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Overview

Practical Nurse -** **FT Sill, OK

**About the Position:** This position is located at Reynolds Army Health Clinic.

+ This is a Direct Hire Solicitation.

Fort Sill is a United States post north of Lawton, Oklahoma, about 85 miles (136.8 km) southwest of Oklahoma City and 50 miless north of Wichita Falls, Texas on Interstate 44. It covers almost 94,000 acres.

The fort was first built during the Indian Wars. It is designated as a National Historical landmark and serves as home of the United States Army Field Artillery School as well as the Marine Corps' site for Field Artillery MOS school, United States Army Air Defense Artillery School, the 31 st Air Defense Artillery Brigade, and the 75 th Field Artillery Brigade. Fort Sill is also one of the four locations for Army Basic Combat Training. It has played a significant role in every major American conflict since 1869.

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:

Serves as a Licensed Practical Nurse for a Defense Health Agency (DHA) Medical Treatment Facility (MTF). Performs direct patient care and care coordination activities such as referral management, order reconciliation, and activity tracking.

1. Obtains information from patient and/or family/guardians/caretakers to identify major complaints, symptoms, or reason for seeking health care. Takes all vital signs (blood pressure, temperature, pulse, respirations, pain level, height, weight, measurement of head circumference, and length); performs a behavioral health screening. Documents patients' chief complaints and other pertinent information in the health record. Documentation will also include medication reconciliation, screening tools, and behavioral health intake surveys. Participates in promoting patient compliance with health activities in accordance with RESPECT-Mil. Coordinates and facilitates care coordination, communicates relevant information according to the medical plan of care and nursing assessment, and documents accordingly in the health record. Prepares assigned rooms for clinic schedule. Attends clinic huddle to review scheduled patients with Primary Care Manager to coordinate delivery of care.

2. Provides individualized nursing care to patients of all ages based upon the physician’s medical care plan, the nursing assessment, and the physical, mental and emotional needs of the patient. Assists the physician with various examinations and diagnostic procedures. Examinations requires being able to lift up to 50 lbs. to assist in lifting and repositioning patients who need help. Prepares procedure rooms by ensuring required equipment, consent forms, etc. are available. Sets up and maintains a sterile field; understands the proper positioning of patients required for various procedures. Administers oxygen, IV fluid and prescribed oral, rectal, subcutaneous and intramuscular medications. Performs inhalation treatments, fingerstick glucose, urine dipsticks, visual acuity, phlebotomy, dressing changes, and surgical instrument cleaning and packaging after use. Collects and prepares laboratory specimens according to local SOPs. Assures accurate care and handling of specimens. Performs routine procedures, such as EKGs, eye, throat, nasal and/or wound cultures, dressing changes, ear irrigation, and application of bandages. Recognizes adverse signs and symptoms immediately and calls for assistance. Sets up, operates and monitors specialized equipment, such as cardiac monitor, defibrillator, etc. Performs point of care testing (POCT) checks. Ensures logged entry per local SOP, POCT, and MTF guidance. Review MHS-Genesis messages throughout the day and address appropriately with PCM or Team RN.

3. Screens and reviews immunization records IAW AR 40-562 and unit Standard Operating Procedures to select required immunizations, correct dosages, and routes of administration. Review requires transcription of information to medical records and official school forms. Documents administration on required forms manually. Administrative duties include inputting data into the computer and retrieving information such as laboratory and diagnostic procedure results. Other computer related duties include the use of the MHS-Genesis and MEDPROS entry. Documents administration utilizing IAW Ambulatory Quality Assurance criteria. Assists with scheduling of follow-up appointments, provides direction for additional medical care/diagnostic testing such as lab, x-ray, referral management, pharmacy, Nurse Case Manager (NCM), etc. Reviews, at the minimum, next day schedule to include copy forward, the Healthcare Effectiveness Data and Information Set (HEDIS) metrics, procedure preparation, wellness screening paperwork, etc. Review patient appointments, 24-78 hours prior to scheduled appointment and identifies opportunities to provide patient and PCM continuity or access to care via other options.

