**Overview** **Nurse (Pediatric)- Oak Harbor, WA** This is a Direct Hire Authority (DHA) solicitation utilizing the DHA for DHA for Certain Personnel of the DOD Workforce to recruit and appoint qualified candidates to positions in the competitive service. **About the Position:** These positions are located with the Navy Health Clinic, Directorate of Medicine at Oak Harbor, Washington. - Salary negotiation **may** be available for candidates new to Federal service. - A recruitment incentive or relocation incentive **may** be authorized Naval Health Clinic Oak Harbor offers an outstanding fleet and patient-centered medical homeport for delivery of primary care with external resource sharing agreements with local hospitals for emergency, inpatient, and surgical services. We currently serve a beneficiary population of over 17,000 active-duty personnel, family members, retirees and their families. Whidbey Island offers a wide variety of activities and attractions. People come to Whidbey to enjoy the shoreline and magnificent views. Visitors can see the Cascade and Olympic Mountains, sail from the harbor to the San Juan Islands, and bike or hike along our waterfront to scenic Deception Pass Bridge or Fort Casey State Park, all in an area with a history rich in Native American culture. Working for the Department of Defense comes with an abundance of benefits and perks to include competitive compensation packages, paid-time off, medical benefits, student loan repayments, and retirement package with Thrift Savings Plan to include matching employer contributions. For more information, please visit the following link: https://www.usajobs.gov/Help/working-in-government/benefits/ **Responsibilities** Duties This position provides inpatient nursing care. This position is located in a Bureau of Medicine and Surgery (BUMED) Inpatient Medical Treatment Facility, Obstetrics/Gynecology (OB-GYN), Maternal Infant Child Department. The nurse functions as a primary provider of nursing care to patients. The employee's primary responsibility is to plan, implement, coordinate, and evaluate professional nursing services in the care of inpatient OB/GYN patients, including those with normal and complicated pregnancies and general gynecological problems. Provides care to patients presenting for both complicated and uncomplicated pregnancy and labor concerns such as, but not limited to preterm labor, rupture of membranes, decreased fetal movement, signs/symptoms of labor, trauma in pregnancy and vaginal bleeding. Provides newborn care for vaginal deliveries, routine scheduled Cesarean and emergent cesarean sections. Implements routine or high risk transition care protocols for normal and high risk newborns following delivery. Major Duties 1. Patient Care Duties: Provides nursing care to women of childbearing age and newborn infants by: Assessing newly admitted patients and initiating a plan of care based on the nursing assessment. Other members of the team, may provide information in an effort to meet the changing health care needs of the patient. Monitors and formulates an individualized patient plan of care which may inc1ude, but is not limited to: observation, vital signs, fetal monitoring, calculation of intravenous fluids, venipuncture, blood transfusion, push medications, pulse oximeters, oxygen analyzers, phototherapy, umbilical vein arterial and venous catheters, internal uterine catheters and fetal scalp electrodes. Identifies any abnormalities and initiates appropriate referral. Utilizes the nursing process to formulate the patient's care plan. Uses a nursing data base to obtain patient history. Completes a full psychosocial/physiological nursing assessment on all newly admitted patients. Identifies and prioritizes patient care problems. Generates and documents the appropriate nursing diagnosis for the patient care problem identified. Identifies, documents and implements nursing orders appropriate to patient care problems. Evaluates and documents the effectiveness of nursing care provided and revises plan as needed. Uses seasoned judgment in selecting the course of action in implementing physician orders and interpreting their appropriateness to the patient’s present condition. Administers complex medications by any route as ordered within the guidelines of nursing practice. These routes include oral, intramuscular, subcutaneous, intradermal, topical, rectal, nasogastric, respiratory and intravenous. Incumbent has knowledge of adverse effects and precautions, and can institute and assist with remedial measures as necessary. Remains constantly aware of patient's condition and is able to recognize and provide emergency oxygen, cardio-pulmonary resuscitation and other emergency measures as appropriate. Applies in-depth knowledge of a large number of laboratory and other diagnostic studies orders. Interprets findings and reports to the physician those findings which indicate a detrimental variation in the progress of the patient. Executes follow-up physician orders. After reevaluating patient's condition, plans, directs and/or implements comprehensive nursing care utilizing scientific and professional principles as the basis for all techniques and procedures performed. Recognizes, responds appropriately and completes competency in the following of patient situations with complications: pregnancy induced hypertension, hemorrhage prolapsed cord, fetal distress, cardiopulmonary distress and/or arrest, thermal crisis, hypoglycemia, sepsis/isolation, hyperbilirubinemia, abnormal labor situations, circulation in the operating room for cesarean sections, placement of fetal scalp electrodes, post anesthesia care. Effectively communicates with patient, patient's family, medical and nursing staff. Coordinates the stabilization and preparation for transport to another facility of the critically ill patient. Assists medical staff and provides updates to the patient and family facilitating communication about transport situation. Provides accurate report to the transport team and ensures administrative procedures are completed for transfer. Ability to assess the patient's medical management utilizing current practices in women of childbearing age and newborn infants, to insure that medical officer at differing skill levels receive appropriate consultation and supervision from specialty staff health care providers. Identifies emergency situations and initiates proper emergency measures for each specific patient situation. Initiates advance life support measures as indicated for the patient emergency. Interprets and transcribes all medical orders, ensuring all chart forms are correctly handled administratively. 