Navajo Preference Employment Act In accordance with Navajo Nation and federal law, TCRHCC has implemented an Affirmative Action Plan pursuant to the Navajo Preference in Employment Act. Pursuant to this Plan and corresponding TCRHCC Policy, applicants who meet the necessary qualifications for this position and (1) are enrolled members of the Navajo Nation, Hopi Tribe, or San Juan Southern Paiute Tribe will be given preference in hiring and employment for this position, (2) are legally married to enrolled members of the Navajo Nation, Hopi Tribe, or San Juan Southern Paiute Tribe and meet residency requirements will be given secondary preference, and (3) are enrolled members of other federally-recognized American Indian Tribes will be given tertiary preference. Overview POSITION SUMMARY Under the authority of a supervising orthopedic physician, incumbent provides basic care as a Nurse Practitioner or Physician Assistant for the Orthopedic Department’s ambulatory patients, emergency cases and individuals and families. The position is also designed to identify high priority goals for promotion for health and prevention of disease. Assists with other clinical and administrative activities as required. Qualifications NECESSARY QUALIFICATIONS Education: Master of Science (MS) degree in Nursing or Bachelor’s degree in Physician Assistant Studies License/Certification: Must possess a valid, current, full, and unrestricted license to practice as a Nurse Practitioner or Physician Assistant in any state within the United States, District of Columbia, or the Commonwealth of Puerto Rico. Must possess a certificate from the National Commission for Certified Physician Assistants (NCCPA) or must possess a certificate from the American Association of Nurse Practitioners (AANP). Must have and maintain current Basic Life Support (BLS) certification by the American Heart Association Credentialing: Must be credentialed to serve on the Medical Staff (provide all related information as requested for credentialing process). Other Skills and Abilities: A record of satisfactory performance in all prior and current employment as evidenced by positive employment references from previous and current employers. All employment references must address and indicate success in each one of the following areas: Positive working relationships with others and excellent customer service skills Demonstrated ability in working with people from all levels of discipline Possession of high ethical standards and no history of complaints Reliable and dependable; reports to work as scheduled without excessive absences Successful completion of and positive results from all background and reference checks, including positive employment references from authorized representatives of past and current employers demonstrating to the satisfaction of TCRHCC a record of satisfactory performance and that the applicant can perform the essential functions of the job Successful completion of fingerprint clearance requirements, physical examinations, and other screenings indicating that the applicant is qualified to be employed by TCRHCC and demonstrating to the satisfaction of TCRHCC that the applicant can perform the essential functions of the job Submission of all required employment-related documents, applications, resumes, references, and other required information free of false, misleading, or incomplete information, as determined by TCRHCC. MENTAL AND PHYSICAL EFFORT The physical and mental demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. Physical: The incumbent must have the ability to sit, stand, and walk for prolonged period of the workday, bend, crouch, twist, maintain balance and reach frequently and drive, climb and kneel occasionally. The incumbent must have the ability to lift, push and pull up to 24 lbs. frequently and up to over 100 lbs. occasionally. The incumbent must have the ability for far, near vision, depth perception, hearing norm speech, hearing overhead pages, keyboard, and telephone use for ¾ workday, seeing fine details, simple grasping, firm grasping and fine manipulation frequently and color vision occasionally. The incumbent must accept flexibility to meet units needs ¾ workday. Mental: The incumbent must have the ability to cope with high level of stress , concentrate and work in areas that are close and crowded for prolonged periods of the workday; make decisions under high pressure, cope with anger/fear/hostility of others in a calm way, manage altercations, handle a high degree of flexibility, handle multiple priorities in stressful situations, work alone, demonstrate high degree of patience and adapt to shift work frequently. Environmental: The incumbent may be exposed to infectious disease for prolonged periods of workday, chemical agents, dust, fumes, gases, extremes in temperature or humidity, hazardous of moving equipment, unprotected heights, and loud noises occasionally. Responsibilities ESSENTIAL FUNCTIONS Functions under the supervision of an orthopedic physician in accordance with established policies and procedures. Interviews, assesses, and evaluates patients of all ages to determine their physical condition and type of medical services needed, and orders initial and post-operative diagnostic studies appropriate for the patient’s medical condition. Accurately records and reports facts, including evaluation and treatment of the whole care of the patient and allows all entries into the patient chart to be reviewed and signed by the supervising physician. Adheres to medical regimens