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.

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

Check out IHS's outstanding total compensation package for this job:
Registered Nurse Total Compensation | Pay (ihs.gov)

The purpose of this position is to provide comprehensive care to pediatric, adolescent, adult and geriatric patients within the Indian Health Service within the Emergency Department, Obstetrics/Labor and Delivery, Operating Room, and Med/Surg-Inpatient.

All Grade levels MAY NOT be available at all locations. Not all locations may have immediate vacancies.

• 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, initiates 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. 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.
• 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.

• 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.
• Work other staff to ensure sponge and instrument counts are correct.
• Functions as the second circulator for complex surgical procedures.

• Promoting evidence‑based nursing…