RN Full-time
Fresenius Medical Care

Clinical Coordinator - Charge Registered Nurse - RN

Fresenius Medical Care Cadiz, KY 42211, US
Apply Now

PURPOSE AND SCOPE:

Supports FMCNA’s mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements. Ensure quality patient care while maintaining cost-effective clinical operations in accordance with all legal, compliance, and regulatory requirements and programs.  As the Charge Nurse, manages the daily decisions to ensure continuity of care to maintain patient and staff safety and oversees the delivery of safe effective quality outcomes.

PRINCIPAL DUTIES AND RESPONSIBILITIES:

  • Provide day to day guidance, support and direction to direct patient care staff, providing informal feedback on an ongoing basis and formal feedback input for the annual performance evaluation. Participate in the department staffing and the appropriate hiring, firing and disciplinary actions. Recommend disciplinary action to Facility Administrator and initiate as appropriate.
  • Ensure compliance with all company and facility approved procedures and policies as well as regulations set forth by state and federal agencies.
  • Approve or disapprove time or personnel schedule changes in the absence on the Facility Administrator ensuring compliance with applicable regulations, policies and procedures for documenting time of work hours for staff members on assigned shift.
  • Participate in patient care plan meetings.
  • Maintain knowledge in the current practices related to the principles and techniques of dialysis by participating in all scheduled in- services.
  • Train and orient staff as necessary.
  • Routinely observe and guide direct patient care staff for appropriate technique and adherence to facility policies and procedures.
  • Promote and assist with compliance to OSHA programs in order to maintain a safe and clean working environment.
  • Maintain overall shift operation in a safe, efficient, and effective matter.
  • With Facility Administrator conduct staff meetings at least monthly or as needed to keep patient care staff informed of changes in patient care needs or operations to improve delivery of care.
  • Meet routinely with the Facility Administrator to discuss personnel and patient care status, issues, and information.
  • Supervise all documentation of patient information.
  • Coordinate Charge Nurse duties with Staff RNs acting in the relief charge capacity.
  • Assess daily patient care needs and develop and distribute patient care assignments appropriately.
  • Assume primary responsibility in an emergency situation.
  • Assess patient needs, respond to dialysis treatments, and communicate concerns to rounding physician. Implement changes in patient care/treatment as directed.
  • Monitor and supervise all patient care activity during dialysis and assist as necessary.
  • Collaborate with direct patient care team in making decisions to benefit patient care.
  • Continuously monitor patient’s condition with regards to problems and potential complications associated with dialysis.
  • Administer medications to patients per physician’s orders.
  • Act as the subject matter expert and as a resource for staff members.
  • Supervise and participate in completion of short and long term care plans.
  • Admit new patients according to facility procedure.
  • Ensure educational needs of patients are met and educate the patient and family about End Stage Renal Disease, dialysis therapy, diet and medication.
  • Supervise the safe and effective use of all equipment involved in direct patient care.
  • Operate all dialysis related and emergency equipment safely and efficiently when needed.
  • Perform required testing and verification and initial the checklist for start-up and shut-down procedures as outlined in the Technical Services Manual.
  • Complete Nurse’s Technical Training Program/Water Quality Facility
  • Assist with special projects or other duties as assigned by the Facility Administrator
  • Assist with the interviewing of potential direct patient care staff
  • Promote efficient use of medical supplies.
  • Attend and participate in monthly Quality Assurance meetings.

Additional responsibilities may include focus on one or more departments or locations.  See applicable addendum for department or location specific functions.

PHYSICAL DEMANDS AND WORKING CONDITIONS:

  • The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
    • Day to day work includes desk and personal computer work and interaction with patients, facility staff and physicians. The position requires travel between assigned facilities and various locations within the community.
    • The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials.
  • Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Note that: Failing the

Ishihara Test for Color Blindness does not preclude employment. The Company will consider whether reasonable accommodation can be made.

  • Travel to regional, Business Unit and Corporate meetings may be required.

SUPERVISION:

  • Direct Patient Care Staff, Ward Clerk as assigned.

EDUCATION:

  • Graduate of an accredited school of Nursing (R.N.)
  • Must be registered and licensed to practice in the applicable State.

EXPERIENCE AND REQUIRED SKILLS:

  • Minimum of 12 months of nursing experience, plus 6 months of specialized experience providing clinical nursing care to dialysis patients, in either a chronic or acute setting.
  • Medical/surgical nursing preferred.
  • Supervisory or management experience preferred.
  • Certified in CPR or successfully complete course in CPR certification.
  • Good communication skills – verbal and written.

Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.