to stabilize chronically ill persons; adjusts regimen within established protocols. Discriminates between normal and abnormal findings to recognize early stages of serious physical, emotional, or mental problems. Consults and collaborates with other health care professionals at Tuba City to established health care plans and to review patient progress and response to therapy, including the use of written referrals to other clinic staff, Community Health Nurses, specialty clinics, schools, etc. Maintains reporting and record systems related to patient care and progress, and as required by TCRHCC and Navajo Area Indian Health Service (NAIHS). Teaches patients and family member’s ways to maintain or improve their health status. Carries out treatments and emergency or other procedures required; administers medication; observes and documents patient conditions, changes and reactions to medications and medical treatment. Supervises orthopedic patients involving the whole management of care requiring the application of principles based upon the biological, physical, and social sciences. Evaluates health care plans and has ability to recognize the need for assessment by the physician and other health professionals. Evaluates total health care needs of patients and develops plans to meet these needs. Administration of joint injections, trigger point injections, punch biopsy, stapling, wound closure and maintenance, casting and splinting, local and digital blocks, suturing, and assess for medication management of chronic and acute disease states. Teaches joint replacement classes and completes health history assessments for surgical procedures. Assists in the surgical suite when accompanied by the surgeon. Works on a regularly assigned, rotational or call back basis to provide continuity of medical services during evenings, nights, holidays, and weekends as needed per interdepartmental agreement. Responsible for electronic health records data entry pertinent to patient service role. Ensure proper PPE is always worn while on duty including but not limited to, face mask, gloves, gown, isolation gown, NIOSH-approved N95 filtering facepiece respirator or higher, if available), and eye or face shield. Complete all donning and doffing tasks in a safe acceptable method and discard of used PPE accordingly. (see CDC website for most current updates) Complete task training for all routine cleaning and decontamination processes for all surfaces contaminated by a communicable disease to ensure a high level of patient, visitor, employee, and external customer satisfaction. Completes all patient care documentation in the electronic health record entries accurately and in real-time. Participates in departmental workflow and or testing teams as related to electronic health record or other project initiatives. Performs other duties as assigned.
Navajo Preference Employment Act In accordance with Navajo Nation and federal law, TCRHCC has implemented an Affirmative Action Plan pursuant to the Navajo Preference in Employment Act. Pursuant to this Plan and corresponding TCRHCC Policy, applicants who meet the necessary qualifications for this position and (1) are enrolled members of the Navajo Nation, Hopi Tribe, or San Juan Southern Paiute Tribe will be given preference in hiring and employment for this position, (2) are legally married to enrolled members of the Navajo Nation, Hopi Tribe, or San Juan Southern Paiute Tribe and meet residency requirements will be given secondary preference, and (3) are enrolled members of other federally-recognized American Indian Tribes will be given tertiary preference. Overview POSITION SUMMARY The Clinical Nurse provides care for the Perioperative Patient. The nursing process includes assessment, formulation of nursing diagnoses, planning interventions, and evaluation of interventions per patient outcomes. The Operating Room clinical nurse is expected to circulate in all specialty areas. These may include Orthopedics, ENT, GYN/OB, General, Ophthalmology, and Dental. Obtaining Scrubbing experience is highly encouraged. May have to work varied, odd hours when on call; and prepare for emergency cases on very short notice. Qualifications NECESSARY QUALIFICATIONS Education: Associate or Bachelor’s Degree in Nursing License/Certification: A valid, current, full and unrestricted Professional Nursing License to practice nursing in any state of the United States of America, The Commonwealth of Puerto Rico, or a territory of the United States Must maintain a current valid certification of the following throughout employment: Basic Life Support (BLS) from the American Heart Association Advanced Cardiac Life Support (ACLS) from the American Heart Association Pediatric Advanced Life Support (PALS) from the American Heart Association within six (6) months of hire National institutes of Health (NIH)-NIHSS-NIH stroke scale must be completed within 6 months of hire Certified Perioperative Nurse (CNOR) by the Competency and Credentialing Institute (CCI) must be completed within 1 year of hire Trauma Nurse core courses (TNCC) within two (2) years of hire Experience: One (1) year clinical nurse with prior operating room practical experience Other Skills and Abilities: A record of satisfactory performance in all prior and current employment as evidenced by positive employment references from previous and current employers. All employment references must address and indicate success in each one of the following areas: Positive working relationships with others; efficient team management