Nurse Practitioner; Intensivist

Summary

The Nurse Practitioner (Intensivist) practices in Surgical Care Service to provide a full range of services emphasizing quality, timeliness, and the advancement of the Veterans Affairs (VA) mission. The Nurse Practitioner provides advanced clinical practice, consultation, and manages patients with acute and/or chronic disease in the Intensive Care Unit (ICU) setting.

• Independently manages a panel of patients with acute and chronic health conditions with an emphasis on health promotion and disease prevention using evidence-based practice.
• Develops and implements an individualized plan to achieve optimal population health and disease management.
• Demonstrates leadership and works collaboratively with the interdisciplinary team.
• Orders and interprets labs, tests and diagnostic studies.
• Prescribes pharmacologic and non-pharmacologic interventions.
• Initiates referrals and consults to specialty services.
• Provides education to patients and their families.
• Assesses and adjusts the plan of care as needed to achieve optimal patient outcomes.
• Exemplifies the ICARE core values:
  Integrity, Commitment, Advocacy, Respect, and Excellence.
• Obtains and documents relevant health and medical history documents in the Computerized Patient Record System (CPRS).
• Performs a physical examination based on history.
• Orders and interprets diagnostic tests.
• Identifies medical and health risks and needs of the patient/family based on data collection.
• Formulates the appropriate differential diagnosis based on the history, physical examination, and clinical findings.
• Establishes a plan of care to achieve the identified medical and health goals.
• Prescribes medications, which may include controlled substances per licensure.
• Identifies patient education needs and provides relevant education.
• Initiates referrals and/or consultations as appropriate to achieve an interdisciplinary plan of care including referrals to community agencies.
• Determines effectiveness of the plan of care through documentation of client (patient) care outcomes.
• Is proactive in identifying potential emergency/crisis situations and providing appropriate interventions.
• Performs procedures within the approved scope of practice and based on documented competencies, including performing diagnostic and stabilization procedures based on ACLS protocol such as oral endotracheal intubation/airway management, needle thoracostomy and cricothyrotomy.
• Placing and maintaining Peripherally Inserted Central Catheters (PICC) including de-clotting procedure.
• Placing and maintaining enteral feeding catheters.
• Placing, maintaining and managing internal jugular, subclavian, and femoral central lines.
• Placing, maintaining and managing percutaneous arterial lines.
• Placing and managing Swan Ganz catheters.
• Placing pleural pigtail or chest tubes.
• Rewiring central line catheters (Cordis to triple lumen).
• Removal of chest tubes (pleural and mediastinal), epicardial pacer wires, femoral arterial sheaths, including IABP catheter sheaths.

VA Nurse Total Rewards Pay: Competitive salary, regular salary increases, potential for performance awards.
Paid Time Off: 50 days of paid time off per year (26 days annual leave, 13 days sick leave, 11 paid Federal holidays).
Retirement: Traditional federal pension (5 years vesting), federal 401K with up to 5% matching contributions by VA.
Insurance: Federal health, vision, dental, term life, long-term care (many federal insurance programs can be carried into retirement).
Licensure: 1 full and unrestricted license from any US State or territory.
Work Schedule: Rotating schedule – 6:00 a.m. to 6:30 p.m. or 6:30 p.m. to 6:00 a.m.
Telework: Not available.
Virtual: This is not a virtual position.