Job Details: Job Location: Pagosa Springs Medical Center - PAGOSA SPRINGS, CO, Position Type: Full Time, Salary Range: $36.38 - $45.48Hourly, Travel Percentage: None, Job Shift: Night, 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.  Qualifications: Education Graduate of an accredited Registered Nurse (RN) program BSN preferred but not required Experience Minimum two (2) years of Med Surg experience strongly desired Licensure & Certifications Current Colorado RN license in good standing Current AHA BLS certification for healthcare providers ACLS certification required (or must obtain within 3 months of hire) PALS certification required (or must obtain within 3 months of hire) Skills Strong patient assessment and clinical decision-making skills Ability to manage multiple patients and prioritize care effectively Knowledge of cardiac monitoring and rhythm interpretation Excellent communication and teamwork abilities Proficiency with electronic health record systems Work Environment Inpatient hospital unit with frequent patient interaction Exposure to blood, bodily fluids, communicable diseases, and medical equipment Fast-paced environment with frequent interruptions Physical demands include standing, walking, lifting, and assisting patients Compensation & Benefits Base Compensation Range: $36.38 - $45.48 hourly  Shift Differential Pay:  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: Nights  Anticipated End Date for Posting: October 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.