Advanced Practice Registered Nurses / Physician Assistants
This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific individual eligibility requirements in accordance with VHA policy and submit your EDRP application within four months of appointment. Approval, award amount (up to $200,000) and eligibility period (one to five years) are determined by the VHA Education Loan Repayment Services program office after complete review of the EDRP application. Learn more The PA duties consist of but are not limited to the following. Obtaining medical histories and performing physical examinations. Providing and coordinating medical care for assigned patients, including establishing diagnoses, formulating and implementing care plans, and providing follow-up care. Evaluating outpatients to determine the need for further health care. Ordering diagnostic studies with or without contrast and other specialized testing Ordering or obtaining laboratory specimens. Ordering ancillary services, such as, pharmacy, social services, physical medicine and rehabilitation therapies, prosthetic services, etc. Ordering VA specialty service consults and initiating requests for non-VA medical care and consults in accordance with VHA and local facility policy and procedures. Ordering patient care supplies, and durable medical equipment. Writing orders for or prescribing medications for patients under their care. All medication orders or prescriptions written by PA's must be consistent with their field of practice as listed in the PA's Scope of Practice. PA's may prescribe or order all medications listed in the VA National Formulary consistent with the PA's level of prescribing authority and practice setting. Exceptions include medications restricted to specific clinical services outside of the PA's practice setting and those specifically restricted by VHA or local VA medical facility policy. An individual medication formulary included in the Scope of Practice is not required. May initiate and renew non-formulary medications when established non-formulary drug request pharmacy procedure is followed. Ordering vitals and other nursing orders per protocol, ordering Foley catheters, activity levels, dietary orders and intravenous fluid orders. Other patient record entries by PA's, including medical histories, physical examinations, progress notes, service consults, Compensation and Pension evaluations, and patient orders do not require physician co-signature unless specifically required by Federal law, VA policy, or the standards of applicable external accrediting bodies. Obtaining and documenting informed consent for treatments and procedures for which the PA is responsible. The PA is an integral member of the treatment team performing the procedure such as assisting the primary surgeon. NOTE: The PA need not participate in the procedure the patient is scheduled to undergo but the PA must be authorized to perform or participate in the procedure by their Scope of Practice and must have sufficient knowledge and training in the treatment or procedure, its indications, risk and benefits, complications, and alternative treatments, to effectively counsel the patient. Providing education and counseling of patients and families in preventive care, medical conditions, and the use of prescribed treatments and drugs. When delegated by the attending physician or Licensed Independent Practitioner (LIP) in charge of the patient's care, may conduct Goals of Care Conversations with high-risk patients regarding any desired limitation in life-sustaining treatments and choice of surrogate as well as enter the Life-Sustaining Treatment Decisions (LSTD) progress note (to be co-signed by the attending physician or Licensed Independent Practitioner) and corresponding orders. Telehealth Modalities may be utilized for the provision of care by an authorized provider pursuant to Service level guidance, required training and instruction and in collaboration with the Facility Telehealth Coordinator (FTC). The provider may direct, diagnose, or otherwise provide clinical treatment using electronic communication and information technology when distance separates the authorized provider and patient. Perform certain minor surgical/therapeutic procedures including but not limited to: suturing/closure of lacerations, removal of sutures and staples, obtaining biopsies, incision and drainage of abscess or superficial thrombosis, skin and soft tissue biopsies, removal or exchange of indwelling drains or tubes, insertion or removal of peripheral venous or arterial catheters, removal of central venous catheters, wound debridement/cultures/VAC dressing application and changes, nitrogen skin applications, insertion and irrigation of Foley catheters, insertion and irrigation of nasogastric tubes, administration of local and topical anesthesia. Assisting on procedures in the operating room or invasive procedure area as directed by the primary attending on the case. Perform outpatient ambulatory procedures in minor office procedure suite under local anesthesia as directed by the primary attending on the case. Work Schedule: 7:00AM - 4:30PM Financial Discloser Report: Not required Education Debt Reduction Program Offered (EDRP): Yes
Providing Health Care for Veterans: The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,255 health care facilities, including 170 medical centers and 1,074 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.