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 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 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 emergency situations 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 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 current nursing practice and promotes professional growth for self and other staff members. Demonstrate 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.
This job has no supervisory responsibilites.
Associate's degree from 2-year college or technical school in Nursing; or two years (60 credit hours) coursework from 4-year college or university; or three years related experience; or equivalent combination of education and experience.
No additional experience.
An individual should have knowledge of Human Resource systems; Internet software; Order processing systems and Payroll systems.
CERTIFICATES, LICENSES, REGISTRATIONS
Posses and maintain an Oklahoma Board of Nursing approved License.. Basic Life Support (BLS) can be obtained through orientation and must be maintained throughout employment.
Medical/Surgical Department: Advanced cardiac life support (ACLS) certification and pediatric advanced life support (PALS) certification required during the first year of 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 Care Courses (TNCC) within the first twelve (12) months of hire. Triage competency. Minimum of six (6) months of Emergency Department (ED) experience required prior to performing Triage.
Obstetrical Department: Neonatal Resuscitation Program (NRP) obtained during orientation period. Fetal monitoring must be obtained within one year of hire; also sugar, temperature, airway, blood pressure, lab work and emotional support (STABLE) recommended but not required.
Operating Room: Advanced cardiac life support (ACLS) certification and pediatric advanced life support (PALS) certification within six months of hire. Required to be on-call on a rotating basis including evenings, weekends, and holidays.
Intensive Care Unit: Advanced cardiac life support (ACLS) certification and pediatric advanced life support (PALS) certification within the first six months of hire. Dysrythima course within the first six months of hire.
OTHER SKILLS AND ABILITIES
Must meet and maintain pre-employment and periodic background investigation and adjudication for child care.
Work Hours: 8-12 hour day or night shift
Must have OB experience.