Registered Nurse - Operating Room (OR)

Akicita Federal, LLC

$166K — $176K *
Healthcare
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • Active, unrestricted RN license valid in South Dakota or compact state.
  • Hands-on experience in surgical nursing or related acute care specialty.
  • Ability to perform sterile technique and OR safety protocols.
  • Competent in IV insertion and multiple medication administration routes.
  • Availability for Monday-Friday, daytime shifts.

Responsibilities

  • Provide pre-operative assessments and prepare patients for surgery.
  • Perform surgical timeouts, counts, and manage sterile supplies for safety.
  • Administer medications as per perioperative and post-operative care plans.
  • Manage post-operative pain and monitor patient recovery effectively.
  • Perform venipuncture and skin punctures for IV placement and blood collection.
  • Operate and maintain sterile surgical equipment and operating suites.
  • Float to support various departments as needed.

Benefits

  • Dedicated team environment contributing to improved healthcare standards.
  • Opportunity to work in a impactful rural healthcare setting.
  • Potential for professional growth in a specialized nursing role.
  • Unique chance to serve and engage with Native American communities.
Full Job Description
You will work alongside a dedicated hospital nursing team, providing hands-on perioperative and surgical support that directly raises the standard of health care available to American Indian patients and their families.

- Provide comprehensive pre-operative assessments and prepare patients for surgical procedures in a rural hospital setting.

- Perform surgical timeouts, surgical counts, and sterile supply passes to maintain patient safety and OR integrity.

- Administer medications via oral, transdermal, intravenous, intramuscular, sublingual, and subcutaneous routes as part of perioperative and post-operative care plans.

- Manage post-operative pain, monitor patient recovery, and coordinate handoff to appropriate care teams.

- Perform adult and neonatal venipuncture and skin puncture for IV placement and blood collection.

- Operate and maintain sterile operating suites and surgical equipment, including oxygen therapy systems and extremity tourniquets.

- Float as needed to the Emergency Room, Outpatient Clinic, or Acute Care In-Patient units to support patient observation, medication administration, or other intermittent care needs.

$166,400 - $176,800 a year

Weekly rate: $3,200-$3,400 per week.

- Active, unrestricted Registered Nurse (RN) license valid for practice in South Dakota or a compact state license accepted by South Dakota.

- Hands-on experience in surgical nursing, perioperative care, or a closely related acute care nursing specialty.

- Demonstrated ability to perform sterile technique, surgical counts, and OR safety protocols.

- Competency in IV insertion, medication administration across multiple routes, and post-operative pain management.

- Availability to work Monday-Friday, 7:00 AM-3:30 PM (five 8-hour shifts per week) on-site at Pine Ridge IHS Hospital.

What sets candidates apart:

- Prior experience working in a rural, critical-access, or tribal health care facility.

- Familiarity with Indian Health Service care environments, policies, or patient populations.

- Certification in perioperative nursing (e.g., CNOR) or related specialty credential.

- Experience floating across multiple units including emergency, outpatient, or inpatient acute care settings.

- Demonstrated commitment to culturally responsive care for Native American communities.

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