Defense Health Agency (DHA)

ADVANCED PRACTICE NURSE (NURSE PRACTITIONER)

Overview ADVANCED PRACTICE NURSE (NURSE PRACTITIONER) About the Position: This position is located at Fairchild Air Force Base in Spokane, Washington.This is a Direct Hire Solicitation Fairchild AFB is located in beautiful Spokane, Washington. Spokane is a beautiful four-season destination where there's always something to do whether you hope to stay in or adventure outdoors. If you're relocating with family, we've got you covered with fun things to do in Spokane to keep the kiddos busy and parents equally entertained. If you consider yourself an outdoor enthusiast, check out our numerous outdoor recreation options in our local and state parks. If you're a night owl, there's an abundance of Spokane nightlife to keep you entertained. If you're ready to dive into our arts and culture scene, we'll show you performances, history, and art museums to admire. Discover upcoming Spokane attractions and events with the latest Spokane event calendar and more! Visit https://www.visitspokane.com/ Fairchild Air Force Base is home to a wide variety of units and missions, the most prominent is the air refueling mission. Fairchild has two wings, the 92nd Air Refueling Wing, and the 141st ARW. Other units include the Air Force Survival, Evasion, Resistance and Escape school, medical detachments, a weapons squadron and the Joint Personnel Recovery Agency. 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 DUTY 1: Provides comprehensive primary, preventative, and therapeutic health care service to assigned patients in a family practice clinic in a Military Treatment Facility (MTF). Performs comprehensive physical assessments of patients to include baseline data such as past medical and surgical history, family history, social history, and immunization history. Independently diagnoses and manages acute episodic and chronic illnesses including but are not limited to asthma, chronic obstructive pulmonary disease, hypertension, diabetes, arthritis, upper respiratory infections, sexually transmitted diseases, and dermatological or orthopedic conditions; minor traumas; behavior/psychological problems; and short term health issues such as injuries and infections. Performs baby exams, pre-employment physicals, and sports physicals. Performs pre-deployment and post-deployment assessments of active duty personnel. Performs Preventive Health Assessment (PHA)/Reserve Component PHA exams, overseas clearances for dependents, and medical evaluation board (MEB) summaries on military personnel in accordance with annual requirements. Performs or requests special screening and development tests and laboratory tests and interprets the results. Orders, performs, collects, and interprets laboratory tests to include but not limited to electrocardiogram (EKGs), wet preps, wet mounts, hema-occults, routine blood chemistry, hematology, microbiology, bacteriology, virology, toxicology, pathology, and cytology. Orders and interprets the findings of radiological studies, including but not limited to computerized tomography (CT) scans, magnetic resonance imaging (MRIs), X-rays, ventilation/perfusion (VQ) scans, nuclear medicine scans, and other tests that may be necessary for the diagnosis and treatment of a patient. When needed, requests consultations to assist on interpretation of abnormal studies. Performs procedures to include but not limited to biopsies such as shave biopsies, minor suturing, toenail removals, and joint aspirations. Uses knowledge of a variety of pharmacological agents to treat patients based the desired effects, side effects, and potential complications of the pharmacologic agent used. Accurately administrates pharmacologic agent and determines proper dosage calculations. Prescribes and monitors pain management regimes in patients with chronic pain. Uses knowledge of patient education principles and behavioral readiness to change along with knowledge of disease management programs and clinical practice guidelines (e.g., Department of Veterans Affairs (VA)/Department of Defense (DoD) Clinical Practice Guidelines (CPGs), and Healthcare Effective Data and Information Set (HEDIS) measurements to teach patients and family members ways to maintain or improve their health status. Uses patient education materials as appropriate. Maintains electronic medical records or patient paper charts to document medical information and treatment procedures. Incorporates current knowledge of disease and condition management into daily work activities to include evidence-based primary, secondary, and tertiary prevention. Recognizes scope of practice/limitations, consults with a physician and/or medical specialty services as needed, and refers patients as appropriate. Ensures referrals include the appropriate level of severity/urgency of the care needed. DUTY 2: As a Family Nurse Practitioner (FNP), provides comprehensive health care services. Performs procedures, treatments, and orders medications based on assessment results and standards of care. Educates patients and family members on diagnosis, discusses treatment options and makes recommendations, and ensures patients/family members have information required to provide informed consent for treatment. Prescribes medications and adjusts dosage according to patient’s needs and responses, to include appropriate dosing, side effects, and medication interactions. Performs minor diagnostic procedures, such as punch biopsies, mole removal, wart removal, needle aspiration for culture, and shave biopsies. Also performs minor suturing, toenail removals, and joint aspirations. Additionally performs procedures such as intravenous (IV) line placement, dressing changes, catheterizations, wound irrigation, oxygen administration, and specimen collection such as blood and cerebrospinal fluid. Participates with the consulting physician in planning, instituting, evaluating, and revising program plans; assists in determining conditions, resources, and policies essential to the delivery of health care services. In partnership with physicians, makes decisions concerning medical care needs of patients as well as nursing care needs. Provides surveillance of adherence to medical and nursing regimens to stabilize chronically ill patients; adjusts regimens within established protocols recognizing when to refer the patient to the physician or other health team members. Develops family nursing protocol and defines and develops relevant procedures for the facility. DUTY 3: Shares clinical expertise as consultant and instructor. Evaluates clinical practices and collaborates with health care team members to improve patient care delivery IAW evidence based practice standards. Participates in staff development programs. Participates in evaluation of the quality and effectiveness of activities/services of the unit by organizing nursing monitoring and evaluation activities. Submits to and performs peer reviews on providers. Participates in continuing education programs to update and/or maintain skills and knowledge to meet annual requirements. DUTY 4: Participates in committees, functions, and other meetings as directed. Serves as a member of various committees, functions, and other meetings as needed. Provides relevant and timely information to these groups. Assists with decision making and process improvement. Serves as a functional expert on family health care for the medical group, serving as an advocate for these functions. PERFORMS OTHER DUTIES AS ASSIGNED Qualifications %MCEPASTEBIN% Qualifications Who May Apply: US Citizens In order to qualify, you must meet the education and 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 Advanced Practice Nurse (Practitioner/Family Practice):Degree: A graduate or higher-level degree from an accredited professional nursing educational program in Family Practice 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.). 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. 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. APN Licensure: A current, active, full, and unrestricted license or registration as a professional nurse in the specialty of Family Practice or related specialty from a State, the District of Columbia, the Commonwealth of Puerto Rico, or a territory of the United States. 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: Professional Nursing Experience: One or more full years of professional nursing experience which includes performing examinations of patients, interpreting laboratory tests, and prescribing medications. This definition of professional nursing experience is typical of work performed at the next lower grade/level position in the federal service (GS-11).Some federal jobs allow you to substitute your education for the required experience in order to qualify. For this job, you must meet the qualification requirement using experience alone--no substitution of education for experience is permitted.
Defense Health Agency (DHA)

Advance Practice Nurse (Internal Medicine)

Overview Advance Practice Nurse (Internal Medicine - Madigan Army Medical Center, Tacoma, Washington Joint Base Lewis-McChord, WA Madigan Army Medical Center is one of four Level II Trauma Centers in Washington State and participates in unique partnerships with civilian facilities to provide care to non-beneficiary trauma victims beyond the gates of Joint Base Lewis-McChord. At Madigan you will practice alongside civilian and military health care experts and experience unique professional opportunities. Our staff serves by caring for our military but are not subject to military requirements. We operate within safe staffing standards - giving you time to provide exceptional care. Joint Base Lewis-McChord, its affiliated clinics and dental clinic are located at Fort Lewis, Washington, near the city of Tacoma. Madigan AMC is one of only three designated Level Two trauma centers within the U.S. Medical Command. Tacoma is a progressive city of 200,000 nestled between Seattle and the state capital of Olympia. The region offers the attractions of larger metropolitan areas, with a hometown feel. World-class museums, hotels and theaters draw thousands to downtown Tacoma while the shores of the Puget Sound and Mount Rainier inspire outdoor enthusiasts. The Broadway Center for the Performing Arts, Chihuly Bridge of Glass, Emerald Downs Racetrack, Emerald Queen Casino, Fort Nisqually Living History Museum, Lakewold Gardens, and the Mount Rainier Scenic Railroad represent a small sampling of the region's varied entertainment options. The city offers excellent schools, universities, parks, festivals and regional shopping centers.Madigan Army Medical CenterJoint Base Lewis McChord Located in the beautiful Pacific Northwest on the Puget Sound, in Washington State, Joint Base Lewis-McChord (JBLM) is near the city of Lakewood, 10 minutes from Tacoma and 20 minutes from Olympia, the state capitol. JBLM is situated in a key location along Interstate 5, allowing easy access to Sea-Tac Airport and to the deep-water ports of Tacoma and Seattle. Although the Army and Air Force missions have changed over the years, one thing has not changed—the natural setting of the base. Majestic Mount Rainier looms on the horizon, towering over the other peaks of the Cascade Range. From the mountains to the deep waters of Puget Sound and the Pacific Ocean, the local areas abound in natural beauty and outdoor recreation opportunities. Camping, hunting, fishing, hiking, boating and now sports are a way of life in Washington State. 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 Serves as a direct primary health care provider in the capacity of a credentialed Nurse Practitioner to provide primary care services to patients ranging in ages from 18 years old through geriatric for the Madigan Army Medical Center at Joint Base Lewis-McChord, Washington. Duties include health management for a DOD beneficiary patient population with responsibility for the independent examination, diagnosis, and treatment within personal credentials and privileges delineated by the Military Treatment Facility (MTF). The Nurse Practitioner provides comprehensive primary care services and auxiliary practices in general medicine to the military and their family members. MAJOR DUTIES 1. The incumbent performs varied duties requiring many different and unrelated processes and methods applied to a broad range of general medicine in the adult and geriatric patients in specialty areas. The Nurse Practitioner makes independent decisions regarding the medical care required and in the interpretation and evaluation of processes resulting from continuing changes in the medical field due to new technological developments or conflicting requirements. The Nurse Practitioner performs a variety of complex duties involving the full range of medical care that consists of isolating and defining unknown medical conditions. Assignments include a wide range of activities including assessing, planning, evaluating and modifying the treatment of patients in various locations throughout the MTF. Duties are typical of, but not limited to, the following: a. Secures health and medical history from the patients or family member, record findings and makes a clinical evaluation. Examines patient and performs initial patient workup and assessment of patient's care and treatment; and determines the need for and orders laboratory tests, X-rays and other procedures necessary to complete evaluation of the patient. Discriminates between normal and abnormal findings to recognize early stages of serious physical, emotional or mental problems. Provides surveillance of adherence to medical and primary care practices and procedures to stabilize chronically ill patients; adjusts regimens within established protocols recognizing when to refer the patient to the physician or other primary care members. Makes decisions concerning primary care needs of patients that impacts the care of other healthcare professionals and ancillary staff; works independently and collaboratively with physicians in patient management, evaluation, and revision of therapeutic plans; and refers extremely or selected complex medical problems to medical management by subspecialist. b. Diagnoses disease, illness, disorder, or injury, institutes treatment of patients. Prescribes for and treats a variety of diseases, disorders and injuries, treats patients returning for routine or directed follow-up and treatment of chronic illnesses previously documented in patients’ medical records; writes routine orders on outpatients, performs medical histories; and document encounters appropriately in the electronic medical records. Provides a full range of emergency services or crises interventions in the absence of the physician, including life-saving emergency procedures to stabilize a patient within the scope of practice and approved protocols. Writes prescriptions, orders the administration of medications, dispenses medications, and prescribes controlled substance per scope of practice. The Nurse Practitioners performs a variety of physical examinations including but not limited to: school, employment, sports, retirement, discharge, reenlistment, disability separation, or retirement, annual and other special physicals, health certificate employment and other related physical examinations. Orders laboratory tests, X-rays, etc. and arranges for physician consultation if required. Records entries into patient's charts including progress notes, treatment rendered, tests, or procedures ordered, and notations of prescriptions or orders, and drugs dispensed or administered per approved protocols including computer-based progress notes. In a timely fashion, evaluates the primary care aspects of patient care recognizing when reassessment by a physician or other staff professionals is required. The Nurse Practitioners provides primary care and preventive services to healthy individuals and evaluates the total health care needs of patients and develops plans to meet clients' needs. Participates in disease management of typical internal medicine patients, which includes the following conditions: hypertension, hyperlipidemia, diabetes mellitus, coronary artery disease, congestive heart failure, chronic obstructive pulmonary disease, etc. The individual may be asked to train mid-level students and residents. 2. The Nurse Practitioner independently develops new techniques and establishes criteria for providing improved, quality patient health care to clients and family members of the Medical Center. Plans with other professionals, and agencies involved in providing primary care services to patients and their family members, and coordinates the primary care provided. Develops and recommends new approaches for providing improved, quality primary care for military and their family members and other clients of the hospital. The Nurse Practitioner provides consultation, teaching, and coordination with patients and their family members regarding treatment and medical care. Perform other duties as assigned. Qualifications Who May Apply: US Citizens In order to qualify, you must meet the education and 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 Advanced Practice Nurse: Degree : A graduate or higher level degree from an accredited professional nursing educational progra is requiired. This education must have been accredited by the Commission on Collegiate Nursing Education, 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. 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. Licensure: A current, active, full, and unrestricted license or registration as a professional nurse in the specialty of Anesthesia or related specialty from a State, the District of Columbia, the Commonwealth of Puerto Rico, or a territory of the United States. 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: Professional Nursing Experience at the GS-12: One or more full years of professional nursing experience which includes administering anesthetics to patients and monitoring patients receiving anesthesia care. This definition of professional nursing experience is typical of work performed at the next lower grade/level position in the federal service (GS-11). Some federal jobs allow you to substitute your education for the required experience in order to qualify. For this job, you must meet the qualification requirement using experience alone--no substitution of education for experience is permitted.
Defense Health Agency (DHA)

