Skip to content
Nursing Mastery
All jobs

Nurse (Clinical/Critical Care Expanded Functions)

RN

Posted Aug 25

Shift
Evenings
Unit
PICU

What the listing says

Role

Schedule
Evenings
Weekends
Weekends required
Term
Permanent
On the floor
On call
Practice
Non-union
Setting
Military
More role details
Accepts
RN

Ratio not posted. Ask in the interview.

Pay

Against the board
This role$59/hr
nursing in Washington$44/hr

The median for nursing in Washington is $44/hr, across 575 postings. It covers every nursing role in the state, so it is a bearing, not a like-for-like comparison.

Relocation
Help offered

About this role

Summary

About the Position

This position is located in the Pediatric Intensive Care Unit at Madigan Army Medical Center. The incumbent will be responsible for providing specialized nursing care to all critically ill patients, but primarily to critically-ill pediatric patients (3 days old to 18 years of age).

  • A recruitment or relocation incentive may be authorized.
Read the full posting
  • Salary negotiation may be available for those candidates who are new to Federal service.

This is a Direct Hire Solicitation

Learn more about this agency

This job is open to

The public

U. S. Citizens, Nationals or those who owe allegiance to the U. S.

Duties

  • Assist physicians with complex or potentially life-threatening procedures, such as, cardioversion and insertion of invasive lines, e.g., arterial, venous, and pulmonary artery catheters.
  • Administer medications via oral, intramuscular, subcutaneous, intradermal, etc. (including intravenous push) routes.
  • Perform various pulmonary ventilation treatments, such as administration of oxygen and compressed air through various means.
  • Monitor patients' condition through continuous observation and precise calculation of fluid levels and vital signs.
  • Evaluate nursing interventions based on patients' response and revises nursing care plan accordingly.
  • Assess patients' cardiac output, vital signs, peripheral perfusion, levels of consciousness, and evaluate blood gas results of arterial and mixed venous oxygen saturation.
  • Defibrillate patients if ventricular fibrillation occurs following established guidelines.
  • Provide information to patients and families on disease process, pre and post-operative care, diagnostic procedures, use of equipment related to disease/care, possible adverse reactions to medications, health maintenance, and illness prevention.

Requirements

Conditions of employment

  • Appointment may be subject to a suitability or fitness determination, as determined by a completed background investigation.
  • A Personnel Security Investigation is required.
  • This position has specific initial background investigation and periodic re-verification requirements since its duties require interaction with children and youth under the age of eighteen (18) years of age on a recurring basis.
  • This position is a Testing Designated Position subject to applicant testing and random drug testing. Selectees will be required to sign DA Form 5019 requiring participation in random drug urinalysis testing.
  • A pre-placement medical examination is required.
  • Immunization screening is required. Hepatitis B immunization is required for all positions with direct patient contact. Applicants may be required to show proof of other immunizations depending on the type of position.
  • Must be able to obtain and maintain current Basic Life Support (BLS) certification through the American Red Cross. Advanced certification (e.g., ALS) does not supersede BLS.
  • Applicants must be able to fulfill non-privileged professional credential requirements.
  • This position may include shift work (evenings, weekends, holidays).
  • This position may require the incumbent to work on call during irregular work hours which may include evenings, weekends, holidays, and/or varying work schedules.
  • Moderate to heavy lifting up to 50 pounds is required.

Qualifications

Who May Apply: US Citizens

In order to qualify, you must meet the education and/or 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 Nurse (Clinical/Critical Care Expanded Functions)

Degree: A graduate or higher level degree, bachelor's degree, associate degree, or diploma from an accredited professional nursing educational program is required. This education must have been accredited by the Commission on Collegiate Nursing Education, Council on Accreditation of Nurse Anesthesia Educational Programs, Accreditation Commission for Midwifery Education, or an accrediting body recognized by the U. S. Department of Education at the time the degree was obtained. (Note: You must attach a copy of your transcripts.)

Licensure

A current, active, full, and unrestricted license or registration as a professional nurse from a State, the District of Columbia, the Commonwealth of Puerto Rico, or a territory of the United States; and you must have passed the National Council Licensure Examination.

