Advanced Registered Nurse Practitioner; APRN​/Physician Assistant; PA

Overview

Advanced Registered Nurse Practitioner (APRN)/ Physician Assistant (PA)

STGi is currently seeking a Nurse Practitioner (NP) or Physician Assistant (PA) to provide services at our Community Based Outpatient Clinic. The general duty of the NP/PA is to provide professional clinical services under the direction of the Community Based Outpatient Clinic (CBOC) Primary Care Provider (PCP). The NP/PA is an Advanced Practice Generalist who provides a wide range of health services, including urgent and emergent evaluation of episodic and chronic problems;

and comprehensive, integrated primary health care which addresses a majority of the client''s health care needs on an ongoing basis. Duties include assessment, treatment and evaluation of a comprehensive range of health care problems; emergency measures; preventive health; prescribing medications and other treatments; ordering, conducting, interpreting laboratory, diagnostic studies and procedures; and patient and family education utilizing community, social, and health resources.

The NP/PA maintains knowledge of current practice, acts as a role model and mentor to others, acts as client advocate, and participates in professional activities at local and state level.

• Provides primary and preventive medical care to meet the needs (physical, mental, and emotional) of patients under a limited scope of Current Procedural Terminology (CPT) codes and within his/her skills and training.
• Provides medical patient care to the scope and standards of practice established by a nationally recognized credentialing organization representing Nurse Practitioners and/or Physician Assistants.
• Functions within the scope of practice of the state), the Joint Commission standards and Officer of the Inspector General.
• Works closely with the Patient Aligned Care Team (PACT) and extended support staff including daily huddles with the team.
• Emphasizes wellness, prevention, and early detection.
• Supervises support staff in delivery of care to patients.
• Maintains universal precautions and infection control practices.
• Provides smooth and timely flow of patients in accordance with the Veterans Administration's (VA) access standards and triage protocol.
• Performs CPR and assists during respiratory and cardiac arrest procedures.
• Investigates health problems or health needs by gathering and assessing historical information.
• Performs a physical examination appropriate to the patient''s history.
• Diagnoses health problems based on interpretation of the patient''s history, physical exam findings, and diagnostic test results.
• Develops a treatment plan, tailored to the patient''s needs, which includes health education, pharmacologic and non-pharmacologic treatment.
• Prescribes medications, as appropriate.
• Evaluates the results of the treatment plan, modifying the plan as needed to achieve the treatment goals.
• Makes referrals for specialty evaluation or treatment.
• Directs and coordinates the provision of health care services for patients in primary care, i.e., walk in patients.
• Provides a model for clinical practice within the clinic setting.
• Sets up and operates therapeutic and emergency equipment, including monitor, electrocardiogram (EKG), oxygen, automatic electronic defibrillator (AED) and portable suction.
• Obtains patient history on new and follow-up visits and records appropriate findings according to VA standards.
• Performs initial and periodic physical examinations within limits of privileges and records findings.
• Orders diagnostic tests according to the chief complaint, physical and emotional/mental findings and symptoms.
• Demonstrates knowledge of pharmacology.
• Prescribes and administers medication within limits of privileges and state and federal regulations.
• Recommends and follows up on laboratory tests and specialized diagnostic procedures, as deemed necessary.
• Documents all pertinent patient information in the medical records and Veterans Health Information Systems and Technology Architecture (VISTA) to demonstrate quality care delivery and promote continuity of care.
• Keeps the VISTA clinic reminder tracking system current for each enrolled patient.
• Closes patient charts within 24-72 hours of encounter and places Return to Clinic (RTC) orders promptly.
• Assists in scheduling patients for initial and follow-up appointments in accordance with the VA''s access standards and the patient''s medical necessity.
• Keeps patients informed of their plan of care, including lab and diagnostic test results as needed.
• Provides health educational materials, resources and education to patients and their families for informational purposes and in accordance to their need and learning capacity.
• Assists the Registered Nurse to ensure all patient information on electronic encounter documentation is complete and accurate.
• Complies with all federal, state, local, Joint Commission, OSHA, Veteran Affairs, and Subcontractor safety and operational regulations, directives and standards.
• Participates in the ongoing Performance…