RN: ER Mixed Shift (Full-time)
Registered Nurse (RN) – Emergency Department
Department: Emergency Department
Status: Full-Time | 0.9 FTE (36 hours/week)
Shift Type: Mixed Shift – shifts will include both day and night shifts, as department needs dictate
FLSA Status: Non-Exempt
Reports To: Manager – Emergency Department / Med Surg / Respiratory Services
Location: Pagosa Springs Medical Center – Pagosa Springs, Colorado
Position Summary
Pagosa 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 Highlights
- Full-time position (36 hours per week)
- Mixed shift schedule
- Shifts include both days and nights based on department needs
- Rotating coverage may include weekends and holidays
Key Responsibilities
Emergency Patient Care
- Perform triage assessments using ESI (Emergency Severity Index) guidelines
- Assess and monitor patients’ clinical condition and prioritize care accordingly
- Provide emergency nursing care and interventions to stabilize acute conditions
- Perform comprehensive patient assessments including cardiovascular, respiratory, neurological, and hemodynamic status
Clinical Interventions
- Initiate treatments including IV therapy, oxygen therapy, cardiac monitoring, splinting, catheter placement, and other emergency procedures
- Administer medications safely using the seven rights of medication administration
- Monitor patient responses to treatment and reassess condition throughout the ED stay
Patient Education & Support
- Educate patients and families about diagnoses, treatments, medications, and discharge instructions
- Provide emotional support and guidance during emergent situations
- Promote patient safety and participation in the care plan
Care Coordination
- Collaborate with physicians, advanced practice providers, EMS personnel, and hospital departments
- Communicate patient status and care plans effectively across the care team
- Facilitate appropriate patient transfers and admissions using standardized handoff methods (SBAR)
Documentation & Compliance
- Document patient assessments, treatments, and changes in condition in the electronic health record
- Maintain compliance with hospital policies, regulatory requirements, and patient safety standards
- Participate in quality improvement initiatives and departmental competencies
Why 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 Community
Pagosa 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.