Part-time Surgery Registered Nurse; RN

Floyd County Medical Center is aware of questions regarding the status of our Obstetrics program. We want to clarify that FCMC is not closing its Obstetrics program. We continue to provide labor and delivery services and obstetrical care for the communities we serve. Patients with questions regarding their care are encouraged to contact our Rural Health Clinic at .

Surgical Services:
Pre-op, Post-op, PACU, Circulator Nursing

Part-time (0.6 FTE)

The Surgery RN is responsible for providing comprehensive perioperative nursing care to surgical patients across all age groups — from neonates to geriatric. The RN collaborates with the surgical team to ensure patient safety, proper technique, and optimal surgical outcomes.

Nursing Process

• Provide pre-operative education to patients and families.
• Explain surgical principles, goals, and instructions.
• Utilize individualized teaching strategies.
• Confirm patient identity, chart completeness, and procedure site.
• Supervise care and staff in the assigned operating room.
• Assist the surgeon and anesthesia team during procedures.
• Maintain and ensure sterile technique and best practices.
• Participate in evaluating and improving standards of patient care.
• Identify and address inappropriate care practices.
• Mentor and supervise assigned personnel.
• Communicate effectively with staff and patients.
• Engage in ongoing professional education and development.
• Monitor and intervene in environmental safety concerns.
• Evaluate and suggest improvements for OR procedures, supplies, and equipment.
• Stay current with trends in perioperative nursing.

Same Day Surgery (SDS)

• Ensure completion of nursing assessments and consent forms.
• Confirm all pre-op orders are completed.
• Administer and document medications.
• Initiate IV lines and fulfill pre-op requirements.
• Document vital signs and pre-op data in the patient chart.
• Alert anesthesia and surgeons of abnormal pre-op results (e.g., labs, vitals, EKG).
• Complete discharge processes as per surgeon’s orders.
• Deliver clear discharge instructions and verify patient understanding.

Circulating Nurse Duties

• Prepare OR using surgeon preference cards.
• Assess and meet patient’s physical, emotional, and safety needs.
• Lead and document surgical time-out.
• Complete patient charting and OR records.
• Perform counts of sponges, sharps, and instruments with the scrub nurse.
• Label and dispatch specimens correctly.
• Document all medications used intraoperatively.
• Provide accurate post-op handoff to PACU nurse.
• Set up recovery area for incoming patients.
• Monitor patients during anesthesia recovery.
• Record vital signs and assess post-anesthesia condition.
• Address symptoms like pain or nausea.
• Communicate patient status to surgeon and anesthesia provider.
• Enter vital data into the patient record.
• Provide thorough hand-off reports.

General RN Responsibilities

• Report changes and updates in OR activity to appropriate team members.
• Notify staff of surgery schedule changes.
• Prepare surgical suites and equipment for upcoming procedures.
• Transport patients when available.
• Demonstrate proper use of standard precautions.
• Uphold infection control practices and hospital protocols.

• Associate Degree in Nursing (minimum)
• Minimum one (1) year surgery experience preferred.
• Two (2) years acute care hospital nursing experience required.

• Sound understanding of nursing theory and evidence-based practice
• Ability to make clinical judgments and assume responsibility
• Strong computer and documentation skills
• Legible handwriting and ability to print clearly
• Mandatory Reporter certified
• Team-oriented with effective communication skills
• Strong organizational and time management abilities
• Ability to handle difficult or emotional situations with tact and composure

• Current RN license in the State of Iowa
• Basic Life Support (BLS)
• Advanced Cardiac Life Support (ACLS)
• Pediatric Advanced Life Support (PALS)
• Completion of Rhythm Interpretation Class
• IV Therapy Training

• Sit:
  Frequent
• Stand:
  Frequent
• Walk:
  Frequent
• Lift:
  • 10 pounds Frequent
  • 25 pounds:
    Occasio…