Advanced Practice Nurse

This position is located within the Medical Staff Division, with the Navajo Area Indian Health Service. The incumbent has responsibility for providing clinical services not limited to general women's health, pregnancy, and newborn infant care.

• Provides independent, preventative, and therapeutic obstetric and gynecological care.
• Practice independently to the full extent of midwifery scope of practice and in collaboration with physicians for high acuity cases.
• Provide emergency care on labor and delivery as required in collaboration with the healthcare team.
• First assist in cesarean sections as needed.
• Provide initial newborn examinations and assessments immediately after each delivery.
• Consult with on-call pediatrician as needed for complicated, high-acuity and emergent cases.
• Work in close partnership with other members of the healthcare team including nursing and other clinical providers.

• Must pass pre-employment examination.
• Selectee may be subject to a probationary period.
• U.S. Citizenship is required.
• Selective Service Registration is required for males born after 12/31/1959.
• This is a designated position covered by Public Law 101-630, requiring contact or control over Indian children.
• Confidential Financial Disclosure Form required.
• Measles and Rubella immunization required for selectees born after 1957 and seasonal influenza immunization is required for all staff working in Indian Health Service health care facilities.
• COVID-19 vaccination is required for all selectees prior to entrance on duty.

To qualify for this position, your resume must state sufficient experience and/or education, to perform the duties of the specific position for which you are applying.

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; social). You will receive credit for all qualifying experience, including volunteer and part time experience.

You must clearly identify the duties and responsibilities in each position held and the total number of hours per week.

BASIC REQUIREMENT(S) : Education for Advanced Practice Nurse Positions: For Advanced Practice Nurse (APN) positions, applicants must possess a graduate or higher level degree in nursing from an accredited educational program in the area of expertise or specialty indicated by the position.

Areas of specialties for positions include, but are not limited to, Acute Care, Anesthesia, Community Health, Family, Geriatric, Home Health, Midwifery, Neonatal, Oncology, Pediatric, Psychiatric, Allergy and Immunology, Women's Health, Cardiovascular, Dermatology, Occupational Health, Orthopedic, Respiratory, or other specialties identified for the position.

Degree from Foreign Nursing School: Official certification from the Commission on Graduates of Foreign Nursing Schools is required for individuals who graduated from foreign nursing schools.

Licensure: For all grade levels and positions, applicants must have passed the National Council Licensure Examination. In addition, they must possess 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.

Additional License Requirements for Advanced Practice Nurse Positions: Applicants for Advanced Practice Nurse positions must be licensed or registered by a State, the District of Columbia, the Commonwealth of Puerto Rico, or a territory of the United States in the clinical specialty required by the position.

GS-11: In addition to the above requirements, applicants must meet one of the following requirements:

Successful completion of a PhD or equivalent doctoral degree from a professional nursing educational program or related medical science field; or

At least one full year of professional nursing experience (equivalent to the GS-9 grade level) and possession of a master's degree from a professional nursing educational program with specialty as Nurse Midwife.

Your resume must demonstrate at least one (1) year of Professional Nursing Experience related to the specialty of a Advanced Practice Nurse (Nurse Midwife) equivalent to at least the GS-09 grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks:

Provide care in essentially normal cases for a group of mothers and babies throughout the maternity cycle within the framework of a medically directed health service.

Manage the care of normal antepartum women including teaching, counseling and support.

Take health history, and perform and record the obstetrical physical evaluation.

Evaluate and review findings with the physician and expectant mother.

Manage labor, including teaching and support.

Perform the following procedures: start intravenous infusions; administer analgesia according to standing orders; perform local anesthesia; manage and control normal spontaneous deliveries but does not perform forcep deliveries; record the labor and delivery; and sign and complete birth certificate.

Perform and records physical evaluation of newborns.

Manage care of normal newborn including nutrition, elimination and activity.

GS-12: In addition to the mandatory license and education described above under Basic Requirements:

Applicants must have at least one or more full years of professional nursing experience that is equivalent to GS-11.

Your resume must demonstrate at least one (1) year of Professional Nursing Experience as an Advanced Practice Nurse (Nurse Midwife) equivalent to the GS-11 grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks:

Perform complete history and physical examination;

Prescribe medicines appropriately, when indicated utilize internal and external fetal monitoring, intrauterine pressure catheters, perform ultrasonography, assist during cesarean sections, interpret and documents lab and testing results.

Independently manages normal spontaneous labor and vaginal delivery, supporting laboring woman, provide intravenous analgesia as indicated or consults with anesthesia.

Perform episiotomy as needed and repair as needed.

Collaborate in the care of newborns as needed including resuscitation of infants according to guidelines for neonatal advanced life-support.

Recognize and promptly respond to obstetric complications and emergency, provide initial urgent management.

Appropriately consult, collaborate or refer to a physician during emergencies, regarding care of high risk patients and in any situation beyond midwifery scope of practice.

Teach and inform patients and family members to promote knowledgeable participating in their own care.

Participle in quality assurance activities.