Navajo Preference Employment Act In accordance with Navajo Nation and federal law, TCRHCC has implemented an Affirmative Action Plan pursuant to the Navajo Preference in Employment Act. Pursuant to this Plan and corresponding TCRHCC Policy, applicants who meet the necessary qualifications for this position and (1) are enrolled members of the Navajo Nation, Hopi Tribe, or San Juan Southern Paiute Tribe will be given preference in hiring and employment for this position, (2) are legally married to enrolled members of the Navajo Nation, Hopi Tribe, or San Juan Southern Paiute Tribe and meet residency requirements will be given secondary preference, and (3) are enrolled members of other federally-recognized American Indian Tribes will be given tertiary preference. Overview POSITION SUMMARY The Clinical Nurse performs a variety of nursing care procedures requiring professional knowledge and consideration for specific patient conditions and treatments, and ability to work independently in completing assignments. Guidelines include physician’s orders, standards of care, nursing policies and procedures manuals, hospital policies. Nursing duties include support to individuals of all ages and their families. Qualifications NECESSARY QUALIFICATIONS Education: Associate of Science Degree in Nursing or Bachelor of Science Degree in Nursing License/Certification : A valid, current, full and unrestricted Professional Nursing License to practice nursing in any state of the United States of America, The Commonwealth of Puerto Rico, or a territory of the United States. Must maintain a current valid certification of the following throughout employment: Basic Life Support (BLS) from the American Heart Association Advanced Cardiac Life Support (ACLS) from the American Heart Association Pediatric Advanced Life Support (PALS) from the American Heart Association Neonatal Resuscitation Program (NRP) required within one (1) year of hire from American Heart Association Trauma Nurse Core Course (TNCC) required within one (1) year of hire Emergency Nurse Pediatric Course (ENPC) required within one (1) year of hire National Institutes of Health (NIH) – NIHSS – NIH Stroke Scale must be completed (within 6 months of hire) Emergency Severity Index Level 5 within 3 months of hire Complete Patient Sitter Competency Training (upon hire) Experience: Must have one (1) year registered nursing experience in an emergency department or critical care unit. Other Skills and Abilities: A record of satisfactory performance in all prior and current employment as evidenced by positive employment references from previous and current employers. All employment references must address and indicate success in each one of the following areas: Positive working relationships with others Possession of high ethical standards and no history of complaints Reliable and dependable; report to work as scheduled Knowledge of normal growth, development, and life cycle changes. This also includes knowledge of the physical, psychosocial, and behavioral characteristics of the group for which care is provided. Knowledge of disease entities to recognize complications and therapeutic interventions required. Knowledge of assessment practices related to pain management and various treatment modalities of pain relief. Knowledge of pharmaceuticals to recognize the desired effects, side effects and complications on their use, with emphasis on vasopressors and emergency medications titration of these medications. Knowledge of infection control procedures and safety precautions. Possess and employ an ability to communicate with patients and families during time of emotional and physical stress Successful completion of and positive results form all background and reference checks, including positive employment references from authorized representatives of past and current employers demonstrating to the satisfaction of TCRHCC a record of satisfactory performance and that the applicant can perform the essential functions of the job. Successful completion of fingerprint clearance requirements, physical examinations, and other screenings indicating that the applicant is qualified to be employed by TCRHCC and demonstrating to the satisfaction of TCRHCC that the applicant can perform the essential functions of the job. Submission of all required employment-related documents, application, resumes, references, and other required information free of false, misleading or incomplete information, as determined by TCRHCC. MENTAL AND PHYSICAL EFFORT The physical and mental demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. Physical: Work requires prolonged periods of standing; walking; talking or hearing; sitting watching, observing, concentrating on computer monitors and equipment; use of hands to finger, handle, feel; bending, stooping, kneeling, crouching; reaching with hands and arms; and, taste or smell. Agility and the ability to lift, pull and bend are required to move patients to and from beds, wheelchairs, stretchers, et cetera, and in moving equipment and medical supplies. Must be able to lift to 50 lbs. frequently through entire shift. Must be able to move, pull/push, lift, maneuver more than 100 lbs. when caring for patients and must be able to use proper body mechanics and lifting equipment when available. Must be able to discern when working with over a hundred pounds when, how, and who to ask for assistance to protect and prevent self-injury. Must have the ability to hear and recognize alarms on equipment; client calls; instructions from physicians/department staff; and, hear overhead pages through loudspeaker. This position requires vision required to see close; distant; colored; peripheral; and depth perception. Must be able to adjust visual focus as needed. to ask for assistance. This position requires the ability to perform repetitive motion actions in both feet; and, hands including prolonged grasping of simple/light action; intermittent grasping of firm/heavy action; and prolonged ability of fine dexterity. Mental: Contacts often require tact and sensitivity as those related to stressful situation such as death, dying, and catastrophic illnesses. Must be able to prioritize and use good judgment. Must be able to coordinate a variety of issues while being frequently interrupted. Must be able to work with the attitude of team building with other staff; collaborate with multiple departments and job positions. Must be willing to assist when able and as needed with other team players. Environmental: Required to work prolong periods of time in an environment of toxic