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Advanced PACU RN | Certified Post Anesthesia Nurse

Rancho Santa Margarita, CA
$69,599 - $83,099 a year

Start date:

01 Feb 2026

Job Type:

Full Time

Job Details

Position Overview

This Post Anesthesia Care Unit Registered Nurse (PACU RN) at the Clinical Nurse II level plays a crucial role in delivering compassionate, patient-focused care during the perioperative period. The role demands advanced clinical skills, specialized certifications, and the ability to work independently while collaborating with a multidisciplinary team to ensure patient safety and optimal recovery outcomes.

Key Responsibilities

Patient Care

  • Coordinate with the interprofessional healthcare team to provide safe, efficient, and equitable care to surgical patients.
  • Perform thorough preoperative and postoperative assessments to tailor individualized care plans.
  • Monitor patient responses post-surgery and intervene promptly when necessary.
  • Advocate for patients, ensuring their dignity and comfort throughout the care process.
  • Evaluate the effectiveness of care provided by the team and contribute to continuous improvement.
  • Educate patients and families on medical conditions, medications, and postoperative care instructions.
  • Promote evidence-based practices within the PACU setting.

Safety and Compliance

  • Maintain a clean, safe environment adhering to infection control and aseptic techniques.
  • Comply with regulatory standards including The Joint Commission, OSHA, and AORN guidelines.
  • Identify and report safety concerns, actively participating in resolving systemic issues.

Documentation

  • Accurately document perioperative care, patient progress, and any incidents in the electronic medical record system.

Professional Development and Leadership

  • Mentor and precept new graduate nurses, new hires, and students to support their growth.
  • Engage in continuing education, certifications, workshops, and quality improvement initiatives.
  • Serve as a resource and advocate for best practices within surgical services.
  • Assume charge nurse responsibilities as needed.

Emergency Preparedness

  • Respond decisively and effectively in critical situations such as cardiac arrest, demonstrating advanced clinical skills and calm under pressure.

Qualifications

Experience

  • Experienced PACU RN: Minimum of two years in a Pre-op/PACU unit.
  • Transitional RN Program: Minimum of five years in ICU, Emergency Department, or similar critical care settings.

Competencies

  • Proficient in core PACU skills including airway management, pain control, hemodynamic monitoring, and postoperative assessment.
  • Strong understanding of anatomy, physiology, anesthesia types, postoperative complications, and emergency protocols.
  • Excellent verbal and written communication skills to collaborate effectively with surgical teams and patients.

Education

  • Bachelor of Science in Nursing (BSN) preferred; Associate Degree in Nursing (ADN) considered with five years of relevant experience in high-acuity PACU or critical care settings.

Licenses and Certifications

  • Current Registered Nurse license in the applicable state.
  • Basic Life Support (BLS) certification from the American Heart Association.
  • Advanced Cardiovascular Life Support (ACLS) certification from the American Heart Association.
  • NIH Stroke Scale (NIHSS) certification.
  • Preferred: Certified Ambulatory Perianesthesia Nurse (CAPA) or Certified Post Anesthesia Nurse (CPAN) or equivalent.

All candidates must successfully complete a physical evaluation, drug screening, and background checks prior to employment.

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