skills Possession of high ethical standards and no history of complaints Reliable and dependable; reports to work as scheduled without excessive absences Competency in circulating skills Complete Patient Sitter Competency Training (upon hire) Completion of and, above-satisfactory scores on all job interviews, demonstrating to the satisfaction of the interviewees and TCRHCC that the applicant can perform the essential functions of the job Successful completion of and positive results from all background and reference checks, including positive employment references from authorized representatives of past and current employers demonstrating to the satisfaction of TCRHCC a record of satisfactory performance and that the applicant can perform the essential functions of the job Successful completion of fingerprint clearance requirements, physical examinations, and other screenings indicating that the applicant is qualified to be employed by TCRHCC and demonstrating to the satisfaction of TCRHCC that the applicant can perform the essential functions of the job Submission of all required employment-related documents, applications, resumes, references, and other required information free of false, misleading, or incomplete information, as determined by TCRHCC. MENTAL AND PHYSICAL EFFORT The physical and mental demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. Physical: Work requires prolonged periods of standing; walking; talking or hearing; sitting watching, observing, concentrating on computer monitors and equipment; use of hands to finger, handle, feel; bending, stooping, kneeling, crouching; reaching with hands and arms; and taste or smell. Agility and the ability to lift, pull and bend are required to move patients to and from beds, wheelchairs, stretchers, et cetera, and in moving equipment and medical supplies. Must be able to lift up to 50 lbs frequently through entire shift. Most be able to move, pull/push, lift, maneuver more than 100 lbs. when caring for patients and must be able to use proper body mechanics and lifting equipment when available. Must be able to discern when working with over a hundred pounds when, how, and who to ask for assistance to protect and prevent self-injury. Must have the ability to hear and recognize alarms on equipment; client calls; instructions from physicians/department staff; and, hear overhead pages through loudspeaker. This position requires vision required to see close; distant; colored; peripheral; and depth perception. Must be able to adjust visual focus as needed. to ask for assistance. This position requires the ability to perform repetitive motion actions in both hands including prolonged grasping of simple/light action; intermittent grasping of firm/heavy action; and prolonged ability of fine dexterity. Mental: Contacts often require tact and sensitivity as those related to stressful situation such as death, dying, and catastrophic illnesses. Must be able to prioritize and use good judgment. Must be able to coordinate a variety of issues while being frequently interrupted. Must be able to work with the attitude of team building with other staff; collaborate with multiple departments and job positions. Must be willing to assist when able and as needed with other team players. Environmental: Will be working occasionally around fumes or airborne particles; toxic or caustic chemicals; and, risk of electric shock. Typical environmental noise level is moderate. As with any area of a Health care setting, must be able to work around and with infectious diseases. Responsibilities ESSENTIAL FUNCTIONS Observe, interview, and assess surgery patients during perioperative phase. Initiate treatments, medications, emergency, and resuscitative measures based on evidence-based information, and appropriate utilization of physicians' pre- and post-op orders, standing orders and post anesthesia protocol. Utilize AORN Standards of Care to develop, implement, evaluate nursing plan of care for the peri-operative patient. Demonstrate knowledge and skills in dealing with expectant mother/baby care for C-sections. Record observations, nursing interventions, patient outcomes, and other data relevant to surgical patients. Operate and monitor specialized OR equipment. Operate autoclaves as needed. Monitor patients having surgical procedure under local anesthesia and moderate sedation by assessing cardiopulmonary, and hemodynamic status, level of consciousness and pain levels. Responsible for management of patients undergoing local anesthesia and moderate sedation under the direct supervision of the provider. Collaborate with members of the surgical and multidisciplinary teams in assessing, planning, and implementing surgical intervention in management of patient’s peri-operative health care. Notify Surgeon and/or Anesthesia provider in case of any abnormal diagnostic or physical findings in the patient. Communicate to the patient any ambulation/movement restrictions when applicable. Inform the patient that further education on ambulation/movement restrictions will be performed by Short Stay Surgery staff, or nursing unit RN’s. Functions as team leader and supervises on call team members when called in for emergencies. Monitor supplies and instruments to assure a sterile product is delivered to the sterile field. Correctly labels, handles, and processes all operative specimens. Participate on hospital committees as assigned. Participate in planning and conducting continuing education. Identify, initiate, and participate in nursing studies. Ensure quality