Inpatient Registered Nurse (PRN) - (OR) - Cherokee Nation

Perform professional nursing duties in the care of patients across the life span, including medical, surgical, pediatric, psychiatric, and obstetrical patients.

Routine duties shall include providing health care services to individuals eligible for services in accordance with the self-governance compact and funding agreement between the Cherokee Nation and the United States executed under the authority of the Indian Self-Determination and Education Assistance Act.  Utilize the nursing process to:  Assess patients' clinical conditions, recognizing, identifying, and interpreting serious situations, prioritizing, and immediately deciding upon and taking proper action, for example, to inform physicians and take preplanned measures.  Formulate nursing diagnoses to appropriately provide care for patients across the life span, from neonates to geriatric patients, including medical, surgical, psychiatric, and obstetrical patients.  Develop a plan of care for individual patients by interviewing patients and family members, reviewing the patient's health record, and determining the kind of health and physical care required, including discharge planning. The plan of care reflects any special cultural, religious, physical, and psychosocial needs identified and contains expected outcomes individualized to the patient or situation.  Initiate appropriate measures in emergencies when the physician is not immediately available, for example, take resuscitative measures in case of cardiac or respiratory arrest.  Operate and monitor general and specialized emergency care equipment such as infusion pumps, pulse oximeters, ventilators, cardiac monitors, and other specialized equipment.  Administer therapeutic measures as prescribed by the physician such as medications and IV therapy that alter hemodynamic status, respiratory therapy, mechanical ventilation, etc.  Plan, provide, and appropriately document the teaching of patients and families in preventative, curative, and rehabilitative measures, taking into consideration patients' and families' learning needs, styles, barriers, and readiness to learn.  Record observations, nursing interventions, therapeutic measures administered, and the status of coordinated activities between nursing and other professional disciplines.  Evaluate progress toward attainment of outcomes including patient status, interventions, and patient response to nursing and therapeutic interventions, and update the plan of care.  Document specific health care requirements for patients and prepares written assignments to individual team members, matching the skills and abilities of staff to the care requirements of patients.  Plan and develop care delivery and implementation of the plan and coordinates the documentation of care.  Assume oversight for patient care administered by licensed practical nurses and unlicensed personnel in any assigned or delegated tasks.  Provide technical guidance, delegation, and direction to other registered nurses, licensed practical nurses, and unlicensed personnel.  Share responsibilities for sustaining adequate supplies and equipment as well as general upkeep of the unit and in preserving a safe environment.  Maintain knowledge and competency that reflects the current nursing practice and promotes professional growth for self and other staff members.  Demonstrates positive role modeling and leadership qualities.  Adheres to and promotes professional, ethical, and legal standards of nursing.  Maintain and promote positive personal work habits, interpersonal skills, and public relationships with employees, administration, medical staff, patients, and families.  Assist in the accomplishments of any initiative of the facility and or agency through the conscientious performance of assigned duties in support of the Cherokee Nation mission.  Provides Human Resources with a copy of all licensures, certifications, and renewal of licensures and certifications upon receipt thereof.  Other duties may be assigned.

SPECIFIC TO SURGICAL SERVICES: Required to be on-call on a rotating basis including evenings, weekends, and holidays.

SUPERVISORY RESPONSIBILITIES   

This job has no supervisory responsibilities.

EDUCATIONAL REQUIREMENT 

Associate's degree from a 2-year college or technical school; or two (2) years (60 credit hours) coursework from a 4-year college or university; or three (3) years of related experience; or an equivalent combination of education and experience.

EXPERIENCE REQUIRED

No additional experience.

COMPUTER SKILLS

To perform this job successfully, an individual should know about Human Resource systems; Internet software; Order processing systems, and Payroll systems.

CERTIFICATES, LICENSES, REGISTRATIONS  

Must possess a license as a Registered Nurse (RN) from the Oklahoma Board of Nursing (OBN) or possess a multistate RN license accepted by the OBN, no substitutions.  Must maintain license throughout employment.  Must be certified in Basic Life Support (BLS) and maintain throughout employment.  If not certified at the time of employment, BLS certification can be obtained during orientation.  Must be certified in Advanced Cardiac Life Support (ACLS) and maintain throughout employment.  If not certified, ACLS certification can be obtained within six (6) months of hire.  All Departments, except the Obstetrical Department, must be certified in Pediatric Advanced Life Support (PALS) and maintain throughout employment.  If not certified, PALS certification must be obtained within six (6) months of hire.  Obstetrical Department – Must be certified Neonatal Resuscitation Program (NRP) and maintain throughout employment.  Can be obtained during orientation.  Must be certified in the National Institutes of Health Stroke Scale (NIHSS) and maintain throughout employment.  If not certified, NIHSS must be obtained within six (6) months of hire.  A driver’s license may be required to work in some departments.  If so, the applicant/employee must possess a valid driver’s license with a driving history verified through a motor vehicle report that meets the requirements for Cherokee Nation underwriting rating.

OTHER QUALIFICATIONS

The employee must not be and will not be under sanction by the United States Department of Health and Human Services Office of the Inspector General (OIG) or by the General Services Administration (GSA) or listed on the OIG’s Cumulative Sanction Report, or the GSA’s List of Excluded Providers, or listed on the OIG’s List of Excluded Individuals/Entities (LEIE).  Must meet and maintain pre-employment and periodic background investigation and adjudication for child care.  Educated on and compliant with HIPAA regulations and maintains strict confidentiality of patient information.

PHYSICAL DEMANDS 

While performing the duties of this Job, the employee is regularly required to stand; walk; use hands to finger, handle, or feel; reach with hands and arms; climb or balance; stoop, kneel, crouch, or crawl and talk or hear. The employee is frequently required to taste or smell. The employee is occasionally required to sit. The employee must regularly lift and /or move up to 50 pounds. 

WORK ENVIRONMENT

While performing the duties of this Job, the employee is regularly exposed to fumes or airborne particles and toxic or caustic chemicals. The employee is occasionally exposed to outside weather conditions; risk of electrical shock and risk of radiation. The noise level in the work environment is usually moderate.

Work Hours: Varies depending on department needs, M-F 8 or 10 hour day shifts

Day Shift $44.50

Night Shift $55.80