4. Administers oral, intradermal, subcutaneous, intramuscular immunizations to all age groups IAW established protocols. Maintains accountability for actions and control of vaccines. Documents interventions and patients’ response to care. Communicates relevant information to healthcare team. Recognizes signs and symptoms of untoward effects of immunization and/or allergen extracts. Maintains certification in Basic Cardiac Life Support and demonstrates ability to initiate cardiopulmonary resuscitation in the event of an anaphylactic reaction and/or cardiopulmonary arrest.

5. Informs and educates patients and/or family regarding self-care procedures. Instructs patients and family/guardians/caretakers, regarding normal verses adverse reactions to immunizations and treatment for normal reactions of discomfort. Reviews laboratory results and brings abnormal results to attention of physician. Per physician’s instruction, telephones patient regarding follow-up required and documents in records. Performs patient education for special needs such as medication administration, inhaler and spacer use, self-dressing changes, ostomy care, fingerstick and glucose meter use, drawing up and injection of insulin and glucagon, and asthma home monitoring with peak flow meters and nebulizer use. Educates patients and/or family/guardians/caretakers on requirements for care and medications. Completes necessary paperwork for school (sick slips, asthma care plan, etc.), for provider signature. Also teaches patients early warning signs for early detection of diseases.

6. Performs both administrative and logistical tasks as a member of the healthcare team for the clinic by contributing to maintaining the environment and resources to deliver healthcare. Reviews expiration dates for medications, vaccines, and supplies; and initiates the reorder. Coordinates with designated clinic administrative staff for maintenance of adequate vaccines and supply levels. In the absence of the medical receptionist, assists with the responsibilities for checking patients into the system, completion of records and other clerical duties as assigned. Reviews laboratory results and brings abnormal results to the attention of the physician and per physician’s instructions, telephones patients regarding any follow-up care that is required. Duties include the use of automated systems (i.e. MHS-Genesis, Medical Operational Data System (MODS) and the Medical Protection system (MEDPROS). Reviews chart for coding compliance and ensures all procedures are documented to obtain accurate capture of workload. Attends mandatory training as directed by supervisor or command. Will be trained in documenting adverse medication reactions in the VAERS or local system. Participates in and may coordinate performance improvement activities. Maintains Automated Time Attendance and Production System (ATAAPS)/Defense Medical Human Resource System-internet (DMHRSi) compliance.

Perform other duties as assigned.

Qualifications

Who May Apply: US Citizens

In order to qualify, you must meet the 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 .

Basic Requirement for Practical Nurse:

**Licensure:** A current license to practice as a practical or vocational nurse in a State, territory of the United States, or the District of Columbia; OR must have applied for a license to practice. Applications of candidates possessing a license must be accompanied by a certified or photostatic copy of the license, a notarized statement attesting to the fact, or a citation of the license number and State issuing it. Non-licensed candidates who have completed their training may be appointed subject to obtaining the required license during the probationary period. Those not licensed must furnish the date on which they applied for a license and the jurisdiction involved. No person appointed pending licensure may be retained beyond the probationary period if licensure has not been attained.

Note: Applicants must upload/submit a copy of their license with their application package.

In addition to meeting the basic requirement above, to qualify for this position you must also meet the qualification requirement listed below:

**Experience:** One year of nursing experience in a hospital, outpatient clinic, nursing home, or other supervised medical, nursing, or patient care facility that provided a practical knowledge of human body structure and sterile techniques and procedures, performing such duties as taking vital signs; assisting healthcare providers with medical procedures; utilizing a health care information system to input patient data/update records. This definition of experience is typical of work performed at the next lower grade level in the federal service (GS-04).

Education

Some federal jobs allow you to substitute your education for the required experience in order to qualify. For this job, you must meet the qualification requirement using experience alone--no substitution of education for experience is permitted.

Apply for this Job Online (https://careers-civilianmedicaljobs.icims.com/jobs/8807/practical-nurse/job?mode=apply&apply=yes&in\_iframe=1&hashed=-336268516)

**Location** _US-OK-FT. SILL_

**Job ID** _2025-8807_

**\# Positions** _4_

**Category** _Medical_

**Salary Range** _Competitive_

**Recruitment Bonus** _Negotiable_

**Relocation Assistance** _Negotiable_

**Student Loan Repayment** _No_