or caustic chemicals. Will be working occasionally around the following environmental conditions: wet, humid conditions (non-weather); work near moving mechanical parts; toxic or caustic chemicals; outdoor weather condition; extreme cold (non-weather); extreme heat (non-weather); risk of electrical shock; risk of radiation; vibration; and, risk of electric shock. Typical environmental noise level is moderate. As with any area of a Health care setting, must be able to work around and with infectious diseases. Responsibilities ESSENTIAL FUNCTIONS: Responsible for providing direct observation of patients as directed by the nursing plan of care and under the supervision of the nursing staff and/or nursing department supervisor. Responsible for assisting nursing staff to create, maintain and provide a safe environment Develop individualized patient care plans and periodic evaluation of plans to ensure that intended results are being achieved. Interview patients and family members and consults with attending physicians, other staff members to determine and evaluate the kind of health and physical care needed. Recognize adverse signs and symptoms, which are not always apparent and to react promptly in emergency situations including the implementation of life saving procedures. Carry out treatments and procedures per scope of practice. Maintains health records by documenting observations, nursing interventions and therapeutic measures administered in an accurate, efficient, and timely manner. Provide counseling and teaching to patients and families or surrogates on preventive, curative and rehabilitative measures involved in health care. Make every effort to have positive working relationships with the ER staff and contribute to teamwork within the department. Monitor and initiate corrective action to maintain the environment of care including equipment and material resources Maintain professional knowledge and proficiency in nursing through continuing education, staff meetings, workshops and serve on nursing committees, as requested. Understand and adhere to established compliance and quality assurance standards. Participate in the development, implementation and evaluation of standards of care, Quality Assurance and Infection Control activities/projects. Participate in the identification of clinical or operational performance improvement opportunities and in performance improvement activities. Delegate tasks and supervise the activities of other licensed and unlicensed care providers as appropriate in accordance with licensure standards, when assigned as team leader; and provide guidance, direction and training to ancillary nursing and other personnel. Act as charge nurse for a group of patients or an entire unit when assigned. Responsible for electronic health records data entry pertinent to patient service role. Float to other units are needed. Ensure proper PPE is always worn while on duty including but not limited to, face mask, gloves, gown, isolation gown, NIOSH-approved N95 filtering facepiece respirator or higher, if available), and eye or face shield. Complete all donning and doffing tasks in a safe acceptable method and discard of used PPE accordingly. (see CDC website for most current updates) Complete task training for all routine cleaning and decontamination processes for all surfaces contaminated by a communicable disease to ensure a high level of patient, visitor, employee and external customer satisfaction Perform other duties as assigned.
Navajo Preference Employment Act In accordance with Navajo Nation and federal law, TCRHCC has implemented an Affirmative Action Plan pursuant to the Navajo Preference in Employment Act. Pursuant to this Plan and corresponding TCRHCC Policy, applicants who meet the necessary qualifications for this position and (1) are enrolled members of the Navajo Nation, Hopi Tribe, or San Juan Southern Paiute Tribe will be given preference in hiring and employment for this position, (2) are legally married to enrolled members of the Navajo Nation, Hopi Tribe, or San Juan Southern Paiute Tribe and meet residency requirements will be given secondary preference, and (3) are enrolled members of other federally-recognized American Indian Tribes will be given tertiary preference. Overview POSITION SUMMARY Responsible for providing nursing assisted care to patients involving standardized procedures requiring knowledge of specific patient conditions and treatments that include personal care, collection and reporting of vital signs, assisting with procedures, patient charting, and patient teaching under the supervision of Registered Nurses and other medical staff. Assists with patient re-positioning, transporting, dressing/undressing, and Activities of Daily Living in accordance with the Nursing Standards of Care and Unit policies. Maintains established departmental policies and procedures, objectives, quality assurance program, safety, environmental and infection control standards. Qualifications NECESSARY QUALIFICATIONS CERTIFIED NURSING ASSISTANT (CNA) Education: High school diploma or GED Successful completion of an accredited nursing assistant program and has successfully passed certification for nursing assistant Certification/Licensure: Must have and maintain a current, active, and unrestricted Certification as a Nursing Assistant from the State of Arizona and must be in good standing with the Arizona Board of Nursing. Must have and maintain current Basic Life Support (BLS) certification by the American Heart Association Experience: Three months to one year of CNA experience or currently enrolled in a registered nursing program. LICENSED NURSING ASSISTANT (LNA) Education: High school diploma or GED Successful completion of an accredited nursing assistant program and has successfully passed licensure for nursing assistant Certification/Licensure: Must have and maintain a current, active, and unrestricted License as a Nursing Assistant from the State of Arizona and must be in good standing with the Arizona Board of Nursing. Must have and maintain current Basic Life Support (BLS) certification by the American Heart Association Experience: Three months to one year of LNA experience or currently enrolled in a registered nursing program. Other Skills and Abilities: A record of satisfactory performance in all prior and current employment as evidenced by positive employment references from previous and current employers. All employment references must address and indicate success in each one of the following areas: Positive working relationships with others Possession of