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 performs a variety of nursing care procedures requiring professional knowledge and consideration for specific patient conditions and treatments, and ability to work independently in completing assignments. Guidelines include physician’s orders, standards of care, nursing policies and procedures manuals, hospital policies. Nursing duties include support to individuals of all ages and their families. Qualifications NECESSARY QUALIFICATIONS Education: Associate of Science Degree in Nursing or Bachelor of Science 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 Neonatal Resuscitation Program (NRP) required within one (1) year of hire from American Heart Association Trauma Nurse Core Course (TNCC) required within one (1) year of hire Emergency Nurse Pediatric Course (ENPC) required within one (1) year of hire National Institutes of Health (NIH) – NIHSS – NIH Stroke Scale must be completed (within 6 months of hire) Emergency Severity Index Level 5 within 3 months of hire Complete Patient Sitter Competency Training (upon hire) Experience: Must have one (1) year registered nursing experience in an emergency department or critical care unit. 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 Possession of high ethical standards and no history of complaints Reliable and dependable; report to work as scheduled Knowledge of normal growth, development, and life cycle changes. This also includes knowledge of the physical, psychosocial, and behavioral characteristics of the group for which care is provided. Knowledge of disease entities to recognize complications and therapeutic interventions required. Knowledge of assessment practices related to pain management and various treatment modalities of pain relief. Knowledge of pharmaceuticals to recognize the desired effects, side effects and complications on their use, with emphasis on vasopressors and emergency medications titration of these medications. Knowledge of infection control procedures and safety precautions. Possess and employ an ability to communicate with patients and families during time of emotional and physical stress Successful completion of and positive results form 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, application, 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 to 50 lbs. frequently through entire shift. Must 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 feet; and, 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: Required to work prolong periods of time in an environment of toxic or caustic chemicals. Will be working occasionally around the following environmental conditions: wet, humid conditions (non-weather); work near moving mechanical parts; toxic or caustic chemicals; outdoor weather condition; extreme cold (non-weather); extreme heat (non-weather); risk of electrical shock; risk of radiation; vibration; 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: Responsible for providing direct observation of patients as directed by the nursing plan of care and under the supervision of the nursing staff and/or nursing department supervisor. Responsible for assisting nursing staff to create, maintain and provide a safe environment Develop individualized patient care plans and periodic evaluation of plans to ensure that intended results are being achieved. Interview patients and family members and consults with attending physicians, other staff members to determine and evaluate the kind of health and physical care needed. Recognize adverse signs and symptoms, which are not always apparent and to react promptly in emergency situations including the implementation of life saving procedures. Carry out treatments and procedures per scope of practice. Maintains health records by documenting observations, nursing interventions and therapeutic measures administered in an accurate, efficient, and timely manner. Provide counseling and teaching to patients and families or surrogates on preventive, curative and rehabilitative measures involved in health care. Make every effort to have positive working relationships with the ER staff and contribute to teamwork within the department. Monitor and initiate corrective action to maintain the environment of care including equipment and material resources Maintain professional knowledge and proficiency in nursing through continuing education, staff meetings, workshops and serve on nursing committees, as requested. Understand and adhere to established compliance and quality assurance standards. Participate in the development, implementation and evaluation of standards of care, Quality Assurance and Infection Control activities/projects. Participate in the identification of clinical or operational performance improvement opportunities and in performance improvement activities. Delegate tasks and supervise the activities of other licensed and unlicensed care providers as appropriate in accordance with licensure standards, when assigned as team leader; and provide guidance, direction and training to ancillary nursing and other personnel. Act as charge nurse for a group of patients or an entire unit when assigned. Responsible for electronic health records data entry pertinent to patient service role. Float to other units are needed. 