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Registered Nurse Step Down PRN
Company : Catholic Health Initiatives
Location : Durango, CO, 81301-8296
Job Type : Full Time / Part Time
Salary : 32.01-50.03 HOUR
Date Posted : 3 January 2026
Job Summary and Responsibilities
Nurses are at the heartbeat of our organization and your time will be spent in a supportive, team environment with resources to help you flourish and leaders who care about your success. We offer Certification pay and a Clinical Career Ladder to help you grow and recognize your contributions to clinical excellence!
MRMC IMC Step Down Unit:
The Intermediate Care (IMC) Step Down unit at Mercy Hospital is an adult step-down, pediatrics, oncology and cardiology unit with 11 beds, generally staffed for nine beds with a 3:1 ratio. We are a busy unit with mostly adult step-down, stable pediatrics, chemotherapy administering, post-cath and post-pacer insertions. Our patients require frequent monitoring (labs, telemetry, SPO2, end tidal CO2) and may also require titratable drips (including insulin, diltiazem, and nitroglycerin).
Our unit offers self- scheduling, is fast paced and we learn something new every day. Here, we are team-oriented and have many educational opportunities. Individuals in this unit must have critical thinking skills and be able to multitask on the job.
As a Registered Nurse (RN) you will assume responsibility and accountability for:
- Facilitating, communicating, and collaborating with both the healthcare team, and the patient/family to identify and meet the physical, emotional, and spiritual needs of the patient.
- Promote the optimal health, well-being and safety of the patient through use of the nursing process and in accordance with patient care standards, guidelines and the State Nurse Practice Act.
- Demonstrate personal accountability for relationship-based care, organizational mission, and core values.
In addition to bringing humankindness to the workplace each day, qualified nursing candidates will need the following:
Education Requirements
- Associates Degree in Nursing required; Nursing Diploma or by endorsement
- Bachelors Degree in Nursing preferred
- Graduate of an accredited School of Nursing required for new graduates, preferred for experienced RNs
Experience Requirements
- One year experience preferred
- Nursing skills and knowledge base specific to specialty
Licenses/Certification Requirements
- RN License required; Current state nursing licenses or valid RN license from a participating state in the National Licensure Compact
Physical Requirements
- Medium Work - (Exert up to 50lbs force occasionally, and/or up to 20lbs frequently, and/or up to 10lbs constantly)
When people and places align, incredible things happen. Just like the 21,000+ amazing associates who work here, every community within CommonSpirit Health’s connected ecosystem has its own unique history, story and personality.
Mercy Hospital is an 82 bed, acute care hospital located in the scenic southwestern Colorado town of Durango. It is the only hospital in Colorado to be rated by Medicare with five stars for overall hospital quality. It is recognized for excellence in orthopedic and spine surgery and for outstanding patient experience and patient safety. Mercy has also received ten consecutive ‘A’ grades for patient safety from The Leapfrog Group. Our providers use state-of-the-art technology in an environment designed to promote wellbeing and healing of body, mind, and spirit.
Among the many specialty services available at Mercy are emergency care (Level III trauma designation), surgical care, cardiac care (including interventional), Orthopedic and Spine Centers of Excellence, a Family Birthing Center, home care, hospice care more. Durango offers an exceptional quality of life with small town charm, excellent schools, and year-round, world-class outdoor recreation opportunities including snow sports, river sports, hiking, biking, camping and more.
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Frequently asked questions
For a Step Down PRN nurse in Durango, CO, certifications like BLS (Basic Life Support) and ACLS (Advanced Cardiovascular Life Support) are highly regarded. Given the unit's focus on cardiology and telemetry monitoring, these credentials boost your qualifications and enhance patient care in critical situations.
Step Down PRN nursing roles in Colorado, particularly at Mercy Hospital, tend to be fast-paced due to the high acuity of patients requiring continuous monitoring. This differs from general medical-surgical roles by demanding sharper multitasking and critical thinking skills, especially with frequent titratable drip management.
Yes, Step Down PRN nurses carry specialized duties, such as managing telemetry, post-cardiac procedures, and administering chemotherapy, unlike standard PRN nurses who may cover broader or less acute settings. This role demands a deeper skill set tailored to intermediate care patients.
Catholic Health Initiatives supports growth through a clinical career ladder and certification pay, encouraging Step Down PRN nurses to pursue specialty certifications and leadership roles. The team-oriented environment fosters continuous learning and recognition for clinical excellence, opening pathways to advanced nursing positions.
Working at Catholic Health Initiatives, Step Down PRN nurses manage complex patients requiring frequent monitoring of labs, telemetry, and titratable drips. Balancing adult step-down, pediatrics, and oncology cases demands adaptability, critical thinking, and effective communication with multidisciplinary teams.
Durango has a moderate demand for Step Down PRN nurses due to its limited acute care facilities. While competition exists, Mercy Hospital's reputation for quality care and flexible scheduling makes it an attractive employer, often leading to sustained openings for qualified nurses.
Registered Nurse Step Down PRN salaries in Durango typically fall between $30 and $40 per hour, reflecting local cost of living and hospital budgets. Factors like specialty certifications and experience can influence pay, with Catholic Health Initiatives offering competitive rates aligned with regional standards.
Durango's small-town setting offers manageable commute times for PRN nurses, often under 20 minutes. The area provides a balanced lifestyle with access to outdoor recreation, appealing to nurses seeking both career engagement and quality of life outside work.
Catholic Health Initiatives leverages PRN nurses to provide flexible staffing in step-down units, ensuring consistent patient monitoring and care quality. PRN nurses collaborate closely with full-time staff, benefiting from educational resources and a culture focused on teamwork and patient-centered outcomes.
Daily tasks include monitoring telemetry, administering chemotherapy, managing titratable drips like insulin, and coordinating with healthcare teams to address patients’ holistic needs. This role requires keen observation, multitasking under pressure, and fostering therapeutic relationships in a dynamic clinical environment.