high ethical standards and no history of complaints Reliable and dependable; reports to work as scheduled without excessive absences Able to respond appropriately in stressful situations Able to provide direct patient care in a kind, patient, and compassionate manner Ability to communicate clearly and tactfully with patients and their family Complete Patient Sitter Competency Training (upon hire) Completion of above-satisfactory scores on all job interviews, demonstrating to the satisfaction of the interviewees and TCRHCC that the applicant can perform the essential functions of the job. Successful completion of and positive results from all background and reference checks, including positive employment references from authorized representatives of past and current employers demonstrating to the satisfaction of TCRHCC a record of satisfactory performance and that the applicant can perform the essential functions of the job. Successful completion of fingerprint clearance requirements, physical examinations, and other screenings indicating that the applicant is qualified to be employed by TCRHCC and demonstrating to the satisfaction of TCRHCC that the applicant can perform the essential functions of the job. MENTAL AND PHYSICAL EFFORT The physical and mental demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. Physical: This position is very active and requires prolonged standing, walking, bending, kneeling, stooping, crouching, crawling and climbing all day. The employee must frequently lift or move objects and patients weighing over 50 pounds. Must have ability to occasionally lift, push or pull up to 100lbs. May require long hours and frequent weekend work when working inpatient units. Must have ability of far vision, near vision, depth perception, seeing fine details, hearing normal speech, hearing overhead pages and frequent telephone use. Must have ability of simple and firm grasping and fine manipulation of both hands, and frequent use of keyboards. Mental: Must be able to prioritize and use good judgment. Must be able to coordinate a variety of issues while being frequently interrupted. Must communicate effectively and with tact in stressful situation. Must be able to continuously cope with high levels of stress, concentrate, handle high degree of flexibility, handle multiple priorities in stressful situation, demonstrate high degree of patience, adapt to shift work and work in areas that are close and crowded. Must be able to frequently make decisions under high pressure, cope with anger/fear/hostility of others in a calm way, work alone and occasionally manage altercations. Environmental: May continually be exposed to infectious diseases, dust, fumes and gases, frequent loud noises and occasional exposure to chemical agents, extremes in temperature or humidity, and hazardous or moving equipment. Responsibilities **CERTIFIED NURSING ASSISTANT** ESSENTIAL FUNCTIONS: Responsible for providing direct observation of patients as directed by the nursing plan of care and under supervision of the nursing staff and/or nursing department supervisor. Responsible for assisting nursing staff to create, maintain and provide a safe environment. Explain treatments under the direction of the nursing staff, observe patients, communicate observations or changes in patient’s condition to the appropriate healthcare team members and initiates emergency measures such as basic life. Shares in the responsibility of the maintenance of clinical records by charting of vital signs, height and weight; intake and output, pain scores, observations relative to patients’ condition and reaction to treatment, and assisted nursing care given. Transports patients using a variety of equipment including wheelchairs, stretchers, beds, or other mechanisms and assist in patient ambulation. Assisting with triage activities as directed by nursing staff and/or nursing supervisor. Supports in trauma situations and code blues within scope of practice. Assists in preparing a patient for procedures that include draping patients for examinations and treatments and remains with patients. May include performing duties such as holding instruments and adjusting lights. Handles multiple duties and tasks such as changing bed linens, performing activities of daily living, i.e. patient hygiene, bathing, repositioning, toileting, feeding, directing visitors, and answering the telephone. As directed by nursing staff, may collect or transport specimens, which include collection and proper labeling of laboratory specimens. Cleans, sterilizes, stores, prepares, and issues dressing packs, treatment trays, and other supplies. Follows stringent cleanliness regimes as to preclude the possibilities of infections and other diseases. Practices hand-off communication to the next CNA on shift, primary nurse, and/or to the charge nurse. Ensure proper and safe care of patient valuables and clothing, follows the organization’s policies and procedures. Maintains positive working relationships with staff and contributes to teamwork within the department. Adheres to TCRHCC mission, goals and policies. Assists in assembling and maintaining adequate supplies and shares responsibility for general upkeep of the department equipment and supplies. Demonstrates appropriate uses of equipment, materials, and supplies during assisted nursing care of patient. Attends all mandatory in-services and department meetings as required and scheduled. Performs other duties as assigned and float to other units. Assists with providing comfort measures, providing emotional support, and being a patient advocate. Performs 12-lead electrocardiograms (ECG’s) after competency is completed by department and kept on file. Document treatments, tasks, procedures performed in the patient’s electronic medical record. Ensure proper PPE is always worn while on duty including but not limited to, face mask, gloves, gown, isolation gown, NIOSH-approved N95 filtering facepiece respirator or higher, if available), and eye or face shield. Complete all donning and doffing tasks in a safe acceptable method and discard of used PPE accordingly. (see CDC website for most current updates) Complete task training for all routine cleaning and decontamination processes for all surfaces contaminated by a communicable disease to ensure a high level of patient, visitor, employee, and external customer satisfaction Assists with admission, discharge, and transfers of patients. Maintain patient safety at all times including providing fall precautions and observations as necessary. Must follow the Arizona State Board of