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U.S. Immigration and Customs Enforcement (ICE)

Registered Nurse (O-3 Billet) Non-Supervisory

U.S. Immigration and Customs Enforcement (ICE), Houston, Texas, United States, 77246

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Registered Nurse (O-3 Billet) Non-Supervisory Position available to USPHS Commissioned Corps Officers or Call to Active Duty (CAD) candidates. Civilians are not eligible.

Summary The Registered Nurse provides direct care to ICE detainees, including assessments, triage, medication administration, and emergency response. Responsibilities include coordinating care, maintaining documentation, and ensuring compliance with IHSC policies. The role requires clinical expertise, adaptability to changing schedules, and the ability to work in a multidisciplinary team in a detention setting.

Duties

Provides direct nursing care to detainees with knowledge of nursing care principles, practices, and procedures.

Performs nursing procedures as ordered following Lippincott Procedure Manual after completing IHSC Registered Nurse (RN) competency documentation annually.

Documents all detainee encounters using S.O.A.P.E. format with the nurse's signature and name stamp or by locking notes in electronic health record.

Assesses patients' needs and coordinates an appropriate nursing care plan.

Obtains medical histories on detainees and refers medical problems identified to the physician or Advanced Practice Provider (APP) as appropriate.

Demonstrates nursing triage process and screening of detainees during sick call and performs functions outlined in the approved IHSC Clinical Nursing Guidelines.

Accesses interpretation and/or translation services as needed to communicate with detainees who are not proficient in English.

Provides daily nursing care 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 with the healthcare team and coordinates referrals to off‑site providers as required.

Provides patient teaching and training in accordance with agency directives.

Maintains non‑involvement in the security/custody aspects of care.

Assists the medical provider with appointments by taking vital signs and assisting as necessary.

Responds to emergency medical calls and provides emergency treatment of injury or illness to detainees as required.

Performs orders authorized by the physician, APP, or other qualified health care provider, ensuring timely implementation.

Applies knowledge of drugs and therapeutics when administering medication, using the 6 rights of medication administration.

Ensures prescribed medications are administered as ordered and reviews new medication orders before administration.

Maintains security when administering medications, maintaining awareness of potential drug hoarding and trafficking.

Provides radiological services in accordance with nursing board state licensure rules for tuberculosis surveillance (digital single view chest x‑rays) if applicable.

Draws laboratories and collects specimens as requested.

Administers immunizations and documents accordingly.

Follows all IHSC Public Health, Safety, and Preparedness Unit Directives and Guides to maintain environmental health and safety and infection control.

Responsible for maintenance of medical equipment and quality control of laboratory reagents.

Maintains medical supply stock level, orders supplies, and restocks as needed.

Performs record‑keeping functions in accordance with program policies.

Prepares statistical information, regularly scheduled reports, or special reports as necessary.

Attends general/medical and Nursing Service Unit (NSU) meetings as scheduled.

Works rotating shifts, including holidays and weekends.

Demonstrates punctuality and dependability for assigned shifts.

Maintains clinical professional skills through continuing education opportunities.

Serves at other IHSC medical facilities on temporary duty (TDY).

Serves as medical escort of detainees for domestic or overseas travel under direction of special operations.

Demonstrates potential and willingness to assume increasing levels of responsibility, including team lead or clinic coordinator roles.

Participates in quality improvement or other team/unit reviews and activities.

Engages in one or more collateral activities that contribute to the agency/PHS mission.

Identifies and suggests process improvement activities at the local level.

Additional Duties

Partners with a nurse peer to lead an established training class/program at the local level at least once per year; or partners with Staff Nurse Registered Nurse III to develop or update one patient education material annually.

Participates as a mentee in regular one‑on‑one or group mentoring activities.

Active member at the local level in Professional, Uniformed Service and Specialty Organizations; evidence that PHS Commissioned Corps (CC)/IHSC collateral activities impact and contribute to the PHS mission at the local/regional level.

Performs other duties and responsibilities as assigned.

Requirements

You must be a U.S. citizen.

You must successfully pass a background investigation.

You must successfully pass a drug screen.

Males born after 12/31/59 must certify registration with Selective Service.

All requirements must be met by the closing date of the announcement unless otherwise noted.

Upon appointment, officers will be required to serve an 18‑ to 24‑month commitment to IHSC.

You must not have a current Assignment Pay Agreement; if you have one, it must be fulfilled within 90 days of your application submission.

Applicants must be a current USPHS Commissioned Corps Officer or USPHS Call to Active Duty (CAD) candidate. Civilians are not eligible.

PHS officers must participate in IHSC TDY On‑Call Schedule (ITOS).

Qualifications

Must be a Bachelor‑prepared Registered Nurse.

Licensed by a State, the District of Columbia, the Commonwealth of Puerto Rico, or territory of the United States.

Maintains current/documented professional license.

Maintains current CPR/BLS certification.

Maintains USPHS Basic Readiness status.

Minimum of one year of professional nursing experience.

Knowledge of advanced nursing concepts, principles, and practices for assessments of mental health, medical surgical, ambulatory, and emergency care.

Professional credentials/certification appropriate to current job specialty.

Knowledge of medication administration guidelines and pharmaceutical agents.

Knowledge of managing non‑compliant patients, special needs populations, and patients with significant deficits in coping skills.

Knowledge of nursing management and leadership skills.

Knowledge of team building principles.

Knowledge of forensic nursing concepts and principles.

Intermediate knowledge of computerized database, sources, and reporting methodologies.

Flexibility and ability to adapt to sudden changes in schedules and work requirements.

Spanish language proficiency preferred, not required.

Competencies

Cultural competency.

Strong interpersonal skills.

Active listening skills.

Strong oral and written communication skills.

Integrity and honesty.

Adult learner teaching skills.

Physical Demands

Requires physical exertion such as lifting objects greater than 30 pounds.

Must 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).

May necessitate running short distance, prolonged standing and working in an austere environment.

Required to perform CPR/emergency care standing or kneeling.

Education & Credentials All previously listed educational and credential requirements must be met. Continuing education is required to maintain professional competence.

How You Will Be Evaluated You will be evaluated for this job based on how well you meet the qualifications above. We will review your resume and supporting documentation to ensure you meet the minimum qualification requirements. You may be selected for an interview at the hiring authority’s discretion. You will be notified of selection or non‑selection.

Eligibility for benefits depends on the type of position you hold and whether the position is full‑time, part‑time or intermittent. Contact the hiring agency for more information on the specific benefits offered.

The Registered Nurse II Clinical Nurse Intermediate will be supervised by the Nurse Manager in collaboration with the Health Services Administrator and Clinical Director, with the Regional Nurse Managers as the reviewing official.

Candidates should be committed to improving the efficiency of the Federal government, passionate about the ideals of our American republic, and committed to upholding the rule of law and the United States Constitution.

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