Family Advocacy Nurse (FAN)

Overview Family Advocacy Nurse (FAN) The Air Force Family Advocacy Program (FAP) is a Department of Defense (DoD) funded program whose purpose is to both prevent and respond to intimate partner, child abuse, and problematic sexual behavior with children and youth. This position is located at the Family Advocacy Program 628 MDG/ Joint Base Charleston 1005 Jefferson Ave, Bldg 786 NWS, Goose Creek, SC 29445 Charleston Air Force Base is a United States military facility located in the City of North Charleston, South Carolina. The facility is under the jurisdiction of the United States Air Force’s 628th Air Base Wing, a subordinate element of the Air Mobility Command. 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/ %MCEPASTEBIN This position is located at Naval Health Clinic, Cherry Point , NC. This is an employed civilian Physician (Occupational Medicine ) position that affords job security, a competitive salary, bonuses, moving expenses, full malpractice coverage, up to 26 days paid vacation, 11 days paid Federal Holidays, a sick leave benefit, CME opportunities, and a first-class health and retirement benefit package. https://cherrypoint.tricare.mil/ https://www.cherrypoint.marines.mil/ Responsibilities The Air Force Family Advocacy Nurse (FAN) is responsible for implementing and managing the installation New Parent Support Program (NPSP) while functioning as a member of the interdisciplinary Family Advocacy Program (FAP) team. The main focus and goal is to deliver comprehensive home-based prevention services to families to prevent child and partner maltreatment. The FAN's overall role will encompass providing nursing home visit services that include education, support, and anticipatory guidance in such areas as growth and development from prenatal through the toddler years, nutrition, parenting, attachment/bonding, individual and family health related issues, family violence dynamics, problem solving, family communication skills and bereavement. Requirements: Required Education and Experience/Qualifications: Registered Nurse (RN) with a current unrestricted U.S. state nursing license; no pending investigations or adverse actions pending from the State Board of Nursing. BSN from an accredited institution required. Minimum 2 years' experience post BSN as a maternal/child or community health nurse required. Home Visiting experience preferred. Basic Life Support Certification (Course C) required. Must be current in maternal/child and family violence prevention nursing practice. Must have a drivers' license and the ability to travel between office location to private homes and facilities where training and other program activities occur. FAN is expected to make home visits to local bases and the surrounding communities. Must be able to interact with all type of clients, in person and by telephone and build rapport with families who are expecting and/or have children ages 0-3. Technical Skills: Must be computer-proficient to work autonomously using Microsoft Office and possess data entry skills needed to create and maintain clinical records. Specifically, FANs must utilize Family Advocacy System of Records or Family Advocacy Program Network computer software to document client visits and treatment in compliance with AF FAP standards and accepted professional practice guidelines. Physical Requirements: The employee frequently is required to sit, stand; walk; use hands or fingers to handle objects or feel; and reach with hands and arms. The employee is occasionally required to stand, kneel, stoop and crouch. The employee may lift objects up to 20 pounds. The physical requirements described here are representative of those that must be met by the employee to successfully perform the essential functions of the job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Perform other duties as assigned. %MCEPASTEBIN% Qualifications %MCEPASTEBIN% US Citizenship required Must possess 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. Must possess and maintain Basic Life Support (BLS) certification. Must possess a graduate or higher level degree, bachelor's degree, associate degree, or diploma from an accredited professional nursing educational program . 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. Work Environment: This role routinely uses standard office equipment such as computers, phones, copiers, filing cabinets and fax machines. Travel may be required as needed and is primarily local during the business day. Position Type/Expected Hours of Work: This is a full-time position, general hours of work are 0730 and 1630, Monday through Friday except for US Holidays, when the Government facility/installation is closed due to local or national emergencies, administrative closings, or similar Government-directed facility/installation closings. Work Authorization/Security Clearance: Must obtain and maintain a NACI Clearance EOE Statement: We are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender identity, sexual orientation, pregnancy, status as a parent, national origin, age, disability (physical or mental), family medical history or genetic information, political affiliation, military service, or other non-merit-based factors.
Defense Health Agency (DHA)

Nurse (Clinical/Emergency)