patient care despite the situation encountered, be it routine or emergent. Perform scrub duties as necessary. Maintain supplies and monitor outdates. Take OR Call as assigned by immediate supervisor. Responsible for electronic health records data entry pertinent to patient service role. Ensure proper PPE is always worn while on duty including but not limited to, face mask, gloves, gown, isolation gown, NIOSH-approved N95 filtering facepiece respirator or higher, if available), and eye or face shield. Complete all donning and doffing tasks in a safe acceptable method and discard of used PPE accordingly. (see CDC website for most current updates) Complete task training for all routine cleaning and decontamination processes for all surfaces contaminated by a communicable disease to ensure a high level of patient, visitor, employee and external customer satisfaction . Performs other duties as assigned.
Navajo Preference Employment Act In accordance with Navajo Nation and federal law, TCRHCC has implemented an Affirmative Action Plan pursuant to the Navajo Preference in Employment Act. Pursuant to this Plan and corresponding TCRHCC Policy, applicants who meet the necessary qualifications for this position and (1) are enrolled members of the Navajo Nation, Hopi Tribe, or San Juan Southern Paiute Tribe will be given preference in hiring and employment for this position, (2) are legally married to enrolled members of the Navajo Nation, Hopi Tribe, or San Juan Southern Paiute Tribe and meet residency requirements will be given secondary preference, and (3) are enrolled members of other federally-recognized American Indian Tribes will be given tertiary preference. Overview POSITION SUMMARY This position is an established experienced position to obtain Surgical Technologist Certification. This position requires rotational scheduling and on-call (night, weekend, and holiday) coverage. Position requirement includes performing duties of a surgical technologist. Surgical technologists work under the supervision of a surgeon to facilitate the safe and effective conduct of invasive surgical procedures, ensuring that the operating room environment is safe, that equipment functions properly, and that the operative procedure is conducted under conditions that maximize patient safety. Surgical technologists possess expertise in the theory and application of sterile and aseptic technique and combine the knowledge of human anatomy, surgical procedures, and implementation tools and technologies to facilitate a physician's performance of invasive therapeutic and diagnostic procedures. The Technician assists with positioning, surgical prepping, and draping of the surgical patient. Other responsibilities include setting up an operating room before surgery and ensuring all needed equipment and instrumentation is available and in working condition for the scheduled surgical procedure. Surgical specialties include Dental, Endoscopy, General Surgery, Oral & Maxillofacial Surgery, Orthopedic, Otolaryngology/ENT, Ophthalmology, Obstetrics, and Gynecology, Podiatry, Hand, Trauma, Urology, etc. for adult and pediatric patients. Qualifications NECESSARY QUALIFICATIONS Education: High School Diploma or GED Must have completed and provide documentation of at least one of the following: Completion of an approved Surgical Technician training program accredited by the Association of Surgical Technologist (AST) On the Job training in a clinical healthcare setting or military specialty Certification/Licensure: Must be certified within 6 months after 3-year qualification from the National Board of Surgical Technology and Surgical Assisting (NBSTSA 3yr) – or Surgical Technologist Certification (CST), or current certification from National Center for Competency Testing (NCCT-3yr 6240 hours) – Certified Tech in Surgery (TS-C) Must maintain a current valid certification of the following throughout employment: Basic Life Support (BLS) from the American Heart Association Experience: At least nine (9) months of current experience in the specialties of Dental, Endoscopy, General Surgery, Oral & Maxillofacial Surgery, Orthopedic, Otolaryngology/ENT, Ophthalmology, Obstetrics, and Gynecology, Podiatry, Hand, Trauma, Urology, etc. for adult and pediatric patients. Other Skills and Abilities: A record of satisfactory performance in all prior and current employment as evidenced by positive employment references from previous and current employers. All employment references must address and indicate success in each of the following areas: Positive working relationships with others Possession of high ethical standards and no history of complaints Reliable and dependable; reports to work as scheduled without excessive absences or tardies Excellent customer service abilities with effective listening and communication skills Knowledge, ability, and experience to ensure quality patient care during the operative procedure and is constantly on vigil for maintenance of the sterile field and equipment An understanding of the procedure being performed and anticipates the needs of the surgeon Completion of and above-satisfactory scores on all job interviews, demonstrating to the satisfaction of the interviewees and TCRHCC that the applicant can perform the essential functions of the job Successful completion of and positive results from all background and reference checks, including positive employment references from authorized representatives of past and current employers demonstrating to the satisfaction of TCRHCC a record of satisfactory