Registered Nurse - Tribal Health Clinic & Community Care

Job Summary:

The mission of the Port Gamble S'Klallam Tribe's Health Clinic Registered Nurse position is to enhance the health status and quality of life of Tribal Members and other American Indian/Alaskan Native and non-Indian individuals who use the Tribe's health services. This is completed through the delivery of excellent health education, nursing care and case management services. The purpose of this position is to provide comprehensive preventive and therapeutic nursing care, nursing triage for the members of the tribal community in the health clinic setting, and Services may be provided in the home setting on an "as needed" basis. This position operates within a strong team environment and under the health standards of the Port Gamble S'Klallam Tribe.

Duties Include:

Nursing:

• Provides comprehensive preventive, supportive, and therapeutic nursing care for clients with complex medical needs in the Health Clinic and in the home setting on an "as needed" basis.

• Provides nursing triage of medical problems during clinic visits, phone calls or community activities, ascertaining severity and arranging appropriate services following the Health Clinic's nurse triage procedures. Is able to advise clients to call 911 when appropriate.

• Provides nursing visits for lab work, immunizations, BP screenings, pregnancy testing and referrals, STI screenings and treatment, urinary tract infection screenings & treatment, TB screenings & lead screenings at the S'Klallam Health Clinic or at field clinics held in various departments on the reservation following PGHC standards of care and provider standing orders.

• Provides education to community members in the clinic setting regarding their chronic conditions, lab results, medications, treatments, and immunizations and assists with patient recalls and scheduling of appointments at the health clinic.

• Infusion therapy provision

• Provide wound care and other nursing duties encompassing assessment, education, and disease management assistance

Nursing Documentation

• Performs physical assessments, recognizing the range of "normal" and the manifestations of common abnormalities.

• Utilizes the SOAP nursing process in assessing and planning for client care. S ubjective, O bjective, A ssessment, P lan and re-evaluates interventions and repeats the SOAP process as necessary.

• Documents assessments, interventions and nursing care plans in the electronic health record.

• Completes appropriate referrals to other team members, referral agencies in the community that provides the necessary service.

• Other duties as assigned.

Qualifications:

• Education: Graduation from a NLN approved School of Nursing with a B.S.N. preferred, ARN acceptable

• Licensing: RN required with WA. State Licensure and Certification, valid WA state Drivers license and proof of insurability. BCLS (Basic Cardiac Life Support) required.

• Clinical Experience: At least two years experience working in a community health clinic preferred. Work experience with an emphasis on tribal health and public health is preferred.

• Personal Computer Skills: Basic personal computer skills and the ability to learn word-processing, spreadsheet and other software programs are required.

• Experience with electronic health records desired.

Requirements:

• Crouching: Bending the body downward and forward by bending the knee and spine.

• Reaching: Extending hands and arms in any direction.

• Standing: Particularly for extended periods of time.

• Walking: Moving about on foot to accomplish tasks.

• Fingering: Picking pinching, typing or otherwise working primarily with fingers rather than with the whole arm or hand as in handling.

• Grasping: Appling pressure to an object with the fingers and palm.

• Feeling: Perceiving attributes of objects, such as size, shape, depth, temperature, or texture by touching with the fingertips.

• Talking: Expressing or exchanging ideas by means of the spoken word. Those activities in which they must convey detailed or important spoken instructions to workers accurately, loudly or quickly.

• Hearing: Perceiving the nature of sounds with no less than 40 db loss @ 500Hz, 1,000 Hz and 2,000 Hz with or without correction. Ability to receive detailed information through oral communication, and to make fine discriminations in sound, such as when making fine adjustments on machined parts.

• Lifting and Moving: exerting up to 50 lbs of force occasionally, and/ or up to 20 lbs of force frequently, and/or up to 20 lbs of force to move objects.

• Visual Acuity: minimum standard for use of computer and medical equipment where the seeing job is at or within arm's reach.

• Work Conditions/Exposure to Hazards: a variety of physical conditions such as proximity to moving machinery (e.g. centrifuge), electric current, exposure to body fluids, medications, cleaning fluids. Vaccines etc.

Travel Requirements: Will need to be able travel for required program trainings.