Fresenius Medical Care is an equal opportunity employer and does not discriminate on the basis of race, color, religion, sexual orientation, gender identity, parental status, national origin, age, disability, military service, or other non-merit-based factors

Share this job

Share to FB Share to LinkedIn Share to Twitter

Related Jobs

RN OB/GYN Other
Defense Health Agency (DHA)

NURSE (INPATIENT CLINICAL/OB-GYN)

Defense Health Agency (DHA) Fort Campbell, KY
Overview NURSE (INPATIENT CLINICAL/OB-GYN) This position is located at Blanchfield Army Community Hospital, at Fort Campbell, KY. This is a full-time position that affords job security, a competitive salary, bonuses, moving expenses, full malpractice coverage, up to 26 days paid vacation, 10 days paid Federal Holidays, a sick leave benefit, 401K, CME opportunities, a first-class health and retirement benefit package. Fort Campbell lies on the Kentucky/Tennessee border between Hopkinsville and Clarksville, directly off of I-24 and only 40 miles NW of Nashville. As the ninth-fastest growing city in the nation, Clarksville is experiencing tremendous change including new schools, a new hospital, and new residential developments. Clarksville is ranked as the 57th “Best Place to Live” by Money Magazine, 11th “Best City in the U.S. for Public Golf” by Golf Digest, and is the state’s fifth largest city with a revitalized and thriving riverfront district. Both visitors and residents enjoy the shops and eateries of downtown Clarksville and with its brick sidewalks, tree lined streets, decorative lighting and park benches, the historic area is drawing new attention. The cost of living is lower than the average for all major U.S. cities. For more information, visit http://www.clarksvillecvb.com/. Working for the Department of Defense comes with an abundance of benefits and perks to include competitive compensation packages, paid-time off, medical benefits, student loan repayments, and retirement package with Thrift Savings Plan to include matching employer contributions. For more information, please visit the following link: https://www.usajobs.gov/Help/working-in-government/benefits/ Responsibilities MAJOR DUTIES: 1. Provides comprehensive professional nursing care to OB/GYN patients and their newborns with medical conditions ranging from routine care to those having complex complications requiring sophisticated, highly technical care and treatment. Conducts an advanced level of specialized obstetrical and gynecological nursing care to patients based on a provider’s medical care plan and the physical, mental, and emotional needs of the patient and family. Incumbent provides specialized obstetric and gynecologic nursing care to adolescents and adult women throughout the age spectrum and their newborns. Provides care for women requiring low to high-risk ante-partum, intra-partum, postpartum, and gynecological care as well as competence in newborn and couplet care. Administers oxygen, IV fluids, amnioinfusion, blood products, and prescribed medications. Initiates intravenous and indwelling catheters, and patient-controlled analgesia pumps. Sets up and operates specialized monitoring equipment including blood pressure monitoring, pulse oximetry, fetal heart rate monitors (internal and external), neonatal resuscitation equipment, cardiac monitoring, and infant warmers. Recognizes life-threatening conditions that require immediate attention. Provides perioperative care to include serving as the circulating RN for cesarean sections and additional obstetric surgical procedures as needed (i.e., dilatation and curettage, cervical cerclage, cesarean-hysterectomy). Serves as subject matter expert and consultant for nursing staff and healthcare teammates in other areas of the hospital. Remains alert for signs and symptoms of patient distress and provides emergency care including initiation of life sustaining measures such as delivery, Cardiopulmonary Resuscitation (CPR), hypertension therapy, choking first aid, bleeding control, treatment of injuries, etc., in the absence of the provider, and assists with advanced cardiac life support measures. Assists anesthesia providers with placement of epidural catheters and induction of general anesthesia. Maintains lines and dressings in accordance with infection control policies and procedures, and discontinues invasive lines as guided by policy. Serves as Charge Nurse on a rotational basis. Makes decisions regarding priorities for patient care for shift assignments. Assigns duties and delegates patient care to other registered nurses, licensed practical nurses, operating room technicians, and medical assistants, with consideration the difficulty and requirements of the assignment and the qualifications and capabilities of the individual. Monitors and oversees staff performance to assure work is accomplished timely. Ensures staff makes legible, accurate, and complete nursing entries in the electronic health record. Ensures appropriate patient education occurs during the shift and that the correct responses to patient emergencies are made. Verifies and annotates all physicians'/providers' orders written during the shift. Reviews and revises nursing care plans as needed. Advises attending physicians of significant changes in a patient’s condition in a timely manner. Coordinates and assures timely arrival of patients to scheduled appointments. Coordinates with other services/departments as required for diagnostic tests and procedures. Professional knowledge of the breastfeeding process, antepartum, intrapartum and postpartum health care. Knowledge, abilities, and skills of a wide range of nursing concepts, procedures, and practices to apply a highly specialized degree of skill and ability in assessing, planning, implementing, and evaluating lactation education needs. Knowledgeable about the standards of nursing and practices in the delivery of patient care. Knowledgeable and skilled in the physiology and clinical management of breastfeeding. Coordinates case management needs with the case and outcomes management team. Develops nursing care plans and procedures, setting standards of care, prescribing special care and identifying specific nursing problems for all patients. Interprets provider and other professional orders and implements standard of care procedures, when appropriate, to comply with orders and to ensure comprehensive nursing care for all patients. Prepares written and gives oral instructions to personnel of all shifts regarding status and condition of patients, special procedures, and observations required. Continuously evaluates all procedures occurring on the unit to ensure quality patient care, recommending changes or implementation of nursing service policies and procedures when applicable. Coordinates patient education activities; ensures a safe environment for patients and staff by employing prescribed monitoring and safety measures. Collaborates with multidisciplinary group to formulate plans of care that are individualized and in accordance to accepted standards. Provides sufficient information to patients, parents, on pre- and post- admission and/or operative education, disease process and complications, and medication administration. 