peer review, mentoring, and coaching regarding professional practice or role performance.
Practices efficient use of supplies and maintains a clean, safe, and organized work area.
Attends staff development in-services, department meetings, and/or nursing committee meetings.
Partners with the nursing leadership team to identify professional development needs.
Assumes responsibility for one’s own professional development and continuing education.
Market context
Florida nursing roles remain in steady demand
In Florida, nursing roles are typically in steady demand across hospice, hospital, and other care settings, especially for RNs who can work independently and adapt to varied patient needs. These positions are competitive because employers often look for current RN licensure, at least one year of experience, active BLS certification, and reliable transportation, while benefits commonly include health insurance, professional development, and a supportive work environment. Before applying, confirm your license, BLS status, and driving readiness, and review the AI-summarized requirements and benefits here to save time versus reading the full original posting.