Nursing Scope of Practice for the Certified Nursing Assistant. **LICENSED NURSING ASSISTANT** ESSENTIAL FUNCTIONS: Responsible for providing direct observation of patients as directed by the nursing plan of care and under supervision of the nursing staff and/or nursing department supervisor. Responsible for assisting nursing staff to create, maintain and provide a safe environment. Explain treatments under the direction of the nursing staff, observe patients, communicate observations or changes in patient’s condition to the appropriate healthcare team members and initiates emergency measures such as basic life. Shares in the responsibility of the maintenance of clinical records by charting of vital signs, height and weight; intake and output, pain scores, observations relative to patients’ condition and reaction to treatment and assisted nursing care given. Transports patients using a variety of equipment including wheelchairs, stretchers, beds, or other mechanisms and assist in patient ambulation. Assists with triage activities as directed by nursing staff and/or nursing supervisor. Supports in trauma situations and code blues within scope of practice. Assists in preparing a patient for procedures that include draping patients for examinations and treatments and remains with patients. May include performing duties such as holding instruments and adjusting lights. Handles multiple duties and tasks such as changing bed linens, performing activities of daily living, i.e. patient hygiene, bathing, repositioning, toileting, feeding, directing visitors, and answering the telephone. As directed by nursing staff, may collect or transport specimens, which includes collection and proper labeling of laboratory specimens. Cleans, sterilizes stores, prepares, and issues dressing packs, treatment trays, and other supplies. Follows stringent cleanliness regimes as to preclude the possibilities of infections and other diseases. Practices hand-off communication to the next LNA on shift, primary nurse, and/or to the charge nurse. Ensure proper and safe care of patient valuables and clothing, follows the organization’s policies and procedures. Maintains positive working relationships with staff and contributes to teamwork within the department. Adheres to TCRHCC mission, goals and policies. Assists in assembling and maintaining adequate supplies and shares responsibility for general upkeep of the department equipment and supplies. Demonstrates appropriate uses of equipment, materials, and supplies during assisted nursing care of patients. Attends all mandatory in-services and department meetings as required and scheduled. Performs other duties as assigned and float to other units. Assists with providing comfort measures, providing emotional support, and being a patient advocate. Performs 12-lead electrocardiograms (ECG’s) after competency is completed by department and kept on file. Document treatments, tasks, procedures performed in the patient’s electronic medical record. Ensure proper PPE is always worn while on duty including but not limited to, face mask, gloves, gown, isolation gown, NIOSH-approved N95 filtering facepiece respirator or higher, if available), and eye or face shield. Complete all donning and doffing tasks in a safe acceptable method and discard of used PPE accordingly. (see CDC website for most current updates) Complete task training for all routine cleaning and decontamination processes for all surfaces contaminated by a communicable disease to ensure a high level of patient, visitor, employee, and external customer satisfaction. Assists with admission, discharge, and transfers of patients. Maintain patient safety at all times, including providing fall precautions and observations as necessary. Must follow the Arizona State Board of Nursing Scope of Practice for the Licensed Nursing Assistant.
Navajo Preference Employment Act In accordance with Navajo Nation and federal law, TCRHCC has implemented an Affirmative Action Plan pursuant to the Navajo Preference in Employment Act. Pursuant to this Plan and corresponding TCRHCC Policy, applicants who meet the necessary qualifications for this position and (1) are enrolled members of the Navajo Nation, Hopi Tribe, or San Juan Southern Paiute Tribe will be given preference in hiring and employment for this position, (2) are legally married to enrolled members of the Navajo Nation, Hopi Tribe, or San Juan Southern Paiute Tribe and meet residency requirements will be given secondary preference, and (3) are enrolled members of other federally-recognized American Indian Tribes will be given tertiary preference. Overview **CERTIFIED NURSING ASSISTANT** POSITION SUMMARY The ICU Certified Nursing Assistant (CNA) provides direct, hands-on care to critically ill patients under the supervision and delegation of licensed nursing staff. Core functions include activities of daily living (ADLs), safe patient handling and proning/turning assistance , collection and accurate reporting of vital signs, line-aware positioning and transport, non-sterile dressing application, specimen collection, documentation in the electronic health record (EHR), and reinforcement of RN-led education. Maintains established departmental policies and procedures, objectives, quality assurance program, safety, environmental and infection control standards. **LICENSED NURSING ASSISTANT** POSITION SUMMARY The ICU Licensed Nursing Assistant (LNA) provides direct, hands-on care to critically ill patients under the supervision and delegation of licensed nursing staff. Core functions include activities of daily living (ADLs), safe patient handling and proning/turning assistance , collection and accurate reporting of vital signs, line-aware positioning and transport, non-sterile dressing application, specimen collection, documentation in the electronic health record (EHR), and reinforcement of RN-led education. LNAs practice within Arizona’s Nurse Practice Act and Board rules regarding nursing assistant scope, delegation, and professional conduct. Care is delivered in accordance with TCRHCC policies, infection‑control standards, and OSHA requirements Qualifications NECESSARY QUALIFICATIONS CERTIFIED NURSING ASSISTANT (CNA) Education: Must have a high school diploma or GED Completion of a state-approved nursing assistant program Certification/Licensure: Must have and maintain a current, active, and unrestricted Certification as a Nursing Assistant from the State of Arizona and must be in good standing with the Arizona Board of Nursing. Must have and maintain current Basic Life Support (BLS) certification by the American Heart Association Experience: Must have one year of ICU experience or 1.5 years of inpatient acute care experience. LICENSED NURSING ASSISTANT (LNA) Education: Must have a high school diploma or GED Completion of a state-approved nursing assistant program Certification/Licensure: Must have and maintain a current, active, and unrestricted license as a Nursing Assistant from the State of Arizona and must be in good standing with the Arizona Board of Nursing Must have and maintain current Basic Life Support (BLS) certification by the American Heart Association Experience: Must have one year of ICU experience or 1.5 years of inpatient acute care experience. Other Skills and Abilities: A record of satisfactory performance in all prior and current employment as evidenced by positive employment references from previous and current employers. All employment references must address and indicate success in each one of the following areas: Positive working relationships with others Possession of high ethical standards and no history of complaints Reliable and dependable; reports to work as scheduled without excessive absences Able to respond appropriately in stressful situations Able to provide direct patient care in a kind, patient, and compassionate manner Ability to communicate clearly and tactfully with patients and their families Complete Patient Sitter Competency Training (upon hire) Completion of above-satisfactory scores on all job interviews, demonstrating to the satisfaction of the interviewees and TCRHCC that the applicant can perform the essential functions of the job Successful completion of and positive results from all background and reference checks, including positive employment references from authorized representatives of past and current employers demonstrating to the satisfaction of TCRHCC a record of satisfactory performance and that the applicant can perform the essential functions of the job Successful completion of fingerprint clearance requirements, physical examinations, and other screenings indicating that the applicant is qualified to be employed by TCRHCC and demonstrating to the satisfaction of TCRHCC that the applicant can perform the essential functions of the job Submission of all required employment-related documents, applications, resumes, references, and other required information free of false, misleading or incomplete information, as determined by TCRHCC MENTAL AND PHYSICAL EFFORT The physical and mental demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. Physical: This position is very active and requires prolonged periods of standing, walking, bending, kneeling, stooping, crouching, crawling, and climbing throughout the day. The employee must frequently lift or move objects and patients weighing over 50 pounds. Must have the ability to occasionally lift, push, or pull up to 100lbs. May require long hours, frequent weekend work, and rotational holiday work. Must have the ability of far vision, near vision, depth perception, seeing fine details, hearing normal speech, hearing overhead pages, and frequent telephone use. Must have the ability to perform simple and firm grasping and fine manipulation of both hands, and frequent use of keyboards. Mental: Must be able to prioritize and use good judgment. Must be able to coordinate a variety of issues while being frequently interrupted. Must communicate effectively and with tact in stressful situations. Must be able to continuously cope with high levels of stress, concentrate, handle a high degree of flexibility, handle multiple priorities in stressful situations, demonstrate a high degree of patience, adapt to shift work, and work in areas that are close and crowded. Must be able to frequently make decisions under high pressure, cope with the anger/fear/hostility of others in a calm way, work alone, and occasionally manage altercations. Environmental: May be continually exposed to infectious diseases, dust, fumes, and gases, as well as frequent loud noises and occasional exposure to chemical agents, extremes in temperature or humidity, and hazardous or moving equipment. Responsibilities ESSENTIAL FUNCTIONS: Responsible for providing direct observation of patients as directed by the nursing plan of care and under the supervision of the nursing staff and/or nursing department supervisor. Responsible for assisting nursing staff in creating, maintaining, and providing a safe environment. Explains treatments, observes patients, communicates observations or changes in patients’ condition to the appropriate healthcare team members, and initiates emergency measures such as basic life support. Shares in the responsibility of the initiation and maintenance of clinical records by charting of vital signs, height, and weight; intake and output, observations relative to patients’ condition, and reaction to treatment and nursing care given. Transports patients using a variety of equipment, including wheelchairs, stretchers, beds, or other mechanisms, and assists in patient ambulation as delegated by licensed nursing staff. Assists in preparing a patient for procedures that include draping the patient for examinations or treatments and remaining with patients. May include performing duties such as holding instruments and adjusting lights. Handles multiple duties and tasks like changing bed linens, running errands, directing visitors, and answering the telephone. Takes and records temperature, blood pressure, height, weight, pulse, and respiration rates as directed, and may collect or transport specimens (e.g., urine) Cleans bedside equipment, such as perfusion pumps, bedside tables, Philips monitors, and patient cables, etc., with hospital-approved disinfectant wipes and/or cleaning procedures. Follows stringent cleanliness regimes to preclude the possibilities of infections and other diseases. Practice hand-off communication to the next LNA/CNA on shift or to the charge nurse Ensure proper and safe care of patient valuables and clothing, following the organization’s policies and procedures. Maintains positive working relationships with staff and contributes to teamwork within the department. Adheres to TCRHCC mission, goals, and policies. Assists in assembling and maintaining adequate supplies and shares responsibility for general upkeep of the department's equipment and supplies. Demonstrates appropriate uses of equipment, materials, and supplies during nursing care of the patient. Attends all mandatory in-services and department meetings as required and scheduled. Performs other duties assigned and floats