2. Performs procedures, treatments, and medication administration. Assesses patient’s response to medication administration. Utilizes analytical thinking and critical decision making prior to the administration of medication and/or treatments based on knowledge of the affects to include side effects of the medical on the physiological processes and current condition of the patient. Competent in performing medical administration via oral, intramuscularly, subcutaneously, intravenously, topically, etc. Maintains continual awareness of approved medication dosages and addresses uncommon dosages for ordered medication with ordering provider. Reviews medication orders after thorough medication list review and verification of any side effects, allergies, contraindications, and continued treatment needs with the patient in accordance with (IAW) DoD, Defense Health Agency (DHA), and local instructions. Provides for the safekeeping and accurate accounting of controlled drugs and narcotics (IAW) DHA Regulations, MTF, and American Nursing Association guidelines. IAW DHA-PI 6025.16, perinatal certifications in STABLE, NRP, Fetal Heart Monitoring, ECO/ALSO, and participation in unit emergency simulation and drills as directed are mandatory training requirements once hired. Sets up and operates a variety of specialized medical equipment such as, but not limited to, resuscitators, cardiac monitoring devices, automated external defibrillators (AEDs), EKG units, oxygen analyzers, ventilators, neonatal warmers and transporters, electronic fetal monitoring devices, phototherapy lights/blankets, and electrocautery devices. Serves as a resource person with whom other obstetrical nurses consult when particularly difficult problems in the care of obstetrical patients arise. Serves as a mentor, preceptor, and role model to experienced and fully trained obstetrical nurses as well as those not fully trained. Provides guidance and leadership to other professional nurses and provides instructions and training to paraprofessional personnel, including on-the-job training and orientation, as necessary. (15%) 3. Participates in continuing education programs to update and/or maintain skills and knowledge to meet annual requirements. Participates in department and unit-level simulation drills, staff meetings, in-services/briefings, and in continuing quality and process improvement measures. Uses current research findings and other evidence to expand professional knowledge, enhance role performance, and increase knowledge of professional obstetric/perinatal nursing. Completes all training requirements designated by facility, supervisor, DHA, or accrediting agencies; participates in continuing education programs to update and/or maintain skills and knowledge to meet licensing requirements. 4. Provides evidence-based instructions and education to patient/significant other and/or family members/caregivers. Performs adapted patient teaching with patients requiring special approaches or preferences and documents education provided. In coordination with the clinical provider, provides individualized, thorough instructions prior to surgery, delivery, diagnostic procedures and/or in-home care. Evaluates patient’s/caregiver’s understanding of current health and health literacy. Emphasizes the preventive, curative, and restorative aspects of instructions. Emphasizes and instructs patients, families, and/or caregivers on preventive and therapeutic interventions, health promotion and maintenance, care outcomes and goals, as well as care coordination. Ensures patient, families and/or caregivers acknowledge understanding of instructions and participate in the plan of care. Provides support to patients suffering from perinatal loss through the delivery of bereavement care. Coordinates services through various agencies to facilitate healing and grief support. Follows established protocols using professional nursing judgment to individualize instructions to meet each beneficiary’s needs. Delegates appropriate nursing interventions to nursing team members based on their demonstrated competency, state practice acts, available evidence-based guidelines, regulatory standards, and organizational policies ensuring assignments/duties are compatible with the individual’s skill level. Other duties as assigned Qualifications US Citizenship required Basic Requirement for Nurse (Clinical/Obstetrics-Gynecology): Degree: A graduate or higher level degree, bachelor's degree, associate degree, or diploma from an accredited professional nursing educational program is required. This education must have been accredited by the Commission on Collegiate Nursing Education, Council on Accreditation of Nurse Anesthesia Educational Programs, Accreditation Commission for Midwifery Education, or an accrediting body recognized by the U.S. Department of Education at the time the degree was obtained. (Note: You must attach a copy of your transcripts.) Licensure: A current, active, full, and unrestricted license or registration as a professional nurse from a State, the District of Columbia, the Commonwealth of Puerto Rico, or a territory of the United States; and you must have passed the National Council Licensure Examination. Foreign Degree: A degree from a Foreign Nursing School. Official certification from the Commission on Graduates of Foreign Nursing Schools is required for individuals who graduated from foreign nursing schools. Exemption: You are exempt from the basic requirements above if you are a current federal employee occupying a position in the 0610 occupational series and have been continuously employed in this occupational series since September 27, 2017 or before. Applicants claiming this exemption must meet the requirement below. Note: You will be required to provide appropriate documentation to the respective Human Resources Office to validate your status.Degree or diploma from a professional nursing program approved by the legally designated State accrediting agency at the time the program was completed by the applicant.Active, current registration as a professional nurse in a State, District of Columbia, the Commonwealth of Puerto Rico, or a territory of the United States.
RN Med-Surg Other
Defense Health Agency (DHA)

