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Summary Nurse (Emergency Room) provides comprehensive nursing care to patients across the age spectrum and presenting with a wide range of acute and emergent conditions. This is a Direct Hire Open Continuous Announcement (OCA) for a Nurse (Emergency Room) for the Indian Health Service, Whiteriver, Arizona. Responsibilities Assess patients presenting for emergency care and triages based on history, physical assessment and chief complaint. Provides comprehensive nursing care for acutely ill and/or critically ill patients. Administers therapeutic measures as prescribed by the physician to include, but not limited to, medication administration, intravenous fluids, blood transfusions, treatments and maintains those measures taken which are ongoing in nature. Operates and monitors specialized equipment. Requirements Conditions of Employment Must pass pre-employment examination. Selectee may be subject to a 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. Confidential Financial Disclosure Form required. Measles and Rubella immunization required for selectees born after 1957 and seasonal influenza immunization is required for all staff working in Indian Health Service health care facilities. 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. Successfully pass the E-Verify employment verification check. To learn more about E-Verify, including your rights and responsibilities, visit www.dhs.gov/E-Verify/. Direct deposit is required. Background Investigation: If you are selected for this vacancy, you must undergo a pre-employment fingerprint check and background investigation. Fingerprint results and background investigation documentation must be cleared prior to hire. After you begin your employment, your continued employment is contingent upon the outcome of a complete background investigation as determined by the sensitivity level of your position. The investigation must find that you are suitable for Federal employment in your position. If you are found not suitable, you will be terminated after you begin work. If you make a false statement in any part of your application, you may not be hired; you may be fired after you begin work; or subject to possible criminal charges. You may be subject to a credit check as a part of the background investigation 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. Note: Employees currently assigned to positions in this occupational series as of September 2017 will be considered to have met the basic requirements for the position occupied. BASIC REQUIREMENT(S): Education: 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 Education, Council on Accreditation of Nurse Anesthesia Educational Programs, Accreditation Commission for Midwifery Education, or an accrediting body recognized by the U.S. Department of Education at the time the degree was obtained. Degree from Foreign Nursing School: Official certification from the Commission on Graduates of Foreign Nursing Schools is required for individuals who graduated from foreign nursing schools. Licensure: For all grade levels and positions, applicants must have passed the National Council Licensure Examination. In addition, they must possess a current, active, full, and unrestricted license or registration as a professional nurse from a State, the District of Columbia, the Commonwealth of Puerto Rico, or a territory of the United States. Experience: The work experience must have equipped the applicant with the particular knowledge, skills, and abilities to successfully perform the duties of the position. At the GS-9 and above, many positions may require experience in a specialty area of nursing. GS-4 Basic Requirements: applicants must meet the following requirements: Possession of an associate's degree or diploma from an accredited professional nursing educational program GS-5 Basic Requirements: applicants must meet one of the following requirements: Possession of a bachelor's degree in Nursing with no experience OR Possession of a diploma or associate degree in professional nursing and one full year of professional nursing experience: Formulate nursing diagnosis to appropriately provide care for patients across the life span, from neonates to geriatric patients, including medical, surgical, and obstetrical patients in the Emergency Department. GS-7 Basic Requirements: applicants must meet one of the following requirements: Possession of a Bachelor's degree in Nursing and eligibility under the Superior Academic Achievement provision (https://www.opm.gov/policy-data-oversight/classification-qualifications/general-schedule-qualification-policies/#url=General-Policies); OR Possession of a Bachelor's degree in Nursing and at least one (1) full year of professional nursing experience (equivalent to the GS-5 grade level): Triage by assessing patients' clinical conditions, recognizing, identifying serious situations, prioritizing, and immediately using clinical judgment in deciding upon and taking proper action, for example, to inform physician and take preplanned measures. Consults with charge nurse or preceptor when patient conditions warrant. OR Possession of a diploma or associate degree in professional nursing and two full years of professional nursing experience: Initiate appropriate measures in emergency situations when the physician is not immediately available, for example implement basic cardiac life support in case of cardiac or respiratory arrest. Consults with charge nurse or preceptor when patient condition warrants. OR Completion of at least one (1) full year of graduate education in a professional nursing educational program. GS-9 Basic Requirements: applicants must meet one of the following requirements: Possession of a Master's degree in professional nursing; OR Possession of a diploma, associate degree, or bachelor's degree in Nursing from a professional nursing program and at least one full year of Professional Nursing experience (equivalent to the GS-7 or above): Assess and care for the nursing needs of ER patients and other types of patients; recognize and intervene in acute life-threatening situations, develop plan of care to meet the needs of patients; recognize adverse signs and symptoms and react swiftly in emergency situations; triage patients; plan with minimal assistance in scheduling and providing comprehensive nursing care in the Emergency Department. GS-10 Basic Requirements: applicants must meet one of the following requirements: Possession of a diploma, associate degree, or bachelor's degree in Nursing from a professional nursing program and at least one (1) full year of Professional Nursing experience (equivalent to the GS-9 or above): Preparing emergency room patients for and assist with examinations or treatments. Managing the care of patients who present to the Emergency Department with a wide variety of problems ranging from non-urgent complaints to life-threatening emergent conditions. Experience in assessing the immediate needs of patients, prioritizing and organizing the plan of care from Emergency Department admission through discharge. Experience performing charge nurse and/or team lead responsibilities. Education This position has an education requirement. You are strongly encouraged to submit a copy of your transcripts or a list of your courses including titles, credit hours completed, and grades. Unofficial transcripts will be accepted in the application package. Official transcripts will be required from all selectees prior to receiving an official offer. Only attendance and/or degrees from schools accredited by accrediting institutions recognized by the U.S. Department of Education may be credited. Applicants can verify accreditation at the following website: https://www.ed.gov/accreditation. If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education. For further information, visit https://sites.ed.gov/international/recognition-of-foreign-qualifications/. Additional Information Federal Employees earn annual leave at a rate (4, 6 or 8 hours per pay period) which is based on the number of years they have served as a Federal employee. IHS may offer newly-appointed Federal employees credit for their directly related previous non-federal experience or active duty uniformed military service. This credited service can be used in determining the rate at which they earn annual leave. This position is covered by a Bargaining Unit. Recruitment and/or Relocation Incentives may be authorized and is subject to availability and service unit approval. If offered, you will be required to sign a one (1) year service agreement. Failure to fulfill the service agreement will result in repayment of the incentive. The Indian Health Service (IHS), National Health Service Corps (NHSC), and the Health Resources and Services Administration (HRSA) have student loan repayment programs for qualifying health disciplines. This is a competitive process separate from the hiring process. Opportunities for LRP are based on agency hiring priorities and availability of funds. For additional information please visit: For IHS - http://www.ihs.gov/loanrepayment/ For NHSC - https://nhsc.hrsa.gov/loanrepayment/ For HRSA Nurse Corps - https://bhw.hrsa.gov/loansscholarships/nursecorps This position has promotion potential to the GS-10 grade level. Promotion to the next grade level is at management's discretion and is based on your demonstrated ability to perform the higher level duties, the continuing need for the higher level duties, and "Regulatory/Administrative" approval. Promotion to the next higher grade level is not guaranteed and no promise of promotion is implied.