to other units. Responsible for documenting treatments, tasks, and procedures they performed (e.g., turning, ADLS, blood sugars) in the patient’s electronic medical record (EHR). Additional Duties for Inpatient Units: Answers call lights or intercom system promptly to determine and assist with patients' needs; reports any abnormal findings or complaints to the charge nurse. Assist patients with meals by direct feeding or bring a tray to them and set it up. Turns, repositions, or assists in bathroom/toileting of bedrest patients. Understand and practice preventive measures for bedsores in all patients. Initiate recreational activities with direction of licensed nursing staff, such as assisting with outdoor ambulation or delivering reading material to patients. Ensure proper PPE is always worn while on duty following isolation orders/procedures, including but not limited to face mask, gloves, gown, isolation gown, NIOSH-approved N95 filtering facepiece respirator or higher (if available), and eye or face shield. Complete all donning and doffing tasks in a safe and acceptable method and discard used PPE accordingly. (see CDC website for the most current updates) Complete task training for all routine cleaning and decontamination processes for all surfaces contaminated by a communicable disease to ensure a high level of patient, visitor, employee, and external customer satisfaction.
Navajo Preference Employment Act In accordance with Navajo Nation and federal law, TCRHCC has implemented an Affirmative Action Plan pursuant to the Navajo Preference in Employment Act. Pursuant to this Plan and corresponding TCRHCC Policy, applicants who meet the necessary qualifications for this position and (1) are enrolled members of the Navajo Nation, Hopi Tribe, or San Juan Southern Paiute Tribe will be given preference in hiring and employment for this position, (2) are legally married to enrolled members of the Navajo Nation, Hopi Tribe, or San Juan Southern Paiute Tribe and meet residency requirements will be given secondary preference, and (3) are enrolled members of other federally-recognized American Indian Tribes will be given tertiary preference. Overview POSITION SUMMARY The Ambulatory Care Nurse in collaboration with other health care professionals, address patient wellness, acute illness, chronic disease, disability, and other outpatient needs. The nurse will perform a problem focused assessment of the patient’s primary concerns in the clinical or telemedicine setting. Integrate into the practice the finding of quality of care and performance improvement initiatives. Ambulatory Care Nurse performs a variety of nursing care procedures requiring nursing competency and assessment for specific patient conditions and treatments, with the ability to complete electronic health data entry tasks. The Ambulatory Care Nurse will carry out physician’s orders, adhere to high, quality standards of care, follow nursing policies and procedures and TCRHCC hospital policies. Qualifications NECESSARY QUALIFICATIONS Education: Associate’s or Bachelor’s Degree in Nursing License/Certification: Must have a valid, current, full and unrestricted Professional Nursing License to practice nursing in any state of the United States of America, The Commonwealth of Puerto Rico, or a territory of the United States Must maintain a current valid certification of the following throughout employment: Basic Life Support (BLS) from the American Heart Association Experience: Must have one (1) consecutive year of nursing experience in outpatient and/or acute healthcare setting Other Skills and Abilities: A record of satisfactory performance in all prior and current employment as evidenced by positive employment references from previous and current employers. All employment references must address and indicate success in each one of the following areas: Positive working relationships with others Ability to prioritize competing responsibilities while under pressure. Ability to communicate and interact effectively with patients and co-workers. Ability to work independently; reports to work as scheduled without excessive absences. Ability to work in a computerized environmental setting; computer skills required. Knowledge of normal growth, development, and life cycle changes. This also includes knowledge of the physical, psychosocial, and behavioral characteristics of the age specific group for which care is provided. Knowledge of disease entities to recognize complications and therapeutic interventions required. Knowledge of pharmaceuticals to recognize the desired effects, side effects and complications on their use, with emphasis on vasopressors and emergency medications titration of these medications. Knowledge of infection control procedures, Personal Protective Equipment (PPE) and safety precautions. Successful completion of and positive results from all background and reference checks, including positive employment references from authorized representatives of past and current employers demonstrating to the satisfaction of TCRHCC a record of satisfactory performance and that the applicant can perform the essential functions of the job. Successful completion of fingerprint clearance requirements, physical examinations, and other screenings indicating that the applicant is qualified to be employed by TCRHCC and demonstrating to the satisfaction of TCRHCC that the applicant can perform the essential functions of the job. Submission of all required employment-related documents, application, resumes, references, and other required information free of false, misleading or incomplete information, as determined by TCRHCC. MENTAL AND PHYSICAL EFFORT The physical and mental demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. Physical: Work requires prolonged periods of standing; walking; talking or hearing; sitting watching, observing, concentrating on computer monitors and equipment; use of hands to finger, handle, feel; bending, stooping, kneeling, crouching; reaching with hands and arms; and, taste or smell. Agility and the ability to lift, pull and bend are required to move patients to and from beds, wheelchairs, stretchers, et cetera, and in moving equipment and medical supplies. Must be able to lift up to 50 lbs frequently through entire shift. Most be able to move, pull/push, lift, maneuver more than 100 lbs. when caring for patients and must be able to use proper body mechanics and lifting equipment when available. Must be able to discern when working with over a hundred pounds when, how, and who to ask for assistance to protect and