Perioperative Registered Nurse

At Snoqualmie Valley Health, we’re not just in the business of healthcare; we’re in the business of empowering our community to live boldly and live well. Our commitment to excellence and innovation calls for team members who will build trust, obsess over excellence, lead innovation, and deepen connections within our community. We are guided by our core values, and we’re looking for someone who can embody those principles as part of our dynamic and growing team.

Located in a trailblazing, adventure-loving town at the base of the Cascades, Snoqualmie Valley Health is an independent public hospital district serving a vibrant community that thrives on both adventure and connection. This is more than a job - it’s an opportunity to be part of something bigger.

JOB TITLE: Perioperative Registered Nurse - Outpatient Surgery

POSITION SUMMARY: The Perioperative Registered Nurse (RN) provides safe, efficient, and patient-centered nursing care throughout the outpatient surgical experience, including pre-operative preparation, intraoperative support, and post-operative/recovery care as assigned. The Perioperative RN performs comprehensive patient assessments, prepares patients for surgery, administers medications and treatments, supports patient recovery from anesthesia, and facilitates safe and effective transitions of care.

The Perioperative RN collaborates closely with surgeons, anesthesia providers, surgical technologists, PACU staff, and other members of the perioperative team to promote excellent patient outcomes, pre- and post-operative safety, efficient patient flow, and a positive patient experience.

ESSENTIAL FUNCTIONS:

Build Trust - We exhibit integrity, transparency, and compassion in every interaction.

• Provide compassionate, respectful, and patient-centered nursing care throughout the perioperative experience.
• Conduct comprehensive nursing assessments and communicate patient needs, concerns, and changes in condition promptly and accurately.
• Provide clear and timely education to patients and families regarding procedures, anesthesia, recovery, medications, and discharge expectations.
• Address patient anxiety, questions, and concerns with empathy, professionalism, and respect.
• Protect patient privacy and confidentiality and maintain accurate, timely documentation in the electronic health record.
• Promote a culture of psychological safety by communicating concerns and escalating patient safety issues appropriately.
• Provide thorough, accurate hand-off communication during transitions between pre-operative, intraoperative, and post-operative areas.

Obsess Over Excellence - We have high standards and seek continuous improvement.

• Deliver evidence-based perioperative nursing care consistent with organizational policies, professional standards, and regulatory requirements.
• Perform comprehensive pre-operative assessments, including medical history, medications, allergies, vital signs, and relevant risk factors.
• Verify patient identity, procedure, surgical site, informed consent, and required documentation prior to surgery.
• Initiate and maintain IV access and administer medications, IV fluids, and other treatments according to provider orders and established policies.
• Participate in surgical safety processes, including patient identification, surgical site verification, time-out procedures, counts, and specimen management.
• Maintain competency in assigned perioperative nursing functions and participate in required education and competency validation.
• Adhere to infection prevention practices, aseptic technique, medication safety standards, and other quality and patient safety requirements.
• Identify opportunities for improvement and participate in quality improvement, performance improvement, and patient safety initiatives.
• Support efficient surgical throughput, on time starts, safe room turnover, and effective patient flow.

Lead Innovation - We lead with creativity, agility and think bold in our approach.

• Adapt to changing surgical schedules, patient volumes, staffing needs, and clinical priorities while maintaining safe, high-quality care.
• Anticipate patient, procedural, equipment, and supply needs and proactively address barriers to efficient care delivery.
• Participate in initiatives that improve perioperative workflows, patient outcomes, operational efficiency, and patient experience.
• Embrace new technologies, processes, and evidence-based practices that enhance safety and quality.
• Contribute ideas and solutions that improve teamwork, communication, and coordination across the perioperative continuum.
• Demonstrate flexibility and sound clinical judgment when responding to unexpected patient or operational needs.

Deepen Connections - We build strong relationships with our patients, their families, and partners in the communities we serve.

