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Clinical Nurse - Emergency Services (DH4874) 

About the Organization Thank you for your interest in exploring the professionally rewarding and personally fulfilling benefits with Tuba City Regional Health Care Corp. We look forward to continuing our discussion about the opportunity and purpose health professionals experience as valued members of TCRHCC team.

A TCRHCC career offers a chance to live and work within or near Native communities, providing clinicians/nurses/administrators with a unique opportunity to learn the heritage of the tribes we serve, discover traditions that have been carried down for generations and gain cultural insight into the beliefs and values of a deserving and appreciative patient population.


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.


  1. 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
  2. Develops individualized patient care plans and periodic evaluation of plans to ensure that intended results are being achieved.
  3. Interviews patients and family members and consults with attending physicians, other staff members to determine and evaluate the kind of health and physical care needed.
  4. Recognize adverse signs and symptoms, which are not always apparent and to react promptly in emergency situations including the implementation of life saving procedures. Carries out treatments and procedures per scope of practice.
  5. Maintains health records by documenting observations, nursing interventions and therapeutic measures administered in an accurate, efficient and timely manner.
  6. Provides counseling and teaching to patients and families or surrogates on preventive, curative and rehabilitative measures involved in health care.
  7. Will make every effort to have positive relationships with the ER staff and contribute to teamwork within the department.
  8. Monitor and initiate corrective action to maintain the environment of care including equipment and material resources
  9. Maintains professional knowledge and proficiency in nursing through continuing education, staff meetings, workshops and serving on nursing committees. Understands and adheres to established compliance and quality assurance standards. Participates in the development, implementation and evaluation of standards of care, Quality Assurance and Infection Control activities/projects.
  10. Participate in the identification of clinical or operational performance improvement opportunities and in performance improvement activities.
  11. 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, provides guidance, direction and training to ancillary nursing and other personnel. Acts as charge nurse for a group of patients or an entire unit when assigned.
  12. Responsible for electronic health records data entry pertinent to patient service role.
  13. Performs other duties as assigned, such as, floating to other units as needed.



A minimum of one year Emergency Room or Critical Care experience

Other Skills and Abilities:

Ability to speak Navajo


The individual shall perform a variety of responsible nursing care procedures requiring professional knowledge and consideration specific patient conditions and treatments and ability to work independently in completing assignments. The incumbent shall perform duties as assigned and insure quality patient care despite the situation encountered, be it routine or emergent.


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.


Work requires walking, long periods of standing, and bending. Agility and the ability to lift, pull, push and bend are required to move patients to and from beds, wheelchairs, stretchers, etcetera, and in moving equipment and medical supplies.


Contacts often require tact and sensitivity as those related to stressful situation such as death, dying, and catastrophic illnesses. Must be able to prioritize, use good judgment, and to coordinate a variety of issues while being frequently interrupted.


The position has a very high impact on the quality of treatment of patients. Inaccurate procedures result in risk management intervention.


TCRHCC is located within the Navajo Nation and, in accordance with Navajo Nation law, has implemented a Navajo/Indian Preference in Employment Policy.  Pursuant to this Policy, applicants who are enrolled members of the Navajo Nation and who meet the necessary qualifications for this position will be given preference in hiring and employment for this position and applicants who are enrolled members of any other tribe who meet the necessary qualifications will be given secondary preference.


In performance of their respective tasks and duties, all employees at TCRHCC are expected to conform to the following:

  • Adhere to all professional and ethical behavior standards of the healthcare industry.
  • Interact in an honest, trustworthy and dependable manner with patients, employees and vendors.
  • Possess cultural awareness and sensitivity.

All employees must uphold all principles of confidentiality and patient care to the fullest extent. This position has access to sensitive information and a breach of these principles may be grounds for immediate termination.
I have read the qualifications and requirements for the position of Clinical Nurse.  To the best of my knowledge, I believe I can perform these duties.

Position Requirements



Associate’s or Bachelor’s Degree in Nursing


  • 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:
    • Basic Life Support (BLS)
    • Advanced Cardiac Life Support (ACLS)
    • Pediatric Advanced Life Support (PALS)
  • Neonatal Resuscitation Program (NRP) required within one (1) year of hire
  • Trauma Nurse Core Course (TNCC) required within one (1) year of hire
  • Emergency Nurse Pediatric Course (ENPC) required within one (1) year of hire


Demonstrated passing performance during clinical experiences as a part of an accredited school/college of nursing as evidenced by references from clinical instructors

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 in order 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 in order 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

Complete Patient Sitter Competency Training (upon hire)

Close Date 5/15/2021  
EOE Statement The Tuba City Regional Health Care Corporation (TCRHCC) is committed to equal opportunity employment. In accordance with the Navajo Preference in Employment Act (NPEA) and TCRHCC policy, preference is given to qualified Navajo and Native American candidates. Those applicants requiring reasonable accommodations(s) during the application and/or interview process should notify a representative in the Human Resources Department.  
Exempt/Non-Exempt Non-Exempt  
Full-Time/Part-Time Full-Time  
Location Tuba City Regional Health Care Corporation  
Navajo/Indian Preference Applicants who are enrolled members of the Navajo Nation and who meet the necessary qualifications for this position will be given preference in hiring and employment for this position.  
Open Date 8/7/2020  

This position is currently accepting applications.

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