Overview Nurse (Clinical/Emergency) Fort Carson, CO: Located just south of Colorado Springs, Ft. Carson combines scenic beauty, pleasant residential areas, and cultural activities to satisfy every taste. It is an unusually well-rounded military community which offers a variety of recreational and cultural opportunities. World-class ski resorts are available within a short 2 1/2 hour drive, golf courses and biking trails are available on the installation as well as in the surrounding community. Numerous colleges and universities are available for continuing education. (Fort Carson Landscape) 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 Serves as a clinical nurse in the Emergency Department providing the full range of professional nursing care and treatment to a wide variety of patients, from newborn to geriatrics, arriving in critical condition as a result of trauma, suicide attempts, cardiac arrest, respiratory distress, drug overdose, falls, etc. Provides continuous observation and monitoring and must intervene to prevent complications to restore hemodynamic stability within hospital and EMS transport to higher care. Provides coordination and management of patient care to patients and families within a continuum of care. Performs triage within the scope of practice. Delegates patient care activities as appropriate within a care management assignment. Functions within professional and hospital standards. (LPNs and Medics work under the supervision of a Clinical Nurse)Assists the physician in the performance of Advanced Cardiac Life Support (ACLS) and Advanced Trauma Life Support (ATLS) and other specialized procedures to include insertion of chest drainage tubes, tracheotomies, emergency thoracotomies, gastric lavage, suturing lacerations, etc. Independently recognizes life threatening situations and acts to correct these. Administers oxygen, intravenous fluids, blood transfusions and all types of medications during emergent events to include intravenous, intraosseus, subcutaneous, intramuscular, by mouth and rectal routes. Operates specialized medical equipment such as resuscitators, defibrillators, electrocardiographs, oxygen apparatus, intravenous pumps, rapid intravenous infusers, and infant servo-warmer. Implements physician orders and initiates a nursing plan of care for individual patients. Assesses patient status and documents appropriately. Keeps physician informed of any changes or need for additional treatment. Changes dressings, prep wounds, removes sutures, inserts urinary catheters, inserts oro and nasogastric tubes, and applies splints and dressings. Collects urine, stool, sputum, genital, and blood specimens. Prepares specimens for lab and transports as required. Arranges transfer of patients to appropriate inpatient care areas upon release by physician. Arranges transfer of patients to higher levels of care. Accompanies critical patients as deemed by physician to higher levels of care. Performs nursing skills within a ground ambulance. While accompanying patient on ground ambulance, communicates via radio to higher levels of care. Trained as an ACLS provider, holds primary responsibility for critical patients during transfers within the medical facility.As a Charge Nurse in the Emergency Department, performs a variety of administrative duties and data collection as an extension of and in support of the Clinical Head Nurse. Makes nursing care assignments to various skill levels of professional and ancillary health care personnel. Assigns staff to patient care duties based on patient condition/status, expertise and scope of practice. Monitors and oversees staff performance to ensure work is accomplished in an acceptable, safe, and timely manner. Ensures that patient responses to treatment and medical/surgical emergencies are appropriately documented. Verifies physician orders written during tour of duty. Advises attending physicians of significant changes in patient condition in a timely manner. Responsible for narcotic accountability. Monitors and oversees staff during orientation/preceptorship periods. Responsible for all nursing operations in the Emergency Department in the absence of the Head Nurse. Makes independent triage decisions based on assessment and management skills for all patients entering the Emergency Department.As a staff nurse in the Emergency Department, performs nursing triage within the ambulatory care arena. Makes independent triage decisions based on assessment and management skills for all ambulatory patients seen in the Emergency Center. Screens patient health history, complaints, medications, and identify health related conditions that may impact the patient's health status. Screens patient lab data and notify physician of abnormal results. Performs specific point of use testing consisting of urinalysis, urine HCG, glucometer specimens, and arterial blood gases, documents results, and performs quarterly testing. Ensures authorization for procedures has been appropriately completed and documented. Monitors patients or directs monitoring of patients during and after procedures. Coordinates patient referral to ancillary healthcare, Community Health, Dietary, Social Work. Functions within the scope of practice for a professional Registered Nurse, hospital regulations, and policies. Coordinates patient care activities. Manages patient records. Follows quality improvement and internal control activities for the ambulatory setting to include risk appraisals, chart audits, trend identification and reporting corrective actions. Receives, investigates, and documents on patient complaints pertaining to their shift in the Emergency Department.Utilizes knowledge of professional nursing theories, principles, and procedures in planning, providing, administering, overseeing, and documenting professional patient care, in accordance with nursing standards of practice, licensed independent provider (LIP), and established policies and procedures. Utilizes the nursing process to formulate patient care plans; identifies, documents, and implements nursing care, appropriate to patient care problems. Obtains patient history and completes a full nursing assessment. Identifies and documents the effectiveness of care provided and revises care plan, as needed. Utilizes critical thinking to select the course of action in implementing healthcare provider orders and interpreting their appropriateness to the patient’s present condition. Collaborates with healthcare providers to make changes to nursing care plans. Establishes criteria and evaluates/assesses effectiveness of patient treatment. Interprets and ensures compliance with established policies, procedures, and standards of care and practice. Collects and interprets health information; identifies wellness and risk factors, along with variations from norms, and makes an assessment. Utilizes professional nursing methods and processes to identify and manage immediate health care needs for non-urgent patient problems; recommends self-care, as appropriate, for nursing assessment, and as advised by approved clinical protocols. In the absence of a physician, independently determines and implements proper emergency/lifesaving measures, often identifying and interpreting life threatening conditions; facilitates transfer to the emergency department, as necessary.Sets up, operates, and monitors medical equipment; remains aware of the patient’s condition and takes appropriate action, as needed. Monitors safety hazards, ensuring immediate actions are taken to resolve or correct. Interprets findings and reports to the healthcare provider, those findings which indicate a detrimental variation in the progress of the patient.Instructs patients and family members regarding disease processes and provides emotional support, as needed. Educates and enhances health prevention and promotion to strive for a state of wellness. Serves as facilitator to mediate complaints and concerns of patients, family members, and staff by taking immediate action to resolve or refer to a higher level. Collaborates with an interdisciplinary team to develop strategies to improve patient care services. Collaborates with designated personnel, utilizing a proactive approach to solve problems and develop projects to improve work flow processes. Determines staffing requirements and skill mix. Plans, delegates, and directs nursing care, based on patient care requirements and staff skill levels. Serves as mentor to newly assigned staff, as assigned. PERFORMS OTHER DUTIES AS ASSIGNED. Qualifications Who May Apply: US Citizens Basic Requirement :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.
Defense Health Agency (DHA)

NURSE (CLINICAL/AMBULATORY)

Overview NURSE (CLINICAL/AMBULATORY), Schofield Barracks, Hawaii About the Position: This position is located inside Desmond T Doss Health Clinic on Schofield Barracks, Hawaii.This is a Direct Hire Solicitation The Island of Oahu in Hawaii is often nicknamed (or translated as) "The Gathering Place" . It is currently the most populated Hawaiian Island. The city of Honolulu is the largest city, state capital, and main deep water marine port for the State of Hawaii. As a jurisdictional unit, the entire island of Oahu is in Honolulu County, although as a place name, Honolulu occupies only a portion of the southeast end of the island. Well-known features found on Oahu include Waikiki, Pearl Harbor, Diamond Head, Hanauma, Kane’ohe Bay, Kailua Bay, North Shore, and the resort destination, Ko’Olina. Oahu is also known for having the longest rain shower in history, which lasted for 200 consecutive days. Kāneʻohe Ranch reported 247 straight days with rain from August 27, 1993 to April 30, 1994. The average temperature in Oahu is around 70–85 °F (21–29 °C) and the island is the warmest in June through October. The weather during the winter is cooler, but still warm with an average temperature of 68–78 °F (20–26 °C). 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. Responsibilities MAJOR DUTIES: Perform independent, comprehensive telephone and clinical triaging, and facilitate care coordination through a multidisciplinary approach. Provide patient education as an integral part of the services offered. Screen patient charts to assess the medical history and determine health care needs. Act as relief nurse, triages and screens walk-in patients to assess the severity of the patient's condition and the need for provider intervention. Make psychosocial assessment of patients to identify significant cultural practices, the ability to understand and cooperate, and expectations of care and coping mechanisms. Communicate with providers regarding determinations and situations, documents events appropriately. PERFORMS OTHER DUTIES AS ASSIGNED Qualifications Who May Apply: US Citizens In order to qualify, you must meet the education and 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/Ambulatory): 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-09 grade level or above) which includes providing nursing care to a variety of patients, coordinating care, and providing patient or staff education. OR Education: A PhD or equivalent doctoral degree from a professional nursing educational program or related medical science field. 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. 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: http://www.ed.gov/about/offices/list/ous/international/usnei/us/edlite-visitus-forrecog.html.
Defense Health Agency (DHA)

Nurse (Clinical/Ambulatory)

Overview Nurse (Clinical/Ambulatory) Fort Carson, CO: Located just south of Colorado Springs, Ft. Carson combines scenic beauty, pleasant residential areas, and cultural activities to satisfy every taste. It is an unusually well-rounded military community which offers a variety of recreational and cultural opportunities. World-class ski resorts are available within a short 2 1/2 hour drive, golf courses and biking trails are available on the installation as well as in the surrounding community. Numerous colleges and universities are available for continuing education. 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 independent, comprehensive telephone and clinical triaging, and facilitates care coordination through a multidisciplinary approach. Establishes priorities for patient care and evaluates patients’ progress toward high-level wellness. Provides patient education as an integral part of the services offered. Acts as relief nurse, triages and screens walk-in patients to assess the severity of the patient's condition and the need for provider intervention. Communicates with providers regarding determinations and situations, documents events appropriately. Screens patient charts to assess the medical history and determine health care needs. Makes psychosocial assessment of patients to identify significant cultural practices, the ability to understand and cooperate, and expectations of care and coping mechanisms. Executes or ensures the completion of orders from health care providers. Recognizes and reports abnormal test results, changes in symptoms and the need for follow-up. Records data on patient charts. Assists health care providers with examinations and procedures. Oversees educating patients for high risk, painful or stressful procedures with education and support. Monitors or ensures the monitoring of patients pre, during and post-procedure per established protocols and SOPs. Assesses post-procedure patients prior to their release from the clinic. Ensures complete, thorough documentation for all procedures. Prepares and administers oral, subcutaneous, intra-muscular and intravenous medications. Independently instructs and demonstrates to patients how to provide self-care. Instructs patient in self-medication of prescribed pharmaceutical agents. Reinforces health care provider instructions and encourages patient in the maintenance of health and self-care. Responds to emergency situations. 2. Assists clinic with patient and staff education. Accepts consults for the education of patients in the outpatient setting. Assists with clinic orientation, and one-on-one patient, educational activities related to acute or chronic illnesses, self-care, wellness/preventive health measures, and normal development and physiology. Assesses patient’s emotional, cognitive, social and motivational status relative to education and determines their educational needs and priorities. Evaluates the effectiveness of educational activities. Ensures nursing staff competencies are initially evaluated and maintained and documented in accordance with hospital and clinic policies and nursing standards of practice. Develops appropriate nursing plans. Ensures that nursing staff maintains current licenses and certification requirements. Follows quality improvement and internal control activities for the ambulatory care setting to include risk appraisals, conducting chart reviews, identifying trends and reporting corrective actions. Ensures staff compliance with maintenance of competency folders in accordance with hospital and Joint Commission standards. Participates in hospital and clinic meetings, and performance improvement activities as assigned. 3. Coordinates patient referrals to support services provided through the internal and external community, or the TRICARE network. Assists patient to comply with medical treatment plan as necessary through telephone contact or through clinic visits. PERFORMS OTHER DUTIES AS ASSIGNED. Qualifications Who May Apply: US Citizens Basic Requirement :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.
Defense Health Agency (DHA)

Nurse (Clinical/OB-GYN)