performance and that the applicant can perform the essential functions of the job Successful completion of fingerprint clearance requirements, physical examinations, and other screenings indicating that the applicant is qualified to be employed by TCRHCC and demonstrating to the satisfaction of TCRHCC that the applicant can perform the essential functions of the job. Submission of all required employment-related documents, applications, resumes, references, and other required information free of false, misleading or incomplete information, as determined by TCRHCC. MENTAL AND PHYSICAL EFFORT The physical and mental demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. Physical: Physically demanding, high-stress environment; exposure to blood, sharp instruments and other devices, body fluids and tissue, communicable diseases, chemicals, radiation, and repetitive motions. Requires long periods of standing, walking, frequent lifting, bending, and positioning of patients. Requires standing for long periods of time with lead apron for procedures that require radiology support (12 to20 pounds). Agility and the ability to lift, pull and bend are required to move patients to and from beds, wheelchairs, stretchers, etc.,, and in moving equipment and medical supplies. Must be able to work in small areas without contaminating him/herself and the surgical team. Must have the manual dexterity to handle and pass surgical instruments without causing injury to self and the surgical team. Must be able to lift a minimum of 50 pounds. Must be able to push/pull mobile equipment weighing up to 300 pounds. Mental: Communication often requires tact and sensitivity, especially when it is related to a stressful situation such as emergencies, death, dying, and catastrophic illnesses. Must be able to prioritize and use good judgment. Must be able to multi-task while being frequently interrupted. Concentrate for prolonged periods of time. Communicate in a concise, clear and respectful manner. Must accept a flexible schedule to meet unit needs. Environmental : May continually be exposed to infectious diseases, chemical agents, frequently to extremes in temperature or humidity, hazardous or moving equipment, loud noises and occasional exposure to dust, fumes, gases, and unprotected heights. Responsibilities ESSENTIAL FUNCTIONS Must successfully complete a surgical technologist didactic and clinical training. Completion of all clinical requirements and required exams, must be able to scrub all services, including Dental, Endoscopy, General Surgery, Oral & Maxillofacial Surgery, Orthopedic, Otolaryngology, Ophthalmology, Obstetrics, and Gynecology, Podiatry, Trauma, Urology Utilize Association of Surgical Technologists (AST) Standards of Practice to plan and implement care of the intra-operative patient. Maintain highest standards of sterile technique during procedures. Set up sterile table with instruments, equipment, supplies, and medications/solutions per procedure. Drape the sterile field (back table, mayo stand, OR table, etc.). Perform appropriate counts of sponges, needles, and instruments with circulator prior to the operation and before incision is closed. Scrub daily under registered nurse supervision for different advanced and complex types of surgeries. Scrub, gown, and glove for surgical procedures and gown and glove the surgeons and assistants. Ensure all necessary equipment is in good working order. Pass instruments, etc. to the surgeon during procedure. Prepare sterile dressings Clinical duties include the provision of patient care and support of individuals of all ages and their families. Accept and appropriately label all medications/solutions needed for surgical procedures per policy. Assist in terminal cleaning and preparing room for the next patient. Take initiative in reporting equipment in need of repairs and low levels of supplies. Take apart and reassemble any instrument or piece of equipment that needs attention and prepare instruments for terminal sterilization. Correct breaks in aseptic techniques by any person to provide optimum patient care. Monitor, inventory assigned service supplies and order as needed. Responsible for electronic health records data entry pertinent to patient service role. Ensure proper PPE is always worn while on duty including but not limited to, face mask, gloves, gown, isolation gown, NIOSH-approved N95 filtering facepiece respirator or higher, if available), and eye or face shield. Complete all donning and doffing tasks in a safe acceptable method and discard of used PPE accordingly. (see CDC website for most current updates) Complete task training for all routine cleaning and decontamination processes for all surfaces contaminated by a communicable disease to ensure a high level of patient, visitor, employee, and external customer satisfaction. Perform other duties as assigned.
