Job Details: Job Location: Pagosa Springs Medical Center - PAGOSA SPRINGS, CO, Position Type: Full Time, Salary Range: $40.11 - $50.14Hourly, Travel Percentage: None, Job Shift: Day, Registered Nurse (RN) – Perioperative (OR Circulator) Enjoy a weekday OR schedule with no regularly scheduled weekends or holidays while still practicing a full scope of perioperative nursing. Department: Surgical Services Status: Full-Time | 1.0 FTE Schedule: Weekdays only; no scheduled weekends or holidays. On-call rotation required with occasional call-back. On-Call Requirement: Yes – 30-minute response time required FLSA Status: Non-Exempt Reports To: Director: Surgical Services Location: Pagosa Springs Medical Center – Pagosa Springs, Colorado Position Summary Pagosa Springs Medical Center (PSMC) is seeking an experienced and highly skilled Perioperative Registered Nurse (RN) to join our Surgical Services team. The Perioperative RN is responsible for coordinating and delivering safe, effective, patient-centered care throughout the surgical continuum, including pre-operative, intra-operative, and post-operative phases. This role serves as a key liaison between the surgical team and patients, ensuring optimal outcomes through a multidisciplinary approach. This position may function as a Circulating Nurse, Scrub Nurse, or Assistant Scrub, depending on experience and competency. Schedule Highlights Full-time position (40+ hours per week) Weekday schedule – no regularly scheduled weekends or holidays On-call rotation required with a 30-minute response time Occasional call-back may include evenings, weekends, or holidays Enjoy a more predictable schedule compared to traditional hospital OR roles Key Responsibilities Perioperative Patient Care Provide comprehensive nursing care throughout pre-op, intra-op, and post-op phases Perform patient assessments, develop care plans, and monitor patient response Ensure all surgical consents and documentation are complete and accurate Act as a patient advocate throughout the surgical experience Intraoperative Nursing (Circulator Role) Maintain a safe surgical environment outside the sterile field Coordinate surgical team activities and ensure procedural efficiency Assist with patient positioning, surgical prep, and intraoperative monitoring Communicate patient status to surgical team and family as appropriate Surgical Support & Sterile Technique Assist in establishing and maintaining sterile fields Perform scrub role duties based on experience and competency Assist anesthesia during induction and recovery phases Ensure proper handling of specimens and surgical instruments Safety & Quality Follow National Patient Safety Goals and infection prevention protocols Ensure correct patient, procedure, site, and documentation verification Prevent retained surgical items through proper counting procedures Maintain surgical asepsis and reduce risk of infection Team Collaboration & Leadership Collaborate with surgeons, anesthesia, surgical techs, and interdisciplinary teams Assist in supervision and support of surgical support staff Participate in staff education, training, and mentoring Support departmental quality improvement initiatives Join a Hospital That Feels Like Family – In a Town That Feels Like Home  Pagosa Springs Medical Center is an award-winning, independent Critical Access Hospital serving the residents and visitors of Archuleta County and the surrounding region. As a modern rural hospital, PSMC delivers exceptional emergency, primary, and specialty care supported by advanced technology, a collaborative medical staff, and a leadership team committed to quality, safety, and patient-centered service.  At PSMC, you are not just a number – you are a valued team member whose contributions make a real difference. We prioritize professional growth, meaningful work, and a positive, supportive workplace culture grounded in our WISER values: Wholeness, Integrity, Stewardship, Excellence, and Respect.  What you’ll find at PSMC:  A supportive, collaborative culture where people truly care about each other  Modern facilities and growing service lines  Leadership that listens and invests in staff  Opportunities to learn, grow, and advance your career  A place where you can have direct impact on patient care and community wellness  Live Where Other People Vacation   Pagosa Springs is a mountain paradise tucked among the rugged peaks of the San Juan National Forest. Here, you can step into nature the moment you clock out:   Relax in our world-famous hot springs  Ski or snowboard at Wolf Creek Ski Area – “the most snow in Colorado,” just 30 minutes away  Explore hundreds of miles of hiking, biking, and off-roading trails  Enjoy fly fishing, rafting, or paddle boarding on pristine rivers and lakes  Experience warm, friendly community with local festivals, live music, farmers markets, and small-town charm  If you’re looking for meaningful work, work-life balance, and a community that embraces you – PSMC and Pagosa Springs are the perfect place to build your future.  Qualifications: Education Graduate of an accredited Registered Nurse (RN) program BSN preferred but not required Experience Minimum two (2) years of perioperative experience strongly desired Experience in surgical specialties such as: Orthopedics General surgery Gynecology Ophthalmology ENT Interventional pain management Endoscopy or GI experience preferred Licensure & Certifications Current Colorado RN license in good standing Current AHA BLS certification ACLS certification required (or within 3 months of hire) PALS certification required (or within 3 months of hire) CNOR certification preferred CRNFA certification a plus Skills Strong perioperative clinical knowledge and critical thinking skills Ability to manage high-acuity surgical cases Knowledge of sterile technique and surgical safety protocols Strong communication and teamwork abilities Ability to remain calm and effective in high-pressure situations Work Environment Hospital surgical suite and perioperative settings Exposure to blood, bodily fluids, radiation, chemicals, and surgical instruments Fast-paced environment with potential for high-stress situations Physical demands include standing, lifting, and assisting with patient positioning Compensation & Benefits Base Compensation Range: $40.11 - $50.14 hourly On-Call Pay: Additional compensation provided for on-call coverage and call-back hours Starting Work Bonus: This position is eligible for a starting work bonus of up to $5,000. Eligibility, amount, and payment terms are subject to Pagosa Springs Medical Center’s compensation policies and may vary based on position, experience, and employment status. Bonus payments, if applicable, are typically issued after the employee has met required employment and service criteria.  Moving Expense Reimbursement: This position is eligible for a moving expense reimbursement of up to $3,000. Reimbursement is subject to Pagosa Springs Medical Center’s relocation policy and requires prior approval. Eligible expenses and reimbursement amounts may vary based on position and individual circumstances. Reimbursement is processed in accordance with established policy and applicable tax regulations.  Benefits: Benefits include generous paid time off, separate sick leave, health, dental, vision, life and AD&D insurance, long-term disability and option for short-term disability, and retirement plan with employer contribution.   Anticipated End Date for Posting: October 31, 2026. The deadline may close sooner due to an unanticipated business necessity, such as an incumbent vacating the role earlier than anticipated. You are encouraged to apply well in advance of the deadline.   Pagosa Springs Medical Center is an Equal Opportunity Employer. All qualified applicants will be considered for employment, and we will not discriminate against any person on the basis of race, color, national origin, disability, age, sex, religion, creed, ancestry, sexual orientation, marital status, or any other characteristic protected by law. Offers of employment are contingent upon successful completion of a pre-employment health and drug screen and background check.