Overview Nurse (Clinical/OB-GYN) Fort Carson, CO: Located just south of Colorado Springs, Ft. Carson combines scenic beauty, pleasant residential areas, and cultural activities to satisfy every taste. It is an unusually well-rounded military community which offers a variety of recreational and cultural opportunities. World-class ski resorts are available within a short 2 1/2 hour drive, golf courses and biking trails are available on the installation as well as in the surrounding community. Numerous colleges and universities are available for continuing education. 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 As a registered nurse specialist in inpatient obstetrics, provides specialized obstetric nursing care tonormal/high-risk obstetric patients. High-risk patients are characterized by the presence of real or potentialcomplicated fetal or maternal conditions requiring continuous observation and intervention to preventcomplications and maintain/restore maternal and fetal health. Provides comprehensive nursing care ofobstetric and normal newborn patients.1. In the absence of a physician, independently determines and implements proper emergency interventionswithin scope of practice after identifying and interpreting maternal and/or fetal distress. Within givenparameters, applies the knowledge of the pathophysiology of maternal or fetal disorders, identifies potentialcomplications of pre-existing medical conditions and identifies or minimizes impact by developing orimplementing strategies to prevent further compromise. Expertly recognizes and executes nursingresponsibilities related to technologies utilized in caring for the normal/high risk obstetrical and newbornpatient. Administers complex medications by any route as ordered within the guidelines of nursing practice.These routes include oral, intramuscular, subcutaneous, intra-dermal, topical, rectal, nasogastric, andrespiratory. Administers potent intravenous (including intraveneous push) drugs such as labor inductionagents, anti-hypertensives, insulin, blood products, and magnesium sulfate. Has knowledge of adverse effectsand precautions, and initiates response measures as required. Examines and assesses obstetric patients andnewborns. Uses seasoned judgment in selecting the course of action in implementing physician orders andinterpreting their appropriateness to the patient's present condition. Performs treatments such as oxygenadministration, amnioinfusion, placement of fetal scalp electrodes, and conduction of contraction stress tests.Performs the circulation role in the operating room for planned and emergent cesarean-section, dilatation andcurettage, cerclage insertion, and cesarean-hysterectomy. Provides nursing care to patients undergoingsurgical procedures and during post-anesthesia recovery. Assumes Acting Head Nurse duties as needed.2. Assists physicians and anesthesia providers with complex procedures such as insertion of internal monitors,placement of epidural catheters, placement of invasive monitoring lines (e.g., arterial, cordis), and induction ofgeneral anesthesia. Maintains invasive lines and dressings in accordance with infection control policies andprocedures. Assesses patient response through sophisticated clinical observations as well as detailed dataanalysis and accurately reports information to the physician to ensure the highest level of patient care.Discontinues invasive lines under established guidelines.3. Utilizes the nursing process to formulate a nursing plan of care relative to patient's physiological,psychological, and sociological condition in order to provide ongoing and in-depth assessment of patientproblems, strengths and limitations. Monitors patient condition through data collected by continuousobservation and precise calculation of fluid levels and vital signs through the use of complex monitoringequipment. Applies in-depth knowledge of a large number of laboratory and other diagnostic studies.Interprets findings and reports to the physician those findings which indicate a required change in care. Basedon periodic changes in maternal and fetal condition and response, determines validity/feasibility of previouslywritten orders, writes nursing orders, and implements, evaluates and documents the effectiveness of allnursing orders. Continuously revises care plan accordingly. Develops meaningful goals to assist the normal orhigh-risk obstetrics (OB) patient and family to attain an optimum level of physiological and psychosocialbalance within the limitations imposed by any complications or illnesses. Frequently uses crisis interventiontechniques to provide constant support to the patient and family in a high stress situation and environment.Gives information on disease process, pre and post operative care, diagnostic procedures, use of equipmentrelated to disease/care, expected and possible adverse reactions to medications, health maintenance, andillness prevention. Makes referral of patients/family members to allied health care providers such as thecommunity health nurse, social work, community agencies.4. Serves as project officer/unit coordinator for a variety of activities designed to improve nursing care to thenormal/high-risk obstetric patient (e.g., research, grief support, and educational programs). Performsassignments of an advanced nature that require considerable extended experience or training. May serve as ateam leader and charge nurse and would make decisions regarding priorities for patient care for shiftassignments and assign duties and delegates patient care to other registered nurses, licensed practical nurses,operating room technicians, and nursing assistants, with consideration of the difficulty and requirements of theassignment and the qualifications and capabilities of the individual.Serves as a resource and role model for other maternal/child nurses and health care providers, includingexperienced and fully trained registered nurses and resident physicians. Provides orientation and on-the-jobtraining for nursing and allied health personnel. Serves as a preceptor for all levels of nursing students andnewly assigned graduate nurses in the Department of Nursing Preceptorship Program. Leads patient careconferences and conducts classes as part of continuing in-service training in the Maternal-Child Section, suchas electronic fetal monitoring, lactation support, grief support, intraoperative care, ante-partum, intra-partum,postpartum, and normal newborn transition care. Directs one or more unit programs such as staff education,patient education, revision of unit Standing Operating Procedures and quality improvement.Performs other duties as assigned. Qualifications Who May Apply: US Citizens Basic Requirement :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.
Defense Health Agency (DHA)

Nurse (Clinical/Ambulatory)

Overview Nurse (Clinical/Ambulatory) Fort Carson, CO: Located just south of Colorado Springs, Ft. Carson combines scenic beauty, pleasant residential areas, and cultural activities to satisfy every taste. It is an unusually well-rounded military community which offers a variety of recreational and cultural opportunities. World-class ski resorts are available within a short 2 1/2 hour drive, golf courses and biking trails are available on the installation as well as in the surrounding community. Numerous colleges and universities are available for continuing education. 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 independent, comprehensive telephone and clinical triaging, and facilitates care coordination through a multidisciplinary approach. Establishes priorities for patient care and evaluates patients’ progress toward high-level wellness. Provides patient education as an integral part of the services offered. Acts as relief nurse, triages and screens walk-in patients to assess the severity of the patient's condition and the need for provider intervention. Communicates with providers regarding determinations and situations, documents events appropriately. Screens patient charts to assess the medical history and determine health care needs. Makes psychosocial assessment of patients to identify significant cultural practices, the ability to understand and cooperate, and expectations of care and coping mechanisms. Executes or ensures the completion of orders from health care providers. Recognizes and reports abnormal test results, changes in symptoms and the need for follow-up. Records data on patient charts. Assists health care providers with examinations and procedures. Oversees educating patients for high risk, painful or stressful procedures with education and support. Monitors or ensures the monitoring of patients pre, during and post-procedure per established protocols and SOPs. Assesses post-procedure patients prior to their release from the clinic. Ensures complete, thorough documentation for all procedures. Prepares and administers oral, subcutaneous, intra-muscular and intravenous medications. Independently instructs and demonstrates to patients how to provide self-care. Instructs patient in self-medication of prescribed pharmaceutical agents. Reinforces health care provider instructions and encourages patient in the maintenance of health and self-care. Responds to emergency situations. 2. Assists clinic with patient and staff education. Accepts consults for the education of patients in the outpatient setting. Assists with clinic orientation, and one-on-one patient, educational activities related to acute or chronic illnesses, self-care, wellness/preventive health measures, and normal development and physiology. Assesses patient’s emotional, cognitive, social and motivational status relative to education and determines their educational needs and priorities. Evaluates the effectiveness of educational activities. Ensures nursing staff competencies are initially evaluated and maintained and documented in accordance with hospital and clinic policies and nursing standards of practice. Develops appropriate nursing plans. Ensures that nursing staff maintains current licenses and certification requirements. Follows quality improvement and internal control activities for the ambulatory care setting to include risk appraisals, conducting chart reviews, identifying trends and reporting corrective actions. Ensures staff compliance with maintenance of competency folders in accordance with hospital and Joint Commission standards. Participates in hospital and clinic meetings, and performance improvement activities as assigned. 3. Coordinates patient referrals to support services provided through the internal and external community, or the TRICARE network. Assists patient to comply with medical treatment plan as necessary through telephone contact or through clinic visits. PERFORMS OTHER DUTIES AS ASSIGNED. Qualifications Who May Apply: US Citizens Basic Requirement :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.
Defense Health Agency (DHA)

Nurse (Operating Room)

Overview Nurse (Operating Room) About the Position: This position is for the Department of Surgery at Evans Army Community Hospital at Fort Carson, CO.This is a Direct Hire Solicitation Fort Carson, CO: Located just south of Colorado Springs, Ft. Carson combines scenic beauty, pleasant residential areas, and cultural activities to satisfy every taste. It is an unusually well-rounded military community which offers a variety of recreational and cultural opportunities. World-class ski resorts are available within a short 2 1/2 hour drive, golf courses and biking trails are available on the installation as well as in the surrounding community. Numerous colleges and universities are available for continuing education. 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: Provide perioperative nursing care in a multi-service operating room providing a full range of surgical nursing services supporting complex and extensive surgical procedures. Operate and assists in the care and handling of a variety of supplies and highly specialized equipment. Assist physician with examination, as well as treatment prior to, during, and following invasive procedures. Coordinate with physicians and other staff, preoperatively, to develop a multi-disciplinary, intra-operative plan of care. Teach staff, patient, and family regarding pre- and post-operative care and procedures. 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: 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 utilizing specialized equipment in an operative setting; providing comprehensive nursing care to intraoperative patients; and educating patients or staff.OREducation: A PhD or equivalent doctoral degree from a professional nursing educational program or related medical science field.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.
Defense Health Agency (DHA)

Nurse (Progressive Care Unit Nurse)

Overview Madigan Army Medical Center is seeking Progressive Care/Step Down RNs to join our growing team! About the Position: This position is located within the Department of Nursing, management of critical care patients. Tacoma, Washington. Relocation or Recruitment incentives May be authorized to highly qualify candidates. Salary negotiation may be available for those candidates who are new to Federal service. This is a Direct Hire Solicitation The facility is one of four Level II Trauma Centers in Washington State and participates in unique partnerships with civilian facilities to provide care to non-beneficiary trauma victims beyond the gates of Joint Base Lewis-McChord. At Madigan you will practice alongside civilian and military health care experts and experience unique professional opportunities. Our staff serves by caring for our military but are not subject to military requirements. We operate within safe staffing standards - giving you time to provide exceptional care. Located in the beautiful Pacific Northwest on the Puget Sound, in Washington State, Joint Base Lewis-McChord is near the city of Lakewood, 10 minutes from Tacoma and 20 minutes from Olympia, the state capitol. JBLM is situated in a key location along Interstate 5, allowing easy access to Sea-Tac Airport and to the deep water ports of Tacoma and Seattle. Although the Army and Air Force missions have changed over the years, one thing has not changed—the natural setting of the base. On a clear day, majestic Mount Rainier looms on the horizon, towering over the other peaks of the Cascade Range. From the mountains to the deep waters of Puget Sound and the Pacific Ocean, the local areas abound in natural beauty and outdoor recreation opportunities. Camping, hunting, fishing, hiking, boating and now sports are a way of life in Washington State. 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: Provide specialized nursing care to assigned patients. Monitor patient condition and implement timely interventions to prevent complications and promote recovery. Initiate appropriate emergency interventions upon recognizing and assessing life-threatening conditions to deliver timely, life-saving care. Initiate advanced cardiovascular life support (ACLS) protocols by preparing and administering high-potency medications such as Nipride, dopamine, atropine, nitroglycerin, and dobutamine to manage life-threatening cardiac conditions. Support physicians during complex and potentially life-threatening procedures, including cardioversion and the placement of invasive lines such as arterial, central venous, and pulmonary artery catheters. Evaluate patient responses by monitoring cardiac output, vital signs, peripheral perfusion, and level of consciousness. Coordinate referrals to appropriate allied health professionals such as Chaplains, Community Health Nurses, and Social Workers based on patient and family needs Administer a combination of high-potency and potentially life-threatening medications through invasive lines as part of critical care interventions. Performs other duties as assigned. Qualifications Who May Apply: US Citizens In order to qualify, you must meet the education and 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/Critical Care): 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 credential's 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. 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 and 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 care to moderately stable, less complex patients requiring moderate resources and intermittent nursing care, as well as stable patients with a high potential for becoming unstable who require increased monitoring and intensity of care and performing detailed assessments specific to acutely ill patients, administer medications via oral, intramuscular, subcutaneous, intradermal, and intravenous routes, and actively engage in patient advocacy to ensure the highest standards of care and ethical practice are upheld. (Note: You must attach a copy of your transcripts. ) OR Education: A PhD or equivalent doctoral degree from a professional nursing educational program or related medical science field including but not limited to such as e.g., Doctor of Nursing Practice (DNP), Doctor of Public Health (DrPH), or Doctor of Medical Science (DMSc), or other specialties identified for the position. (Note: You must attach a copy of your transcripts.) 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/. Degree from Foreign Nursing School : Official certification from the Commission on Graduates of Foreign Nursing Schools (external link) is required for individuals who graduated from foreign nursing schools.
Defense Health Agency (DHA)

