Clarification from the agency

The IHS is required by law to give absolute preference to qualified applicants who meet the Secretary of the Interior's definition of Indian for appointment to vacancies within the IHS in accordance with established IHS policy as outlined in the Indian Health Manual Part 7, Chapter 3.

Total Compensation Package - Check out IHS's outstanding total compensation package for this job: Registered Nurse Total Compensation | Pay (ihs.gov)

Not all locations may have immediate vacancies. 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.

• 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.

Conditions of employment

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 competitive vacancy announcement advertised under Direct Hire Authority. Selections made under this vacancy announcement will be processed as new appointments to the civil service. Current civil service employees would therefore be given new appointments to the civil service; however, benefits, time served, and all other Federal entitlements would remain the same.

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.

IHS Selectees that will work in an IHS health care facility may be subject to Employee Health Policies related to Measles and Rubella, and seasonal influenza immunizations. Vaccine exemption requests may be available according to the National and/or Service Unit guidance.

The selected individual is required to obtain and maintain any licensure requirements.

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/.

Position subject to rotating shifts; days, evenings, nights, weekends, and holidays. Shift rotations may vary from 8-, 10-and 12-hour shifts.

You will need to set up direct deposit so we can pay you.

Background Investigation Requirement:
This position requires the successful completion of a federal background investigation as a condition of employment.

A background investigation is a standard process used by the Federal Government to verify an individual's identity, employment history, education, and other relevant information to determine suitability for Federal service.

Upon receipt of instructions, applicants must complete all required background investigation forms within five (5) calendar days of issuance. Timely completion is critical to avoid delays in processing or a determination of unsuitability.

Applicants are strongly encouraged to prioritize this requirement and to maintain regular communication with their assigned Personnel Security Specialist throughout the 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.

Degree and License Waiting Period for Impending Graduates: The Hiring Manager/Selecting Official may elect to utilize an available flexibility wherein applicants who are currently enrolled and expected to complete the required education and obtain the required licensure/certification/registration with 9 month(s) of applying, may be deemed tentatively qualified. Applicants who have not completed their education requirements (but who are within the established timeframe for qualifying) must submit:

• Documentation from the educational institution's registrar, dean or other appropriate official that attests to the applicable timeframe for completion of the professional program/coursework AND
• A copy of the most recent unofficial transcript.

• 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.

• Possession of a bachelor's degree in Nursing and eligibility under the Superior Academic Achievement provision;
• Possession of a bachelor's degree in Nursing and at least one full year of professional nursing experience (equivalent to the GS-5 grade level);
• Possession of a diploma or associate degree in professional nursing and two full years of professional nursing experience; or
• Completion of at least one full year of graduate education in a professional nursing educational program.

• Performs under general supervision of a RN who will review work periodically. Duties include: assessing and caring for the nursing needs of patients and other types of patients as assigned; developing plans of care to meet the needs of assigned patients; recognizing adverse signs and symptoms and reacting swiftly in emergency situations; and basic knowledge of triaging patients.

• Provides professional obstetrical nursing care to patients under close supervision. Reviews medical records, administers medications as prescribed, and assists physicians and midwives with procedures. Develops or participates in the development of nursing care plans to meet the needs of assigned patients in accordance with established obstetrical nursing standards, policies, and procedures. Monitoring maternal and fetal status and reporting deviations from expected findings.

• Perform in an advanced trainee capacity to higher level OR nurses; Certified in Basic Life Support (BLS) and Advanced Cardiovascular Life Support (ACLS); Observes patient's conditions, Assesses nursing needs, and provides required nursing care; Administer as prescribed oral medications, hypodermic injections and intravenous feeding; Observe and record temperature, pulse, blood pressure, respiration data and effects of medication; Prepare patients for tests, examinations and treatment; Prepare and review records.

• Conduct comprehensive nursing assessments and independently identify changes in patient condition; Administer medications and treatments independently while evaluating patient responses and initiate nursing interventions; Develop and update individualized nursing care plans and nursing diagnoses based on assessment data and evidence-based practice; Provide individualized patient and family education tailored to patient needs, cultural considerations, and health literacy; Collaborate with interdisciplinary healthcare team members to coordinate patient care and modify patient care plans.

How you will be evaluated

You will be evaluated for this job based on how well you meet the qualifications above.