• Establish trusting relationships with patients and families throughout the surgical experience.
• Provide individualized education that supports patient understanding, engagement, and preparedness for surgery and recovery.
• Collaborate effectively with surgeons, anesthesia providers, surgical technologists, PACU staff, procedural teams, and other healthcare partners.
• Promote seamless transitions of care through timely and comprehensive communication.
• Serve as a patient advocate by recognizing individual needs, preferences, concerns, and barriers to care.
• Support a welcoming, respectful, and inclusive environment for patients, families, and colleagues.
• Participate in cross-training and support other outpatient perioperative areas as assigned to promote continuity of care and team effectiveness.

QUALIFICATIONS

Required Education

• Graduate of an accredited nursing program.

Preferred Education

• Bachelor of Science in Nursing (BSN).

Required Licensure

• Current Registered Nurse (RN) license in Washington State.

Specialty Certification

• Basic Life Support (BLS) required.
• Advanced Cardiovascular Life Support (ACLS) preferred, or ability to obtain within the required timeframe.
• Pediatric Advanced Life Support (PALS) preferred, or ability obtain within the required timeframe.
• CPAN, CAPA, CNOR or other perioperative nursing certification preferred.

Required Experience

• Experience in perioperative, pre-operative, PACU/recovery, procedural, or acute care nursing preferred.
• Circulating and/or scrub RN experience
• Outpatient or ambulatory surgery experience strongly preferred.
• Experience working in a multidisciplinary surgical environment preferred.

Skills

• Strong clinical assessment, critical thinking, prioritization, and time-management skills.
• Excellent communication, collaboration, and patient education skills.
• Strong knowledge of perioperative nursing principles, patient safety, and infection prevention.
• Ability to recognize and appropriately respond to changes in patient condition.
• Ability to work effectively in a fast-paced, high-turnover surgical environment.
• Strong attention to detail and commitment to patient safety and quality.
• Ability to manage multiple priorities while maintaining professionalism and composure.
• Flexibility to adapt to changing schedules, case volumes, and patient needs.
• Ability to respond appropriately to patient emergencies within scope of practice and training.

WORK ENVIRONMENT

• Outpatient surgery department with exposure to pre-operative, operating room, procedural, and post-operative patient care areas.
• Fast-paced, collaborative clinical environment with frequent patient turnover.
• May involve exposure to surgical procedures, medications, bodily fluids, and other conditions typical of the perioperative healthcare environment.
• Primarily weekday hours with early start times; flexibility may be required based on surgical volume, case complexity, staffing, and operational needs.
• May require occasional extended hours, weekends, or schedule adjustments.
• May require cross-training or temporary coverage in other perioperative or procedural areas.

PHYSICAL DEMANDS

• Ability to work in a fast-paced clinical environment and manage multiple priorities.
• Ability to stand and walk for extended periods.
• Ability to lift, reposition, transfer, and assist patients using appropriate safety techniques and equipment.
• Ability to move or assist with movement of equipment and supplies as needed.
• Ability to perform tasks requiring bending, reaching, pushing, pulling, and prolonged standing.
• Ability to respond quickly and appropriately to patient emergencies.

OTHER DUTIES: Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.

BENEFITS: We believe in taking care of those who take care of our community. We’re proud to offer a comprehensive benefits package that puts your health and well-being first. With our flexible medical plan, you’ll have access to multiple in-network tiers, including top-quality care from Snoqualmie Valley Health, Eastside Health, and First Choice/First Health providers. The best part? Anyone covered under our plan can receive care at SVH at no cost! It's all about giving you the options and support you need to experience life’s great adventures.

• Medical
• Dental
• Vision
• Pharmacy
• Life and AD&D
• Retirement Plan
• Employee Assistance Program (EAP)
• Flexible Spending Account (FSA)
• Travel Assistance & ID Theft Protection
• Pet Insurance
• Other Voluntary Benefits

Benefit Eligibility Requirements - Employees regularly scheduled at least 20 hours per week.

Employee Dependents - Your legal spouse or domestic partner; dependent children until age 26.

Waiting Period - 1st of the month from the date of hire.

PLEASE NOTE

• The flu vaccine or approved exception (during flu season) is required for employment, with exemptions available for valid medical or religious reasons.
• Snoqualmie Valley Health is a drug-free workplace. We complete drug screenings as part of our onboarding process.