Nurse Practitioner
1 month ago
FUNCTIONS
Preoperative nurse practitioners (NPs) evaluate patients requiring anesthesia for procedures and surgery. Preoperative NPs each complete >100 consults monthly. The goal of these consults is to minimize patients' risk for adverse perioperative events and to optimize their chance to have safe and positive anesthetic outcomes.
Preoperative NPs work with providers over multiple disciplines in developing and implementing patient care plans.
Clinical responsibilities:
- Work with anesthesia practitioners on the preoperative evaluation and care of patients of various surgical and procedural services, including but not limited to: head and neck surgery, plastic surgery, podiatry, gynecology, orthopedics, urology, general surgery, vascular surgery, neurosurgery, thoracic surgery, dental, gastroenterology, cardiology, and interventional radiology
- Perform medical risk stratification, which includes a detailed review of a patient's medical problems, a physical exam, and a review of laboratory, radiologic, and other diagnostic studies such as EKG's, cardiac stress tests, and pulmonary function tests.
- Work with anesthesia providers in determining if a patient needs additional preoperative testing or subspecialty referral and then arranging for those tests and referrals
- Follow up on any pending labs, studies, or consults that may affect a patient's perioperative course
- Identify any urgent medical, surgical, or psychiatric needs and assist in the timely development and execution of plans to avoid cancellation or delay of the surgery or procedure
- Work with anesthesia providers to establish recommendations for perioperative care and medication management
- Provide patient education regarding preoperative instructions and perioperative medication management
- Follow the clinic's standard operating procedures (SOPs)
- Advocate for patients and ensure that they receive all necessary care, which may require coordination of follow up with primary care or referral to a specialist
- Evaluate, promote, and strive to protect the health, safety, and rights of patients throughout the perioperative process
Additional opportunities:
- Participate in practice improvement projects
- Participate in interdisciplinary care pathways and initiatives
- Make contributions throughout the medical center through professional presentations, academic teaching, and active participation in professional organizations
III. SUPERVISORY CONTROLS
The APRN is responsible to the first level supervisor both clinically and administratively. The APRN collaborates with others involved in patient care, including but not limited to Licensed Vocational Nurses (LVN's), Nursing Assistants (NA's), social workers (LSW's), and other Registered Nurses (RN's). The Approving Official is the second level supervisor.
Patient Centered Care
VAGLAHCS's customer service delivery model is Patient Centered Care (PCC). This center endorses a team- oriented, customer-driven, professional environment that promotes access to care for all veterans. Components of this model include educating and empowering patients and their families, providing support for all aspects of a patient's health, and maintaining integrity and accountability in order to ensure a high quality of care. The incumbent is responsible for implementing Patient-Centered Care principles in their work area.
VI. AGE, DEVELOPMENT, AND CULTURAL NEEDS OF PATIENTS
The population of veterans served ranges from the young adult, age 18, to the elderly adult, age 65 and over. VAGLAHCS is a major interdisciplinary teaching facility serving medical, surgical, and psychiatric inpatients and outpatients.
The incumbent should be sensitive to the various needs of several veterans' populations served:
- Young Adults (20 to 40): developing a career, fanning intimate relationships, selecting a healthy life style, and acquiring problem-solving skills
- Middle Age (40 to 65): attaining personal growth and meaning; maintaining balance in terms of family life, work, and community involvement; health maintenance/prevention of illness.
- Senior Adults (65 to 75): adaptation to retirement, adjustment to decreased body functioning, and dealing with inevitable losses
- Middle Old Adults (74 to 84): adaptation to declines in speed of movement, reaction time, and sensory abilities that may lead to increased dependence on others
- Elder Adults (85+): safety issues related to a decrease in sensory, motor, and cognitive functioning, chronic medical conditions, maintenance of social relationships to avoid isolation
o Maintain Activities of Daily Living (ADL) and self-care
o Establish fiduciaries/beneficiaries
- Gender spectrum: includes male, female, transgender, nonbinary, gender fluid, among others
- Service/Time: veterans of various eras and wars
and many more not listed above
Work Schedule: To be determined
Financial Disclosure Report: Not required
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