Nurse, Healthcare Nursing

Summary

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.
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).

Provide comprehensive care to pediatric, adolescent, adult, and geriatric patients within the Indian Health Service within the Emergency Department, Obstetrics/Labor & Delivery, Operating Room, and Med/Surg‑Inpatient.

• Assessing, planning, coordinating, implementing, and evaluating the delivery of skilled patient care in accordance with nursing standards and evidence‑based practice.
• Supervising the delivery of nursing care by other professional and non‑professional staff, providing guidance, evaluation, and feedback as needed.
• Collaborating with physicians, nurse practitioners, and other healthcare providers to develop and implement coordinated care plans.
• Utilizing critical thinking skills to make complex clinical decisions and respond effectively to rapidly changing patient conditions.

• When a physician or midwife is not immediately available, initiate pre‑planned emergency nursing interventions to ensure maternal and neonatal safety, including preparation of the operating room, serving as circulating or scrub nurse, and performing newborn resuscitation and assessment. Maintains a professional, compassionate, and therapeutic environment.
• Administers prescribed therapeutic interventions including medications, intravenous fluids, blood products, and other treatments in accordance with established policies and standards of care.
• Collaborates with physicians, certified nurse midwives, and interdisciplinary team members to assess, plan, implement and evaluate patient care.
• 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 such as BLS, ACLS, NRP, and Fetal Monitoring.

• Formulating, implementing, and documenting individualized plans of care based on assessment findings and patient condition.
• Responding to life‑threatening situations and initiating emergency resuscitation measures in accordance with adult and pediatric resuscitation protocols.
• Maintaining required certifications (e.g., ACLS, BLS, PALS) and demonstrating competency in advanced perioperative and procedural nursing skills.
• Supervising the delivery of nursing care by other professional and non‑professional staff, providing guidance, evaluation, and feedback as needed.
• Collaborating with surgeons, anesthesia providers, and the interdisciplinary team to plan, coordinate, and evaluate patient care to achieve optimal outcomes.
• Performing on‑call duties as required to provide patient care during off‑tour hours for emergency surgical and procedural cases.
• Working with other staff to ensure sponge and instrument counts are correct.
• Functions as the second circulator for complex 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.
• Performing comprehensive assessments, planning, implementing, and evaluating patient care based on clinical findings and the nursing process.
• Administering medications and performing procedures in accordance with established policies and clinical standards.
• Recognizing changes in patient condition, identifying urgent or emergent situations, and initiating appropriate interventions to ensure patient safety.
• Ensuring compliance with regulatory and accreditation standards and maintaining knowledge of current clinical and operational guidelines.

Conditions of employment

• U.S. Citizenship is required.
• Selectees may be subject to a probationary period.
• Selective Service Registration is required for males born after 12/31/1959.
• The position is advertised under Direct Hire…