This position is located in the Department of Veterans Affairs (VA), Veterans Health Administration (VHA), Eastern Region, Veterans Integrated Service Network (VISN 4), Philadelphia VA Medical Center, Ambulatory Care, and its affiliated Community Based Outpatient Clinics. The nature of the work involves the performance of diagnostic, preventive, and therapeutic services to the veteran population. The nature of the work is ambulatory care: health services provided on an outpatient basis to the veterans who visit the clinic site and depart after treatment on the same day. The purpose is to provide care for veterans with acute medical conditions or illnesses to diagnose and stabilize veterans with the primary goal of improving health. In those instances where in-inpatient care is needed, the CRNP works closely with veterans and their families to transfer the veteran to the VA Medical Center or local institutions best suited to treat the Veteran. During emergency situations, the physician is trained to stabilize veterans awaiting transfer to a local emergency room. The Certified Registered Nurse Practitioner is responsible for managing the full spectrum of primary care responsibilities including admission from an outpatient site, evaluation, diagnosis and treatment, consultation for patients presenting with general medicine complaints and diseases. To manage primary care patients the following will be necessary: ordering appropriate lab work, ordering appropriate diagnostic tests, requesting consultations to specialty services, providing appropriate follow-up care, and referral of patients with non-medicine complaints, diseases, and injuries to appropriate disciplines for diagnosis and treatment. The Certified Nurse Practitioner will work in a team setting with physicians, other nurse practitioners, registered nurses, and support staff assigned to perform duties to accomplish the treatment of veteran patients. Computer skills are essential as the Philadelphia VA Medical Center is fully computerized for note documentation, entering orders and requesting consults. The Certified Nurse Practitioner may be required to work at more than one PVAMC site (i.e., combination of the PVAMC and the community-based outpatient clinics (CBOCs) The Certified Nurse Practitioner may be required to work extended hours or on a weekend if the clinic is open during these non-administrative hour Major Duties and Responsibilities include but not limited: Performs acts of medical diagnosis. Initiates, regulates and modifies therapeutic regimens for episodic and chronic health problems in consult with a physician for the medical component. Writes prescriptions as an adjunct to medical, nursing management to actual or potential health problems. Initiates patient referrals to clinical services and consults with these services regarding the appropriate follow-up or management. The nurse practitioner provides patient/family, staff and service education through program planning and development which may include but not limited to, unit, service or hospital-wide in-services. participation in patient education at committee level, implementing and evaluating patient care delivery models. Manages emergency situations, when appropriate. The nurse practitioner maintains patient confidentiality 'Within legal and regulatory parameters. The nurse practitioner acts as a patient advocate and assists patients in developing skills so they can advocate for themselves. The nurse practitioner delivers care in a nonjudgmental and nondiscriminatory manner that is sensitive to patient diversity. The nurse practitioner delivers care in a manner that preserves patient autonomy. dignity, and rights. The nurse practitioner seeks available resources in formulating ethical decisions. The nurse practitioner evaluates factors related to safety, effectiveness, availability, and cost when choosing between two or more practice options that would result in the same patient outcome. The nurse practitioner assists the patient and family in identifying and securing appropriate and i available services to address health-related needs The nurse practitioner assigns or delegates tasks as defined by the state nurse practice acts and according to the knowledge and skills of the designated caregiver. The nurse practitioner assists the patient and family in becoming informed consumers about the cost, risks, and benefits of the treatment and care. The nurse practitioner orders lab and radiology studies in a cost effective manner. The nurse practitioner consults specialty services appropriately. The nurse practitioner participates in the development of practice guidelines related to efficient use of resources. Work Schedule: Monday - Friday 8:00 - 4:30 pm (may be required to work extended hours or on a weekend if the clinic is open during these non-administrative hours) Financial Discloser Report: Not required
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.