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
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.
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Full-time position (36 hours per week)
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Mixed shift schedule
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Shifts include both days and nights based on department needs
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Rotating coverage may include weekends and holidays
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Perform triage assessments using ESI (Emergency Severity Index) guidelines
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Assess and monitor patients’ clinical condition and prioritize care accordingly
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Provide emergency nursing care and interventions to stabilize acute conditions
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Perform comprehensive patient assessments including cardiovascular, respiratory, neurological, and hemodynamic status
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Initiate treatments including IV therapy, oxygen therapy, cardiac monitoring, splinting, catheter placement, and other emergency procedures
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Administer medications safely using the seven rights of medication administration
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Monitor patient responses to treatment and reassess condition throughout the ED stay
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Educate patients and families about diagnoses, treatments, medications, and discharge instructions
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Provide emotional support and guidance during emergent situations
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Promote patient safety and participation in the care plan
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Collaborate with physicians, advanced practice providers, EMS personnel, and hospital departments
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Communicate patient status and care plans effectively across the care team
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Facilitate appropriate patient transfers and admissions using standardized handoff methods (SBAR)
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Document patient assessments, treatments, and changes in condition in the electronic health record
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Maintain compliance with hospital policies, regulatory requirements, and patient safety standards
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Participate in quality improvement initiatives and departmental competencies
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.
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.
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Graduate of an accredited Registered Nurse (RN) program
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BSN preferred
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Current Colorado RN license in good standing
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Current AHA BLS certification for healthcare providers
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TNCC certification required
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ACLS certification required (or must obtain within 3 months of hire)
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PALS certification required (or must obtain within 3 months of hire)
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CEN (Certified Emergency Nurse) certification preferred
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Strong emergency assessment and triage skills
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Ability to respond effectively in high-stress clinical situations
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Knowledge of cardiac monitoring and dysrhythmia recognition
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Excellent communication, teamwork, and critical thinking abilities
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Proficiency with electronic health record systems
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Hospital emergency department with high-acuity patient care
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Exposure to blood, bodily fluids, communicable diseases, and hazardous materials
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Fast-paced environment with frequent interruptions and urgent situations
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Physical demands include standing, walking, lifting, and assisting patients
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Base Compensation Range: $33.25 - $51.40 hourly, based on years of relevant experience. "Relevant experience" means relevant to the employee's responsibilities set forth in the job description as determined by the HR Manager, CAO, applicable department manager/director and applicable senior leader.
- 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: 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-time
- Shift Type: Mixed shift – shifts will be both day and night shifts, as need dictates.
- Anticipated End Date for Posting: July 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.