Advanced Practice Nurse GS-0610-12

Overview This position is located at Naval Submarine Base New London, Gorton, CT. Naval Submarine Base New London is the primary United States Navy East Coast submarine base, also known as the "Home of the Submarine Force.” It is located in Groton, Connecticut directly across the Thames River from its namesake city of New London. The submarine base is physically located in the Town of Groton, but New London became associated with it because the base had its main offices and housing in New London. Following World War I, the Navy established schools and training facilities at the base. 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/ This is a Direct Hire Solicitation Who May Apply: US Citizens Responsibilities As an Advanced Nurse you will: The position administers health care services in an outpatient setting in compliance with state and federal regulations and meets professional standards of designated regulatory agencies. Responsible for efficient and effective operation of a medical service to render treatment and medical care in a primary care setting. Assesses individuals/families and develops a care plan based on physical and psycho- social status and on the needs of the patient and diagnoses minor/acute and chronic conditions and provides counseling to individuals, families, and/or groups. Prepares written or computerized, complete, accurate documentation on all patients evaluated in the clinical setting and provides treatment of minor/acute and chronic conditions. Prescribes a variety of medications to patients in an outpatient clinic, based on MTF policy and performs routine histories and physicals. Determines in accordance with existing protocol whether treatment is within the scope of his/her professional abilities making referrals and consultation to a variety of multidisciplinary services. Performs Other Duties as Assigned Qualifications US Citizenship required In order to qualify, you must meet the education and 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 Requirements for Nurse Practitioner: Degree: A graduate or higher level degree, bachelor's degree, associate degree, or diploma from an accredited professional nursing educational program in Family Medicine or related specialty 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. 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. Licensure: Applicants must have passed the National Council Licensure Examination and possess 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. Additional License Requirements for Advanced Practice Nurse Positions: A current, active, full, and unrestricted license or registration as a professional nurse in the specialty of Family Medicine or related specialty from a State, the District of Columbia, the Commonwealth of Puerto Rico, or a territory of the United States. 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: Professional Nursing Experience: One or more full years of professional nursing experience which includes prescribing approved medications and other therapeutic agents; making diagnosis based on history, physical exams, and tests; ordering and interpreting laboratory test, to include blood, urine, etc.; Providing patient and staff education. This definition of professional nursing experience is typical of work performed at the next lower grade/level position in the federal service (GS-11).Some federal jobs allow you to substitute your education for the required experience in order to qualify. For this job, you must meet the qualification requirement using experience alone--no substitution of education for experience is permitted. Education See qualification section for educational requirements.
Defense Health Agency (DHA)

Advanced Practice Registered Nurse (Occupational Health)

Overview Advanced Practice Registered Nurse (Occupatiional Health) - Rock Island, IL About the Position: This position is located at Occupational Health Clinic #4 at Rock Island Arsenal, Illinois. Salary negotiation MAY be available for those candidates who are new to Federal service. Student Loan Repayment MAY be authorized. A recruitment or relocation incentive may be authorized. This is a Direct Hire Solicitation. Rock Island is part of the Quad Cities, a diverse community of 400,000 people spanning the border between Illinois and Iowa on the Mississippi River. Made up of four cities in Iowa and Illinois, the Quad Cities includes Rock Island and Moline in Illinois and Davenport and Bettendorf in Iowa. Some people also include East Moline. With more than 700 restaurants or more than 100 miles of bike trails, no matter where your interests lie, there’s something in these four (or five, depending on who you ask) cities for everyone. Whether it’s watching a sunset from a rooftop restaurant that overlooks our Mississippi River, taking in the culture that makes up the Quad Cities at summer festivals, or taking a bike ride along the riverbank on a crisp fall, morning, you will love the river and will quickly call it it home. Explore and indulge in the many diverse experiences and adventures that await you on our bend of the Mississippi River, through tours, museums, special events, shopping districts, and other attractions that are favorites among the Quad Citizens. Your Official Guide For Regional Quad Cities Experiences | Visit Quad Cities 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 Serves as direct primary clinician/provider in the capacity of a credentialed Nurse Practitioner for the Occupational Health and Army Public Health Sections. Conducts a comprehensive program of occupational medical surveillance examinations based on the actual and potential health hazards encountered in the workplace. Provides medical care and health assessments for civilian and military personnel and uses professional judgment to make recommendations for proper placement consistent with job requirements. Treats acute minor work related illnesses and diseases within the scope of individual credentialed capabilities. Makes proper recommendations for corrective actions within the worksite and coordinates these actions with IH, Safety, Environmental Health, Public Works, etc., when appropriate. Performs job related health assessments and physical examinations/evaluations appropriate to the occupational physical requirements and potential exposures. Performs other duties as assigned. Qualifications Who May Apply: US Citizens In order to qualify, you must meet the education and 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 Advanced Nurse Practitioner (Occupational Health): Degree: A graduate or higher level degree from an accredited professional nursing educational program in Occupational Health or related specialty 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.). 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. 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. Licensure: A current, active, full, and unrestricted license or registration as a professional nurse in the specialty of Occupational Health or related specialty from a State, the District of Columbia, the Commonwealth of Puerto Rico, or a territory of the United States. 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: Professional Nursing Experience: One or more full years of professional nursing experience which includes performing medical fit-for-duty evaluations to include screening health and occupation histories, performing job related health assessments or conducting physical examinations; treating job related injuries or illnesses and making recommendations for reasonable accommodations. This definition of professional nursing experience is typical of work performed at the next lower grade/level position in the federal service (GS-11).Some federal jobs allow you to substitute your education for the required experience in order to qualify. For this job, you must meet the qualification requirement using experience alone--no substitution of education for experience is permitted.
Defense Health Agency (DHA)

ADVANCED PRACTICE NURSE (PRACTITIONER/FAMILY PRACTICE)

Overview The position ADVANCED PRACTICE NURSE (PRACTITIONER/FAMILY PRACTICE) is located at Tripler Medical Center, Honolulu, HI. About the Position: This position is located within Tripler Army Medical Center in the Directorate of Medicine, Department of Medicine Gastroenterology Service in Honolulu, Hawaii. The Island of Oahu in Hawaii is often nicknamed (or translated as) "The Gathering Place" . It is currently the most populated Hawaiian Island. The city of Honolulu is the largest city, state capital, and main deep water marine port for the State of Hawaii. As a jurisdictional unit, the entire island of Oahu is in Honolulu County, although as a place name, Honolulu occupies only a portion of the southeast end of the island. Well-known features found on Oahu include Waikiki, Pearl Harbor, Diamond Head, Hanauma, Kane’ohe Bay, Kailua Bay, North Shore, and the resort destination, Ko’Olina. Oahu is also known for having the longest rain shower in history, which lasted for 200 consecutive days. Kāneʻohe Ranch reported 247 straight days with rain from August 27, 1993 to April 30, 1994. The average temperature in Oahu is around 70–85 °F (21–29 °C) and the island is the warmest in June through October. The weather during the winter is cooler, but still warm with an average temperature of 68–78 °F (20–26 °C). Responsibilities POSITION DUTIES: Prescribe pharmacologic agents and treatments. Provide consultation and referral to patients, as needed. Prepares in writing a complete, accurate, evaluation document on each patient seen in the clinical setting. Provide nursing and medical services to individuals, families and groups, emphasizing health promotion and disease prevention. Develop data base for individuals/ families utilizing health care developmental history, physical examination, laboratory data, other diagnostic testing as indicated and pertinent psychosocial information. Analyze and interpret routine laboratory results. Provide administrative assistance for clinic activities. PERFORMS OTHER DUTIES AS ASSIGNED. Qualifications Who May Apply: US Citizens In order to qualify, you must meet the 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; your transcripts will be required as part of your application. Additional information about transcripts is in this document.Basic Requirement for Advanced Practice Nurse (Nurse Practitioner/Family Practice):Degree: A graduate or higher level degree from an accredited professional nursing educational program inNurse Practitioner 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.)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.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.Licensure: A current, active, full, and unrestricted license or registration as a professional nurse in the specialty of Family Practice Nurse Practitioner or related specialty from a State, the District of Columbia, the Commonwealth of Puerto Rico, or a territory of the United States.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:Professional Nursing Experience: One or more full years of professional nursing experience which includes ordering appropriate medications and treatments, providing staff education, and the initiation of a therapeutic plan in accordance with medical practice. This definition of professional nursing experience is typical of work performed at the next lower grade/level position in the federal service (GS-0610-11)Some federal jobs allow you to substitute your education for the required experience in order to qualify. For this job, you must meet the qualification requirement using experience alone--no substitution of education for experience is permitted . 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/.
Defense Health Agency (DHA)

