PACU/PreOp RN
Issaquah, Washington
Proliance Highlands Surgery Center

Job Opportunity: PACU/PreOp RN

Location: Issaquah, Washington

Position Overview

Seeking a licensed and experienced PACU RN for immediate start at a surgery center.

Contract Length

• 13 weeks

Required Experience

• Minimum 1 year of experience in PACU (Post Anesthesia Care Unit)
• Prefer experience in a similar setting
• Some experience with pediatric patients preferred
• Proficiency with IV starts and IV restarts preferred
• First-time travelers are acceptable if able to complete a 3-day orientation and "hit the ground running"

Certifications Required

• BLS (Basic Life Support)
• ACLS (Advanced Cardiovascular Life Support)
• PALS (Pediatric Advanced Life Support)

Unit Details

• PACU has Phase 1 & Phase 2 with a total of 12 beds
• Staffing: 9-10 RNs during open hours
• Patient Ratios: Phase 1 (1:2), Phase 2 (1:3)
• Nurses typically assigned to either Phase 1 or Phase 2 for the day, with occasional assistance in Pre-Op tasks (IV starts, vital signs, patient assistance)

Common Cases

• Orthopedics, total joint replacements
• ENT surgeries, septoplasty
• Trauma and fractures
• Sports medicine cases, shoulder/knee arthroscopies
• Spinal surgeries
• Both adult and pediatric patients

Job Duties

• Discharge and educate patients
• Stocking supplies, cleaning rooms, checking crash carts
• General department duties and maintaining productivity during downtime
• Pre-Op patient intake, vital signs, IV starts, OR prep, post-op calls
• General telemetry knowledge with ability to recognize lethal rhythms (3-lead telemetry used)
• No ICU patient recovery in PACU

Schedule & Shifts

• Monday to Friday, 10 or 12-hour shifts as needed
• Possible schedules: 4/10’s or 3/12’s, varying start times (7:00-9:30 AM for extended days)
• May include Monday, Wednesday, Friday shifts to fill schedule needs
• No weekend, weeknight, or holiday call requirements

Orientation & Training

• Unit-specific orientation: 3 shifts in the department
• 3-day orientation for first-time travelers

Additional Information

• EMR system: SIS
• Charge Nurse/House Supervisor present during day shifts, hands-on and floats as needed
• CNAs assist with patient care, bay turnover, cleaning, stocking, and wheelchair transport
• Respiratory Therapy equipment rarely used; patients typically extubated prior to PACU
• No floating required; occasional Pre-Op assistance if experienced
• Dress code: Scrubs provided; personal caps allowed if entering OR; street clothes allowed on arrival

Prior Travel Experience

• Not explicitly required; first-time travelers accepted with orientation

This position is ideal for PACU/PreOp RNs with at least 1 year of experience looking for a surgery center role with a stable weekday schedule and no call requirements.