Foreign Degree: A degree from a Foreign Nursing School. Official certification from the Commission on Graduates of Foreign Nursing Schools is required for individuals who graduated from foreign nursing schools.

Exemption: You are exempt from the basic requirements above if you are a current federal employee occupying a position in the 0610 occupational series and have been continuously employed in this occupational series since September 27, 2017 or before. Applicants claiming this exemption must meet the requirement below. Note: You will be required to provide appropriate documentation to the respective Human Resources Office to validate your status.

Degree or diploma from a professional nursing program approved by the legally designated State accrediting agency at the time the program was completed by the applicant.

Active, current registration as a professional nurse in a State, District of Columbia, the Commonwealth of Puerto Rico, or a territory of the United States.

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

Education/

Experience

A diploma, associate degree, or bachelor's degree in Nursing from a professional nursing program and possession of at least one full year of professional nursing experience (equivalent to the GS-9 grade level or above) which includes providing critical care nursing in an Intensive Care Unit (ICU) or Pediatric Intensive Care Unit (PICU) to pediatric and/or adult patients within the past two years; providing continuous observation and intervention to prevent complications to neonate to teenage/young adult (up to 23 years of age); administering life-saving medications on a continuous drip; operating specialized equipment for care of the patient (ventilators, defibrillators, cardiac monitors); and caring for unstable patients requiring invasive monitoring. (Note: You must attach a copy of your transcripts.)

OR

Education

A PhD or equivalent doctoral degree from a professional nursing educational program or related medical science field.

Exemption: You are exempt from the qualification requirements above if you are a current federal employee occupying a position in the 0610 occupational series and have been continuously employed in this occupational series since September 27, 2017 or before. Applicants claiming this exemption must meet one of the requirement below.

Completion of all requirements for a doctoral degree (Ph. D. or equivalent) from a professional nursing program

OR

3 full years of progressively higher level graduate education from a professional nursing program

Education

See Qualifications section for education requirements

Additional information

  • Male applicants born after December 31, 1959 must complete a Pre-Employment Certification Statement for Selective Service Registration.
  • You will be required to provide proof of U. S. Citizenship.
  • This position requires a 1 year probationary period during which the agency evaluates your fitness and whether your continued employment advances the public interest. In making this determination, the agency may consider your performance and conduct; agency needs and interests; whether your continued employment supports organizational or Government goals; and whether it promotes the efficiency of the Federal service. Continued employment requires written certification that it advances the public interest.
  • Direct Deposit of Pay is required.
  • Selection is subject to restrictions resulting from Department of Defense referral system for displaced employees.
  • Recruitment or relocation incentives MAY be authorized for highly qualified candidates.
  • Multiple positions may be filled from this announcement.
  • Salary includes applicable locality pay or Local Market Supplement.
  • If you have retired from federal service and you are interested in employment as a reemployed annuitant, see the information in the Reemployed Annuitant information sheet.
  • Payment of Permanent Change of Station (PCS) costs is not authorized, based on a determination that a PCS move is not in the Government interest.
  • The position is considered essential to support mobilization and wartime mission during periods of increasing tension or mobilization.
  • This position is designated as Key. For positions located within the Continental US (CONUS), the position cannot be vacated during war or national emergency without seriously impairing the mission.
  • This position is designated as Mission Essential. The incumbent will be required to report to work during times of contingency operations, natural disasters, extreme weather or other emergency situations.

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.

Benefits

A career with the U. S. government provides employees with a comprehensive benefits package. As a federal employee, you and your family will have access to a range of benefits that are designed to make your federal career very rewarding. Opens in a new windowLearn more about federal benefits.

Review our benefits

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

How you will be evaluated

You will be evaluated for this job based on how well you meet the qualifications above.

Once the announcement has closed, a review of your application package (resume, supporting documents, and responses to the questionnaire) will be used to determine whether you meet the qualification requirements listed on this announcement. Please follow all instructions carefully when applying, errors or omissions may affect your eligibility.

