Medical Surgical Registered Nurse
Company : Prime Healthcare Services
Location : Gadsden, AL, 35901
Job Type : Full Time
Date Posted : 27 December 2025
Overview
We are seeking an Orthopedic Registered Nurse, internally referred to as our Medical Surgical RN, on the 7th floor Tower at Riverview Regional Medical Center (Gadsden, AL), a member of Prime Healthcare. An orthopedic registered nurse (RN) is a registered nurse who specializes in the care of patients with musculoskeletal disorders. They work with patients who have experienced injuries, undergone orthopedic surgery, or have long-term musculoskeletal conditions. Their duties include patient assessment, pain management, wound care, and education about the recovery process.
Bonus Options: $15,000
Shift’s Available: Nights ($4 to $8 differential in pay)
Shift’s Available: Nights
Employment Type: Full Time
Hours: 7:00PM – 7:00AM
Here are some of the benefits of working at Prime Healthcare:
- Health, dental, and vision insurance options
- Paid vacation, sick time and holidays
- Bereavement leave, FMLA and other leave options
- Employer 401K options
- Tuition reimbursement options
- Life, disability, and other insurance options
- Many other amazing benefits
Responsibilities
Essential Duties and Responsibilities (includes, but not limited to):
- conduct thorough initial assessments and ongoing evaluations of patients' physical, emotional, and mental health
- monitor vital signs, intake/output, and other clinical indicators to detect changes in patient conditions
- recognize and act on warning signs of deterioration, such as changes in heart rate, respiratory rate, or mental status
- safely administer prescribed medications (oral, IV, subcutaneous, intramuscular) and monitor for adverse effects or allergic reactions
- act as a liaison between patients, families, and the healthcare team to ensure the patient's needs are met
- provide patient education on their condition, treatment options, and lifestyle adjustments to support recovery and prevent readmission.
- communicate effectively with doctors, specialists, physical therapists, and social workers to develop and adjust care plans
Qualifications
Before we go any further, we do have some deal-breakers. You must have:
- Current and valid state RN License.
- Current BLS certificate upon hire and maintain current.
- Current ACLS certificate 30 days upon hire and maintain current preferred.
- Previous Acute Care hospital experience preferred.
- Ventilator Management experience preferred.
- Bachelor of Science in Nursing (BSN) preferred.
Full benefits at Prime Healthcare: https://www.primehealthcare.com/careers/benefits/
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Employment Status
Full TimeShift
NightsEqual Employment Opportunity
Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf
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Frequently asked questions
Gadsden's healthcare sector shows moderate demand for orthopedic-focused medical surgical RNs, with several hospitals seeking experienced nurses. Competition varies by certification and acute care experience, making ACLS and ventilator management skills valuable to stand out in this regional job market.
Working night shifts at Prime Healthcare in Gadsden offers a pay differential of $4 to $8 per hour, enhancing overall earnings. While night hours can impact sleep cycles, many RNs appreciate the quieter environment and enhanced focus on patient care during these hours.
Expertise in pain management, wound care, and patient education about orthopedic recovery are critical. Mastery in administering various medication routes and close monitoring of vital signs enhances effectiveness when managing musculoskeletal disorders.
Alabama requires a valid state RN license and current BLS certification. While ACLS certification is preferred within 30 days of hire, nurses with ventilator management experience gain a competitive edge in acute care settings.
Prime Healthcare offers comprehensive benefits like tuition reimbursement, paid leave, and employer 401k plans which foster career development. Their focus on orthopedic nursing provides unique specialization opportunities not always available at other regional hospitals.
These nurses coordinate closely with multidisciplinary teams, perform detailed patient assessments, and educate patients on recovery strategies to reduce readmission. Their role often includes managing complex wound care and monitoring for signs of clinical deterioration.
Typical salaries for medical surgical RNs in Gadsden range from $60,000 to $75,000 annually, with Prime Healthcare offering an additional $15,000 bonus and night shift differentials of $4 to $8 per hour, significantly boosting total compensation.
A typical shift involves conducting thorough physical and mental health assessments, managing pain and wound care, administering medications, and liaising with care teams to adjust treatment plans, especially for post-operative orthopedic patients.
Prime Healthcare fosters a collaborative environment emphasizing safety and professional growth. Night-shift RNs benefit from strong team communication, access to resources, and recognition programs tailored to support challenging hours.
Demand remains steady due to ongoing orthopedic surgeries and an aging population requiring musculoskeletal care. Nurses with clinical specialization in surgical nursing, including wound and ventilator management, are highly sought after, especially in full-time night roles.