RN - Urgent Care

RN - Urgent Care The Sky City

The Community – Acoma Pueblo

Acoma Pueblo is regarded as the oldest continuously inhabited community in the United States. Access to the pueblo is difficult as the mesa faces are sheer. Before modern times access was gained only by means of a hand-cut staircase carved into the sandstone. There are several interpretations of the origin of the name "Acoma". Some believe that the name Acoma comes from the Keresan words for the People of the White Rock, with aa'ku meaning white rock, and meh meaning people. Others believe that the word aa'ku actually comes from the word haaku meaning to prepare; a description that would accurately reflect the defensive position of the mesa's inhabitants. Today, fewer than 50 tribal members live year-round in the earthen homes of Sky City. Those living in the community tend to the massive San Estévan del Rey Mission, completed in 1640. Both the mission and pueblo have been designated as a Registered National Historical Landmarks. Nearly 3,000 additional tribal members live in the nearby villages of Acomita, McCarty's and Anzac.

Explore Acoma Pueblo

The Facility – Acoma-Canoncito-Laguna Service Unit (ACLSU) is surrounded by enchanting mesas, boasting remarkable views of the high desert and sweeping views of the beautiful mountains of Mount Taylor. This unique landscape studded with canyons and mesas provides a dynamic setting. The Acoma and surrounding reservations are archaeological treasures with a rich history dating back to at least 1200 A.D. Area tribes are known for their Service Unity, receiving wandering tribes and other travelers to share the abundance of their sacred valley. ACLSU is located 60 miles west of Albuquerque, New Mexico's major metropolitan area and within two driving hours of Santa Fe, the premier cultural center of the southwest. The facility serves a tribal population of approximately 9,100 tribal members, comprised of two tribes: the Pueblo of Acoma, and the Pueblo of Laguna. At ACLSU, instead of being relegated to a single job, you can become a vital member of a comprehensive team. Our Joint Commissioned accredited Service Unit is a full-service inpatient and outpatient facility staffed by 230 dedicated team, including physicians, physician assistants and nurse practitioners. Our Inpatient Unit has a six bed capacity, and services include general medical care, Outpatient services include general medical, primary care, woman's health, podiatry, physical therapy, optometry and dentistry. ACL Service Unit has 126,000 patient visits a year and high-risk outpatients and those requiring surgery or complex medical care are referred to another facility for the appropriate higher-level care.

Location: 80B Veterans Blvd. Acoma, NM 87034

Responsibilities

• Support nursing needs by cross-training and floating to inpatient, outpatient, emergency room, and Triage as necessary. Assignments to other areas of the nursing department are dependent upon maintaining adequate staffing levels associated with respective acuity levels.
• Serve as a patient advocate to optimally manage patient's health care, respecting their culture and values, individual needs, health goals and treatment preferences. Support the patient's right to make independent decisions, implement health care plans, and seeks assistance when needed. Maintain the dignity and worth of individuals, respects cultural, spiritual and psychosocial differences and apply philosophical and ethical concepts that promote quality and continuity of care.
• Direct and coordinate the work of licensed and unlicensed nursing personnel in providing appropriate services to meet identified patient care needs.
• Charge nurse/team leader duties.
• Determine the delivery of nursing care/services in accordance with departmental practice standards.
• Observe and assess patient condition (infants, children, adolescents, adults and geriatric, with consideration for age-specific attributes), records observations in the problem-oriented electronic medical record format and discusses significant changes with medical provider staff.
• Record initial assessment data and reassessments data in Electronic Health Record. Develops and alters nursing care plans as indicated by nursing assessment and diagnosis.
• Prioritize care needs related to presenting chief complaint, triage assessment, and standards for specific groups, such as diabetes, hypertension, and other chronic groups.
• Facilitate continuity of care by using the nursing process, multidisciplinary collaboration, and coordination of appropriate health care services and community resources available.
• Perform patient and family education based on established standards, as required by age of patient, and documents education in the Electronic Health Record.
• Utilize the health summary in planning individual visits.
• Administrator immunization by SQ, IM, & intradermal.
• Carry out physician's orders (verified through Electronic Health Record) including the administration of prescribed drugs by topical, oral, rectal, and parenteral routes and other therapeutic measures such as: oxygen, intravenous fluids, etc.
• Maintain competency in a wide variety of therapeutic devices such as: drainage, feeding, IV pumps, AED, nebulizer, suction tubes/machines, electrocardiograph machines, PCA machines, etc.
• Perform venipuncture for the purpose of obtaining blood specimens or initiating and maintaining intravenous fluids therapy.
• Measure and record vital signs, height, weight, neurological status, effects of medication, visual acuity and hearing as indicated or prescribed.
• Collect or assist in collection of various specimens, such as: urine, sputum, stool, blood, etc. Obtains test results according to Ancillary Testing Policy/Procedures.
• Assist physician/provider in the performance of diagnostic or therapeutic procedures.
• Participate in community activities, such as health fair, influenza mass vaccination clinics.

Requirements

• Must have a current, valid registered nurse license from a state within the United States
• Must have BLS, ACLS, PALS, TNCC certifications.

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