Nurse (Clinical/ Medical-Surgical)

Defense Health Agency (DHA) Fort Campbell, KY
Overview Nurse (Med/Sg) About the Position: This position is located at Blanchfield Army Community Hospital on Fort Campbell, TN.This is a Direct Hire Solicitation This is a full-time position that affords job security, a competitive salary, bonuses, moving expenses, full malpractice coverage, up to 26 days paid vacation, 10 days paid Federal Holidays, a sick leave benefit, 401K, CME opportunities, a first-class health and retirement benefit package. Fort Campbell lies on the Kentucky/Tennessee border between Hopkinsville and Clarksville, directly off of I-24 and only 40 miles NW of Nashville. As the ninth-fastest growing city in the nation, Clarksville is experiencing tremendous change including new schools, a new hospital, and new residential developments. Clarksville is ranked as the 57th “Best Place to Live” by Money Magazine, 11th “Best City in the U.S. for Public Golf” by Golf Digest, and is the state’s fifth largest city with a revitalized and thriving riverfront district. Both visitors and residents enjoy the shops and eateries of downtown Clarksville and with its brick sidewalks, tree lined streets, decorative lighting and park benches, the historic area is drawing new attention. The cost of living is lower than the average for all major U.S. cities. For more information, visit http://www.clarksvillecvb.com/. Working for the Department of Defense comes with an abundance of benefits and perks to include competitive compensation packages, paid-time off, medical benefits, student loan repayments, and retirement package with Thrift Savings Plan to include matching employer contributions. For more information, please visit the following link: https://www.usajobs.gov/Help/working-in-government/benefits/ Responsibilities Duties Provides direct care and education to patients and families on Army regulatory and professional standards. Coordinates the care of complex medical-surgical patients. Provides assists with highly specialized nursing care to patients that have undergone complex surgeries or who have complex preoperative or postoperative needs. Utilizes nursing processes to initiate assessments, implementations, and evaluations of care of patients with stomas fistulas, draining wounds, incontinence, pressure ulcers and skin problems. Addresses clinical problems on the Interdisciplinary Plan of Care and revises as needed. Evaluates patients for pain management during admission and frequent assessment. Perform other duties as assigned Qualifications Qualifications Who May Apply: US Citizens In order to qualify, you must meet the education and/or experience requirements described below. 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; student; social). You will receive credit for all qualifying experience, including volunteer experience. Your resume must clearly describe your relevant experience; if qualifying based on education, your transcripts will be required as part of your application. Additional information about transcripts is in this document. Basic Requirement for : Nurse (Clinical/Medical-Surgical) Degree: A graduate or higher level degree, bachelor's degree, associate degree, or diploma from an accredited professional nursing educational program is required. This education must have been accredited by the Commission on Collegiate Nursing Education, Council on Accreditation of Nurse Anesthesia Educational Programs, Accreditation Commission for Midwifery Education, or an accrediting body recognized by the U.S. Department of Education at the time the degree was obtained. (Note: You must attach a copy of your transcripts.). Licensure: A current, active, full, and unrestricted license or registration as a professional nurse from a State, the District of Columbia, the Commonwealth of Puerto Rico, or a territory of the United States; and you must have passed the National Council Licensure Examination. Foreign Degree: A degree from a Foreign Nursing School. Official certification from the Commission on Graduates of Foreign Nursing Schools is required for individuals who graduated from foreign nursing schools. Exemption: You are exempt from the basic requirements above if you are a current federal employee occupying a position in the 0610 occupational series and have been continuously employed in this occupational series since September 27, 2017 or before. Applicants claiming this exemption must meet the requirement below. Note: You will be required to provide appropriate documentation to the respective Human Resources Office to validate your status.Degree or diploma from a professional nursing program approved by the legally designated State accrediting agency at the time the program was completed by the applicant.Active, current registration as a professional nurse in a State, District of Columbia, the Commonwealth of Puerto Rico, or a territory of the United States. In addition to meeting the basic requirement above, to qualify for this position you must also meet the qualification requirements listed below: Education/Experience: A diploma, associate degree, or bachelor's degree in Nursing from a professional nursing program and possession of at least one full year of professional nursing experience (equivalent to the GS-9 grade level or above) which includes providing nursing care to surgical patients, educating staff or patients, and setting up, operating, or monitoring specialized medical equipment. OR Education: A PhD or equivalent doctoral degree from a professional nursing educational program or related medical science field including but not limited to a Nursing program. EXEMPTION: You are exempt from the qualification requirements above if you are a current federal employee occupying a position in the 0610 occupational series and have been continuously employed in this occupational series since September 27, 2017 or before. Applicants claiming this exemption must meet one of the requirement below. Note: You will be required to provide appropriate documentation to the respective Human Resources Office to validate your status.Completion of all requirements for a doctoral degree (Ph.D. or equivalent) from a professional nursing program. OR 3 full years of progressively higher level graduate education from a professional nursing program Education FOREIGN EDUCATION: If you are using education completed in foreign colleges or universities to meet the qualification requirements, you must show the education credentials have been evaluated by a private organization that specializes in interpretation of foreign education programs and such education has been deemed equivalent to that gained in an accredited U.S. education program; or full credit has been given for the courses at a U.S. accredited college or university. For further information, visit: https://sites.ed.gov/international/recognition-of-foreign-qualifications/.
RN ER Other
Defense Health Agency (DHA)

Nurse (Clinical/Emergency)