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 The Clinical Nurse performs a variety of nursing care procedures requiring professional knowledge and consideration of specific patient conditions and treatments, and ability to work independently in completing assignments. Guidelines include physician’s orders, standards of care, nursing policies and procedures manuals, hospital policies. Nursing duties include support to individuals of all ages and their families. Qualifications NECESSARY QUALIFICATIONS Education: Associate or Bachelor Degree in Nursing Experience One-year clinical experience working as a nurse in an acute or sub-acute facility. License and 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 have and maintain current valid certifications of the following throughout employment: Basic Life Support (BLS) from the American Heart Association Advanced Cardiac Life Support (ACLS) from the American Heart Association Complete Patient Sitter Competency Training (Upon Hire) Complete Trauma Care After Resuscitation - TCAR within six months of hire National Institutes of Health (NIH) – NIHSS – NIH Stroke Scale must be completed within 6 months of hire 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 Possession of high ethical standards and no history of complaints Reliable and dependable; reports to work as scheduled without excessive absences Knowledge of normal growth, development, and life cycle changes. This also includes knowledge of the physical, psychosocial and behavioral characteristics of the group for which care is provided. Knowledge of disease entities to recognize complications and therapeutic interventions required. Knowledge of assessment practices related to pain management and various treatment modalities of pain relief. Knowledge of pharmaceuticals to recognize the desired effects, side effects and complications on their use, with emphasis on vasopressors and emergency medications titration of these medications. Knowledge of infection control procedures and safety precautions. Possesses and employs an ability to communicate with patients and families during time of emotional and physical stress Successful completion of and positive results form 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, application, 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 feet; and, 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: Required to work prolong periods of time in an environment of toxic or caustic chemicals. May work and be exposed frequently to Infection Diseases. Will be working occasionally around other environmental conditions including: Chemical Agents; Dust, Fumes, Gases; Extremes in Temperature or Humidity; Hazardous or Moving Equipment; Unprotected Heights; loud noises; risk of radiation; vibration; 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: Responsible for providing direct observation of patients as directed by the nursing plan of care and under the supervision of the nursing staff and/or nursing department supervisor. Responsible for assisting nursing staff to create, maintain and provide a safe environment. Develop individualized patient care plans and periodic evaluation of plans to ensure that intended results are being achieved. Interview patients and family members and consults with attending physicians, other staff members to determine and evaluate the kind of health and physical care needed. Carry out treatments and procedures per scope of practice. Maintain health records by documenting observations, nursing interventions and therapeutic measures administered in an accurate, efficient and timely manner. Participate in orientating new employees. Maintain professional knowledge and proficiency in nursing through continuing education, staff meetings, workshops and serving on nursing committees. Provide counseling and teaching to patients and families or surrogates on preventive, curative and rehabilitative measures involved in health care. Recognize adverse signs and symptoms, which are not always apparent and to react promptly in emergency situations including the implementation of life saving procedures. Participate in the development, implementation and evaluation of standards of care, Quality Assurance and Infection Control activities. Monitor and initiate corrective action to maintain the environment of care including equipment and material resources. Participate in the identification of clinical or operational performance improvement opportunities and in performance improvement activities. Delegate tasks and supervise the activities of other licensed and unlicensed care providers as appropriate in accordance with licensure standards. Perform phlebotomy, intravenous cannulation, administers IV medications. Float to other clinics as required. Act as charge nurse for a group of patients or an entire unit when assigned. When assigned as team leader, provides guidance, direction and training to ancillary nursing and other personnel. 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. (Refer to the 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 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 a midlevel advanced practice professional who practices under the supervision of the physician to provide direct patient care, patient and family education, psychological support, and survivorship planning from the time of diagnosis throughout the continuum of cancer care. The scope of practice includes performing comprehensive assessments and physical examinations, ordering and interpreting diagnostic laboratory tests, performing invasive procedures, prescribing medications and treatments, ordering chemotherapy and biotherapy regimens, and conducting health screening and providing patient and family education. The incumbent will serve as an educator, consultant, and liaison to healthcare providers caring for the patients across the continuum of care, which includes inpatient and outpatient services. Qualifications NECESSARY QUALIFICATIONS Education: Master of Science in Nursing Licensure/Certification: Must possess a valid, current, full, and unrestricted license to practice as a nurse practitioner in any state within the United States, District of Columbia, or the Commonwealth of Puerto Rico Certification by the American Association of Nurse Practitioners (AANP) Must maintain a current and valid Advanced Cardiac Life Support (ACLS) by the American Heart Association (AHA) Must maintain a current and valid Basic Life Support (BLS) certification by the American Heart Association (AHA) Must earn the credential of Advanced Oncology Certified Nurse Practitioner (AOCNP) from the Oncology Nursing Certification Corporation (ONCC) within one (1) year of hire date Credentialing: Must meet additional requirements for credentialing and privileging for membership to the Medical Staff Experience: Four (4) years of successful Nurse Practitioner evaluating and treating patients in adult primary care 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: Strong networking and relationship skills with demonstrated ability to work with staff, physicians, patients, and the