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Akicita Federal is hiring Registered Nurses to deliver direct surgical nursing care for the Indian Health Service at the Pine Ridge Service Unit in Pine Ridge, SD - serving the Oglala Lakota Nation on one of the most storied reservations in the American West. You will work alongside a dedicated hospital nursing team, providing hands-on perioperative and surgical support that directly raises the standard of health care available to American Indian patients and their families.

- Provide comprehensive pre-operative assessments and prepare patients for surgical procedures in a rural hospital setting.

- Perform surgical timeouts, surgical counts, and sterile supply passes to maintain patient safety and OR integrity.

- Administer medications via oral, transdermal, intravenous, intramuscular, sublingual, and subcutaneous routes as part of perioperative and post-operative care plans.

- Manage post-operative pain, monitor patient recovery, and coordinate handoff to appropriate care teams.

- Perform adult and neonatal venipuncture and skin puncture for IV placement and blood collection.

- Operate and maintain sterile operating suites and surgical equipment, including oxygen therapy systems and extremity tourniquets.

- Float as needed to the Emergency Room, Outpatient Clinic, or Acute Care In-Patient units to support patient observation, medication administration, or other intermittent care needs.

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