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  3. Registered Nurse (Pre-Op)- (Full Time)
NC

Registered Nurse (Pre-Op)- (Full Time)

North Country Healthcare·Berlin, New Hampshire

$41 - $56/hr·Full Time·On Site·2-5 yrs·Posted 4 hours ago
Practice for this role

About the role

The Perioperative Registered Nurse coordinates and delivers safe, evidence-based care during both intraoperative and postoperative phases. Responsibilities include serving as a patient advocate, managing surgical workflow, monitoring recovery, and collaborating with the multidisciplinary surgical team.

This position is eligible for a commencement bonus of $7,500.00, with 50% payable at or around the hire date and the remaining 50% payable after six (6) months of continuous employment.

Position Title

  • Perioperative Registered Nurse (OR Circulator & PACU Nurse)
  • Department: Surgical Services
  • Reports To: Director of Perioperative Services
  • Status: Full time

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Position Summary

The Perioperative Registered Nurse functions in both the intraoperative (Circulator) and postoperative (PACU) phases of surgical care. This dual-role nurse is responsible for coordinating and delivering safe, high-quality, evidence-based nursing care to patients undergoing surgical procedures. The role requires flexibility, critical thinking, and collaboration with surgeons, anesthesia providers, and the multidisciplinary team to ensure optimal patient outcomes throughout the surgical continuum.

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Key responsibilities

  • Intraoperative (Circulator nurse) duties
  • Serve as the patient advocate throughout the surgical procedure
  • Perform and document preoperative verification and surgical time-out
  • Ensure the sterility of the operative field and adherence to aseptic technique
  • Anticipate and provide necessary supplies and equipment during surgery
  • Collaborate with surgical and anesthesia teams to optimize workflow and patient safety
  • Manage intraoperative documentation, including counts, specimens, implants, and events
  • Respond to intraoperative emergencies and support the team during urgent situations
NC

Hiring organization

North Country Healthcare

North Country Healthcare provides a wide range of healthcare services throughout Northern New Hampshire through our four affiliate organizations based in our local communities. Our healthcare specialists live in these communities and embrace the rural NH lifestyle while...

Salary listed on 2 jobs
IndustryHospitals and Health Care
TypeNonprofit
Size501-1,000 employees
Explore employer profile
  • Post-Anesthesia (Pacu nurse) duties
  • Receive and monitor patients emerging from anesthesia following surgery
  • Conduct rapid physical assessments including airway, vital signs, neurologic status, and surgical sites
  • Manage post-op pain, nausea, and hemodynamic stability with medications and interventions
  • Provide emotional support and post-op education to patients and families
  • Coordinate patient transfer to the next level of care or discharge
  • Accurately document patient recovery and maintain safety protocols throughout stay

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Qualifications

  • Licensure: Current, active RN license in the state of practice
  • Education: ADN required; BSN preferred
  • Certifications:
  • BLS and ACLS (required)
  • PALS (preferred)
  • CNOR and/or CPAN/CAPA certification (preferred but not required)
  • Experience:
  • Minimum 1 year of nursing experience in PACU, OR, critical care, or emergency nursing
  • New graduates considered if enrolled in a perioperative training program

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  • Skills & abilities
  • Strong assessment and critical thinking skills in fast-paced environments
  • Proficient in sterile technique, patient positioning, and perioperative safety standards
  • Excellent communication and teamwork abilities
  • Competent with EMR systems and medical equipment (e.g., monitors, infusion pumps, ventilators)
  • Ability to adapt to changing situations and respond effectively in emergencies

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  • Physical & environmental requirements
  • Ability to stand and walk for prolonged periods
  • Lift, move, and position patients and equipment (up to 50 lbs)
  • Exposure to bloodborne pathogens, radiation, and surgical chemicals
  • Must wear PPE including surgical masks, lead aprons, and protective eyewear as appropriate

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  • Core competencies
  • Patient advocacy and safety
  • Collaboration and interdisciplinary communication
  • Quality improvement and regulatory compliance
  • Cultural competence and ethical care
  • Lifelong learning and professional development

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Equal Opportunity Employer NCH and AVH are committed to a diverse and inclusive work environment. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status.

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Please Note

All new hires are required to attend a mandatory three-day orientation at Weeks Medical Center in Lancaster, NH. This orientation provides essential training, compliance information, and an introduction to our organizational culture to ensure a smooth and successful transition into your role. Attendance on all three days is required for onboarding completion.

The anticipated hourly range for this position is $41.39/hr - $51.80/hr - $55.94/hr. Final compensation will be determined based on the selected candidate's applicable experience, skills, qualifications, and other job-related factors.

About north country healthcare (Nch)

North Country Healthcare is a non-profit affiliation of four medical facilities, Androscoggin Valley Hospital, North Country Home Health & Hospice Agency, Upper Connecticut Valley Hospital, and Weeks Medical Center, located in the White Mountains Region of New Hampshire. NCH includes numerous physicians and medical providers at multiple locations. This leading comprehensive healthcare network which employs hundreds of highly-trained individuals delivers integrated patient care through three community hospitals, specialty clinics, and home health and hospice services. NCH remains committed to the health and well-being of the communities we serve.

North Country Healthcare is an equal-opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.

If you require a reasonable accommodation in completing this application, interviewing, completing any pre-employment testing, or otherwise participating in the employee selection process, please direct your inquiries to the Human Resources department at the affiliate to which you are applying.

Please Note

All new hires are required to attend a mandatory three-day orientation at Weeks Medical Center in Lancaster, NH. This orientation provides essential training, compliance information, and an introduction to our organizational culture to ensure a smooth and successful transition into your role. Attendance on all three days is required for onboarding completion.

Requirements

Candidates must hold an active RN license and possess at least one year of experience in PACU, OR, critical care, or emergency nursing. An ADN is required, while a BSN and relevant certifications like BLS, ACLS, and CNOR are preferred.

  • associate degree
  • bachelor degree
  • Critical thinking
  • Vital signs monitoring
  • Emergency response
  • Patient advocacy
  • Patient assessment
  • Aseptic technique
  • EMR systems
  • Airway management
  • Post-operative care
  • Hemodynamic stability
  • Sterile technique
  • PACU nursing
  • Perioperative nursing
  • Surgical time-out
  • OR circulator

Benefits

  • Commencement bonus

Posting details

Employment type
Full Time
Work arrangement
On Site
Experience
2-5 yrs
Salary
$41 - $56/hr
Location
Berlin, New Hampshire
Posted
Jul 28, 2026
Application
Employer website

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Market context

New Hampshire nursing roles need RN licensure

In New Hampshire, nursing roles typically draw steady demand from hospitals, long-term care, and outpatient settings, especially for candidates who already hold a state RN license and an accredited ASN or BSN. These positions can be competitive because employers often look for immediate readiness in core clinical skills such as IV therapy and timely Basic Life Support completion. Review the AI-summarized requirements and benefits here to quickly compare fit, then confirm your license status and be ready to highlight relevant bedside experience in your application.

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