community Experience and knowledge in the management of the physiologic and psychological effects of illness and subsequent treatment Basic understanding of Medical Oncology, Radiation Oncology, Oncology Nursing, Oncology Social Work, Cancer Registry data collection, interpretation and reporting Ability to work effectively in a culturally diverse environment and support the specific populations served in Oncology Services High motivated, self-directed individual with a demonstrated understanding of nursing care in ambulatory service delivery Reliable and dependable; reports to work as scheduled without excessive absences Responds effectively to sensitive inquiries or complaints 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: Incumbent must be able to frequently (1/2 day) sit, bend, and twist; prolonged (3/4 workday) ability to stand, walk, maintain balance, and reach: and occasionally (less ¼ day) drive, kneel, crouch, and climb. Incumbent will need to be able to to lift, push, and pull up to 10 lbs for prolonged periods is required, frequently up to 24 lbs; and occasionally over 100 lbs. Sensory requirements for the position include prolonged ability for near, color vision, depth perception, hearing normal speech, and telephone use. Other sensory requirements the Incumbent must be able to frequently have far vision, see fine details, and hear overhead pages on loudspeaker. The Incumbent will need to utilize the ability of hand manipulation consisting of prolonged use of keyboards and frequent us of simple, firm, and fine manipulation. Must have both hand manipulation of continuous simple and firm grasping, fine manipulation, and frequent use of keyboards. Mental: This position will need to have the ability to manage the emotions of the patients, families, and caregivers who are dealing with a cancer diagnosis. The Incumbent may need to be able to frequently adapt to shift work; work alone; handle multiple priorities in stressful situations; cope with anger/fear/hostility of others in a calm way; and make decisions while under high pressure. Incumbent must be able to handle the regularly stresses of rural medicine with critically ill patients; must have a high degree of judgment and leadership in coordinating service continuance of patient care needs. Incumbent will need the prolonged ability to cope with a high level of stress; concentrate; handle a high degree of flexibility; and demonstrate a high degree of patience. This position also requires occasionally be ability to work in areas that are close and crowded, and potential managing altercations. Environmental: This position may frequently be exposed to chemicals; and extremes in temperature and humidity. The Incumbent may occasionally be exposed to infectious diseases; dust, fumes, gases; hazardous moving equipment; unprotected heights; and loud noises. Responsibilities ESSENTIAL FUNCTIONS Performs comprehensive history and physical examinations on patients with cancer to assess normal and abnormal findings and identifies differential diagnoses on established and new patients. Interviews, assesses, and evaluates oncology and hematology patients receiving outpatient infusion and other therapies to determine their physical condition and orders initial diagnostic tests, collects specimens for routine laboratory tests, and performs screening and therapeutic procedures appropriate for the patient’s medical condition. Writes orders for administration of blood products and chemotherapy agents under the direction and supervision of attending physician. Orders consults for services such as physical therapy, occupational therapy, respiratory therapy, imaging studies, and nursing services; and writes referrals for consultations to radiation oncology, writes orders for vascular access device placement for chemotherapy, and arranges for procedures and biopsies with the surgery and interventional radiology services. Formulates an evidence-based treatment plan according to the interpretation and evaluation of all patient data. Collaborates with other healthcare team members involved in patient treatment to ensure continuity of care. Initiates arrangements for hospital admissions and discharges patients as indicated by clinical status. Manages the clinical course of patients with cancer with acute or chronic complaints and end-of-life and other health concerns. Performs core clinical practice competencies specific to the patient population, and promotes, directs, evaluates, and manages safe patient care for patients being treated in the chemotherapy infusion area, and provides patient teaching and coordinates counseling. Prescribes medications and administers orders as indicated by patients’ clinical status. Serves as a cancer pain management resource to the medical center in both outpatient and inpatient settings. Recognizes and initiates lifesaving procedures for oncologic emergencies and brings emergencies to the immediate attention of a physician. Participates in the tumor board and clinical research studies as determined by the needs of the program and participates in staff development and in-service education as requested. Promotes and participates in the delivery of patient and family education on the cancer diagnosis, treatment, expected outcomes, and end-of-life issues such as do-not-resuscitate orders, healthcare proxies, and advance directives; and assists in the completion of patients’ disability and insurance forms as needed. 