Inpatient Registered Nurse (RN) (ER)

Cherokee Nation Tahlequah, OK

About the Job

Perform professional nursing duties in the care of patients across the life span, including medical, surgical, pediatric, psychiatric, and obstetrical patients.


Routine duties shall include providing health care services to individuals eligible for services in accordance with the self-governance compact and funding agreement between the Cherokee Nation and the United States executed under the authority of the Indian Self-Determination and Education Assistance Act.  Utilize the nursing process to:  Assess patients' clinical conditions, recognizing, identifying, and interpreting serious situations, prioritizing, and immediately deciding upon and taking proper action, for example, to inform the physician and take preplanned measures.  Formulate nursing diagnoses to appropriately provide care for patients across the life span, from neonates to geriatric patients, including medical, surgical, psychiatric, and obstetrical patients.  Develop a plan of care for individual patients by interviewing patient and family members, reviewing the patient's health record, and determining the kind of health and physical care required, including discharge planning. The plan of care reflects any special cultural, religious, physical, and psychosocial needs identified and contains expected outcomes individualized to the patient or situation.  Initiate appropriate measures in emergencies when the physician is not immediately available, for example, take resuscitative measures in case of cardiac or respiratory arrest.  Operate and monitor general and specialized emergency care equipment such as infusion pumps, pulse oximeters, ventilators, cardiac monitors, and other specialized equipment.  Administer therapeutic measures as prescribed by the physician such as medications and IV therapy that alter hemodynamic status, respiratory therapy, mechanical ventilation, etc.  Plan, provide, and appropriately document the teaching of patients and families in preventative, curative, and rehabilitative measures, taking into consideration patients' and families' learning needs, styles, barriers, and readiness to learn.  Record observations, nursing interventions, therapeutic measures administered, and the status of coordinated activities between nursing and other professional disciplines.  Evaluate progress toward attainment of outcomes including patient status, interventions, and patient response to nursing and therapeutic interventions, and update the plan of care.  Document specific health care requirements for patients and prepares written assignments to individual team members, matching the skills and abilities of staff to the care requirements of patients.  Plan and develop care delivery and implementation of the plan and coordinates the documentation of care.  Assume oversight for patient care administered by licensed practical nurses and unlicensed personnel in any assigned or delegated tasks.  Provide technical guidance, delegation, and direction to other registered nurses, licensed practical nurses, and unlicensed personnel.  Share responsibilities for sustaining adequate supplies and equipment as well as general upkeep of the unit and in preserving a safe environment.  Maintain knowledge and competency that reflects the current nursing practice and promotes professional growth for self and other staff members.  Demonstrate a positive role model and leadership qualities. Adheres to and promotes professional, ethical, and legal standards of nursing.  Maintain and promote positive personal work habits, interpersonal skills, and public relationships with employees, administration, medical staff, patients, and families.  Assist in the accomplishments of any initiative of the facility and or agency through the conscientious performance of assigned duties in support of the Cherokee Nation mission.  Other duties may be assigned.

 

SUPERVISORY RESPONSIBILITIES

This job has no supervisory responsibilities.


EDUCATIONAL REQUIREMENT

Associate's degree from a 2-year college or technical school in Nursing; or two years (60 credit hours) coursework from a 4-year college or university; or three years related experience; or equivalent combination of education and experience.

 

EXPERIENCE REQUIRED

No additional experience.

 

COMPUTER SKILLS

To perform this job successfully, an individual should know about Human Resource systems; Internet software; Order processing systems and Payroll systems.

 

CERTIFICATES, LICENSES, REGISTRATIONS

Possess and maintain an Oklahoma Board of Nursing Approved License

 

Basic Life Support (BLS) can be obtained through orientation and must be maintained throughout employment.

 

National Institutes of Health Stroke Scale (NIHSS) certification is required or must be obtained within six (6) months and maintained throughout employment.

  

Emergency Department: Advanced cardiac life support (ACLS) certification and pediatric advanced life support (PALS) certification within the first six (6) months of hire. Emergency Nursing Provider Courses (ENPC) and Trauma Nurses Core Courses (TNCC) within the first twelve (12) months of hire. Triage competency. Minimum of six (6) months of Emergency Department (ED) experience required before performing Triage.

 

OTHER SKILLS AND ABILITIES

None

 

OTHER QUALIFICATIONS

The employee must not be and will not be under sanction by the United States Department of Health and Human Services Office of the Inspector General (OIG) or by the General Services Administration (GSA) or listed on the OIG’s Cumulative Sanction Report, or the GSA’s List of Excluded Providers, or listed on the OIG’s List of Excluded Individuals/Entities (LEIE).

 

Must meet and maintain pre-employment and periodic background investigation and adjudication for child care.

 

PHYSICAL DEMANDS

While performing the duties of this job, the employee is regularly required to stand; walk; use hands to finger, handle, or feel; reach with hands and arms; climb or balance; stoop, kneel, crouch, or crawl and talk or hear. The employee is frequently required to taste or smell. The employee is occasionally required to sit. The employee must regularly lift and/or move up to 50 pounds. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception, and ability to adjust focus.

 

WORK ENVIRONMENT

While performing the duties of this job, the employee is regularly exposed to fumes or airborne particles and toxic or caustic chemicals. The employee is occasionally exposed to outside weather conditions; risk of electrical shock and risk of radiation. The noise level in the work environment is usually moderate.

 

Work Hours:Nights with alternating weekends