Defense Health Agency (DHA) Fort Campbell, KY
Overview Nurse (Clinical/Emergency) Ft Campbell, KY Occupying a generous portion of the border between Kentucky and Tennessee, Fort Campbell supports the fourth largest military population in the Army (and the 7th largest in the Department of Defense). The Screaming Eagles of the 101st Airborne Division (Air Assault), 5th Special Forces Group, and the 160th Special Operations Aviation Regiment all call this base home. The Sabalauski Air Assault School (famed for being the “10 toughest days in the Army”), the Pathfinder Course, Rappel Master, and FRIES/SPIES Master are just a few of the other schools and qualification courses available at Fort Campbell. A majority of Fort Campbell is located in Tennessee, but the post office that serves the base is just across the Kentucky border, giving on post residents and the installation itself the designation of being located in Kentucky. Clarksville, TN and Hopkinsville, KY are the two larger towns that serve the base. The base boasts modern facilities including a huge new commissary, parks, splash pads, a Starbucks, and updated housing. Clarksville is growing, but keeps a mindful eye on preserving its history and “small town” feel. It’s only about 40 minutes north of Nashville, and some areas between the two cities are gaining popularity for being “bedroom communities” for Nashville (ie. where you go to sleep). The low cost of living, home prices, and absence of state income tax are all perks to living in Tennessee. You get the rural, country lifestyle, but with the option of a thriving metro area just a short drive down I-24. Kentucky towns offer the same beautiful rolling hills, sprawling farms, and gracious Southern hospitality as Tennessee, but with a bit more land and a greater horse to person ratio. Into organic produce, pastured beef and forested pork? (It’s a thing — we checked!) You can actually get to know your farmer or rancher, if you’re so inclined! The Nashville music scene bleeds into Clarksville, influencing the caliber of music at festivals, community concerts, karaoke bars, and even church ensembles. Austin Peay University provides an abundance of cultural, sporting, and community events. Parks, shopping, dining, wineries, breweries and entertainment options round out the fairly solid amenities that you’ll find here. The local communities are friendly, laid back, markedly blue collar and love their military! The customs and values are a perfect representation of the “Bible Belt” on which it lies, so don’t make plans for a Sunday without checking if a business is open. Being central to most of the United States makes travel convenient. Working for the Department of Defense comes with an abundance of benefits and perks to include competitive compensation packages, paid-time off, medical benefits, student loan repayments, and retirement package with Thrift Savings Plan to include matching employer contributions. For more information, please visit the following link: https://www.usajobs.gov/Help/working-in-government/benefits/ Responsibilities MAJOR DUTIES: 1. Provides Emergency Department (ED) clinical nursing care to patients of any age group. Performs triage, while considering both physical and psychosocial elements. Must quickly assess incoming patients and prioritize patient care based on need, available staffing, and patient acuity. Works as part of a team in the ED and independently manages basic life support needs and stabilizes patients until the physician or provider is available, based upon professional nursing standards and protocol. Provides comprehensive nursing care to patients presenting for urgent or emergent care using knowledge of professional nursing theories, principles, and procedures; knowledge of clinical skills to provide specialized services to patients; knowledge of emergency and resuscitative measures; knowledge of triage; knowledge of pharmaceuticals sufficient to mix and administer special, potent, and potentially lethal drugs. Observes, monitors, and assesses patient's condition; recognizes, identifies, and interprets serious situations; determines and implements proper emergency measures; performs various pulmonary ventilation functions; operates and monitors highly complex technical equipment, (e.g. cardiac monitors, ventilators, various intravenous infusion pumps, and defibrillators) and documents appropriately in the health record. Independently reacts to emergencies, collaborates with physician, makes changes in nursing care plans, assesses patient's condition, and implements nursing care plans. Teaches, onboards, and mentors professional and paraprofessional nursing staff, assisting with complex nursing and diagnostic procedures. Responds to all emergencies during the shift. Responsible for advanced cardiac life support code team management until arrival of physician or provider. Team teaches advanced clinical skills and monitors junior nursing personnel multiple phases of instruction. Continuously observes for safety hazards ensuring immediate action to resolve/correct. Acts as facilitator to mediate complaints and concerns of patients, family members and staff, taking