Practical Nurse

Overview Licensed Practical Nurse - 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 Duties 1. Provides general support to the Nurse Case Management section as identified needs arise. Demonstrates proficiency in application of managed care concepts to affect quality outcomes for all patient activities, to include the provision of emotional and physical comfort and safety of all patients with caseload 100-150 patients/families. Assesses the soldier’s/families status at intake, throughout care cycle and at disposition, monitoring for changes in conditions. Documents observations and all pertinent data regarding the physical and emotional status of patients/families. Pertinent clinical data may include but is not limited to laboratory and radiology reports, consults, medication regimens, etc., and other pertinent information from the civilian and military institutions required to direct medical care to the most quality efficient setting. Collaborates with members of the health care team to assess, plan, execute and evaluate the care of patients. Teaches patients on case management concepts and other aspects of medical care as appropriate. Identifies and understands the implications of acute and chronic conditions affecting medical readiness status and retention and the potential long term effects of trauma. Observes and reports specific physical and behavioral signs and symptoms indicative of change in patient’s conditions. Identifies problems and conducts interventions as prescribed and within scope of practice. Recognizes critical conditions that require tracking of line-of-duty status and Medical Evaluation Board (MEB) processing. Assists in coordinating and obtaining services and resources needed by the patient or the patient’s family to ensure adherence to prescribed care regimens according to best practices. Participates in individual patient’s plan of care to include patient teaching regarding medication regimens (side effects, interactions, etc.), wound/dressing care, durable medical equipment or other assistive devices, expectations for healing, etc. Uses interpersonal skills when communicating and coordinating with service members’ unit point of contact, other clinical areas, patient administration service, hospital/clinic schedulers, civilian hospitals and other types of treatment facilities to meet health care needs of service members. 2. Provides administrative assistance to include maintenance of files, faxing of documents and booking of appointments. Inputs data into the computer and maintains a computer based information record to include database management. Prepares reports on patient’s condition and compiles data into computerized system for outcomes tracking. Maintains proficiency in computer and communication skills and recognizes sensitivity of information obtained. Coordinates with administrative and unit command structure to provide current status of patient’s healthcare and administrative status in the form of administrative reports or tracking mechanisms as appropriate per established regulations, policies and guidelines. PERFORMS OTHER DUTIES AS ASSIGNED. Qualifications Qualifications Who May Apply: US Citizens Basic Requirement for a Practical Nurse/Vocational Nurse: Licensure: A current license to practice as a practical or vocational nurse in a State, territory of the United States, or the District of Columbia; OR must have applied for a license to practice. Applications of candidates possessing a license must be accompanied by a certified or photostatic copy of the license, a notarized statement attesting to the fact, or a citation of the license number and State issuing it. Non-licensed candidates who have completed their training may be appointed subject to obtaining the required license during the probationary period. Those not licensed must furnish the date on which they applied for a license and the jurisdiction involved. No person appointed pending licensure may be retained beyond the probationary period if licensure has not been attained.In addition to meeting the basic requirement above, to qualify for this position you must also meet the qualification requirement listed below: Experience required: One year of nursing experience in a hospital, outpatient clinic, nursing home, or other supervised medical, nursing, or patient care facility that provided a practical knowledge of human body structure and sterile techniques and procedures, performing such duties as providing obstetrical nursing care to patients, measuring patient's vital signs, administering immunizations or medications via various routes and performing routine procedures, such as catheter insertion, sterile dressing changes or operating fetal heart rate monitors. This definition of nursing experience is typical of work performed at the next lower grade/level position in the federal service (GS-05).
Defense Health Agency (DHA)

Nurse (Clinical/ Medical-Surgical)

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/.
Defense Health Agency (DHA)

NURSE (CLINICAL/AMBULATORY)

Overview NURSE (CLINICAL/AMBULATORY) Tacoma, WA Puyallup Community Medical Home (Madigan AMC) At Madigan you will practice alongside civilian and military health care experts and experience unique professional opportunties. Our staff serves by caring for our military but are not subject to military requirements. We operate within safe staffing standards - giving you time to provide exceptional care. Located in the beautiful Pacific Northwest on the Puget Sound, in Washington State, Joint Base Lewis-McChord (JBLM) is near the city of Lakewood, 10 minutes from Tacoma and 20 minutes from Olympia, the state capitol. JBLM is situated in a key location along Interstate 5, allowing easy access to Seattle, Tacoma, and the welcoming neighboring communities. Although the Army and Air Force missions have changed over the years, one thing has not changed—the natural setting of the base. Majestic Mount Rainier looms on the horizon, towering over the other peaks of the Cascade Range. From the mountains to the deep waters of Puget Sound and the Pacific Ocean, the local areas abound in natural beauty and outdoor recreation opportunities. Camping, hunting, fishing, hiking, boating and new sports are a way of life in Washington State. 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 independent, comprehensive telephone and clinical triaging, and facilitates care coordination through a multidisciplinary approach. Establishes priorities for patient care and evaluates patients’ progress toward high-level wellness. Provides patient education as an integral part of the services offered. Acts as relief nurse, triages and screens walk-in patients to assess the severity of the patient's condition and the need for provider intervention. Communicates with providers regarding determinations and situations, documents events appropriately. Screens patient charts to assess the medical history and determine health care needs. Makes psychosocial assessment of patients to identify significant cultural practices, the ability to understand and cooperate, and expectations of care and coping mechanisms. Executes or ensures the completion of orders from health care providers. Recognizes and reports abnormal test results, changes in symptoms and the need for follow-up. Records data on patient charts. Assists health care providers with examinations and procedures. Oversees educating patients for high risk, painful or stressful procedures with education and support. Monitors or ensures the monitoring of patients pre, during and post-procedure per established protocols and SOPs. Assesses post-procedure patients prior to their release from the clinic. Ensures complete, thorough documentation for all procedures. Prepares and administers oral, subcutaneous, intra-muscular and intravenous medications. Independently instructs and demonstrates to patients how to provide self-care. Instructs patient in self-medication of prescribed pharmaceutical agents. Reinforces health care provider instructions and encourages patient in the maintenance of health and self-care. Responds to emergency situations. 2. Assists clinic with patient and staff education. Accepts consults for the education of patients in the outpatient setting. Assists with clinic orientation, and one-on-one patient, educational activities related to acute or chronic illnesses, self-care, wellness/preventive health measures, and normal development and physiology. Assesses patient’s emotional, cognitive, social and motivational status relative to education and determines their educational needs and priorities. Evaluates the effectiveness of educational activities. Ensures nursing staff competencies are initially evaluated and maintained and documented in accordance with hospital and clinic policies and nursing standards of practice. Develops appropriate nursing plans. Ensures that nursing staff maintains current licenses and certification requirements. Follows quality improvement and internal control activities for the ambulatory care setting to include risk appraisals, conducting chart reviews, identifying trends and reporting corrective actions. Ensures staff compliance with maintenance of competency folders in accordance with hospital and Joint Commission standards. Participates in hospital and clinic meetings, and performance improvement activities as assigned. 3. Coordinates patient referrals to support services provided through the internal and external community, or the TRICARE network. Assists patient to comply with medical treatment plan as necessary through telephone contact or through clinic visits. PERFORMS OTHER DUTIES AS ASSIGNED.
Defense Health Agency (DHA)

Nurse (Clinical/Critical Care)

Overview Tripler Army Medical Center is seeking Critial CareRNs to join our growing team! About the Position: This position is with Tripler Army Medical Center (TAMC) in the Directorate of Nursing Pediatric Intensive Care Unit in Honolulu, Hawaii. At Tripler, you will practice alongside civilian and military health care experts and experience unique professional opportunities. Our staff serves by caring for our military but are not subject to military requirements. We operate within safe staffing standards - giving you time to provide exceptional care. Also known as the “big pink building on the hill”, Tripler is a 450 bed, Level II Trauma facility and participates in unique partnerships with civilian facilities to provide care to non-beneficiary trauma victims. Want to hear what it’s like to work at Tripler? Check it out: https://youtu.be/b6E1XBHlEyc In addition to salary, employees will receive an 8.9% Cost of Living Allowance (COLA); subject to change. 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 Perform various pulmonary ventilation treatments such as administration of oxygen and compressed air through various means. Provide patient and family teaching and counseling. Determine and implement proper emergency measures after identifying and interpreting life-threatening conditions and initiating life-saving measures. Perform various pulmonary ventilation treatments such as administration of oxygen and compressed air through various means. Develop a nursing care plan of care independently or in conjunction with, a more experienced critical care nurse. Assist Physician with complex or potentially life-threatening procedures such as cardioversion and insertion of invasive line and assists with intubation. Operate and monitor highly complex technical equipment such as hemodynamic monitoring devices, ventilators, and oxygen monitors. Function as a charge nurse on shifts or when the Clinical Head Nurse is not available. Enter information concerning the patient's condition, an assessment of the patient's condition, and a plan of action to carry out nursing care in the automated information system. Performs other duties as assigned. Qualifications Who May Apply: US Citizens In order to qualify, you must meet the education and 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/Critical Care): 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 1) Providing comprehensive nursing care to critically ill pediatric patients; 2) Monitoring or operating medical equipment such as ventilators, chest tubes, hemodynamic monitoring equipment; and 3) Administering medications through various routes. OR Education: A PhD or equivalent doctoral degree from a professional nursing educational program or related medical science field including but not limited to Nursing. 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/.Only degrees from an accredited college or university recognized by the Department of Education are acceptable to meet positive education requirements or to substitute education for experience. For additional information, please go to the Office of Personnel Management (OPM) and U.S. Department of Education websites at - http://www.opm.gov/qualifications and http://www.ed.gov/admins/finaid/accred/index.htmlEducation above high school level completed in a college, university, or other educational institution must be accredited by one of the accrediting agencies or associations recognized by the Secretary, U.S. Department of Education.When using education to qualify you must submit your transcripts. Additional information
Defense Health Agency (DHA)

Nurse (Clinical/Emergency)

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.
Defense Health Agency (DHA)

Nurse (Pediatric)

Overview Tripler Army Medical Center is seeking Pediatric Nurses to join our growing team! About the Position: This position is located within Tripler Army Medical Center in the Directorate of Medicine, Department of Pediatrics, Pediatrics Subspecialty in Honolulu, Hawaii. At Tripler, you will practice alongside civilian and military health care experts and experience unique professional opportunities. Our staff serves by caring for our military but are not subject to military requirements. We operate within safe staffing standards - giving you time to provide exceptional care. Also known as the “big pink building on the hill”, Tripler is a 450 bed, Level II Trauma facility and participates in unique partnerships with civilian facilities to provide care to non-beneficiary trauma victims. Want to hear what it’s like to work at Tripler? Check it out: https://youtu.be/b6E1XBHlEyc In addition to salary, employees will receive an 8.9% Cost of Living Allowance (COLA); subject to change. 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: Coordinate patient care throughout the sub-specialty clinics within the Department of Pediatrics. Collect patient data through interviews, observation, physical examination and review of medical records. Maintain reporting databases for patient tracking, national certifications, research, and treatment protocols. Identify situations in which the physician should be notified immediately. Educate patient and family on pre-procedure requirements, intra-procedure plans and post-procedure care. Assist physicians with complex procedures. Provide nursing care for the pediatric patient during the sedated and post-sedation period. Interpret laboratory reports to assess the impact of the procedure upon the pediatric patient. Perform pre and post procedure assessment to develop a nursing plan of care. Serve as a resource person to a wide variety of professional health colleagues regarding nursing practice. 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/Pediatric): 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: Specialized 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 specialized pediatric nursing care; collaborating with the healthcare team; assisting physicians with complex procedures, or monitoring moderately sedated pediatrics patients. OR Education: A PhD or equivalent doctoral degree from a professional nursing educational program or related medical science field. 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 requirements 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/.
Defense Health Agency (DHA)