2. Leadership/Education Services: Records in the patient's chart all medications administered, patient care observations, treatments and progress on the appropriate records. Teaches patients and family members about disease processes, normal newborn and postpartum care, pre and post-operative care, pre and post-diagnostic procedures; expected and possible adverse reactions to medications; health promotion. Initiates discharge planning/teaching upon admission of each patient. Actively participates in multidisciplinary discharge planning conferences with nursing staff. Provides emotional support to patients, family members and significant others. Develops and follows the patient education plan including teaching to promote wellness and health, management of chronic illness, rehabilitation, preventive measures and diagnostic procedures. Participates in multi-disciplinary quality improvement groups to ensure and evaluate quality patient care, environmental safety and complete patient documentation. Knows patient resources within the hospital and community for patient referral, as indicated. Orients new staff during orientation and serves as a resource person for consultation with other nurses, hospital corps staff, contract nurses and health care providers. 3. Collaboration/Administrative Work: Collaboration with the nursing staff and other health care providers to measure the patient's response to Care/revise the plan of care. Report to the Nurse Duty Officer (NDO) on the status of all areas on the unit. Reports to the RN shift charge nurse changes in patient census, acuity or any other patient information throughout the shift. Works with all members of the team(s) to ensure nursing care is delivered in a safe and appropriate manner. Performs various procedures which involve an inherent potential for exposure to blood, tissue and body fluids. Responsible for ensuring that the work environment is well maintained and kept clean, safe, and orderly. Operates and manipulates automated data systems utilized to document patient care. Responsible for ensuring documentation accuracy is performed by all health care workers involved to ensure proper information of past medical history, adverse drug reactions, allergies, etc. is consistently noted. Requests updates to records from other professionals as needed. Performs other duties as assigned. **Qualifications** Must be a United States Citizen Must possess a valid Registered Nurse License that has not elapsed/expired. In order to qualify, you must meet the education and/or experience requirements described below. Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religious; spiritual; community; student; social). You will receive credit for all qualifying experience, including volunteer experience. Your resume must clearly describe your relevant experience; if qualifying based on education, your transcripts will be required as part of your application. Additional information about transcripts is in this document (https://portal.chra.army.mil/hr\_public?id=kb\_article&sysparm\_article=KB0016283) . **Basic Requirement for** **Nurse (Clinical):** **Degree:** A graduate or higher level degree, bachelor's degree, associate degree, or diploma from an accredited professional nursing educational program is required. This education must have been accredited by the Commission on Collegiate Nursing Education, Council on Accreditation of Nurse Anesthesia Educational Programs, Accreditation Commission for Midwifery Education, or an accrediting body recognized by the U.S. Department of Education at the time the degree was obtained. (Note: You must attach a copy of your transcripts.). **Licensure:** A current, active, full, and unrestricted license or registration as a professional nurse from a State, the District of Columbia, the Commonwealth of Puerto Rico, or a territory of the United States; and you must have passed the National Council Licensure Examination. (Note: You must attach a copy of your current licensure.). **Foreign Degree:** Graduates of foreign nursing schools must have completed the Commission on Graduates of Foreign Nursing Schools Certification Program. The certification program consists of a credentials evaluation, the CGFNS Qualifying Exam, and evidence of passing one of the approved English Language Proficiency examinations. **A copy of the CGFNS Certificate is required** . _Exemption_ : You are exempt from the basic requirements above if you are a current federal employee occupying a position in the 0610 occupational series and have been continuously employed in this occupational series since September 27, 2017 or before. Note: You will be required to provide appropriate documentation to the respective Human Resources Office to validate your status. Apply for this Job Online (https://careers-civilianmedicaljobs.icims.com/jobs/8655/nurse-%28pediatric%29/job?mode=apply&apply=yes&in\_iframe=1&hashed=-336268516) **Location** _US-WA-Oak Harbor_ **Job ID** _2025-8655_ **\# Positions** _1_ **Category** _Medical_ **Salary Range** _GS-11_