prevent self-injury. Must have the ability to hear and recognize alarms on equipment; client calls; instructions from physicians/department staff; and, hear overhead pages through loudspeaker. This position requires vision required to see close; distant; colored; peripheral; and depth perception. Must be able to adjust visual focus as needed. to ask for assistance. This position requires the ability to perform repetitive motion actions in both hands including prolonged grasping of simple/light action; intermittent grasping of firm/heavy action; and prolonged ability of fine dexterity. Mental: Contacts often require tact and sensitivity as those related to stressful situation such as death, dying, and catastrophic illnesses. Must be able to prioritize and use good judgment. Must be able to coordinate a variety of issues while being frequently interrupted. Must be able to work with the attitude of team building with other staff; collaborate with multiple departments and job positions. Must be willing to assist when able and as needed with other team players. Environmental: Will be working occasionally around fumes or airborne particles; toxic or caustic chemicals; and, risk of electric shock. Typical environmental noise level is moderate. As with any area of a Health care setting, must be able to work around and with infectious diseases. Responsibilities ESSENTIAL FUNCTIONS The Ambulatory Care Nurse is fully accountable in all ambulatory care settings for all nursing services and associated patient outcomes provided under their direction. Responsible for the initial and long-term assessment of patients in an outpatient setting and instructing on wellness/prevention methods to illness and support of patients. Responsible for working in outpatient settings and able to respond to high volumes of patients in a short-term time spans. Provides age specific care in a compassionate, caring, culturally and ethically sensitive manner. Utilize competent, evidence-based ambulatory care nursing intervention during clinic visits, telephone or telemedicine and electronic health communication encounters. Interviewing patients and family members; consults and coordinates with providers and other members of the health care team to assess, plan, implement, and evaluate patient care plans carries out treatments and procedures per scope of practice. Provides counseling and education to patients and families or surrogates on preventive, curative and rehabilitative measures related to their health care needs. Serve as patient advocate by supporting the basic rights, values and beliefs of the patient. Maintain accurate health records by documenting observations, nursing interventions and therapeutic measures administered in an accurate, efficient, and timely manner. Recognizing and respond to adverse patient signs and symptoms promptly, especially in emergency situations including the execution of life saving procedures. Participating in the development, implementation and evaluation of standards of care, quality assurance and infection control activities. Contribute to positive working relationships within the Outpatient Department (OPD) team and other supplemental departments in the hospital. Delivers clinical nurse patient care with adherence to the PCMH model and in conjunction with ambulatory nurse strategy and competencies. Monitoring and initiating corrective action to maintain the environment of care including equipment and material resources. Accepts responsibility, when delegated by the Program Director or designee, as team leader to providing direction to ancillary nursing and other personnel. Serve as charge nurse for a group of patients or staff when assigned. Participates in orientating new employees. Fosters a collaborative environment, using a team approach, in which ideas are shared and valued to promote safe, patient centered care. Maintains professional knowledge and proficiency in nursing through continuing education, staff meetings, workshops and serving on nursing committees. Floats to other Outpatient Department’s clinical areas to meet patient care needs during staffing shortages. Ensure proper PPE is worn at all times while on duty including but not limited to, face mask, gloves, gown, isolation gown, NIOSH-approved N95 filtering facepiece respirator or higher, if available), and eye or face shield. Complete all donning and doffing tasks in a safe acceptable method and discard of used PPE accordingly. (see CDC website for most current updates. Completes all electronic health record entries accurately and timely pertinent to patient care role. Participates in departmental workflow and or testing teams as related to electronic health record or other project initiatives Performing other duties as assigned.
Navajo Preference Employment Act In accordance with Navajo Nation and federal law, TCRHCC has implemented an Affirmative Action Plan pursuant to the Navajo Preference in Employment Act. Pursuant to this Plan and corresponding TCRHCC Policy, applicants who meet the necessary qualifications for this position and (1) are enrolled members of the Navajo Nation, Hopi Tribe, or San Juan Southern Paiute Tribe will be given preference in hiring and employment for this position, (2) are legally married to enrolled members of the Navajo Nation, Hopi Tribe, or San Juan Southern Paiute Tribe and meet residency requirements will be given secondary preference, and (3) are enrolled members of other federally-recognized American Indian Tribes will be given tertiary preference. Overview POSITION SUMMARY Under the authority of a supervising orthopedic physician, incumbent provides basic care as a Nurse Practitioner or Physician Assistant for the Orthopedic Department’s ambulatory patients, emergency cases and individuals and families. The position is also designed to identify high priority goals for promotion for health and prevention of disease. Assists with other clinical and administrative activities as required. Qualifications NECESSARY QUALIFICATIONS Education: Master of Science (MS) degree in Nursing or Bachelor’s degree in Physician Assistant Studies License/Certification: Must possess a valid, current, full, and unrestricted license to practice as a Nurse Practitioner or Physician Assistant in any state within the United States, District of Columbia, or the Commonwealth of Puerto Rico. Must possess a certificate from the National Commission for Certified Physician Assistants (NCCPA) or must possess a certificate from the American Association of Nurse Practitioners (AANP). Must have and maintain current Basic