Nurse (MedSurg)

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The Inpatient Staff Registered Nurse (RN) (Med-Surg) provides competent evidence-based and patient-centered nursing care to individuals admitted to inpatient medical-surgical or specialty units. The RN demonstrates leadership sound clinical judgment and professional accountability in managing complex patient care across the continuum of inpatient services. The nurse collaborates with physicians interdisciplinary team members and other healthcare professionals to ensure high-quality outcomes and patient satisfaction. The purpose of this position is to provide comprehensive care to pediatric adolescent adult and geriatric patients within the Indian Health responsibilities include:

• Performing comprehensive assessments planning implementing and evaluating patient care based on clinical findings and the nursing process.
• 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.
• 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.
• Participating in performance improvement patient safety and quality initiatives to enhance clinical effectiveness and efficiency.

Conditions of employment

Selectee may be subject to a trial or probationary period
U.S. Citizenship is required
Selective Service Registration is required for males born after 12/31/1959 .

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 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 medical staff clinical privileges including any licensure requirements. If privileges are not obtained or maintained during employment the employee will be subject to adverse actions up to and including removal from Federal service.

On-call hours or standby duty may be required. Position may be subject to rotating shifts: days evenings nights weekends and holidays.

Successfully pass the E-Verify employment verification check. To learn more about E-Verify including your rights and responsibilities visit will need to set up direct deposit so we can pay you.

Background Investigation Requirement:
This position requires the successful completion of a federal background investigation as a condition of employment.
A background investigation is a standard process used by the Federal Government to verify an individuals identity employment history education and other relevant information to determine suitability for Federal service.

Upon receipt of instructions applicants must complete all required background investigation forms within five (5) calendar days of issuance. Timely completion is critical to avoid delays in processing or a determination of unsuitability.

Applicants are strongly encouraged to prioritize this requirement and to maintain regular communication with their assigned Personnel Security Specialist throughout the process.

Qualifications

To qualify for this position your resume must state sufficient experience and/or education to perform the duties of the specific position for which you are applying.

Experience refers to paid and unpaid experience including volunteer work done through National Service programs (e.g. Peace Corps AmeriCorps) and other organizations (e.g. professional; philanthropic; religious; spiritual; community; social). You will receive credit for all qualifying experience including volunteer and part time experience. You must clearly identify the duties and responsibilities in each position held and the total number of hours per week.

Degree and License Waiting Period for Impending Graduates:
The Hiring Manager/Selecting Official may elect to utilize an available flexibility wherein applicants who are currently enrolled and expected to complete the required education and obtain the required licensure/certification/registration with 6 month(s) of applying may be deemed tentatively qualified. Applicants who have not completed their education requirements (but who are within the established timeframe for qualifying) must submit:

• Documentation from the educational institutions registrar dean or other appropriate official that attests to the applicable timeframe for completion of the professional program/coursework AND
• A copy of the most recent unofficial transcript.

• Possession of a bachelors degree in nursing and eligibility under the Superior Academic Achievement provision; or
• Possession of a bachelors degree in nursing and at least one full year of professional nursing experience (equivalent to the GS-5 grade level) which includes: Conduct comprehensive nursing assessments and independently identify changes in patient condition; Administer medications and treatments independently while evaluating patient responses and initiate 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 cultural considerations and health literacy; Collaborate with interdisciplinary healthcare team members to coordinate patient care and modify patient care plans or
• Possession of a diploma or associate degree in professional nursing and two full years of professional nursing experience; or
• Completion of at least one full year of graduate education in a professional nursing educational program.

GS-9: Applicant(s) must meet one of the following minimum requirements to meet the GS-9 level:

• Possession of a masters degree in professional nursing; or
• Possession of a diploma associate degree or bachelors degree in nursing from a professional nursing program and at least one full year of professional nursing experience (equivalent to the GS-7 grade level or above) which includes: Perform complex assessments of patients with acute chronic and post-operative conditions and independently identify and respond to changes in clinical status; Manage medication administration for patients with complex medical needs including high-risk medications and evaluating therapeutic outcomes; Lead the development implementation and evaluation of nursing care plans and nursing diagnoses for patients with multifaceted care requirements; Serve as a clinical resource or preceptor for less experienced nursing staff by providing guidance mentoring and clinical support; Participate in interdisciplinary care planning quality improvement initiatives and evidence-based practice activities to improve patient outcomes.

GS-11: Applicant(s) must meet one of the following minimum requirements to meet the GS-11 level:

• Successful completion of a PhD or equivalent doctoral degree from a professional nursing educational program or related medical science field; or
• Possession of a diploma associate degree bachelors degree or masters degree from a professional nursing educational program and at least one full year of professional nursing experience (equivalent to the GS-9 grade level) which includes: Function as a senior clinical expert managing care for patients with highly complex high-risk or unstable conditions; Provide clinical leadership and guidance to nursing staff as a subject matter expert in medical-surgical nursing; Lead or coordinate unit-level quality improvement patient safety or evidence-based practice initiatives to improve patient outcomes and clinical workflows; Participate in development and implementation of nursing policies procedures and clinical practice guidelines; Support onboarding training and competency validation of nursing staff and serve as a lead preceptor or informal team lead; Collaborate with nursing leadership and interdisciplinary partners to address system-level issues affecting patient care delivery staffing and resource utilization.