Navajo Preference Employment Act In accordance with Navajo Nation and federal law, TCRHCC has implemented an Affirmative Action Plan pursuant to the Navajo Preference in Employment Act. Pursuant to this Plan and corresponding TCRHCC Policy, applicants who meet the necessary qualifications for this position and (1) are enrolled members of the Navajo Nation, Hopi Tribe, or San Juan Southern Paiute Tribe will be given preference in hiring and employment for this position, (2) are legally married to enrolled members of the Navajo Nation, Hopi Tribe, or San Juan Southern Paiute Tribe and meet residency requirements will be given secondary preference, and (3) are enrolled members of other federally-recognized American Indian Tribes will be given tertiary preference. Overview POSITION SUMMARY Full scope group nurse-midwifery practice – gynecology (including contraception and menopause), antepartum, intrapartum, post-partum, initial newborn. Rotating schedule between clinic and the hospital. Collaborates with obstetrician/gynecologists and other providers, co-manages and/or refers as appropriate. Admits patients. Performs complete history and physical examinations on adults, teens, and newborns. Determines dosage and timing of medications, orders and/or administers medications. Utilizes fetal monitoring equipment including application of fetal scalp electrodes, IUPCs, and/or amnioinfusion, and interprets the meaning of the information recorded. Determines the content, orders and/or administers intravenous solutions and medications and performs other specialized procedures. First-Assistant in Cesarean Sections. Performs limited ultrasound. Represents midwives and/or the OB Department on various hospital committees. Accepts responsibility for departmental administrative projects. Performs other functions generally accepted as typical of a Certified Nurse-Midwife, as requested. Night-shift rotation on the Labor & Delivery Unit is an essential part of this position. Qualifications NECESSARY QUALIFICATIONS Education: A Bachelor of Science degree from an accredited school of nursing License/Certification: Certified Nurse-Midwives must be Registered Nurses, hold current certification by the American Midwifery Certification Board (AMCB) and must have graduated from a nurse-midwifery education program accredited by the ACNM Accreditation for Midwifery Education (ACME). Must possess and maintain a valid, current, full and unrestricted license to practice as a nurse in any state within the United States, District of Columbia or the Commonwealth of Puerto Rico. Certified Nurse-Midwives must be certificated by the American College of Nurse-Midwives (ACNM) or the American Midwifery Certification Board (AMCB) (formerly known as ACNM Certification Council, Inc.) and have graduated from a post-baccalaureate midwifery education program which is accredited by the ACNM Division of Accreditation. A Master's degree with a major in Midwifery or Public Health is strongly recommended. Experience: Will accept new graduates with a minimum of 2 years of experience in Labor and Delivery as a Registered Nurse Credentialing: Must be credentialed and privileged to serve on the TCRHCC Medical Staff Other Skills and Abilities: A record of satisfactory performance in all prior and current employment as evidenced by positive employment references from previous and current employers. All employment references must address and indicate success in each one of the following areas: Must be proficient with basic computer skills, including word-processing and e-mail. Positive working relationships with others Possession of high ethical standards and no history of complaints Reliable and dependable; reports to work as scheduled without excessive absences. Completion of and above-satisfactory scores on all job interviews, demonstrating to the satisfaction of the interviewees and TCRHCC that the applicant can perform the essential functions of the job Successful completion of and positive results from all background and reference checks, including positive employment references from authorized representatives of past and current employers demonstrating to the satisfaction of TCRHCC a record of satisfactory performance and that the applicant can perform the essential functions of the job Successful completion of fingerprint clearance requirements, physical examinations, and other screenings indicating that the applicant is qualified to be employed by TCRHCC and demonstrating to the satisfaction of TCRHCC that the applicant can perform the essential functions of the job Submission of all required employment-related documents, applications, resumes, references, and other required information free of false, misleading, or incomplete information, as determined by TCRHCC. MENTAL AND PHYSICAL EFFORT The physical and mental demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. Physical: The work requires prolonged standing, walking, maintaining balance, frequent sitting, bending, climbing, kneeling, crouching, twisting, and reaching. Must have ability of prolonged lifting, pushing, and pulling of patients up to 50lbs. Sensory requirements for position include prolonged ability of color vision, depth perception, seeing fine details, hearing normal speech, hearing overhead pages, and telephone use. Must have ability of both hand manipulation in prolonged simple and firm grasping, fine manipulation, and use of keyboards. Round-the-clock coverage of patient care may cause physical and emotional stress unique to the role. Mental: Must be able to perform well in crisis situations. Must be able to work well within a group. Must have prolonged ability of coping with high levels of stress, making decisions under high pressure, coping with anger/fear/hostility of others in a calm way, concentrating, handling high degree of flexibility, handling multiple priorities in stressful situation, working alone, demonstrating high degree of patience, adapting to shift work, and working in areas that are close and crowded. Environmental : May be exposed to infection diseases and loud noises for a prolonged period of time, and occasional exposure to chemical agents, dust, fumes, gases, extremes in temperature or