Life Support (BLS) certification by the American Heart Association Credentialing: Must be credentialed to serve on the Medical Staff (provide all related information as requested for credentialing process). Other Skills and Abilities: A record of satisfactory performance in all prior and current employment as evidenced by positive employment references from previous and current employers. All employment references must address and indicate success in each one of the following areas: Positive working relationships with others and excellent customer service skills Demonstrated ability in working with people from all levels of discipline Possession of high ethical standards and no history of complaints Reliable and dependable; reports to work as scheduled without excessive absences Successful completion of and positive results from all background and reference checks, including positive employment references from authorized representatives of past and current employers demonstrating to the satisfaction of TCRHCC a record of satisfactory performance and that the applicant can perform the essential functions of the job Successful completion of fingerprint clearance requirements, physical examinations, and other screenings indicating that the applicant is qualified to be employed by TCRHCC and demonstrating to the satisfaction of TCRHCC that the applicant can perform the essential functions of the job Submission of all required employment-related documents, applications, resumes, references, and other required information free of false, misleading, or incomplete information, as determined by TCRHCC. MENTAL AND PHYSICAL EFFORT The physical and mental demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. Physical: The incumbent must have the ability to sit, stand, and walk for prolonged period of the workday, bend, crouch, twist, maintain balance and reach frequently and drive, climb and kneel occasionally. The incumbent must have the ability to lift, push and pull up to 24 lbs. frequently and up to over 100 lbs. occasionally. The incumbent must have the ability for far, near vision, depth perception, hearing norm speech, hearing overhead pages, keyboard, and telephone use for ¾ workday, seeing fine details, simple grasping, firm grasping and fine manipulation frequently and color vision occasionally. The incumbent must accept flexibility to meet units needs ¾ workday. Mental: The incumbent must have the ability to cope with high level of stress , concentrate and work in areas that are close and crowded for prolonged periods of the workday; make decisions under high pressure, cope with anger/fear/hostility of others in a calm way, manage altercations, handle a high degree of flexibility, handle multiple priorities in stressful situations, work alone, demonstrate high degree of patience and adapt to shift work frequently. Environmental: The incumbent may be exposed to infectious disease for prolonged periods of workday, chemical agents, dust, fumes, gases, extremes in temperature or humidity, hazardous of moving equipment, unprotected heights, and loud noises occasionally. Responsibilities ESSENTIAL FUNCTIONS Functions under the supervision of an orthopedic physician in accordance with established policies and procedures. Interviews, assesses, and evaluates patients of all ages to determine their physical condition and type of medical services needed, and orders initial and post-operative diagnostic studies appropriate for the patient’s medical condition. Accurately records and reports facts, including evaluation and treatment of the whole care of the patient and allows all entries into the patient chart to be reviewed and signed by the supervising physician. Adheres to medical regimens to stabilize chronically ill persons; adjusts regimen within established protocols. Discriminates between normal and abnormal findings to recognize early stages of serious physical, emotional, or mental problems. Consults and collaborates with other health care professionals at Tuba City to established health care plans and to review patient progress and response to therapy, including the use of written referrals to other clinic staff, Community Health Nurses, specialty clinics, schools, etc. Maintains reporting and record systems related to patient care and progress, and as required by TCRHCC and Navajo Area Indian Health Service (NAIHS). Teaches patients and family member’s ways to maintain or improve their health status. Carries out treatments and emergency or other procedures required; administers medication; observes and documents patient conditions, changes and reactions to medications and medical treatment. Supervises orthopedic patients involving the whole management of care requiring the application of principles based upon the biological, physical, and social sciences. Evaluates health care plans and has ability to recognize the need for assessment by the physician and other health professionals. Evaluates total health care needs of patients and develops plans to meet these needs. Administration of joint injections, trigger point injections, punch biopsy, stapling, wound closure and maintenance, casting and splinting, local and digital blocks, suturing, and assess for medication management of chronic and acute disease states. Teaches joint replacement classes and completes health history assessments for surgical procedures. Assists in the surgical suite when accompanied by the surgeon. Works on a regularly assigned, rotational or call back basis to provide continuity of medical services during evenings, nights, holidays, and weekends as needed per interdepartmental agreement. Responsible for electronic health records data entry pertinent to patient service role. Ensure proper PPE is always worn while on duty including but not limited to, face mask, gloves, gown, isolation gown, NIOSH-approved N95 filtering facepiece respirator or higher, if available), and eye or face shield. Complete all donning and doffing tasks in a safe acceptable method and discard of used PPE accordingly. (see CDC website for most current updates) Complete task training for all routine cleaning and decontamination processes for all surfaces contaminated by a communicable disease to ensure a high level of patient, visitor, employee, and external customer satisfaction. Completes all patient care documentation in the electronic health record entries accurately and in real-time. Participates in departmental workflow and or testing teams as related to electronic health record or other project initiatives. Performs other duties as assigned.