Nurse (Clinical/Ambulatory)

Overview Nurse (Clinical/Ambulatory) Tacoma, WA Located in the beautiful Pacific Northwest on the Puget Sound, in Washington State, Joint Base Lewis-McChord (JBLM) is near the city of Lakewood, 10 minutes from Tacoma and 20 minutes from Olympia, the state capitol. JBLM is situated in a key location along Interstate 5, allowing easy access to Seattle, Tacoma, and the welcoming neighboring communities. Although the Army and Air Force missions have changed over the years, one thing has not changed—the natural setting of the base. Majestic Mount Rainier looms on the horizon, towering over the other peaks of the Cascade Range. From the mountains to the deep waters of Puget Sound and the Pacific Ocean, the local areas abound in natural beauty and outdoor recreation opportunities. Camping, hunting, fishing, hiking, boating and new sports are a way of life in Washington State. 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 Provide professional nursing care to patients with acute and chronic renal failure. Administer blood transfusions, intravenous fluid, and special medications via intravenous push. Perform highly sophisticated therapies such as hemodialysis, therapeutic plasma exchange, peritoneal dialysis, metabolic testing, 24-hour blood pressure monitoring, and transplant education. Teach patient, family, and significant others the principles of dialysis and the different modalities available. Initiate appropriate measures to include resuscitation during cardiac or respiratory arrest or allergic reaction. Maintain records, develop and revise nursing care plan based on nursing and medical history, physical examination, and patients’ needs and/or problems. Performs other duties as assigned. Qualifications Must be a United States Citizen. Must possess a valid Registered Nurse License that has not elapsed/expired. Must have an Associates, Bachelors or Master’s Degree in Nursing. 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. Madigan is non-smoking facility.
Defense Health Agency (DHA)

Practical Nurse /Vocational Nurse

Overview Practical Nurse, Fort Carson, CO Fort Carson, CO: Located just south of Colorado Springs, Ft. Carson combines scenic beauty, pleasant residential areas, and cultural activities to satisfy every taste. It is an unusually well-rounded military community which offers a variety of recreational and cultural opportunities. World-class ski resorts are available within a short 2 1/2 hour drive, golf courses and biking trails are available on the installation as well as in the surrounding community. Numerous colleges and universities are available for continuing education. 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: Obtain information from patients and/or family to identify major complaints, symptoms, or reason for seeking health care. Take vital signs (blood pressure, temperature, pulse, respiration, pain level, height, weight, measurement of head circumference and length); perform a behavioral health screening. Provide individualized nursing care to patients based upon the physician's medical plan, the nursing assessment and the physical, mental and emotional needs of the patient. Screen and review immunization records to select required immunizations, correct dosages, and administer oral, intradermal, subcutaneous, intramuscular immunizations to all age groups. Assist physician with various examinations and diagnostic procedures. Perform teaching to patients and/or family regarding self-care procedures and documents teaching. Perform other duties as assigned Qualifications Who May Apply: US Citizens In order to qualify, you must meet the qualifications 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 Practical Nurse/Vocational Nurse: Licensure : A current license to practice as a practical or vocational nurse in a State, territory of the United States, or the District of Columbia; OR must have applied for a license to practice. Applications of candidates possessing a license must be accompanied by a certified or photostatic copy of the license, a notarized statement attesting to the fact, or a citation of the license number and State issuing it. Non-licensed candidates who have completed their training may be appointed subject to obtaining the required license during the probationary period. Those not licensed must furnish the date on which they applied for a license and the jurisdiction involved. No person appointed pending licensure may be retained beyond the probationary period if licensure has not been attained. In addition to meeting the basic requirement above, to qualify for this position you must also meet the qualification requirement listed below: Experience required: One year of nursing experience in a hospital, outpatient clinic, nursing home, or other supervised medical, nursing, or patient care facility performing duties such as measuring patient's vital signs, administering immunizations or medications via various routes, screening or updating patient medical records and performing routine procedures. This definition of nursing experience is typical of work performed at the next lower grade/level position in the federal service (GS-04). Some federal jobs allow you to substitute your education for the required experience in order to qualify. For this job, you must meet the qualification requirement using experience alone--no substitution of education for experience is permitted. This announcement may be used to fill Practical Nurse positions in the following specialty areas: Office Automation (OA), Administrative, Psychiatric, Advanced Practice, Obstetric/Gynecologic, General, Primary Care, Pediatric, Sports Medicine, Occupational/Community Health, Operating Room, Surgery, Lead Practical Nurse, Orthopedic/Podiatry, Supervisory Practical Nurse, Dermatology, Quality Assurance Evaluation, Gastroenterology, Pulmonary or Instructor.
Defense Health Agency (DHA)

Nurse (Clinical/Emergency)

Overview Tripler Army Medical Center is seeking Clinical/Emergency Nurses to join our growing team! About the Position: This position is located within Tripler Army Medical Center in the Directorate of Medicine, Department of Emergency services in Honolulu, Hawaii. At Tripler, you will practice alongside civilian and military health care experts and experience unique professional opportunities. Our staff serves by caring for our military but are not subject to military requirements. We operate within safe staffing standards - giving you time to provide exceptional care. Also known as the “big pink building on the hill”, Tripler is a 450 bed, Level II Trauma facility and participates in unique partnerships with civilian facilities to provide care to non-beneficiary trauma victims. Want to hear what it’s like to work at Tripler? Check it out: https://youtu.be/b6E1XBHlEyc In addition to salary, employees will receive an 8.9% Cost of Living Allowance (COLA); subject to change. 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: Provide direct care for patients with various types of illness or trauma requiring emergency attention. Identify and interpret serious situations and implement proper emergency measures. Serve as a resource person for nurses and other health care providers to consult when particularly difficult problems in the care of patients arise. Manage 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. Participate in continuing education programs to update and maintain skills and knowledge to meet annual requirements. Provide guidance and leadership to other professional nurses and paraprofessional personnel. Respond to all emergencies during the shift. Performs other duties as assigned. Qualifications Who May Apply: US Citizens In order to qualify, you must meet the 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 i s in this document.Basic Requirement for Nurse Clinical/Emergency 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: Professional Nursing Experience: One or more full years of professional nursing experience which includes providing clinical nursing care to patients in need of urgent or emergent care; administering pharmaceuticals and operate and monitor complex technical equipment; providing advance cardiac life support code team management until arrival of physician or provider. This definition of professional nursing experience is typical of work performed at the next lower grade/level position in the federal service (GS-11).Some federal jobs allow you to substitute your education for the required experience in order to qualify. For this job, you must meet the qualification requirement using experience alone--no substitution of education for experience is permitted. 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/.
Defense Health Agency (DHA)

Nurse (OB/GYN)

Overview Nurse (OB/GYN), Irwin ACH, Ft Riley, KS About the Position: This position is located in the Labor, Delivery, Recovery and Postpartum unit at Irwin Army Community Hospital in Fort Riley, Geary, Kansas. This is a Direct Hire Solicitation. A recruitment or relocation incentive may be authorized. Salary negotiation may be available for those candidates who are new to Federal service. Student Loan repayment may be authorized. Irwin Army Community Hospital (IACH) at Fort Riley is uniquely located in the rolling Flint Hills region of Northeast Kansas. Nestled between Junction City (pop. 25,000) and Manhattan (pop. 57,000), the local area has an abundance of outdoor activities where you with unlimited opportunities to fish, hike, swim, and explore! Enjoy BigXII college sports and entertainment at Kansas State University in Manhattan; as well as a thriving night life. Experience travel simplified at the Manhattan Regional Airport or international travel through Kansas City International Airport. Manhattan has been recognized on the following for its quality of life: . #3 on a list of Best Small Places for Business and Careers (Forbes) . Top 10 Places to Retire (Money Magazine) . Top 50 College Towns in America (Best College Reviews) . Top 10 Best Places to Retire Young (CNN Money) . Top 100 Places to Live in America (Livability) Join #TeamIACH, your home in the Flint Hills; making Fort Riley the best place in the Army for Soldiers to live, train, deploy from, and come home to. Our civilian team members are eligible for full federal benefits packages which include: 401k (TSP, 5% match) Retirement pension (FERS, five years to be vested) Health, life, long-term, vision, and dental insurance for the employee and family members Competitive pay, regular cost of living and time in service base salary increases. Performance awards Paid on-the-job training and developmental opportunities Ten paid federal holidays, ample vacation days, separate sick leave that does not expire Recruitment and retention incentives Paid relocation costs Free parking at work USO Airport Lounge Access Access to MWR services and activities which include childcare options Military service buy-back eligibility 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: Perform duties in inpatient obstetrics Labor, Delivery, Recovery, Postpartum (LDRP) Unit, providing comprehensive specialized nursing care to routine through high risk antepartum, intrapartum and postpartum obstetrical patients and their infants. Perform newborn physical assessments. Provide nursing care for pregnancy induced hypertension, pre-eclampsia, eclampsia, gestational diabetes, multiple gestation, postpartum hemorrhage, uterine rupture, amniotic emboli, high/low birth weights, and infants requiring protective isolation. Teach patients and family members about disease processes, normal newborn and postpartum care, pre and post-operative cares, pre and post diagnostic procedures; expected and possible adverse reactions to medications and health promotion. Set up, operate and maintain a variety of medical equipment in the labor, delivery, recovery, postpartum unit to included fetal-monitors, respiratory and oxygen therapy equipment, intravenous infusion pumps, suctions, infant warmers, delivery tables. Serve occasionally as the Charge Nurse while determining patient care assignments based on the qualifications, capabilities, and skills of available staff. Administer oxygen, IV fluids, perform lab draws, blood products, and prescribed medications. Provide emergency care including initiation of life sustaining measures such as delivery, CPR, hypertension therapy, choking first aid, bleeding control, treatment of injuries, etc., and assists with advanced cardiac life support measures. Coordinate with the multi-disciplinary team (i.e., providers, pharmacists) in the management of obstetric and newborn complications/emergencies and implement interventions to enhance outcomes for post-surgical and gynecologic patients. Performs other duties as assigned. Qualifications Who May Apply: US Citizens In order to qualify, you must meet the education and 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/Ob-Gyn): 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.
Defense Health Agency (DHA)

