Clinical Nurse (Emergency)
Company: Tohono O'odham Nation Healthcare
Location: Sells
Posted on: February 13, 2026
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Job Description:
Job Description Job Description PLEASE NOTE - This position may
require temporarily relocation to other TONHC Fa cilities: Sells
Hospital, Santa Rosa Health Center, San Simon Health Center, and
San Xavier Health Center. Position Summary: The Emergency Room
Clinical Nurse position is located in the Emergency Room under the
Division of Nursing Service Branch of the Tohono O'odham Nation
Health Care Sells Hospital. It provides care to patients presenting
for emergency services. Scope of Work: Under general supervision,
provides appropriate Emergency care to patients presenting to the
Emergency Room involved in an injury and/or illness. Discharges
patients from the Emergency Room in an orderly and safe manner.
Communicates appropriately with the patient and all parties and
agencies involved in the patient's care as needed, under the
emergency department's Supervisory Nurse Specialist's general
supervision. Essential Duties and Responsibilities: (Depending on
the area of assignment, an incumbent may not be required to perform
some of the duties listed below): As a health care team member, the
Emergency Room nurse can work independently performing professional
nursing care duties of emergent/ urgently/acutely ill and injured
patients in an emergency care setting. Develops plans to provide
direct care to clients, which involves assessing and evaluating
applicable to emergent care, determining the nursing procedures and
practices to be included, and periodic review of the plans to
ensure achieved results. Interviews patient's family members,
consult with attending physicians (when time permits), and ER
physicians determine and evaluate appropriate/quality care for
patients in life-threatening situations. Reviews and interprets
findings to distinguish between normal and abnormal conditions
during patient screening/triage. Interpret data obtained from
observations, examinations, monitored findings, and lab values.
Differentiates between normal and abnormal results and provides
appropriate care interventions established by licensure, standards
of practice, and clinic policy related to emergency care.
Administer prescribed oral medications, hypodermic injections,
intravenous (IV) fluid, blood transfusions, and oxygen therapy.
Performs intravenous cannula insertion for V therapy and
venipuncture for blood draws. Carries out emergent procedures and
treatments as ordered/required; administers medication; observes
and documents patient's conditions, changes, reactions, and results
to medications and medical treatment. When assigned and as
requested, provides guidance, direction, and training to other
nursing personnel, EMTs, and paramedics. Maintains health records
by documenting observations, interventions, and therapeutic
measures administered in the Electronic Health Record or required
patient care forms. To provide counseling and discharge
instructions to patients and families or surrogates on preventive,
curative, and rehabilitative measures involved in health care.
Participate in the development and evaluation of standards of care
and audit procedures required. Maintains professional knowledge and
proficiency in nursing through applicable certification, continuing
education, staff meetings, workshops, and serving on committees.
Maintains professional knowledge by conducting research, attending
seminars, educational workshops, classes, and conferences;
reviewing professional publications; establishing networks;
participating in professional societies; conferring with
representatives of contracting agencies and related organizations.
Performs other duties as assigned. Knowledge, Skills, and
Abilities: Knowledge of the Tohono O'odham culture, customs, and
traditions. Knowledge of applicable federal, state, tribal laws,
regulations, and requirements. Knowledge of Emergency Medical
Treatment and Labor Act (EMTALA), Joint Commission, and the Center
of Medicare and Medicaid Services (CMS). Knowledge of professional
nursing care principles, practices, and procedures related to
emergency patient care to assess and provide for patients' needs
also involves considering the physical, emotional, spiritual, and
socio-cultural aspects of health care. Knowledge of advanced trauma
life support and cardiac life support care, practices, and skill to
provide quality patient care and serve as a patient advocate.
Knowledge of how the body systems relate to one another in
restoring health. Knowledge of the pathologic conditions associated
with a wide variety of health problems, conditions, and injuries.
Knowledge of specialized assessments applicable to emergent care.
Knowledge of highly developed nursing care management skills with
potentially life-threatening health problems, conditions, and
injuries. Knowledge of the health records aspect of patient care
and accurately complete documents relating to clinical data.
Knowledge of various specializations, including specialty care
related to prenatal, postpartum, pediatric, trauma, cardiac, and
emergency nursing, applies across the age continuum. Knowledge of
diseases to recognize complications and required therapeutic
interventions. Knowledge of pharmaceuticals and dosages to
recognize their desired effects, side effects, and complications
for their use. Knowledge of human behavior to exercise emotional
control, tact, patience, and reliability in patients' care.
Knowledge of available resources and processes designated for
primary care and referral services. Skill in operating specialized
medical equipment such as resuscitation, positive pressure
machines, monitoring devices such as suctions pumps, intravenous
infusion pumps, and any medical equipment used in the Emergency
Room. Skill in computer use and Electronic Health Record
applications. Ability to recognize adverse signs and symptoms that
are not always apparent and promptly react in emergencies,
including implementing life-saving procedures. Ability to develop
and design care plans for emergent care patients. Ability to
develop or participate in developing care plans to meet the
patient's needs. Ability to provide individual and family
counseling, guidance, and health instructions to help patients
understand how to prevent disease and maintain good health.
Knowledge of HIPPA and Privacy Act-related rules and regulations.
Ability to be compassionate. Ability to carry out instructions
furnished in verbal or written format. Ability to communicate
efficiently and effectively verbally and in writing. Ability to
exercise critical thinking skills. Ability to establish and
maintain positive and effective working relationships and other
employees.Ability to develop and maintain positive and effective
working relationships with other employees and the general public.
Ability to work independently and be a team player. Ability to work
extended hours and various work schedules. Ability to travel within
the interior/exterior boundaries of the Tohono O'odham Nation.
Minimum Qualifications : Education: Degree or diploma from a
professional nursing program approved by the legally designated
State-accrediting agency where the applicant completed the program.
One year of experience in an emergency room or critical care
nursing is required. Licenses, Certifications, Special Requirements
: Must have an active, current, and unrestricted license as a
professional nurse in a State, District of Columbia, the
Commonwealth of Puerto Rico, or a territory of the United States.
Must have current Healthcare Cardio Pulmonary Resuscitation (CPR)
and Automated External Defibrillator (AED) certifications. Current
certification in Advanced Cardiac Life Support (ACLS) is required
upon hire. Pediatric Advanced Life Support (PALS) and Trauma
Nursing Core Course (TNCC) certification is preferred upon hire; if
not certified, must obtain certification within six months of
employment. Must have a current immunization/statement, including
proof of a non-reactive tuberculosis skin test within the last
year, proof of immunity of hepatitis B proof (Documentation of
immunization does not provide immunity, only a titer with a
positive result) within three months of hire. Upon recommendation
for hire, a criminal background and a National FBI fingerprint
check are required to determine suitability for employment,
including a 39-month driving record. May require possessing and
maintaining a valid driver's license (no DUIs or major traffic
citations within the last three years). If required, must meet the
Tohono O'odham Nation tribal employer's insurance requirements to
receive a driver's permit to operate program vehicles. Based on the
department's needs, incumbents may be required to demonstrate
fluency in both the Tohono O'odham language and English as a
condition of employment.
Keywords: Tohono O'odham Nation Healthcare, Gilbert , Clinical Nurse (Emergency), Healthcare , Sells, Arizona
