PACU Registered Nurse

HCA Healthcare · Houston, TX Full Time
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Job Description

Work schedule: 4 days per week, 10-hour shifts/Weekdays Only; 30-minute commutable address to facility for On-Call. Stroke response times nearly half of the national average. Cutting-edge SPOT Technology that detects sepsis earlier than the human eye. An Enhanced Surgical Recovery program that reduces opioid prescriptions and post-surgical readmissions. As a national learning health system, we're transforming care delivery, advancing clinical outcomes, and empowering our nursing teams in a collaborative effort to give people a healthier tomorrow. Join us! Job Summary and Qualifications As a PACU Registered Nurse, you will play a critical role in the immediate post-operative care of surgical patients. Your responsibilities will include managing airway support, closely monitoring neurological and cardiac status, and responding promptly to any complications or side effects. You will provide initial wound care to the patients' surgical site and ensure patient stability during recovery. You will collaborate with the surgical and anesthesia team. This role includes on-call availability during select non-business hours which will be discussed in the interview. What You Will Do In Your Role: You will care for and manage the surgical patient in the post-anesthesia period. You will consistently apply the nursing process, critical thinking skills, scientific judgment, technical skills and leadership to independently deliver safe nursing care to patients. You will collaborate with the patient care team to achieve quality patient outcomes. You will provide communication, confidence, and professionalism as evidenced by active engagement in unit and organizational activities. You will demonstrate team work, adaptability, and serve as a resource to the patient care team. You will have accountability for delivering quality nursing care services and for promoting a positive image of nursing. What qualifications you will need: Graduate of an Accredited School of Nursing is required. BSN is preferred. Current Registered Nurse License in the State of Texas or Multi-State Compact License (Employees with RN Compact License are required to obtain Texas RN License within 90 days of hire date). Current BLS, ACLS, and PALS Certification are required. 1-year of clinical PACU experience as a licensed RN in an acute care setting [Recovery, Post-Anesthesia, Post-Operative, Pre-Op, Peri Anesthesia, Perioperative, Surgical Services, Surgery, Operating Room, OR] Benefits HCA Houston Healthcare Northwest, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include: Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services Wellbeing support, including free counseling and referral services Time away from work programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence Savings and retirement resources , including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending acc

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What Most Job Listings Don’t Tell You

General overview for this role type — specific duties and requirements vary by employer.

Nursing roles in senior living are fundamentally different from hospital nursing. Most positions involve building long-term relationships with the same residents over months or years rather than cycling through new patients every shift. Facilities in the Houston area typically require an active Texas RN or LVN license, current CPR/BLS certification, and many prefer at least one year of geriatric or long-term care experience.

Shift patterns vary widely โ€” some facilities run traditional 8-hour shifts (day, evening, night), while others use 12-hour rotations. Weekend and holiday coverage is almost always part of the schedule. The nurse-to-resident ratio in assisted living is generally more favorable than in hospitals, but you will likely be the highest-level clinical staff on the floor during your shift, which means more autonomy and more responsibility for clinical judgment calls.

What to Expect in This Role Day-to-Day

Based on typical senior living facilities in the Houston area.

A typical shift starts with medication pass and resident assessments. You will review overnight notes from the previous shift, check vitals for residents on your watch list, and coordinate with CNAs on any changes in condition. Mid-shift usually involves documentation, family communication, and working with physicians on care plan updates โ€” often by phone or telehealth rather than in-person rounds.

Depending on the facility, you may also handle admissions paperwork, manage wound care, supervise medication techs, and respond to emergencies. The documentation load in senior living is significant โ€” state surveys and compliance requirements mean thorough charting is non-negotiable. Many nurses in this setting say the most rewarding part is knowing their residents personally and being able to notice subtle changes that a rotating hospital nurse might miss.

Houston Area Salary Data

According to the Bureau of Labor Statistics, Registered Nurse positions in the Houston metro area earn a median wage of $47.02/hr ($97,802/yr). The typical range is $38.29 – $50.95/hr (25th–75th percentile).

Entry Level (10th) $69,368/yr
Houston Median $97,802/yr
Experienced (90th) $125,320/yr
vs. National Median +4.5%

Source: Bureau of Labor Statistics, Occupational Employment & Wage Statistics (Houston-Pasadena-The Woodlands, TX Metro Area). Salary data provided by Houston Senior Living Guide.

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