immediate action to resolve or refer to a higher authority. Interviews and takes medical histories, to acquire medically necessary information to assess physical and mental status of patient. Collects current symptoms, as well as a detailed patient history, and then consults and coordinates with health care team members to assess, plan, implement and evaluate patient care plans. Initiates patient education plan. Teaches patients and significant others how to manage their illness/injury, by explaining: subsequent inpatient plan, post-treatment home care needs, diet/nutrition/exercise programs, self-administration of medication and rehabilitation, as well as explanation of referrals to other healthcare professionals for follow-up treatment. Provides evidence-based instructions and education to patient/significant other and/or family members/caregivers. Performs adapted patient teaching with patients requiring special approaches or preferences and documents education provided. Serves as a resource person for nurses and other health care providers to consult when particularly difficult problems in the care of patients arise. Serves as role model to experienced emergency and other nurses as well as those who are not fully trained. Provides guidance and leadership to other professional nurses and paraprofessional personnel, assisting with complex nursing and diagnostic procedures. Provide orientation and on-the-job training for such personnel. 2. Manages the delivery of nursing care for weekend, holidays, training holidays and day/evening or night shifts using knowledge of an extensive range of professional nursing theories, principles, and procedures. Identifies and recommends strategies to improve nursing unit organization, functions. Manages the delivery of nursing care, utilizing knowledge of an extensive range of professional nursing theories, principles, and procedures. Functions as a charge nurse on a rotational bases and determines staffing requirements/mix and appropriateness of bed utilization based on analysis of patient acuity data; plans, delegates, and directs nursing care based on patient care requirements and staff skill levels; evaluates and modifies plan of care based on continuous assessment of patient needs and expected outcomes; collaborates with providers to facilitate the appropriate medical management of patients; and effectively directs patient care and unit activity. Consults with the supervisor and jointly shares in decisions; resolves most conflicts, and coordinates with other team members. 3. Conducts and participates in the development, implementation, coordination, and evaluation of facility, departmental, or unit-based programs. Continuously evaluates procedures/practices occurring in the emergency department to ensure quality patient care, recommending changes or implementation of nursing service policies and procedures when applicable. Recommends strategies to improve nursing unit organization and functions utilizing evidence-based practice (EBP). Work will influence policy and procedural documents in accordance with national standards, best practices, and emerging evidence. Identifies, implements and/or monitors quality and, process assurance/improvements, and EBP. Initiates action to improve the delivery of patient care; interprets and ensures compliance with established policies, procedures, and standards of care and practice; coordinates and collaborates with interdisciplinary team to develop strategies to improve services; etc. Participates in continuing education programs to update and/or maintain skills and knowledge to meet annual requirements. Participates in department and unit-level simulation/emergency drills, staff meetings, in-services/briefings, and in continuing quality and process improvement measures. Uses current research findings and other evidence to expand professional knowledge, enhance role performance, and increase knowledge of professional emergency nursing. Completes all training requirements designated by facility, supervisor, DHA, or accrediting agencies; participates in continuing education programs to update and/or maintain skills and knowledge to meet licensing requirements. Performs other duties as assigned. Qualifications Who May Apply: US Citizens Basic Requirements: Degree: A graduate or higher level degree, bachelor's degree, associate degree, or diploma from an accredited professional nursing educational program is required. This education must have been accredited by the Commission on Collegiate Nursing Education, Council on Accreditation of Nurse Anesthesia Educational Programs, Accreditation Commission for Midwifery Education, or an accrediting body recognized by the U.S. Department of Education at the time the degree was obtained. (Note: You must attach a copy of your transcripts.). Licensure: A current, active, full, and unrestricted license or registration as a professional nurse from a State, the District of Columbia, the Commonwealth of Puerto Rico, or a territory of the United States; and you must have passed the National Council Licensure Examination. One year of licensed experience required.
RN Psych Other
Defense Health Agency (DHA)

