Nurse; Specialty Departments

At the Indian Health Service (IHS), Nurses do more than practice medicine-they change lives. Guided by our mission to raise the health of American Indian and Alaska Native people, you'll deliver compassionate care where it's needed most.

Your expertise brings healing and hope across generations. Begin your journey with purpose - AND receive a recruitment/relocation sign-on bonus, if you are eligible.

A REAL  be required beginning May 7, 2025, in accordance with 6 C.F.R. 37.5 (2021).

• 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.
• Obtain and maintain certifications as required by hospital policy, such as Basic Life Support (BLS), Advanced Life Support (ACLS), and Neo-Natal Resuscitation Program (NRP), Fetal Monitoring.

• 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 will function as the primary scrub technician and be responsible for handling 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.

Conditions of employment

U.S. Citizenship is required.

Selectee may be subject to a probationary period.

Selective Service Registration is required for males born after 12/31/1959.

This is a competitive vacancy announcement advertised under Direct Hire Authority. Selections made under this vacancy announcement will be processed as new appointments to the civil service. Current civil service employees would therefore be given 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. Due to this requirement, 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…