humidity, hazardous or moving equipment, and unprotected heights. Responsibilities Essential Functions Conducts spontaneous vaginal delivery without the use of forceps or vacuum. Determines methods and administers anesthesia such as local blocks , and arranges intrathecal analgesia and epidural anesthesia as indicated. Performs episiotomy and does repair of episiotomy and/or lacerations, records the delivery in permanent record book or computer , and signs the completed birth certificate. Determines the need for ultrasound, non-stress tests, oxytocin challenge tests, interprets the results of the tests, and uses the results to plan and carry out a course of treatment. Manages the care of patients during the postpartum period. Provides family planning education/services, and gynecological services, to women (including teens). Assumes responsibility for the triage of common health problems presented by women (including teens) and for management, collaboration, co-management and/or referral to appropriate levels of health care services. Prescribes the full range of contraception including, but not limited to, birth control pills, emergency contraception/ “morning-after pills,” inserts intrauterine contraceptive devices and contraceptive implants, fit s diaphragms, does pelvic examinations and Pap tests . Treats hemorrhage and shock. Collaborates in planning, and participates in, educational programs for patients, family, staff and community. Must be able to work a rotating full-time schedule, including nights and weekends. Must be able to perform well in crisis situation. Ensure proper PPE is always worn while on duty including but not limited to, face mask, gloves, gown, isolation gown, NIOSH-approved N95 filtering facepiece respirator or higher, if available), and eye or face shield. Complete all donning and doffing tasks in a safe acceptable method and discard of used PPE accordingly. (see CDC website for most current updates) Complete task training for all routine cleaning and decontamination processes for all surfaces contaminated by a communicable disease to ensure a high level of patient, visitor, employee, and external customer satisfaction. Completes all patient care documentation in the electronic health record entries accurately and in real-time. Participates in departmental workflow and or testing teams as related to electronic health record or other project initiatives Performs other duties as assigned.
Navajo Preference Employment Act In accordance with Navajo Nation and federal law, TCRHCC has implemented an Affirmative Action Plan pursuant to the Navajo Preference in Employment Act. Pursuant to this Plan and corresponding TCRHCC Policy, applicants who meet the necessary qualifications for this position and (1) are enrolled members of the Navajo Nation, Hopi Tribe, or San Juan Southern Paiute Tribe will be given preference in hiring and employment for this position, (2) are legally married to enrolled members of the Navajo Nation, Hopi Tribe, or San Juan Southern Paiute Tribe and meet residency requirements will be given secondary preference, and (3) are enrolled members of other federally-recognized American Indian Tribes will be given tertiary preference. Overview POSITION SUMMARY Full scope group nurse-midwifery practice – gynecology (including contraception and menopause), antepartum, intrapartum, post-partum, initial newborn. Rotating schedule between clinic and the hospital. Collaborates with obstetrician/gynecologists and other providers, co-manages and/or refers as appropriate. Admits patients. Performs complete history and physical examinations on adults, teens, and newborns. Determines dosage and timing of medications, orders and/or administers medications. Utilizes fetal monitoring equipment including application of fetal scalp electrodes, IUPCs, and/or amnioinfusion, and interprets the meaning of the information recorded. Determines the content, orders and/or administers intravenous solutions and medications and performs other specialized procedures. First-Assistant in Cesarean Sections. Performs limited ultrasound. Represents midwives and/or the OB Department on various hospital committees. Accepts responsibility for departmental administrative projects. Performs other functions generally accepted as typical of a Certified Nurse-Midwife, as requested. Night-shift rotation on the Labor & Delivery Unit is an essential part of this position. Qualifications NECESSARY QUALIFICATIONS Education: A Bachelor of Science degree from an accredited school of nursing License/Certification: Certified Nurse-Midwives must be Registered Nurses, hold current certification by the American Midwifery Certification Board (AMCB) and must have graduated from a nurse-midwifery education program accredited by the ACNM Accreditation for Midwifery Education (ACME). Must possess and maintain a valid, current, full and unrestricted license to practice as a nurse in any state within the United States, District of Columbia or the Commonwealth of Puerto Rico. Certified Nurse-Midwives must be certificated by the American College of Nurse-Midwives (ACNM) or the American Midwifery Certification Board (AMCB) (formerly known as ACNM Certification Council, Inc.) and have graduated from a post-baccalaureate midwifery education program which is accredited by the ACNM Division of Accreditation. A Master's degree with a major in Midwifery or Public Health is strongly recommended. Experience: Will accept new graduates with a minimum of 2 years of experience in Labor and Delivery as a Registered Nurse