Full-Time Surgical Services RN *Eligible for up to $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.