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Summary This position is located within the Department of Homeland Security (DHS), Immigration and Customs Enforcement (ICE), Enforcement and Removal Operations (ERO), ICE Health Service Corps (IHSC), Office of Deputy Assistant Director of Clinical Services. The incumbent will be supervised by the Nurse Manager, Health Services Administrator and Clinical Director. This is a nonsupervisory position. This position is only open to USPHS officers and Call to Active Duty (CAD) candidates. Responsibilities DUTIES AND RESPONSIBILITIES: Provides direct nursing care to detainees with knowledge of nursing care principles, practices, and procedures. Provides nursing procedures as ordered following Lippincott Procedure Manual after completed IHSC Registered Nurse (RN) competency documentation on annual basis. Additionally, follows and remains current on all applicable IHSC directive and guidelines. Documents all detainee encounters using S.O.A.P.E. format, followed by the nurse's signature and name stamp on written documentation or by locking notes in electronic health record. Ability to assess patients' needs and coordinate appropriate nursing care plan. Obtains medical histories on detainees; referring medical problems identified to the physician, or Advanced Practice Provider (APP) as appropriate. Demonstrates nursing triage process and screening of detainees/residents during sick call and performs functions as outlined in the approved IHSC Clinical Nursing Guidelines, refers patients to higher level of care as appropriate. Accesses interpretation and/or translation services as needed to ensure ability to communicate with detainees or others who are not proficient in the English language. Provides daily nursing care as needed in Medical Housing Units (MHU) and notifies physician, or APP of any abnormal findings. Provides care for psychiatric patients as indicated. Coordinates health care needs of detainees with healthcare team and coordinates referrals to off-site providers as required. Provides patient teaching/training in accordance with agency directives. Maintains non-involvement in the security/custody aspects of care. Assists the medical provider with medical appointments by taking the detainees vital signs, and assisting as necessary. Responds to emergency medical calls as assigned and provides emergency treatment of injury or illness to detainees as required. Performs orders authorized by the physician, APPs, or other qualified health care provider. E Ensures the medical orders are implemented in a timely manner. Applies knowledge of drugs and therapeutics in administering medication. Ensures that medications prescribed are administered as ordered, using the 6 rights of medication administration. Ensures all new medication orders are reviewed before administration and acknowledged either by initials by each new order on paper medication administration records or by acknowledging in new electronic medication administration record. When medication orders are signed off, initials are placed next to the order and circled to maintain appropriate documentation. Maintains security when administering medications; maintain cognizance at all times of the potential hazard of drug hoarding and trafficking among detainees. Provide radiological services in accordance with nursing board state licensure rules; these services will be to conduct tuberculosis surveillance i.e. digital single view chest x-rays, if applicable. Draws labs as requested and collects laboratory specimens. Administers immunizations; reads and documents immunizations accordingly. Follows all IHSC Public Health, Safety, and Preparedness Unit Directives and Guides to maintain environmental health and safety, infection control, and all hazards emergency preparedness daily. Responsible for maintenance of medical equipment and quality control of laboratory reagent. Maintains medical supply stock level, may order supplies (lab and other supplies); restocking as needed. Maintains non-involvement in the security/custody aspects of care. Performs record keeping functions in accordance with program policies. Requirements Conditions of Employment Qualifications COMPETENCIES: Cultural Competency. Demonstrates strong interpersonal skills. Active listening skills. Demonstrates strong oral and written communication skills. Integrity/Honesty. Adult learner teaching skills. PHYSICAL DEMANDS: Requires physical exertion such as lifting objects greater than 30 pounds. Required to perform CPR/emergency care standing or kneeling. Must have the ability to assist sick, injured or aging detainees or staff exiting the building (may require lifting, dragging, wheeling or carrying someone who weighs significantly more than self). The work may necessitate some physical characteristics that will be required when responding to an emergency situation, such as running short distance, prolonged standing and working in an austere environment. Education REQUIRED KNOWLEDGE, SKILLS, AND ABILITIES: Must be a Bachelor prepared Registered Nurse. Must be licensed by a State, the District of Columbia, the Commonwealth of Puerto Rico, or territory of the United States. Knowledge of the Nurse Practice Act for the licensing state and/or the state in which one practices nursing. Maintains current/documented professional license. Maintains current CPR/BLS certification. Maintains USPHS Basic Readiness status. Minimum of zero to two years' professional nursing experience. Professional credentials/Certification appropriate to current job specialty. Knowledge of a wide range of nursing concepts, principles, and practices to perform nursing assessments of considerable diversity to include mental health, medical surgical, ambulatory and emergency nursing care. Knowledge of medication administration guidelines, and pharmaceutical agents and their desired and adverse effects in order to recognize untoward effects and take appropriate corrective measures. Sufficient interpersonal skills to develop a rapport with patients and coworkers during which instructional and patient health educational information is presented. Requirements for safety, infection control, quality assurance, maintenance of records of patients seen, statistical information gathering, etc. Spanish language proficiency preferred, not required. Additional Information IHSC has a multi-sector, multidisciplinary workforce of more than 1100 employees, including U.S. Public Health Service (PHS) commissioned officers, federal civil servants, and contract staff. The IHSC provides on-site direct patient care to ICE detainees at 21 detention facilities throughout the country and manages the provision of off-site medical care for detainees housed in approximately 240 additional Intergovernmental Service Agreement (IGSA) facilities. The ICE detainee population is approximately 34,000 detainees on a daily basis, with an average length of stay of approximately 30 days, and over 400,000 detainees annually. IHSC also provides medical support during ICE enforcement operations in the air, on the ground, and at sea. DHS SUPERVISORY CONTROLS: DHS ICE ERO HHS SUPERVISORY CONTROLS: DHHS USPHS CC SUPERVISORY CONTROLS: The Registered Nurse I Clinical Nurse Junior II will be supervised by the Nurse Manager in collaboration with the Health Services Administrator and Clinical Director, with the Regional Nurse Manager as the reviewing official.