Emergency Room Registered Nurse

RN: ER Mixed Shift (Full-time)Pagosa Springs Medical Center - Pagosa Springs, ColoradoPosition SummaryPagosa Springs Medical Center (PSMC) is seeking a skilled and compassionate Emergency Department Registered Nurse (RN) to join our emergency care team.The ED RN provides urgent and emergent care to patients presenting to the Emergency Department, performing triage, clinical assessment, stabilization, and treatment of acute conditions. This role requires strong clinical judgment, critical thinking, and the ability to work effectively in a fast-paced environment while collaborating closely with physicians, EMS providers, and interdisciplinary care teams.The ideal candidate thrives in high-acuity environments and is committed to delivering safe, patient-centered emergency care.Schedule HighlightsFull-time position (36 hours per week)Mixed shift scheduleShifts include both days and nights based on department needsRotating coverage may include weekends and holidaysKey ResponsibilitiesEmergency Patient CarePerform triage assessments using ESI (Emergency Severity Index) guidelinesAssess and monitor patients' clinical condition and prioritize care accordinglyProvide emergency nursing care and interventions to stabilize acute conditionsPerform comprehensive patient assessments including cardiovascular, respiratory, neurological, and hemodynamic statusClinical InterventionsInitiate treatments including IV therapy, oxygen therapy, cardiac monitoring, splinting, catheter placement, and other emergency proceduresAdminister medications safely using the seven rights of medication administrationMonitor patient responses to treatment and reassess condition throughout the ED stayPatient Education & SupportEducate patients and families about diagnoses, treatments, medications, and discharge instructionsProvide emotional support and guidance during emergent situationsPromote patient safety and participation in the care planCare CoordinationCollaborate with physicians, advanced practice providers, EMS personnel, and hospital departmentsCommunicate patient status and care plans effectively across the care teamFacilitate appropriate patient transfers and admissions using standardized handoff methods (SBAR)Documentation & ComplianceDocument patient assessments, treatments, and changes in condition in the electronic health recordMaintain compliance with hospital policies, regulatory requirements, and patient safety standardsParticipate in quality improvement initiatives and departmental competenciesWhy Join PSMC?Located in the beautiful mountain town of Pagosa Springs, PSMC offers the unique opportunity to serve a rural community while working in a mission-driven healthcare facility. As the only hospital and EMS service in Archuleta County, we value innovation, collaboration, and compassionate care.About Our CommunityPagosa Springs is not only a wonderful place to work, but also a wonderful place to live. Pagosans are warm and friendly people, proud of their community and proud of their medical center. The Pagosa Springs area boasts great public schools in addition to a variety of alternative education options. The region offers numerous recreational opportunities. Wolf Creek ski area is just 24 miles away and is surrounded by trails for snowshoeing, cross-country skiing, and snowmobiling. Hiking, biking, ATV riding, hunting, boating, fly-fishing, and kayaking opportunities abound in the warmer months. Pagosa Springs is home to the world's deepest geothermal hot spring and is located one hour east of Durango, CO and a short drive north of the New Mexico state line.QualificationsEducationGraduate of an accredited Registered Nurse (RN) programBSN preferredExperienceMinimum two (2) years of Emergency Department experience preferredLicensure & CertificationsCurrent Colorado RN license in good standingCurrent AHA BLS certification for healthcare providersTNCC certification requiredACLS certification required (or must obtain within 3 months of hire)PALS certification required (or must obtain within 3 months of hire)CEN (Certified Emergency Nurse) certification preferredSkillsStrong emergency assessment and triage skillsAbility to respond effectively in high-stress clinical situationsKnowledge of cardiac monitoring and dysrhythmia recognitionExcellent communication, teamwork, and critical thinking abilitiesProficiency with electronic health record systemsWork EnvironmentHospital emergency department with high-acuity patient careExposure to blood, bodily fluids, communicable diseases, and hazardous materialsFast-paced environment with frequent interruptions and urgent situationsPhysical demands include standing, walking, lifting, and assisting patientsCompensation & BenefitsBase Compensation Range: $33.25 - $51.40 hourly, based on years of relevant experience.Shift Differential Pay: Swing Shift Differential: Employees who work majority of hours between 2:00 p.m. and 11:00 p.m. receive a Swing Shift Differential of an additional $5.00 per hour.Night Shift Differential: Employees who work majority of hours between 6:30 p.m. and 7:00 a.m. receive a Night Shift Differential of an additional $5.00 per hour.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.Job Type: Full-timeShift Type: Mixed shift – shifts will be both day and night shifts, as need dictates.Anticipated End Date for Posting: August 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.