Credentialing: Must be credentialed and privileged to serve on the TCRHCC Medical Staff Other Skills and Abilities: A record of satisfactory performance in all prior and current employment as evidenced by positive employment references from previous and current employers. All employment references must address and indicate success in each one of the following areas: Must be proficient with basic computer skills, including word-processing and e-mail. Positive working relationships with others Possession of high ethical standards and no history of complaints Reliable and dependable; reports to work as scheduled without excessive absences. Completion of and above-satisfactory scores on all job interviews, demonstrating to the satisfaction of the interviewees and TCRHCC that the applicant can perform the essential functions of the job Successful completion of and positive results from all background and reference checks, including positive employment references from authorized representatives of past and current employers demonstrating to the satisfaction of TCRHCC a record of satisfactory performance and that the applicant can perform the essential functions of the job Successful completion of fingerprint clearance requirements, physical examinations, and other screenings indicating that the applicant is qualified to be employed by TCRHCC and demonstrating to the satisfaction of TCRHCC that the applicant can perform the essential functions of the job Submission of all required employment-related documents, applications, resumes, references, and other required information free of false, misleading, or incomplete information, as determined by TCRHCC. MENTAL AND PHYSICAL EFFORT The physical and mental demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. Physical: The work requires prolonged standing, walking, maintaining balance, frequent sitting, bending, climbing, kneeling, crouching, twisting, and reaching. Must have ability of prolonged lifting, pushing, and pulling of patients up to 50lbs. Sensory requirements for position include prolonged ability of color vision, depth perception, seeing fine details, hearing normal speech, hearing overhead pages, and telephone use. Must have ability of both hand manipulation in prolonged simple and firm grasping, fine manipulation, and use of keyboards. Round-the-clock coverage of patient care may cause physical and emotional stress unique to the role. Mental: Must be able to perform well in crisis situations. Must be able to work well within a group. Must have prolonged ability of coping with high levels of stress, making decisions under high pressure, coping with anger/fear/hostility of others in a calm way, concentrating, handling high degree of flexibility, handling multiple priorities in stressful situation, working alone, demonstrating high degree of patience, adapting to shift work, and working in areas that are close and crowded. Environmental : May be exposed to infection diseases and loud noises for a prolonged period of time, and occasional exposure to chemical agents, dust, fumes, gases, extremes in temperature or humidity, hazardous or moving equipment, and unprotected heights. Responsibilities Essential Functions Conducts spontaneous vaginal delivery without the use of forceps or vacuum. Determines methods and administers anesthesia such as local blocks , and arranges intrathecal analgesia and epidural anesthesia as indicated. Performs episiotomy and does repair of episiotomy and/or lacerations, records the delivery in permanent record book or computer , and signs the completed birth certificate. Determines the need for ultrasound, non-stress tests, oxytocin challenge tests, interprets the results of the tests, and uses the results to plan and carry out a course of treatment. Manages the care of patients during the postpartum period. Provides family planning education/services, and gynecological services, to women (including teens). Assumes responsibility for the triage of common health problems presented by women (including teens) and for management, collaboration, co-management and/or referral to appropriate levels of health care services. Prescribes the full range of contraception including, but not limited to, birth control pills, emergency contraception/ “morning-after pills,” inserts intrauterine contraceptive devices and contraceptive implants, fit s diaphragms, does pelvic examinations and Pap tests . Treats hemorrhage and shock. Collaborates in planning, and participates in, educational programs for patients, family, staff and community. Must be able to work a rotating full-time schedule, including nights and weekends. Must be able to perform well in crisis situation. Ensure proper PPE is always worn while on duty including but not limited to, face mask, gloves, gown, isolation gown, NIOSH-approved N95 filtering facepiece respirator or higher, if available), and eye or face shield. Complete all donning and doffing tasks in a safe acceptable method and discard of used PPE accordingly. (see CDC website for most current updates) Complete task training for all routine cleaning and decontamination processes for all surfaces contaminated by a communicable disease to ensure a high level of patient, visitor, employee, and external customer satisfaction. Completes all patient care documentation in the electronic health record entries accurately and in real-time. Participates in departmental workflow and or testing teams as related to electronic health record or other project initiatives Performs other duties as assigned.
