RN: Med Surg (Full-Time Night Shift)

Registered Nurse (RN) – Medical Surgical

Department: Medical Surgical Unit
Status: Full-Time | 0.9 FTE (36 hours/week)
Shift: Night Shift
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 compassionate and skilled Medical Surgical Registered Nurse (RN) to join our inpatient care team on night shift.

The Med Surg RN provides observation and inpatient care for patients admitted to the Medical Surgical Unit. Responsibilities include assessing and treating patient conditions, administering medications and treatments, monitoring patient progress, educating patients and families, and collaborating with physicians and the healthcare team to ensure safe, high-quality care.

This role is ideal for nurses who enjoy delivering comprehensive patient care in a collaborative hospital environment.


Schedule Highlights

  • Full-time position (36 hours per week)
  • Night shift schedule
  • Rotating weekends and holidays may be required
  • 12-hour shifts typical in inpatient nursing environments

Key Responsibilities

Patient Assessment & Care

  • Perform comprehensive patient assessments and ongoing monitoring of clinical conditions
  • Develop and implement individualized nursing care plans
  • Provide observation and inpatient nursing care for medical and surgical patients
  • Monitor patient response to treatments and adjust care as needed

Clinical Interventions

  • Initiate treatments including IV therapy, oxygen therapy, catheter placement, splints, and other ordered procedures
  • Administer medications safely using the seven rights of medication administration
  • Operate infusion pumps and monitor IV therapies

Patient Education & Support

  • Educate patients and families regarding diagnosis, treatment plans, medications, and discharge instructions
  • Provide guidance on recovery, wellness, and follow-up care
  • Support patients and families through hospitalization and recovery processes

Care Coordination

  • Collaborate with physicians, hospitalists, surgeons, and interdisciplinary care teams
  • Ensure continuity of care and support safe patient transitions and discharge planning
  • Communicate patient condition changes promptly to providers

Documentation & Quality Compliance

  • Document assessments, treatments, and patient progress in the electronic health record
  • Ensure compliance with hospital policies, safety standards, and regulatory requirements
  • Participate in quality improvement and patient safety initiatives

Join a Hospital That Feels Like Family – In a Town That Feels Like Home

Pagosa Springs Medical Center is an award-winning, independent Critical Access Hospital serving the residents and visitors of Archuleta County and the surrounding region. As a modern rural hospital, PSMC delivers exceptional emergency, primary, and specialty care supported by advanced technology, a collaborative medical staff, and a leadership team committed to quality, safety, and patient-centered service.

At PSMC, you are not just a number – you are a valued team member whose contributions make a real difference. We prioritize professional growth, meaningful work, and a positive, supportive workplace culture grounded in our WISER values: Wholeness, Integrity, Stewardship, Excellence, and Respect.

What you’ll find at PSMC:

  • A supportive, collaborative culture where people truly care about each other
  • Modern facilities and growing service lines
  • Leadership that listens and invests in staff
  • Opportunities to learn, grow, and advance your career
  • A place where you can have direct impact on patient care and community wellness

Live Where Other People Vacation

Pagosa Springs is a mountain paradise tucked among the rugged peaks of the San Juan National Forest. Here, you can step into nature the moment you clock out:

  • Relax in our world-famous hot springs
  • Ski or snowboard at Wolf Creek Ski Area – “the most snow in Colorado,” just 30 minutes away
  • Explore hundreds of miles of hiking, biking, and off-roading trails
  • Enjoy fly fishing, rafting, or paddle boarding on pristine rivers and lakes
  • Experience warm, friendly community with local festivals, live music, farmers markets, and small-town charm

If you’re looking for meaningful work, work-life balance, and a community that embraces you – PSMC and Pagosa Springs are the perfect place to build your future.