NURSE (CLINICAL/PSYCHIATRIC)

Defense Health Agency (DHA) Fort Campbell, KY
Overview NURSE (Psychiatric) Ft Campbell, KY This is a Direct Hire Solicitation Occupying a generous portion of the border between Kentucky and Tennessee, Fort Campbell supports the fourth largest military population in the Army (and the 7th largest in the Department of Defense). The Screaming Eagles of the 101st Airborne Division (Air Assault), 5th Special Forces Group, and the 160th Special Operations Aviation Regiment all call this base home. The Sabalauski Air Assault School (famed for being the “10 toughest days in the Army”), the Pathfinder Course, Rappel Master, and FRIES/SPIES Master are just a few of the other schools and qualification courses available at Fort Campbell. A majority of Fort Campbell is located in Tennessee, but the post office that serves the base is just across the Kentucky border, giving on post residents and the installation itself the designation of being located in Kentucky. Clarksville, TN and Hopkinsville, KY are the two larger towns that serve the base. The base boasts modern facilities including a huge new commissary, parks, splash pads, a Starbucks, and updated housing. Clarksville is growing, but keeps a mindful eye on preserving its history and “small town” feel. It’s only about 40 minutes north of Nashville, and some areas between the two cities are gaining popularity for being “bedroom communities” for Nashville (ie. where you go to sleep). The low cost of living, home prices, and absence of state income tax are all perks to living in Tennessee. You get the rural, country lifestyle, but with the option of a thriving metro area just a short drive down I-24. Kentucky towns offer the same beautiful rolling hills, sprawling farms, and gracious Southern hospitality as Tennessee, but with a bit more land and a greater horse to person ratio. Into organic produce, pastured beef and forested pork? (It’s a thing — we checked!) You can actually get to know your farmer or rancher, if you’re so inclined! The Nashville music scene bleeds into Clarksville, influencing the caliber of music at festivals, community concerts, karaoke bars, and even church ensembles. Austin Peay University provides an abundance of cultural, sporting, and community events. Parks, shopping, dining, wineries, breweries and entertainment options round out the fairly solid amenities that you’ll find here. The local communities are friendly, laid back, markedly blue collar and love their military! The customs and values are a perfect representation of the “Bible Belt” on which it lies, so don’t make plans for a Sunday without checking if a business is open. Being central to most of the United States makes travel convenient. Working for the Department of Defense comes with an abundance of benefits and perks to include competitive compensation packages, paid-time off, medical benefits, student loan repayments, and retirement package with Thrift Savings Plan to include matching employer contributions. For more information, please visit the following link: https://www.usajobs.gov/Help/working-in-government/benefits/ Responsibilities MAJOR DUTIES 1. Performs a comprehensive behavioral health nursing assessment and history to plan, provide and direct nursing care across the continuum of care. Utilizes appropriate interview skills to identify existing and potential problems and formulates a nursing plan of care. Describes in writing the patient's appearance, emotional status, interaction with staff and/or family, and knowledge level of disease process. Utilizes and instruct others in the use of single and specialized equipment as appropriate to clinical area. Utilizes the nursing process to identify patient problems and generate nursing diagnoses; designs a plan of care, writes and implements nursing orders to achieve established goals, evaluates nursing interventions based upon the patient's response to care, documents patients' status on a continual basis and revises plan of care accordingly. 2. Develops and initiates an innovative teaching program for patients requiring special approaches. Teaches patient and family members regarding the disease process; treatment modalities; diagnostic procedures; use of equipment related to disease/care; expected and possible adverse reactions to medications; discharge planning; health maintenance; and illness prevention. Communicates progress and/or changes to the patient, family and members of the health care team. Initiates emergency measures as appropriate. Makes interdisciplinary referrals. Identify pending crisis situations and handle appropriately. 3. Administers many psychotropic and complex medications via the oral, intramuscular, subcutaneous, intradermal, topical, rectal, respiratory, intravenous routes. Makes independent judgments in the administration of PRN medication. Reinforces the basic knowledge of the patient regarding their prescribed medication regimen and the importance of compliance. 4. Develops and present classes related to psychiatric/behavioral health nursing to enhance the knowledge base of peers and subordinates. Participates as an active member in classes that are sponsored by other members of the multidisciplinary team; in that the classes are part of the program established for patient care. Participates in group and milieu therapy as well as individual therapies. Coordinates patient enrollment in experiential classes that are conducted by various members of the interdisciplinary team. Participates in inter-disciplinary team planning conferences. Serves as role model and teacher for other personnel, including experienced and fully trained nurses. (5%) 5. Directs the work of Psychiatric Technicians, Licensed Practical Nurses, Registered nurses, students and volunteers. Assumes charge nurse responsibilities as assigned. PERFORMS OTHER DUTIES AS ASSIGNED. Qualifications Who May Apply: US Citizens In order to qualify, you must meet the education and/or experience requirements described below. 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; student; social). You will receive credit for all qualifying experience, including volunteer experience. Your resume must clearly describe your relevant experience; if qualifying based on education, your transcripts will be required as part of your application. Additional information about transcripts is in this document.Basic Requirement for Nurse: Degree: A graduate or higher level degree, bachelor's degree, associate degree, or diploma from an accredited professional nursing educational program is required. This education must have been accredited by the Commission on Collegiate Nursing Education, Council on Accreditation of Nurse Anesthesia Educational Programs, Accreditation Commission for Midwifery Education, or an accrediting body recognized by the U.S. Department of Education at the time the degree was obtained. (Note: You must attach a copy of your transcripts.). Licensure: A current, active, full, and unrestricted license or registration as a professional nurse from a State, the District of Columbia, the Commonwealth of Puerto Rico, or a territory of the United States; and you must have passed the National Council Licensure Examination. Foreign Degree: Graduates of foreign nursing schools must have completed the Commission on Graduates of Foreign Nursing Schools Certification Program. The certification program consists of a credentials evaluation, the CGFNS Qualifying Exam, and evidence of passing one of the approved English Language Proficiency examinations. A copy of the CGFNS Certificate is required.Exemption: You are exempt from the basic requirements above if you are a current federal employee occupying a position in the 0610 occupational series and have been continuously employed in this occupational series since September 27, 2017 or before. Note: You will be required to provide appropriate documentation to the respective Human Resources Office to validate your status. In addition to meeting the basic requirement above, to qualify for this position you must also meet the qualification requirements listed below: Education/Experience: A diploma, associate degree, or bachelor's degree in Nursing from a professional nursing program and possession of at least one full year of professional nursing experience (equivalent to the GS-9 grade level or above) which includes providing nursing care to ambulatory patients, administering medications and providing education to patients or nursing staff.OR Education: A PhD or equivalent doctoral degree from a professional nursing educational program or related medical science field.
RN Other
Defense Health Agency (DHA)

Nurse (Clinical/Comm-Occupational Health)

