RN: ER Mixed Shift (Full-time)

Registered Nurse (RN): Emergency Department Mixed Shift

Pagosa Springs Medical Center - Pagosa Springs, Colorado

Salary Range $38.20 - $47.75 Hourly Position Type Full Time Job Shift Any

Provide high-quality emergency nursing care in a rural Critical Access Hospital where your clinical judgment, adaptability, and ability to respond to a wide range of patient needs make a meaningful difference every shift.

This is a mixed-shift position requiring flexibility to work both day and night shifts as department needs dictate. The ideal candidate is comfortable practicing across varying shifts and brings the clinical judgment, teamwork, and adaptability needed in a rural Emergency Department.

Pagosa Springs Medical Center (PSMC) is seeking a skilled and compassionate Registered Nurse to join our Emergency Department team. The Emergency Department RN provides urgent and emergent nursing care to patients presenting with a broad range of illnesses, injuries, and acuity levels.

In this role, you will assess and triage patients, prioritize care based on clinical condition, initiate emergency nursing interventions, administer medications and treatments, monitor and reassess patients, collaborate closely with physicians and other members of the healthcare team, educate patients and families, and accurately document assessments, interventions, and changes in condition.

As a Critical Access Hospital, PSMC offers Emergency Department nurses the opportunity to maintain a broad clinical skill set and play an important role in providing essential emergency care close to home for our rural community.

Practice emergency nursing in a Critical Access Hospital serving a rural mountain community

Care for patients across a broad range of ages, conditions, and acuity levels

Work closely with physicians, EMS, nursing colleagues, and other clinical departments

Utilize and strengthen emergency nursing skills including triage, cardiac monitoring, IV therapy, airway management, medication administration, stabilization, and patient transfer

Join a collaborative team where critical thinking, adaptability, and teamwork are essential

Serve a community where access to high-quality local emergency care makes a meaningful difference

Live and work in beautiful Pagosa Springs, Colorado, surrounded by the San Juan Mountains and exceptional year-round outdoor recreation

Perform comprehensive nursing assessments and continuously reassess patients based on clinical condition

Triage patients utilizing Emergency Severity Index (ESI) guidelines

Assess cardiovascular, respiratory, neurological, hemodynamic, pain, comfort, and mental status needs

Recognize changes in patient condition and promptly communicate abnormal findings to the appropriate provider

Apply critical thinking and sound clinical judgment in a fast-paced emergency care environment

Provide nursing care within the RN scope of practice as defined by the State of Colorado

Initiate and manage treatments including IV therapy, oxygen therapy, catheters, NG tubes, orthopedic braces and splints, EKGs, and other ordered interventions

Administer medications and IV infusions safely and accurately

Monitor patients receiving procedural or conscious sedation and provide appropriate recovery care

Provide acute pain and comfort management

Perform cardiac monitoring and identify dysrhythmias, taking appropriate action based on rhythm interpretation

Support airway management, hemodynamic monitoring, vascular access, and other emergency interventions within applicable scope and demonstrated competency

Maintain infection prevention, medical and surgical asepsis, and patient safety practices

Provide age-specific, culturally competent, ethical care while protecting patient dignity, privacy, and rights

Educate patients and families regarding medications, treatment plans, pain management, follow-up care, and discharge instructions

Include patients and designated support persons in decisions affecting the plan of care

Identify individual learning needs and evaluate the effectiveness of patient and family education

Address psychosocial needs and adapt care appropriately for patients of different cultural and religious backgrounds

Collaborate effectively with Emergency Department physicians, providers, nursing staff, EMS, and other hospital departments

Communicate patient status throughout the continuum of emergency care

Coordinate transfers of care using established hospital procedures and SBAR communication

Ensure provider orders are accurate, complete, and appropriately implemented

Coordinate interdisciplinary resources based on patient needs

Provide clear and accurate handoff communication when transferring patients to another level or location of care

Complete required assessments and clinical documentation accurately in the electronic health record

Document medications, treatments, interventions, patient responses, and changes in condition

Use appropriate patient identifiers and accurately reconcile medications and allergies

Follow National Patient Safety Goals and established PSMC policies and procedures

Prioritize patient safety and take appropriate action to prevent potential errors or adverse events

Maintain required competencies, continuing education, and Emergency Department clinical skills

Communicate effectively with providers, employees, patients, and organizational leadership

Remain calm and professional in high-stress, rapidly changing situations

Demonstrate adaptability when patient needs or circumstances change

Work independently while appropriately utilizing available clinical resources

Assist with maintaining clean, appropriately stocked Emergency Department patient care areas

Serve as a resource and mentor to other staff and support continuous learning within the department

High school diploma or equivalent required

Graduate of an accredited Registered Nursing program required

Bachelor of Science in Nursing (BSN) preferred

Two (2) years of Emergency Department nursing experience preferred

Current Colorado RN license in good standing

Current AHA BLS certification for healthcare providers required

Current TNCC certification required

Current ACLS certification, or successful completion at the next available course within three months

Current PALS certification, or successful completion at the next available course within three months

Certified Emergency Nurse (CEN) certification preferred

Basic computer proficiency, including Microsoft Office and electronic health records

Strong clinical assessment and critical-thinking skills

Ability to communicate clearly and effectively with patients, families, providers, and coworkers

Ability to work independently and manage multiple priorities in a rapidly changing environment

Ability to remain calm and exercise sound judgment during escalating or high-stress situations

We're looking for an Emergency Department RN who:

Is confident assessing, prioritizing, and responding to urgent and emergent patient needs

Brings strong clinical judgment and recognizes changes in patient condition quickly

Can remain calm, organized, and compassionate in high-pressure situations

Is comfortable caring for patients with a broad range of diagnoses, acuity levels, and ages

Communicates effectively with physicians, EMS personnel, nursing colleagues, patients, and families

Values patient safety, accurate documentation, and evidence-based nursing practice

Is flexible and adaptable to the changing needs of a rural Emergency Department

Is comfortable working a mixed schedule that includes both day and night shifts

Supports colleagues and contributes positively to a collaborative clinical team

Demonstrates PSMC's WISER values of Wholeness, Integrity, Stewardship, Excellence, and Respect

This is a full-time, 0.9 FTE position, anticipated to work approximately 36 hours per week

This is a mixed-shift position. The RN will be scheduled for both day and night shifts based on department staffing and operational needs. Candidates must be able and willing to work both shifts.

Work is performed in a hospital Emergency Department environment where nurses must be prepared for frequent interruptions, rapidly changing patient conditions, and high-stress situations. The position includes potential exposure to blood and bodily fluids, communicable diseases, radiation, chemicals and hazardous materials, and the physical demands associated with lifting, moving, and positioning patients and equipment.

Base Compensation Range: $38.20 - $47.75 hourly

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