If, after reviewing your resume and/or supporting documentation, a determination is made that you have inflated your qualifications and/or experience, you may lose consideration for this position.

Veterans and Military Spouses will be considered along with all other candidates.

Required Documents

The documents you are required to submit vary based on whether or not you are eligible for preference in federal employment. A complete description of preference categories and the associated required documents is in the Applicant Checklist for Public Announcements.

As described above, your complete application includes your resume, your responses to the online questionnaire, and documents which prove your eligibility to apply. If you fail to provide these documents, you will be marked as having an incomplete application package and you will not be considered any further.

  • Your resume:
  • Your resume must be two pages or less and must support the specialized experience described in this announcement. Resumes exceeding two pages will be removed from consideration.
  • For each relevant work experience, make sure you include the…

Sourced from a public job board.

Requirements

  • Conditions of employment
  • Appointment may be subject to a suitability or fitness determination, as determined by a completed background investigation.
  • A Personnel Security Investigation is required.
  • This position has specific initial background investigation and periodic re-verification requirements since its duties require interaction with children and youth under the age of eighteen (18) years of age on a recurring basis.
  • This position is a Testing Designated Position subject to applicant testing and random drug testing. Selectees will be required to sign DA Form 5019 requiring participation in random drug urinalysis testing.
  • A pre-placement medical examination is required.
  • Immunization screening is required. Hepatitis B immunization is required for all positions with direct patient contact. Applicants may be required to show proof of other immunizations depending on the type of position.
  • Must be able to obtain and maintain current Basic Life Support (BLS) certification through the American Red Cross. Advanced certification (e.g., ALS) does not supersede BLS.
  • Applicants must be able to fulfill non-privileged professional credential requirements.
  • This position may include shift work (evenings, weekends, holidays).
  • This position may require the incumbent to work on call during irregular work hours which may include evenings, weekends, holidays, and/or varying work schedules.
  • Moderate to heavy lifting up to 50 pounds is required.
  • Who May Apply: US Citizens
  • In order to qualify, you must meet the education and/or 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.

Place

City
Tacoma, Washington
Median rent
$1,676/mo

rent and tenant-paid utilities · Census ACS 2024

Local household income
$85,884/yr

all local households, not nurse pay · Census ACS 2024

Metro price level
11% above the national average

Tacoma area index 111.1, where 100 is the national average.

Tacoma sits on Puget Sound with Mount Rainier rising dramatically to the southeast, offering nurses a Pacific Northwest lifestyle at a more approachable pace than nearby Seattle. The historic Stadium District and rustically revitalized Point Defiance Park capture the city's blend of industrial heritage and outdoor access. Commutes to Seattle are manageable when bigger-city amenities call.

Map showing the location of Tacoma, WA
Approximate location in Tacoma, WA. · © Mapbox © OpenStreetMap· Open the live map

Cost figures from U.S. Bureau of Economic Analysis · 2024 metro Regional Price Parities · Census ACS 2024.

How this role fits you

Add your preferences

Choose your specialty, travel preference, and license stage to see how this role fits.

The work you want

Where you'd go

Where you are

About the employer

US Military Treatment Facilities under DHA

US Military Treatment Facilities under the Defense Health Agency (DHA) are federal healthcare facilities operated by the Department of Defense, providing medical care to active-duty service members, military retirees, and their families. According to DoD Civilian Careers, positions within DHA…

US Military Treatment Facilities under DHA photo

On your path

ICU / Critical Care is a specialty you move into. The classic route: base year, then transfer in.

Worth asking

The posting doesn’t answer these. Good ones to ask a recruiter or in the interview.

  • Can you walk me through differentials?
  • What should I expect for weekly hours, holiday, and rotation?
  • What orientation, preceptor time, and ongoing unit support are included?
  • How are patient load, floating, and staffing support handled day to day?
Open the full posting report
Help improve this pageShare what it’s like, leave a heads-up, or ask about this posting.
What would you like to do?
Add ratings or a short headline

A person reviews every submission before anything changes.