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The Hampton VA Medical Center is seeking a Physician to work as a Nurse Practitioner (Transplant) at our facility. The Nurse Practitioner will be part of the Patient Care Services team supporting Veterans and the significant people in their lives. If you are interested in a career that offers professional/work life balance in a supportive clinical learning environment, providing patient-centered, state-of-the-art care to Veterans, we welcome you to apply to be part of the Hampton VA team
Duties
The following duties are required of the position; they include, but are not limited to:
- Responsible and accountable for individual nursing practice and determines the appropriate delegation of tasks consistent with the Nurse Practitioner's obligation to provide optimal care (ANA Code of Ethics for Nurses).
- Plans and delivers technically competent care to patients.
- Correctly performs procedures or seeks help when needed.
- Safely and effectively uses equipment required for patient care. Reports equipment in need of repair.
- Recognizes subtle abnormal signs and symptoms and/or changes in patients' condition and responds appropriately.
- Makes assignments and directs activities of other unit staff, (RNs, LPNs, students, PSAs, other team members).
- Formulates a plan of care based on nursing assessments based on the ANA Standards of Nursing Practice and seeks assistance as needed: 1) Completes initial assessment of patient condition and response to treatment and initiates follow-up as needed. 2) Includes the patient and family/significant other in developing the initial plan of care and establishing goals. 3) Updates plan of care with assistance as needed. 4) Assesses patient's learning needs, learning preference, and readiness to learn. 5) Develops and implements a plan to meet learning needs, instructing patients and families in basic health teaching and discharge planning.
- Documents the nursing process: 1) Documentation is consistent, accurate, concise, and timely. 2) Evaluates and documents patient response to interventions and progress towards attainment of goals and expected outcomes. 3) Revises plan of care according to evaluations of patient responses. 4) Uses the Computerized Patient Record System (CPRS) and the Bar-Coded Medication Administration (BCMA) software per policy.
- Manages nursing care of patients: 1) Organizes and completes own assignments in a safe and timely manner, assisting team members as necessary. 2) Assigns patient care responsibilities based upon patient needs and competencies of staff. 3) Provides direction for team members in meeting patient care needs. 4) Follows-up to ensure that assigned delegated tasks are completed by team members.
- Demonstrates grade-appropriate and consistent critical thinking skills: 1) The Nurse Practitioner can recognize the patient has a problem. 2) The Nurse Practitioner can manage the problem safely and effectively, recognizing his/her scope of practice. 3) The Nurse Practitioner has a relative sense of urgency. 4) The Nurse Practitioner takes the right action for the right reason (del Bueno).
- Position-specific Competency Checklist is completed annually and is rated competent in all measured areas.
- Provides coordination between the patient and transplant centers under the direction of the supervising physician in each area (example: Gastroenterology Liver, Pulmonary Lung, Nephrology Kidney, Heme/Onc bone marrow).
- Responsible for the logistical coordination of all transplant cases between Hampton VA Medical Center (HVAMC) and transplant centers providing effective communication and leadership with coworkers, physician, and hospital staff throughout the donation process.
- Work with specialty specific colleagues and evaluates referrals for organ and tissue donor suitability based on Organ Procurement and Transplant Network/United Network for Organ Sharing (OPTN/UNOS) and Center for Disease Control (CDC) guidelines/recommendations and other regulatory requirements: 1) Is familiar with the processes and criteria for transplant, emergency transplant referral, and resubmission/second opinions. 2) Works with the team to make sure the referral checklist is complete. 3) Works with the team to make sure the VACO CPRS template is updated. 4) Gathers documents for supplemental referral to be uploaded in Tracer. 5) Monitors referrals for decisions and maintains communication with the team and patient.
- Monitors patients that are transferring between one VA transplant Center to another and/or veterans transferring care from/to Hampton VAMC.
- Maintains a permanent record of the organ and tissue donation in accordance with accepted confidentiality standards.
- Completes the donor Electronic Medical Record (EMR) record in a timely and accurate manner.
- Identifies organ and tissue-specific and behavioral risk factors utilizing all available resources.
- Participate in periodic national teleconferences.
- Facilitates adherence to VHA Directives regarding Solid Organ and Bone Marrow Transplant (VHA Directive 2012-018(1)), LVAD/Heart (VHA Directive 1102.08) and Organ, Tissue, and Eye Donation (VHA 1101.03) or other policies related to transplant care.
- Other duties as assigned.
Work Schedule: Monday - Friday, 7:00 AM - 3:30 PM
Telework: Not Available.
Virtual: This is not a virtual position.
Relocation/Recruitment Incentives: Not Authorized.
Financial Disclosure Report: Not required.
