Nurse (Specialty Departments)

Job Title

Registered Nurse

Job Description

The purpose of this position is to provide comprehensive care to pediatric, adolescent, adult, and geriatric patients within the Indian Health Service within the Emergency Department, Obstetrics/Labor and Delivery, Operating Room, and Med/Surg-Inpatient.

ER Duties

• Assessing, planning, coordinating, implementing, and evaluating the delivery of skilled patient care in accordance with nursing standards and evidence-based practice.
• Performing triage using the Emergency Severity Index (ESI) system to determine patient acuity and prioritize treatment needs.
• Providing comprehensive emergency care to stable, unstable, and critically ill patients, including stabilization, resuscitation, and life-support interventions.
• Utilizing critical thinking skills to make complex clinical decisions and respond effectively to rapidly changing patient conditions.

OB Duties

• Provides professional nursing care in the obstetrical unit for patients in labor and delivery, postpartum through discharge, and for newborns from birth to discharge.
• Develops, implements, and evaluates individualized patient care plans across the continuum of care including antepartum, intrapartum, postpartum, obstetrical triage, and newborn nursery services.
• Obtain and maintain certifications as required by hospital policy, such as Basic Life Support (BLS), Advanced Life Support (ACLS), and Neo-Natal Resuscitation Program (NRP), Fetal Monitoring.

OR Duties

• Assessing patient condition based on observation, physical examination, interview, physician diagnosis, laboratory data, and age-specific needs.
• Providing pre- and post-operative education, emotional support, and guidance to patients and families regarding procedures, recovery expectations, and self-care.
• Performing pre-, intra-, and post-operative assessments in PACU, Same-Day Surgery, and Pre-Admission units, ensuring safe patient transitions and timely documentation.
• Maintaining required certifications (e.g., ACLS, BLS, PALS) and demonstrating competency in advanced perioperative and procedural nursing skills.
• If needed will function as the primary scrub technician and be responsible for handling instrument, supplies, and equipment during all surgical procedures.

Med-Surg-Inpatient Duties

• 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.
• Participating in performance improvement, patient safety, and quality initiatives to enhance clinical effectiveness and efficiency.

Department of Health and Human Services