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Posted Apr 14, 2026

RN, Surgical Services

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Description Surgical Services RN needed for a Critical Assess Hospital to Circulate, Scrub, and Recovery - Performs patient duties in pre-operative, intra-operative, in PACU and post-operative areas. - Adapts nursing procedures to meet the needs for treatment of individual neonate, pediatric, adolescent, adult and geriatric patients. - Prepares the patient for surgery in cooperation with the anesthesia provider. - Begins and continues discharge planning and education throughout the peri-operative experience. - Observes behavioral and physiologic changes and takes appropriate actions and documents. - Assessment and reassessment of the patient is clearly and concisely communicated in charting.  - Documentation meets current standards, policies and procedures and is completed within shift. - Assess the general needs of patient, review of all systems, and assess cardio-respiratory systems for changes in patients and is able to treat appropriately - Identifies physical symptoms and changes and takes appropriate actions in a timely manner. - Ability to adequately assess and reassess pain.  Utilizes appropriate pain management techniques.  - Educates the patient and family regarding pain management. Intra-operative - Ensures Pre-op Checklist is complete (H&P present, informed consent signed, test results present, surgical site identified, etc.) before patient is taken into surgical suite. - Is consistently ready and prepared for assigned cases and has patient in the surgical suite at or before the scheduled time. - Demonstrates competence in preparing and cleaning of OR suites before and between cases and after terminal case, based on patient’s infection class. - Carries out established techniques for safe administration of medications and parenteral fluids, as per hospital policies and procedures - Coordinates and supervises patient care; provides patient and family with teaching/education, as necessary. - Demonstrates knowledge of anesthetic drugs, actions and side effects. - Demonstrates thorough knowledge of location, care and operation of all surgical equipment. Directs and assists in maintenance and handling of special equipment and instruments. - Gives thorough report of patient’s intra-operative condition to PACU nurse. - Demonstrates thorough knowledge of instrument processing, sterilization and biological monitoring.  Actively participates in instrument processing if needed. - Is able to perform all duties of circulating RN and scrub RN (once trained to scrub). Requirements - Graduate from an accredited school of nursing with Associates, Diploma or BSN Degree required - Active Idaho or compact state RN license required upon hire. - Minimum of two (2) years of surgical experience preferred - Circulating experience required - Basic Life Support (BLS) certification upon hire. Advanced Life Support (ACLS) certification within one year of hire. - Must be able to use a high level of abstract reasoning to assess patient, evaluate interventions, and revise plan of care according to patient outcomes - Strong knowledge of surgical instrumentation, sterile field management, and anesthesia recovery protocol - Ability to work independently and collaboratively in a rural environment - Excellent communication, critical thinking, and patient advocacy skills. Summary Why Join Us in Salmon, Idaho?   Competitive salary and comprehensive benefits package, including dental, vision, life & disability coverage and 457 Retirement with a match every pay period.  We work hard at maintaining a healthy work-life balance through flexible employee work scheduling.  Fun wellness program with potential health deduction savings of up to $1,200 annually and generous Paid Time Off !   Also, because we are surrounded by mountains and rivers and unmatched outdoor recreation.  Our hospital is a vital resource for the region, and our OR team plays a critical role in delivering high-quality surgical care.  We’re not just filling positions- we’re building a team that makes a difference every single day.  And yes, we’ve got the best fries in town!    Ready to scrub in?  Apply today and bring your OR superpowers to Salmon, ID - the quietest, most beautiful, small town around!     Check out all that Salmon Idaho has to offer at the link below!   Salmon, Idaho Experience   Learn more about our Benefits Here!
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