Per Diem Pre-Op / PACU Registered Nurse (RN) - Ambulatory Surgery Center
$45-$47/hour | Per Diem | 8-Hour Day Shifts | Multi Specialty Ambulatory Surgery Center
We’re hiring experienced Pre-Op / PACU Registered Nurses for per diem opportunities in a busy ambulatory surgery center. This role is ideal for seasoned RNs with strong IV skills, PACU or acute care experience, and a background supporting patients through pre-op, recovery, and discharge in an outpatient procedural setting.
Position Details
- Per diem schedule
- 2-3 shifts per week
- 8-hour shifts between 6:00 AM-5:00 PM
- $45-$47/hour
- Immediate start available
Why This Role Appeals to Pre-Op / PACU RNs
- Strong hourly pay
- Employee-friendly day schedule
- Excellent work-life balance
- Fast-paced but predictable outpatient setting
- Supportive clinical environment
- Opportunity for long-term placement and growth
Position Summary
As a Pre-Op / PACU RN, you will provide comprehensive perioperative nursing care for patients undergoing GI procedures such as colonoscopy and endoscopy. We’re looking for a clinically strong RN who is comfortable with pre-op assessment, IV starts, post-anesthesia recovery, discharge teaching, and rapid recognition of changes in patient condition.
Key Responsibilities Pre-Operative Care
- Complete pre-op nursing assessments including medical history, allergies, medications, and NPO status
- Verify patient identity, consents, and procedural readiness
- Start IVs and administer pre-operative medications as ordered
- Educate patients and families on procedure expectations, anesthesia, and recovery process
- Collaborate with providers, anesthesia, and procedural staff to ensure safe patient readiness
- Identify and escalate abnormal findings or safety concerns before procedure start
PACU / Recovery Responsibilities
- Provide immediate post-anesthesia recovery care following GI procedures
- Monitor airway, breathing, circulation, vital signs, pain level, and neurological status
- Manage pain, nausea, vomiting, and other post-procedure symptoms per protocol
- Recognize and respond to complications such as respiratory changes, hypotension, bleeding, or delayed recovery
- Administer medications, oxygen therapy, and other interventions as ordered
- Support patient stabilization and progression to discharge criteria
- Communicate clearly with anesthesia providers, physicians, and clinical team regarding patient status
- Complete timely and accurate EMR documentation
Discharge Responsibilities
- Ensure patients meet discharge criteria for ambulatory surgery center release
- Provide verbal and written discharge instructions to patients and caregivers
- Reinforce post-procedure care, activity restrictions, symptom monitoring, and follow-up guidance
- Coordinate safe discharge and confirm transportation arrangements
Required Qualifications
- Active and current Registered Nurse (RN) license
- Current BLS certification
- Current ACLS certification, or ability to obtain within required timeframe
- Minimum 4-5 years of RN experience in acute care, ambulatory surgery, hospital, or perioperative settings
- Strong IV insertion and medication administration skills
- Experience with EMR documentation
- Ability to work effectively in a fast-paced outpatient surgical environment
Required Experience
- Recent experience in Pre-Op, PACU, ambulatory surgery center, or hospital-based perioperative nursing
- Experience recovering patients after anesthesia or conscious sedation
- Experience supporting same-day surgery or procedural patients from intake through discharge
- Strong clinical judgment and comfort escalating changes in patient condition
Preferred Background
- Ambulatory surgery center experience
- PACU experience
- Acute care or hospital RN experience
- Emergency Department, Level 1 Trauma, perioperative, or surgical services background
- Experience in gastroenterology, endoscopy, orthopedics, ENT, urology, pain management, or other procedural specialties
Key Skills
- Strong IV skills
- Pre-op assessment
- PACU recovery
- Conscious sedation recovery
- Discharge education
- Patient safety and rapid clinical assessment
- Multitasking in a high-flow procedural setting
- Clear communication with patients, families, and interdisciplinary teams
Work Environment
This is a fast-paced ambulatory surgery center role focused on safe, efficient same-day procedural care. Candidates should be comfortable moving between pre-op and recovery workflows, supporting multiple patients throughout the shift, and maintaining strong attention to detail in a high-accountability clinical environment.
- Pre-Op RN
- PACU RN
- Ambulatory Surgery Center RN
- ASC RN
- Per Diem RN
- Recovery Room RN
- Post Anesthesia Care Unit
- GI Lab RN
- Endoscopy RN
- Pre-Admission / Recovery RN
- IV skills
- Cous sedation recovery
- Same-day surgery
- Perioperative RN
Pay: $45.00 - $47.00 per hour
Experience:
- PACU/ Pre Op/Or Circulating: 2 years (Preferred)
- excellent IV skills : 2 years (Preferred)
- Hospital, Acute Care or PACU RN: 2 years (Preferred)
License/Certification:
Ability to Commute:
- Bronx, NY 10453 (Required)
Work Location: In person