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 serves as a Family Nurse Practitioner that performs comprehensive diagnostic, primary health care services, physical examinations (i.e. sports physicals, employment physicals, school physicals for entrance, uranium screenings) to patients by providing a full range assessment of needs. Maintains collaboration with Director of Outpatient department, manages medical needs of patients and provides care according to treatment plan. Responsibilities also include providing continuity of care between visits according to treatment plans for patients. Provider may be assigned to work in clinics in different locations than their main assignment based on the needs of the organization i.e. Tuba City, Sacred Peaks, LeChee, Mobile Van, Bodaway Gap etc. This position is a grant funded position . Qualifications NECESSARY QUALIFICATIONS Education: Master of Science in Nursing or Doctor of Nursing Practice Licensure/Certification: Must possess a valid, current, full and unrestricted license to practice as a nurse practitioner in any state within the United States, District of Columbia, or the Commonwealth of Puerto Rico Must possess a certificate from the American Association of Nurse Practitioners Experience: Two (2) years of experience as a Nurse Practitioner evaluating and treating patients Basic computer skills used in performance of duties are essential 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: 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 Ability to work under conditions of frequent interruptions and willingness to work flexible schedule Flexibility to travel daily for long duration trips to mobile clinical locations Possess excellent communication and interpersonal skills to optimize the care of patients Excellent clinical skills and judgment Successful and positive working relationships, a team player, and trustworthy A mentor to colleagues and other organizational staff Respond effectively to sensitive inquiries or complaints 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 incumbent must be able to walk several hundred yards quickly, write well, hear well (for cardiac examinations) and see well for complete diagnostic skills. Work requires prolong periods of regular and recurring standing and walking. This position requires the frequent ability to sit, drive, bend, climb, kneel, crouch, twist, maintain balance and reach. The incumbent will know how to use appropriate body mechanics and proper lifting techniques as needed to assist in set up and take down of equipment and clinic from the mobile medical unit daily. The incumbent must be able to lift, push and pull up to 24 lbs. prolonged and up to 50 lbs. frequently and occasionally over 100 lbs. Work requires extensive driving between communities, ability to sit for long periods of time on RV Mobile Medical unit. Must have ability of prolonged seeing fine details, hearing normal speech and telephone use. The Incumbent must be ability to frequently use near vision, far vision, color vision, depth perception, and hear overhead pages on a loudspeaker. Must have ability of bilateral hand manipulation-frequent use of simple and firm grasping, fine manipulation; and, prolonged use of a keyboard. Mental: The interaction with emotionally disturbed patients is common. Also, must be able to work evenings on a regular basis and handle the stresses of rural medicine. Nurse Practitioner must be able to cope and manage stressful situations such as chronic or terminal illnesses, child or elderly abuse, and social issues or concerns among patients and families. Must be able to continuously concentrate, work alone, work in areas that are close and crowded, frequently cope with high levels of stress, make decisions under high pressure, manage altercation, handle multiple priorities in stressful situation, demonstrate high degree of patience, adapt to shift work, and occasionally cope with anger/fear/hostility of others in a calm way and handle high degree of flexibility. Must accept a flexible schedule to meet unit needs. Environmental: Work is performed in a clinic where exposure to infectious disease is common. May also frequently be exposed to chemical agents, dust, fumes, gases, extremes in temperature or humidity, hazardous or moving equipment, exposure to unprotected heights and loud noises. Responsibilities ESSENTIAL FUNCTIONS Provides comprehensive diagnostic, preventative, and therapeutic health care services to patients either on the Mobile Van, or the Outpatient Clinic. Direct Patient Care Services Interviews, assesses, and evaluates patients to determine their physical condition and type of medical services needed, and orders initial diagnostic studies appropriate for the patient’s medical condition. Performs a basic physical assessment using techniques of observation, inspection, auscultation, percussion, palpation and use of diagnostic instruments. Discriminates between normal and abnormal findings to recognize early stages of serious physical, emotional, and mental problems. Consults and collaborates with other health care professionals at Tuba City to establish health care plans and to review patient progress and response to therapy, including the use of written referrals to Community Health Nurses, specialty clinics, etc. Adheres to medical regimens to stabilize chronically ill persons and adjusts regimens as clinically appropriate. Documents visits in the Electronic Medical Record of patients including updating problem lists, medications, etc. Makes decisions concerning medical care needs of patients consulting with physicians as appropriate. Works collaboratively with physicians in the management of complex medical problems as appropriate. Provides health care and preventive services to healthy individuals including immunizations, guidance in nutrition, common illnesses, accidents, substance abuse, exercise, and depression screening. Educates patients and family members in ways to maintain or improve their health status. Carries out treatments and procedures as required. Observes and documents changes in patient’s condition, reactions to medications and treatments. Responsible for prescribing medications including computation of doses. Performs other duties as assigned. Administrative Tasks Participates in planning, instituting, evaluating, and revising program plans, assists in determining conditions, resources, and policies essential to delivery of health care services. Participates in performance improvement initiatives which may involve chart reviews. Keeps abreast of the latest medical knowledge via CME as required by respective licensing agency. Participates in hospital committees as assigned by supervisor. Participates in a teaching capacity in the development of other health care workers. Is responsible for electronic health records data entry pertinent to patient care. 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.
