Surgical Services RN***Eligible for $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.