Nurse Practitioner; Intensivist

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 managing 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
• Assess and adjusts the plan of care as needed to achieve optimal patient outcomes
• Exemplifies the ICARE core values of-Integrity - Commitment - Advocacy - Respect - and Excellence
• Obtains and documents relevant health and medical history Documents in 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 for 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:
  Performing diagnostic and stabilization procedures based on ACLS protocol including 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 - and femoral arterial sheaths - including IABP catheter sheaths
• VA offers a comprehensive total rewards package: 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 of annual leave - 13 days of sick leave - 11 paid Federal holidays per year) Retirement:
  Traditional federal pension (5 years vesting) and federal 401K with up to 5% in 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 - 6:00am to 6:30pm or 6:30pm to 6:00am Telework:
  Not Available Virtual:
  This is not a virtual position.