Primary Care Advanced Registered Nurse Practitioner

4 weeks ago

Grand Island, Nebraska, United States Department Of Veterans Affairs Full time
Summary

Welcome to the Heartland of America and the VA Nebraska-Western Iowa Health Care System. Omaha's cost of living is 8 % lower than the US average. It was ranked #13 in the U.S. for the "Top States for Business" in 2017. Home to four Fortune 500 companies. Omaha continues to be recognized as a wonderful community where affordability and a strong economy attract young professionals, while safety, and a plethora of education options and family-friendly activities are appealing to those with kids.



Duties

The VA Midwest Health Care Network advocates for a Whole Health System of care in each of the Medical Centers. This is an approach to healthcare that empowers and equips people to take charge of their health and well-being and live their lives to the fullest. As an employee operating in a Whole Health System of care, you will operate in a model with three core elements, seeking to create a personalized health plan for each Veteran. This is done in the context of healing relationships and healing environments and a connection back to the Veteran's community. This aligns with the Veterans Health Administration (VHA) Mission Statement to Honor America's Veterans by providing exceptional health care that improves their health and well-being.

Additional duties may be assigned by the Primary Supervisor Physician, appropriate Chief of Service or Chief of Staff, which may included provisions for special training to assure proficiency.

  • Obtain pertinent medical and psycho-social history including patient profile, chief complaint, history of present illness, past medical history, social history and review of body systems.
  • Perform a physical examination as pertinent, modifying the examination for the nature of the complaint or problem, age/sex of patient and physical condition of patient.
  • Determine patient's mental status (i.e., level of consciousness, orientation, mood, etc.).
  • Order and/or perform the following diagnostic test. Order other laboratory, x-ray and diagnostic studies appropriate for complaint, age, race, sex and physical condition of patient.
  • Obtain the following specimens for laboratory evaluation:
  • Record and transmit findings from data base:
  • Differentiate between normal and abnormal (including variations of normal) information obtained from history, physical, and screening examination of the patients.
  • Preliminary interpretation of diagnostic tests with consultation as necessary (such as routine x-rays of chest and extremities, lab studies, EKG, etc.)
  • Develop initial impression as to severity, etiology and immediacy of patient's problem based on analysis of data obtained from history, physical, laboratory and x-ray studies.
  • Establish diagnosis of common problems with physician consultation and guidance as appropriate.
  • Develop/Formulate Health Management Plan - Develop a management plan considering patient's problem, age, sex, race and condition, conferring with the patient, supervising physician, patient's family and other health professionals as appropriate.
  • Implement and Monitor Health Management Plan
  • Apply established therapeutic practices to patient's problem.
  • Prescribe medications from the open hospital formulary, except for controlled substances, as an agent for and in the name of the supervising physician.
  • Initiate appropriate management for emergency situations until physician is available.
Work Schedule: Typically tour of duty is Monday- Friday, 7:30am-4:00pm. Additional information may be provided during interview process.

ADHOC: May be authorize (Employee who Telework on an occasional, episodic, or short-term, and have completed required telework training and telework agreement). This is not a virtual position.

Virtual: This is not a virtual position.

Travel requirements: Occasional travel may be required to provide coverage at the Holdrege and North Platte CBOCs

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