Nurse (ER)

Summary This position is located in the Fort Yates Indian Health Service Hospital at Fort Yates, ND in the Great Plains Area. The purpose of the position is to provide professional emergency room nursing care to patients in a general hospital and ambulatory care setting. This position requires licensure as a registered nurse and experience as stated in OPM regulations. Incumbent may be required to work rotational shifts, night, days, weekends, and holidays. Responsibilities Performs triage, diagnostic and therapeutic procedures by assuring quality of care; administering oral and parenteral medications; by assisting the physician with diagnostic and therapeutic procedures including casting, suturing, wound debridement, dressings, giving immunizations to adult and children; order xray and laboratory tests for ESI level I and II per Provider Verbal Order, initiates action for necessary care in collaboration with the provider; starts IV''s and administers IV medications Identifies patient care requirements by establishing personal rapport with potential and actual patients and other persons in a position to understand care requirements; obtaining preliminary health history; making physical assessments, recognizing the range of ''normal'' and other manifestations of common abnormalities; making appropriate consults to other team members and provides necessary service from assessment. Teaches patients by establishing patient care goals; teaching individuals and families to understand condition, medication, and self-care skills, answering questions and by promoting patient independence. Resolves patient problems and needs by utilizing multidisciplinary team strategies; promoting continuity of care by relevant health counseling, consults for follow-up care, arranging for appointments and collaborating with other agencies involved in health care. Document patient care services by charting in the patient''s electronic health record; recording observations, assessments, nursing interventions, and therapeutic measures administered. Requirements Conditions of Employment Must pass pre-employment examination. Selectee may be subject to a probationary/trial period ESEP appointees typically serve a two year trial 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. Measles and Rubella immunization required for selectees born after 1957. Seasonal Influenza immunization is required for civilian health care facility 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/ standby/ weekend/ shift duty may be required. Successfully pass the E-Verify employment verification check. To learn more about E-Verify, including your rights and responsibilities, visit 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. Fingerprinting, as part of the background investigation process, may be delayed due to COVID-19. All other background investigation procedures will apply. Be advised that your continued employment will require you to complete a fingerprint check within 60 days after notification of return to full operations and successfully obtaining a favorable background investigation. 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. BASIC REQUIREMENT(S): In addition to the Basic Requirements, you must also meet the Minimum Qualifications stated below. MINIMUM QUALIFICATIONS: Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the next lower grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: GS-5: 1 full year of professional nursing experience. Examples of experience includes: development and implementation of a plan of care for assigned patients and providing nursing interventions based on established plan of care and evaluating effectiveness. GS-7: 1 full year of professional nursing experience (equivalent to the GS-5 grade level). Examples of experience include: Experience at this level is performed under general supervision and work is reviewed periodically by another RN; assess and care for the nursing needs of ER patients and other types of patients as assigned; develop plans of care to meet the needs of assigned patients; recognize adverse signs and symptoms and react swiftly in emergency situations; basic knowledge of triaging patients. GS-9: 1 full year of professional nursing experience(equivalent to the GS-7 grade level or above) and possession of a diploma, associate degree, or Bachelor of Science degree in Nursing from a professional nursing program. Examples of experience include: assess and care for the nursing needs of ER patients and other types of patients as assigned; develop plans of care to meet the needs of assigned patients; recognize adverse signs and symptoms and reacting swiftly in emergency situations; basic knowledge of triaging patients; plan with minimal assistance in scheduling and providing comprehensive nursing care in the Emergency Department. GS-10: 1 year of specialized experience that has equipped me with the particular knowledge, skills, and abilities to successfully perform the duties of the position. This specialized experience is related to the work of the position and equivalent to at least the GS-09 level in the Federal service as described in the vacancy announcement. Examples Include: provide nursing care, triage patients, recognize and intervene in acute life-threatening situations, cardiac and respiratory failure management in medical, surgical, and obstetrical patients in the emergency room; interpret data about the patient''s status in order to identify the patient care needed; independently plan, schedule and provide comprehensive nursing care in the Emergency Department. Time In Grade Federal employees in the competitive service are also subject to the Time-In-Grade Requirements: Merit Promotion (status) candidates must have completed one year of service at the next lower grade level. Time-In-Grade provisions do not apply under the Excepted Service Examining Plan (ESEP). You must meet all qualification requirements within 30 days of the closing date of the announcement. Education For positions requiring positive education requirements, you MUST submit a copy of your transcripts or an itemized list of college courses which includes equivalent information from the transcript (course title, semester/quarter hours, and grade/degree earned) in your resume. When there is a positive education requirement, or you are using education to qualify as a substitution for experience, transcripts (unofficial) are required at the time of application to verify that you meet the educational requirement or substitution. 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: Foreign Education: If you are using education completed in foreign colleges or universities to meet the qualification requirements, you must show that the education credentials have been evaluated by a private organization that specializes in interpretation of foreign education programs and such education has been deemed equivalent to that gained in an accredited U.S. education program; or full credit has been given for the courses at a U.S. accredited college or university. For further information, visit: Additional Information Additional selection(s) of candidates may be possible within 240 days from the date the certificate of eligibles was issued for this announcement. 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 or relocation incentives may be authorized. At least a 1 year service agreement will be required. 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 - For NHSC - nhsc.hrsa.gov/loanrepayment/ For HRSA Nurse Corps - 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.

Created: 2025-04-19