Inpatient Registered Nurse; PRN – Nursing Program

Job Summary

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.

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