TSAOG Orthopaedics & Spine·San Antonio, Texas
Monitor and care for patients recovering from anesthesia and surgical procedures to ensure safety and comfort. Collaborate with the surgical team to manage recovery progress and provide education to patients and their families.
Description Registered Nurse - Post Anesthesia Care Unit (PACU)
This position is PRN for our Extended (Overnight) Shift
What You’ll Do · Monitor vital signs and assess cardiac status and fluid volume, airway patency, and wounds/drains. · Implement and sign off on physician post-operative orders. · Demonstrate awareness of patients’ concerns and a willingness to address them. · Ensure patient safety and comfort while maintaining patient privacy and confidentiality. · Observe pertinent changes in symptoms of the patient’s condition, take appropriate action, and report to the physician. · Document all nursing interventions in the patient’s chart. · Perform narcotic count at the beginning and end of each working day and maintain accurate records of narcotics dispensed in the narcotic logbook. · Respond appropriately to emergency situations. · Complete necessary post-operative teaching of the patient and family. · Clean and restock all areas at the end of the day. · Assist with updating printed material (e.g., surgeon’s post-op orders, discharge instructions). · Perform overnight/23-hour observation of extended stay patients, ensuring continuous monitoring, timely intervention, and thorough documentation across the extended recovery period. · Manage and reassess pain control, hydration, nutrition, mobility, and elimination needs throughout the extended stay to support patient recovery. · Conduct discharge readiness assessments using established criteria (e.g., stable vital signs, controlled pain, tolerating fluids, ambulation, and voiding) prior to release. · Coordinate discharge planning with the physician, patient, and family, including review of post-operative instructions, medications, follow-up appointments, and home care needs.
Current state licensure as Registered Nurse. Minimum of one-year Perioperative experience, critical care and/or outpatient experience preferred. Ability to verbalize understanding of the nursing process; assessment, planning, implementation, and evaluation. Has knowledge and understanding of physical and emotional disease processes, clinical nursing skills, and administration of medications. Must have excellent communication and interpersonal skills. PACU and Extended Stay nurses must have Advanced Cardiac Life Support (ACLS) in addition to Basic Life Support (BLS). Other duties as assigned as necessary and may vary at times, as needed, by your immediate supervisor or as directed by the company. Extensive mobility (walking and standing) while performing duties. Periodic pushing, pulling, and lifting of patients and/or equipment. May have exposure to patients with communicable diseases. May have exposure to hazardous equipment or agents We offer a supportive work environment, competitive salary, and opportunities for professional growth. If you are passionate about patient care and meet the qualifications, we encourage you to apply.
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Market context
In Texas, nursing roles like this often draw steady demand in dialysis and other patient-care settings because employers need licensed LVN/LPN candidates who can start safely and learn specialized workflows. These positions can be competitive when they require a current license, preferred dialysis experience, and completion of a training program soon after hire. Review the AI-summarized requirements and benefits here to save time, then confirm you meet the license, color-recognition, and training expectations before applying.
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