Nurse (Operating Room)

Overview Nurse (Operating Room), Irwin ACH, Ft Riley, KS About the Position: This position is located at Irwin Army Community Hospital in Fort Riley, Geary, Kansas A recruitment or relocation incentive may be authorized. Salary negotiation may be availble for those candidate who are new to Federal service This is a Direct Hire Solicitation Irwin Army Community Hospital (IACH) at Fort Riley is uniquely located in the rolling Flint Hills region of Northeast Kansas. Nestled between Junction City (pop. 25,000) and Manhattan (pop. 57,000), the local area has an abundance of outdoor activities where you with unlimited opportunities to fish, hike, swim, and explore! Enjoy BigXII college sports and entertainment at Kansas State University in Manhattan; as well as a thriving night life. Experience travel simplified at the Manhattan Regional Airport or international travel through Kansas City International Airport. Manhattan has been recognized on the following for its quality of life: . #3 on a list of Best Small Places for Business and Careers (Forbes) . Top 10 Places to Retire (Money Magazine) . Top 50 College Towns in America (Best College Reviews) . Top 10 Best Places to Retire Young (CNN Money) . Top 100 Places to Live in America (Livability) Join #TeamIACH, your home in the Flint Hills; making Fort Riley the best place in the Army for Soldiers to live, train, deploy from, and come home to. Our civilian team members are eligible for full federal benefits packages which include: 401k (TSP, 5% match) Retirement pension (FERS, five years to be vested) Health, life, long-term, vision, and dental insurance for the employee and family members Competitive pay, regular cost of living and time in service base salary increases. Performance awards Paid on-the-job training and developmental opportunities Ten paid federal holidays, ample vacation days, separate sick leave that does not expire Recruitment and retention incentives Paid relocation costs Free parking at work USO Airport Lounge Access Access to MWR services and activities which include childcare options Military service buy-back eligibility 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: Provide perioperative nursing care in a multi-service operating room providing a full range of surgical nursing services supporting complex and extensive surgical procedures Operate and assists in the care and handling of a variety of supplies and highly specialized equipment. Assist physician with examination, as well as treatment prior to, during, and following invasive procedures. Coordinate with physicians and other staff, preoperatively, to develop a multi-disciplinary, intra-operative plan of care. Teach staff, patient, and family regarding pre- and post-operative care and procedures. Performs other duties as assigned. Qualifications Who May Apply: US Citizens In order to qualify, you must meet the education and 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 (Operating Room) GS-11: 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: Professional Nursing Experience : One or more full years of professional nursing experience which includes providing nursing care to surgical patients, assisting with developing patient care plans and, educating patients or staff. This definition of professional nursing experience is typical of work performed at the next lower grade/level position in the federal service (GS-11)Some federal jobs allow you to substitute your education for the required experience in order to qualify. For this job, you must meet the qualification requirement using experience alone--no substitution of education for experience is permitted.
Defense Health Agency (DHA)

Nurse (Operating Room)

Overview Nurse (Operating Room), Joint Base Lewis-McChord, WA (Madigan) Joint Base Lewis-McChord, WA Joint Base Lewis-McChord, its affiliated clinics and dental clinic are located at Fort Lewis, Washington, near the city of Tacoma. Madigan AMC is one of only three designated Level Two trauma centers within the U.S. Medical Command. Tacoma is a progressive city of 200,000 nestled between Seattle and the state capital of Olympia. The region offers the attractions of larger metropolitan areas, with a hometown feel. World-class museums, hotels and theaters draw thousands to downtown Tacoma while the shores of the Puget Sound and Mount Rainier inspire outdoor enthusiasts. The Broadway Center for the Performing Arts, Chihuly Bridge of Glass, Emerald Downs Racetrack, Emerald Queen Casino, Fort Nisqually Living History Museum, Lakewold Gardens, and the Mount Rainier Scenic Railroad represent a small sampling of the region's varied entertainment options. The city offers excellent schools, universities, parks, festivals and regional shopping centers.Tacoma-Pierce County Chamber of CommerceMadigan Army Medical CenterJoint Base Lewis McChord Responsibilities Major Duties: Incumbent serves as an Operating Room Nurse providing perioperative nursing care in a multi-service operating room providing a full range of surgical nursing services supporting complex and extensive surgical procedures. Intra-operatively manages nursing care of patients of all ages undergoing major surgical procedures of various types such as dental rehabilitation, cesarean childbirth, general, gynecological, orthopedic, neurological, genitor-urology, ophthalmology, plastic and reconstructive, podiatry, thoracic, vascular, and ears, nose and throat. Patients range in age from pediatric to geriatric and civilian traumas at select locations or specific circumstances. Performs duties in support of all phases of perioperative care (e.g., preoperative care, intraoperative, and Post Anesthesia Care Unit - PACU) and sterile processing. 1. Performs circulating roles of a perioperative nurse. Ensures sterile technique and anticipates the surgical team’s needs. Collaborates with surgeons in one or more surgical services to assess, coordinate, plan, and implement the newest approaches and practices to deliver efficient, cost-effective surgical care for the beneficiary population. May circulate or scrub to support surgical cases. Coordinates with physicians and other staff, preoperatively, to develop a multi-disciplinary, intra-operative plan of care. Responsible for aseptic technique during the preparation for and duration of the operative procedure, accuracy of sponge, instrument and needle counts and adequacy of supplies. Opens all sterile packs and supplies, according to aseptic technique. Notes and responds to breaches of standard procedures that compromise the patient or staff members. Reviews and edits surgeon's preference cards for desired medications, equipment, and surgical supplies. Sets up, uses, reprocesses, and maintains all unit/department-specific equipment. Monitors and utilizes simple and highly technical equipment, such as lasers, electrosurgical generators, sterilization equipment, video towers, operative microscopes, endoscopes, multiple complex surgical instruments and drills, implants, positioning devices, insufflators, and robotic equipment. Ensures equipment is working properly, preoperatively, and throughout surgical procedures. Monitors all operative processes; anesthesia, surgery, sterile technique, equipment functioning, and patient responses. Initiates and intervenes with immediate corrective action. Responsible for process improvement and risk management in the clinical areas. Engages in evidence-based practice, quality improvement, and process improvement projects. Conducts initial perioperative assessment, acquiring pertinent information, such as allergies, NPO status, and consent. Implements individualized nursing care plans to include safety precautions, correct positioning, infection control precautions, aseptic and/or sterile practices, dispensing and/or administering medications. Logs out and prepares controlled drugs and administers to the patient as prescribed. Utilizes the perioperative nursing process to identify patient problems and generate a nursing diagnosis. Implements individualized nursing care plans to include safety precautions, correct positioning, infection control precautions, aseptic and/or sterile practices, dispensing and/or administering medications. Logs out and prepares controlled drugs and administers to the patient as prescribed. Documents patient's status, on a continual basis, and revises plan of care as needed. Prepares nursing notes indicating medications given, prosthesis used, patient positioning, draping and padding of pressure points. Maintains medical record, keeping a log of implants, devices, instructions, and product information. Responds to the needs of the surgeon, anesthesia provider, and patient during each surgical procedure. Assists physician with examination, as well as treatment prior to, during, and following invasive procedures. Assists with patient positioning for surgical procedures. Assures patient is free from skin injury and burns. Assists anesthesia providers with administering local, regional, and general anesthesia as well as assisting with the insertion of invasive monitoring lines. Assists the anesthesia team with induction and extubation. Communicates progress and/or changes to the patient, family, and members of the health care team, throughout surgical procedures. Provides oversight of sedated patients prior, during, and post-procedures. Initiates emergency measures, as appropriate. Assists during codes and emergencies. Promptly reports abnormal assessments, or changes in patient’s status, to the anesthesiologist and surgeon. Administers topical, intravenous, and intraoperative medications. Schedules and manages post-procedure cases, as required. Incumbent may perform all, or one or more functions, involving preoperative, intraoperative, or postoperative duties, as directed. Preoperatively provides for psychological and physical needs of patient. Provides for the physical needs of the patient to include helping to transport, lift, move and position the patient. Provides information and patient/family teaching about disease processes, pre-a and post-operative care, and surgical procedures. Before entering the surgery or pre-op areas, nurse talks to patient and answers any final questions prior to surgery and ensures the patient understands the procedure and has signed all the appropriate consent forms. 2. Provides direction and on-the-job training to military and civilian personnel, para- professionals, medical students, residents, and other healthcare professionals. Orients and welcomesinterdisciplinary staff members. Serves as role model, preceptor, and teacher for personnel. Acts as patient education facilitator, providing individual and family teaching/counseling. Influence policy and procedural documents in accordance with national standards, best practices, and emerging evidence. Identifies, implements and/or monitors quality, process, and evidence-based practice improvements. Delegates duties and tasks to others, following assessment of patient needs and capabilities, and determines the scope of responsibilities, with awareness of staff members skills and abilities. Operates and assists in the care and handling of a variety of supplies and highly specialized equipment to include pneumatic and electric saws and drills, electrosurgical units, cavitron, fiberoptic lighting systems, etc. Ensures electrical equipment is properly grounded; and that equipment is dissembled, cleaned, oiled, if necessary, reassembled, sterilized, and stored correctly. Maintains specialty materials, supplies, and equipment and communicates adequate levels to meet the surgery schedule demand. Coordinates care, handling, assembly and sterilization of instruments. Arranges with vendors for equipment demonstrations and training programs on new equipment. 3. As required, functions as charge nurse of a particular shift, assuming the responsibility for promoting quality, cost-effective nursing care, within the framework of the medical treatment facility (MTF) philosophy and mission objectives. Within that function, incumbent is delegated authority and as the responsibility to implement, coordinate, and direct nursing care for assigned shift. Identifies, distributes, and balances workload and tasks among personnel, based on their competency level and experience; makes adjustments to assignments to ensure timely accomplishment of tasks and procedures. Monitors and reports on status and progress of work, reviews completed work to ensure supervisor's instructions on work priorities, methods, quality, and deadlines have been met. Resolves simple, informal complaints of employees, patients, and other interdisciplinary team members, and refers unusual issues to supervisor or appropriate management person. Completes all training requirements designated by facility, supervisor, 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 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/Operating Room ):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 (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 experienceOR Education: A PhD or equivalent doctoral degree from a professional nursing educational program or related medical science field.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 programOR3 full years of progressively higher level graduate education from a professional nursing program