Defense Health Agency (DHA) Fort Campbell, KY
Overview Nurse (Clinical/Occupational Health) Ft Campbell, KY About the Position: This position is located at Blanchfield Community Hospital, Fort Campbell, Tennessee.This is a Direct Hire Solicitation Occupying a generous portion of the border between Kentucky and Tennessee, Fort Campbell supports the fourth largest military population in the Army (and the 7th largest in the Department of Defense). The Screaming Eagles of the 101st Airborne Division (Air Assault), 5th Special Forces Group, and the 160th Special Operations Aviation Regiment all call this base home. The Sabalauski Air Assault School (famed for being the “10 toughest days in the Army”), the Pathfinder Course, Rappel Master, and FRIES/SPIES Master are just a few of the other schools and qualification courses available at Fort Campbell. A majority of Fort Campbell is located in Tennessee, but the post office that serves the base is just across the Kentucky border, giving on post residents and the installation itself the designation of being located in Kentucky. Clarksville, TN and Hopkinsville, KY are the two larger towns that serve the base. The base boasts modern facilities including a huge new commissary, parks, splash pads, a Starbucks, and updated housing. Clarksville is growing, but keeps a mindful eye on preserving its history and “small town” feel. It’s only about 40 minutes north of Nashville, and some areas between the two cities are gaining popularity for being “bedroom communities” for Nashville (ie. where you go to sleep). The low cost of living, home prices, and absence of state income tax are all perks to living in Tennessee. You get the rural, country lifestyle, but with the option of a thriving metro area just a short drive down I-24. Kentucky towns offer the same beautiful rolling hills, sprawling farms, and gracious Southern hospitality as Tennessee, but with a bit more land and a greater horse to person ratio. Into organic produce, pastured beef and forested pork? (It’s a thing — we checked!) You can actually get to know your farmer or rancher, if you’re so inclined! The Nashville music scene bleeds into Clarksville, influencing the caliber of music at festivals, community concerts, karaoke bars, and even church ensembles. Austin Peay University provides an abundance of cultural, sporting, and community events. Parks, shopping, dining, wineries, breweries and entertainment options round out the fairly solid amenities that you’ll f ind here. Communities are friendly, laid back, markedly blue collar and love their military! The customs and values are a perfect representation of the “Bible Belt” on which it lies, so don’t make plans for a Sunday without checking if a business is open. Being central to most of the United States makes travel convenient. Working for the Department of Defense comes with an abundance of benefits and perks to include competitive compensation packages, paid-time off, medical benefits, student loan repayments, and retirement package with Thrift Savings Plan to include matching employer contributions. For more information, please visit the following link: https://www.usajobs.gov/Help/working-in-government/benefits/ Responsibilities Duties: Coordinates with health care providers to ensure continuity of care through referral and/or follow up for patients. Assists with the development and updating of Occupational Health nursing policies, procedures, and protocols. Conducts physical examinations and physical assessment health screening and monitoring of patients. Provides full range of emergency services or crises intervention in the absence of the physician/physician assistant. Administers medications and treatments authorized by physician/physician assistant. PERFORMS OTHER DUTIES AS ASSIGNED. Qualifications Who May Apply: US Citizens In order to qualify, you must meet the education and/or experience requirements described below. 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; student; social). You will receive credit for all qualifying experience, including volunteer experience. Your resume must clearly describe your relevant experience; if qualifying based on education, your transcripts will be required as part of your application. Additional information about transcripts is in this document. Basic Requirement for Nurse (Clinical/Community-Occupational Health): Degree: A graduate or higher level degree, bachelor's degree, associate degree, or diploma from an accredited professional nursing educational program is required. This education must have been accredited by the Commission on Collegiate Nursing Education, Council on Accreditation of Nurse Anesthesia Educational Programs, Accreditation Commission for Midwifery Education, or an accrediting body recognized by the U.S. Department of Education at the time the degree was obtained. (Note: You must attach a copy of your transcripts). Licensur e: A current, active, full, and unrestricted license or registration as a professional nurse from a State, the District of Columbia, the Commonwealth of Puerto Rico, or a territory of the United States; and you must have passed the National Council Licensure Examination. Foreign Degree : A degree from a Foreign Nursing School. Official certification from the Commission on Graduates of Foreign Nursing Schools is required for individuals who graduated from foreign nursing schools. Exemption: You are exempt from the basic requirements above if you are a current federal employee occupying a position in the 0610 occupational series and have been continuously employed in this occupational series since September 27, 2017 or before. Applicants claiming this exemption must meet the requirement below. Note: You will be required to provide appropriate documentation to the respective Human Resources Office to validate your status.Degree or diploma from a professional nursing program approved by the legally designated State accrediting agency at the time the program was completed by the applicant.Active, current registration as a professional nurse in a State, District of Columbia, the Commonwealth of Puerto Rico, or a territory of the United States. In addition to meeting the basic requirement above, to qualify for this position you must also meet the qualification requirements listed below: Education/Experience: A diploma, associate degree, or bachelor's degree in Nursing from a professional nursing program and possession of at least one full year of professional nursing experience (equivalent to the GS-9 grade level or above) which includes providing health education through counseling and lectures; updating nursing policies and procedures, conducting health screenings, and administering physician-authorized medications and treatments. OREducation: A PhD or equivalent doctoral degree from a professional nursing educational program or related medical science field including but not limited to a nursing program. EXEMPTION: You are exempt from the qualification requirements above if you are a current federal employee occupying a position in the 0610 occupational series and have been continuously employed in this occupational series since September 27, 2017 or before. Applicants claiming this exemption must meet one of the requirement below. Note: You will be required to provide appropriate documentation to the respective Human Resources Office to validate your status.Completion of all requirements for a doctoral degree (Ph.D. or equivalent) from a professional nursing program.OR3 full years of progressively higher level graduate education from a professional nursing program.