This job announcement uses the USA Hire Assessment to evaluate applicants. There is no "pass/fail" outcome; results are used as part of the overall evaluation process to determine applicant qualifications. However, if you do not take the assessment within the assessment window timeframe you will be found ineligible for this position. For more information, visit the USA Hire Applicant Resource Center.

This is an Open Continuous Announcement and applications will be referred when vacancies occur. There MAY NOT be immediate vacancies at all locations. You will only be considered for the locations you select. This Announcement is intended as a mechanism of providing consideration for the greatest number of potential candidates. Candidates with a complete application will be considered for all vacancies that occur for a 3-month period or the closing date of this announcement, whichever comes first. You will be considered for those vacancies that match your desired geographic locations, skills and or job preferences. Positions may be filled at ANY of the grade levels indicated in this announcement, with or without promotion potential as vacancies occur. Applicants should specify the lowest grade (GS-level) that they will accept.

You will be evaluated based on how well you meet the qualifications listed in this vacancy announcement. Your qualifications will be evaluated based on your application materials (e.g., resume, supporting documents), your responses on the application questionnaire, and your responses to all assessments required for this position.

You will be assessed on the following competencies (knowledge, skills, abilities, and other characteristics):

• Attention to Detail
• Integrity/Honesty
• Interpersonal Skills
• Reading Comprehension

Overstating your qualifications and/or experience in your application materials or application questionnaire may result in your removal from consideration. Cheating on an assessment may also result in your removal from consideration.

To preview the application questionnaire, click the following link: https://apply.usastaffing.gov/ViewQuestionnaire/12951232

Additional selections may be made for similar positions across the Department of Health and Human Services (HHS) within the local commuting area(s) of the location identified in this announcement. By applying, you agree to have your application shared with interested selecting official(s) at HHS. Clearance of CTAP/ICTAP will be applied for similar positions across HHS.

Resume: You are highly encouraged to visit the USAJOBS Help Center before submitting a resume. USAJOBS Help Center - Update your resume now so it meets new resume requirements
Required as applicable for the purposes of specific eligibility and appointment claim(s), and position requirements:

• Indian Preference Applicants: If claiming Indian preference, applicants must provide a completed copy of the Form BIA-4432, "Verification of Indian Preference for Employment in the BIA and IHS Only." Indian preference will not be given unless a properly signed and dated form is submitted with your application, including any verification by an authorized Tribal Representative or BIA Official of tribal enrollment records. For detailed instructions, see form BIA-4432. Refer to BIA-4432 link: https://www.bia.gov/sites/default/files/media_document/1076-0160_indian-pref_expires-04.30.25_508.pdf.
• Career Transition Assistance Program (CTAP)/Interagency Career Transition Assistance Program (ICTAP): If you are claiming CTAP/ICTAP, follow the instructions below: http://www.opm.gov/policy-data-oversight/workforce-restructuring/employee-guide-to-career-transition/ctap_guideline.pdf.
• Transcripts: You are encouraged to submit copies of transcripts (official or unofficial) although not required at the time of application. You must list your courses including titles, credit hours completed, and grades. Official transcripts will be required after tentative selection and prior to issuing an official job offer. Applicants who have not yet completed their educational requirements within 9 months of applying, must submit:
  • Documentation from the educational institution's registrar, dean, or other appropriate official that attests to the applicable timeframe for completion of the professional program/coursework AND
  • A copy of the most recent unofficial transcript.
• Licensure, Certifications: Applicants should list their license/certifications on their resume, along with the expiration date, if applicable. Certification of licensure/certification will be required after tentative selection and prior to issuing an official job offer.
• Superior Academic Achievement:

• Class standing - Applicants must be in the upper third of the graduating class in the college, university, or major subdivision and based on completed courses.
• Grade-point average (G.P.A.) - Applicants must have a G.P.A. of: a.) 3.0 or higher out of a possible 4.0 (''B" or better) as recorded on their official transcript, or as computed based on 4 years of education, or as computed based on courses completed during the final 2 years of the curriculum; or b.) 3.5 or higher out of a possible 4.0 ("B+" or better) based on the average of the required courses completed in the major field or the required courses in the major field completed during the final 2 years of the curriculum.
• Election to membership in a national scholastic honor society - Applicants can be considered eligible based on membership in one of the national scholastic honor societies listed here Association of College Honor Societies. Official transcripts may be required after tentative selection and prior to issuing an official job offer.

Next steps

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