Nurse; Clinical/Critical Care Ef
Listed on 2026-07-14
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Nursing
Healthcare Nursing, ICU Nurse, Emergency Medicine
Overview
Madigan Army Medical Center is seeking Critical Care RNs to join our growing team!
The facility is one of four Level II Trauma Centers in Washington State and participates in unique partnerships with civilian facilities to provide care to non-beneficiary trauma victims beyond the gates of Joint Base Lewis-McChord.
At Madigan you will practice alongside civilian and military health care experts and experience unique professional opportunities. Our staff serves by caring for our military but are not subject to military requirements. We operate within safe staffing standards - giving you time to provide exceptional care.
About the Position: These positions are located at Madigan Army Medical Center in Tacoma, Washington.
- Recruitment or Relocation incentives MAY be authorized.
- Advance-in Hire/Salary negotiation may be available to candidates who are new to Federal service.
U.S. Citizens, Nationals or those who owe allegiance to the U.S.
Located in the beautiful Pacific Northwest on the Puget Sound, in Washington State, Joint Base Lewis-McChord is near the city of Lakewood, 10 minutes from Tacoma and 20 minutes from Olympia, the state capitol. JBLM is situated in a key location along Interstate 5, allowing easy access to Sea‑Tac Airport and to the deep water ports of Tacoma and Seattle. Although the Army and Air Force missions have changed over the years, one thing has not changed—the natural setting of the base.
On a clear day, majestic Mount Rainier looms on the horizon, towering over the other peaks of the Cascade Range. From the mountains to the deep waters of Puget Sound and the Pacific Ocean, the local areas abound in natural beauty and outdoor recreation opportunities. Camping, hunting, fishing, hiking, boating and now sports are a way of life in Washington State.
Working for the Department of Defense comes with an abundance of benefits and perks to include competitive compensation packages, paid‑time off, medical benefits, student loan repayments, and retirement package with Thrift Savings Plan to include matching employer contributions. For more information, please visit the following link: https://(Use the "Apply for this Job" box below)..
ResponsibilitiesDuties:
- Deliver advanced, specialized nursing care to critically ill pediatric patients ranging in age from neonate to 18 years.
- Provide support to physicians during complex and potentially life‑threatening procedures, including cardioversion and the insertion of invasive lines such as arterial, venous, and pulmonary artery catheters.
- Prepare and administer high‑risk medications as well as intravenous fluids, in support of initiating advanced cardiovascular life support interventions.
- Assess patients cardiac output, vital signs, peripheral perfusion, and level of consciousness, and evaluate blood gas results, including arterial and mixed venous oxygen saturation.
- Assess the effectiveness of nursing interventions based on patient responses and modify the care plan as needed to ensure optimal outcomes.
- Design Family Nursing Care Plans to support critically ill patients and their families in achieving the highest possible level of physiological, sociological, and psychological.
Performs other duties as assigned.
QualificationsWho May Apply: US Citizens. In order to qualify, you must meet the education and experience requirements described below. Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, Ameri Corps) and other organizations. You will receive credit for all qualifying experience, including volunteer experience. Your resume must clearly describe your relevant experience;
if qualifying based on education, your transcripts will be required as part of your application. Additional information about transcripts is in this document.
Basic Requirement for Nursing (Clinical/Critical Care Expanded Functions): Degree: A graduate or higher level degree, bachelor's degree, associate degree, or diploma from an accredited professional nursing educational program is required. This education must have been accredited by the Commission on Collegiate Nursing…
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