Nurse (All Specialties)
About the role
The Indian Health Service (IHS) seeks dedicated Registered Nurses to provide comprehensive care to pediatric, adolescent, adult, and geriatric patients within various departments including the Emergency Department, Obstetrics/Labor and Delivery, Operating Room, and Med/Surg-Inpatient.
Responsibilities
Assessing, planning, coordinating, implementing, and evaluating the delivery of skilled patient care in accordance with nursing standards and evidence-based practice.
Performing triage using the Emergency Severity Index (ESI) system to determine patient acuity and prioritize treatment needs.
Providing comprehensive emergency care to stable, unstable, and critically ill patients, including stabilization, resuscitation, and life-support interventions.
Utilizing critical thinking skills to make complex clinical decisions and respond effectively to rapidly changing patient conditions.
Provides professional nursing care in the obstetrical unit for patients in labor and delivery, postpartum through discharge, and for newborns from birth to discharge.
Develops, implements, and evaluates individualized patient care plans across the continuum of care including antepartum, intrapartum, postpartum, obstetrical triage, and newborn nursery services.
Obtains and maintains certifications as required by hospital policy, such as Basic Life Support (BLS), Advanced Life Support (ACLS), and Neonatal Resuscitation Program (NRP).
Assessing patient condition based on observation, physical examination, interview, physician diagnosis, laboratory data, and age-specific needs.
Providing pre- and post-operative education, emotional support, and guidance to patients and families regarding procedures, recovery expectations, and self-care.
Performing pre-, intra-, and post-operative assessments in PACU, Same-Day Surgery, and Pre-Admission units, ensuring safe patient transitions and timely documentation.
Maintaining required certifications (e.g., ACLS, BLS, PALS) and demonstrating competency in advanced perioperative and procedural nursing skills.
If needed, functions as the primary scrub technician and handles instrument, supplies, and equipment during all surgical procedures.
Promoting evidence-based nursing practice through coordinating care focused on patient education, self-management, and overall satisfaction throughout the continuum of inpatient care.
Administering medications and performing procedures in accordance with established policies and clinical standards.
Participating in performance improvement, patient safety, and quality initiatives to enhance clinical effectiveness and efficiency.
Requirements
U.S. Citizenship is required.
Selective Service Registration is required for males born after 12/31/1959.
This is a competitive vacancy announcement advertised under Direct Hire Authority.
Current civil service employees would receive new appointments to the civil service; however, benefits, time served, and all other Federal entitlements would remain the same.
This is a designated position covered by Public Law 101-630, requiring contact or control over Indian children.
The agency must ensure that persons hired for these positions have not been found guilty of or pleaded nolo contendere or guilty to certain crimes.
IHS Selectees that will work in an IHS health care facility may be subject to Employee Health Policies related to Measles and Rubella, and seasonal influenza immunizations.
Vaccine exemption requests may be available according to the National and/or Service Unit guidance.
The selected individual is required to obtain and maintain any licensure requirements.
On-call hours or standby duty may be required.
Successfully pass the E-Verify employment verification check.
To learn more about E-Verify, including your rights and responsibilities, visit www.dhs.gov/E-Verify.
Position subject to rotating shifts; days, evenings, nights, weekends, and holidays.
Shift rotations may vary from 8-, 10-, and 12-hour shifts.
You will need to set up direct deposit so we can pay you.
A background investigation is a standard process used by the Federal Government to verify an individual's identity, employment history, education, and other relevant information to determine suitability for Federal service.
Qualifications
Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the next lower grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks:
ER Specialized Experience: Performs under general supervision of a RN who will review work periodically. Duties include: assessing and caring for the nursing needs of patients and other types of patients as assigned; developing plans of care to meet the needs of assigned patients; recognizing adverse signs and symptoms and reacting swiftly in emergency situations; and basic knowledge of triaging patients.
OB Specialized Experience: Provides professional obstetrical nursing care to patients under close supervision. Reviews medical records, administers medications as prescribed, and assists physicians and midwives with procedures. Develops or participates in the development of nursing care plans to meet the needs of assigned patients in accordance with established obstetrical nursing standards, policies, and procedures. Monitoring maternal and fetal status and reporting deviations from expected findings.
OR Specialized Experience: Performs in an advanced trainee capacity to higher level OR nurses; Certified in Basic Life Support (BLS) and Advanced Cardiovascular Life Support (ACLS); Observes patient's conditions, Assesses nursing needs, and provides required nursing care; Administer as prescribed oral medications, hypodermic injections and intravenous feeding; Observe and record temperature, pulse, blood pressure, respiration data and effects of medication; Prepare patients for tests, examinations and treatment; Prepare and review records.
Med/Surg-Inpatient Specialized Experience: Conduct comprehensive nursing assessments and independently identify changes in patient condition; Administer medications and treatments independently while evaluating patient responses and initiating nursing interventions; Develop and update individualized nursing care plans and nursing diagnoses based on assessment data and evidence-based practice; Provide individualized patient and family education tailored to patient needs, and health literacy; Collaborate with interdisciplinary healthcare team members to coordinate patient care and modify patient care plans.