PACU Nurse Jobs in Texas
PACU Nurse jobs in Texas are among the most active in the country, concentrated in large acute-care hospital systems, trauma centers, and ambulatory surgery centers serving one of the nation's largest and fastest-growing state populations, with openings at every level from new graduate to senior clinical lead. The heaviest hiring is in Houston, Dallas, and San Antonio, where major employers such as HCA Houston Healthcare, Baylor Scott and White Health, and Methodist Health System maintain large perioperative programs. The highest demand is for nurses with cardiac, pediatric PACU, and orthopedic surgical recovery experience. Find a role that fits below and apply directly.
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Job Purpose:
The Pre-Op/Post-Op Registered Nurse is responsible for assessing, planning, implementing and coordinating patient care from admission to discharge. The Registered Nurse prepares patients for surgical procedures, monitors and cares for patients post-operatively and is responsible for the achievement of patient outcomes in accordance with the mission of the facility.
Duties and Responsibilities:
- Assesses patient status on admission and on an ongoing basis
- Implements appropriate standards of care based on assessment data and patient’s goals
- Coordinates nursing interventions to enhance achievement of expected outcomes and to ensure readiness for discharge
- Ensures provision of patient care daily in an organized and timely manner
- Documents response to nursing action and provides instructions to the patients
- Treats patients and guests with courtesy, respect and professionalism
- Provides pertinent patient information to the physician, family and other members of the multidisciplinary team
- Stocks unit and carries out unit routine, check crash cart and counts narcotics
- Responds to phone calls and anticipates patient needs
- Documents all unusual occurrences and post-operative complications for QI follow up
- Practices infection control and standard precautions as instructed or trained
- Adheres to all Round Rock Surgery Center policies and procedures
- Performs all other duties as assigned by supervisor
- Demonstrates regular and predictable attendance
Knowledge, Skills, Abilities:
- Knowledge and experience in PACU nursing or critical care
- Knowledge and experience in ASC, operating room or ASC nursing care
- Competence in assessing, treating and caring for patients based on age-specific needs
- Ability to set priorities and provide direction to others that promotes efficiency on the unit
- Ability to correlate clinical data with patient’s medical and nursing care
- Effective communication and positive interpersonal skills
- Ability to maintain patient confidentiality
- Ability to transcribe physicians orders accurately and read labels and instructions completely
Supervision: Reports directly to the Director of Nursing and Administrator
Requirements:Minimum Qualifications:
- Graduate of an Accredited School of Nursing
- Current licensure to practice in the State of Texas, successful completion of Basic Cardiac Life Support Course; ALCS required and PALS preferred
- Two years’ experience in PACU, ICU or ER nursing
Working Conditions:
Environmental Conditions: Medical Office environment, Ambulatory Surgery Center
Physical Conditions:
Must be able to work as scheduled. Good visual acuity and accurate color vision. Ability to lift/transfer patients in excess of 100 pounds, which may require pushing, pulling and essentially utilizing a full range of body movement. Ability to push a gurney with a 150-pound patient on it. Ability to stand, walk, stop, kneel, crouch and/or crawl. Ability to reach, grasp, use fine finger movement and feel fine sensation to discern temperature, texture, size and shape. Ability to lift 25-pound instrument trays. Ability to push heavy equipment on wheels within the OR suite. Ability to wear lead apron.
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Find PACU Nurse JobsPACU Nurse Jobs by City in Texas
Where Texas roles are concentrated, by current openings.
PACU Nurse Job Market in Texas
A snapshot from current Texas openings, updated as new roles post.
Who's Hiring
- SCA Health13

- CHRISTUS Health13

- Surgery Ventures6

- Medical City Healthcare6

- Townsen Memorial Hospital6

Top Industries Hiring
- Healthcare & Medical Services
What Texas Employers Look For
The qualifications that appear most often in PACU nurse jobs across Texas.
- Active RN license issued or recognized by the Texas Board of Nursing
- Current BLS and ACLS certification required at time of hire
- Minimum one to two years of acute-care RN or perioperative nursing experience
- CPAN or CAPA certification preferred or required for senior-level positions
- Demonstrated experience monitoring post-anesthesia patients and managing airways
- Proficiency with electronic health record systems used in Texas surgical settings
PACU Nurse Jobs in Texas: Frequently Asked Questions
How do you become a pacu nurse in Texas?
To become a pacu nurse in Texas, you must first hold an active registered nurse license issued by the Texas Board of Nursing, which requires completing an accredited ADN or BSN program and passing the NCLEX-RN exam. Most Texas hospitals require at least one year of acute-care experience, often in an ICU or surgical unit, before moving into a PACU role. Earning the CPAN credential through the American Board of PeriAnesthesia Nursing strengthens your candidacy significantly.
How much do PACU nurses make in Texas?
PACU nurses in Texas earn a median of about $95,970 a year, based on May 2025 Bureau of Labor Statistics wage data, ranging from around $67,120 for the lowest 10% to over $127,950 for the top 10%. Pay rises with experience, specialty, and employer.
Which companies hire pacu nurses in Texas?
Employers hiring pacu nurses in Texas right now include SCA Health, CHRISTUS Health, and Surgery Ventures, based on current listings on Migrate Mate as of August 2026. Texas's large integrated health systems operate multiple surgical facilities across the state, meaning openings appear regularly at both flagship medical centers and regional community hospitals throughout the year.
Which Texas cities have the most pacu nurse jobs?
Houston, San Antonio, and Austin have the highest concentration of pacu nurse openings in Texas. Houston's massive Texas Medical Center anchors demand in the south, while Dallas and San Antonio support large perioperative programs through their major health systems and Level I trauma centers, creating steady openings across both flagship hospitals and the growing network of suburban surgical facilities surrounding each metro.
Are there remote pacu nurse jobs in Texas?
Yes, but they're rare. PACU nursing is a hands-on, bedside role requiring direct patient monitoring in a clinical setting, so the vast majority of positions require on-site presence. About 0% of pacu nurse openings tied to Texas are remote or hybrid as of August 2026, and those limited exceptions typically involve administrative, education, or case management responsibilities layered onto a clinical background.
How can I get hired as a pacu nurse in Texas with little or no experience?
The most realistic entry path is applying to a nurse residency or perioperative fellowship program at a large Texas health system. Baylor Scott and White Health, HCA Houston Healthcare, and Methodist Health System all run structured new-graduate residencies that include surgical and post-anesthesia rotations. Starting in a medical-surgical or ICU role at a Texas hospital builds the patient assessment skills PACU hiring managers look for, and completing your ACLS certification before applying gives you a concrete edge.
Where can I find and apply to pacu nurse jobs in Texas?
You can find and apply to pacu nurse jobs in Texas on Migrate Mate, which lists current Texas openings from employers actively hiring in the state. Search the listings, find roles that match your experience and preferred location, and apply directly to the positions that fit.
See All 100 PACU Nurse Jobs in Texas
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