Nurse Practitioner - Urology

Veterans Health Administration • Green Bay, WI

4d • Onsite

About The Position

This position is located at the Green Bay Community Based Outpatient Clinic (CBOC), within the Northeast Wisconsin Ambulatory Clinic (NEWAC) Division. The Nurse Practitioner practices in the Urology Service Line and provides a full range of services emphasizing quality, timeliness, and advancement of the Veterans Affairs mission. The role provides Urology care to Veterans in outpatient, clinic, and surgical settings, with the goal of increasing access and improving outcomes.

The Nurse Practitioner evaluates medical histories, performs physical examinations and diagnostic or therapeutic procedures, develops and adjusts medical management plans, orders and interprets diagnostic studies, and coordinates ancillary services and consultations. The role includes prescribing medications, ordering perioperative medications and blood products, obtaining informed consent when qualified to counsel patients, and providing health promotion, disease prevention, patient and family education, and perioperative teaching. Medical records must be completed in accordance with Medical Staff Bylaws and Rules and Regulations. The NP also builds professional relationships with providers across the medical center, OPCs, and CBOCs, and provides Urology education as needed.

Under full and limited autonomy, GU surgery duties include triaging, assigning, and managing Urology outpatients; obtaining consent for common GU procedures; coordinating care; monitoring scheduling and clinic profiles; performing preoperative histories and physicals; and assisting with day-to-day surgical patient management, including pre- and postoperative orders, ICU transfer orders, and medication and IV orders. Procedures include urethral catheter insertion and placement (including over a wire), suprapubic tube or catheter removal or exchange, intracavernosal injections and teaching, percutaneous tibial nerve stimulation, cryoablation of genital lesions with liquid nitrogen, removal of drains, ureteral stents and nephrostomy tubes, administration of oral and IV medications, initiation of IV infusions, cystoscopy and related procedures, transrectal ultrasound, and urodynamic studies.

The position's stated schedule is 0800–1630, Monday through Friday. Telework and virtual work are not available. Relocation and recruitment incentives and permanent change of station are not authorized.

Requirements

• Graduate from a professional nursing school approved by the appropriate accrediting agency, with the program accredited at the time of completion by ACEN or CCNE; foreign nursing education must have nurse practitioner degree equivalency validated through a recognized agency.
• Hold a post-master's certificate, master's degree, or doctoral degree as a Nurse Practitioner.
• Possess and maintain an active, current, full, unrestricted APN license to practice as a Nurse Practitioner in a U.S. state, territory, commonwealth, or the District of Columbia.
• Maintain full and current basic board certification in an accepted Nurse Practitioner specialty from ANCC, AANPCB, or another nationally recognized certifying body in the area of academic preparation.
• For Nurse Practitioner III qualification, meet the basic education requirement and have one year of specialized APN (NP) experience equivalent to Nurse II. No experience is required for the Nurse II entry grade.
• Meet the applicable grade-level dimensions for clinical practice, outcome focus, leadership, professional development, and professionalism/collegiality.
• Be a U.S. citizen, except that non-citizens may be appointed when it is not possible to recruit qualified citizens under VA policy.
• Be proficient in basic written and spoken English.
• Meet Selective Service registration requirements, if applicable.
• Submit to required urinalysis drug screening, background/security investigation, pre-employment physical evaluation, onboarding, and seasonal influenza vaccination requirements.
• Complete all application requirements in the announcement's Required Documents section; a probationary period may be required.

Nice To Haves

• Experience performing Urologic procedures, including cystoscopies.

Responsibilities

• Provide high-quality Urology care to Veterans across outpatient, clinic, and surgical settings to increase access and improve outcomes.
• Obtain and evaluate medical histories; perform physical examinations and diagnostic and therapeutic procedures; develop and adjust medical management plans.
• Order and interpret diagnostic studies, including MRI, CT, laboratory tests, EKGs, and imaging, and order ancillary services, consultations, and patient care supplies according to VHA and local policy.
• Write orders for and prescribe medications; order pre-procedure and preoperative antibiotics and other medications; and order administration of blood products.
• Obtain and document informed consent for treatments and procedures when working under full or limited autonomy or as an integral member of the treatment team, when qualified to counsel the patient about indications, risks, benefits, and alternatives.
• Provide health promotion, disease prevention, patient and family education and counseling, and perioperative and postoperative teaching.
• Complete medical records in accordance with Medical Staff Bylaws and Rules and Regulations.
• Establish professional working relationships with providers across the medical center, OPCs, and CBOCs, and provide Urology education as needed.
• Triage, assign, and manage Urology outpatients; obtain consent for common GU procedures; coordinate care with other health care professionals; and monitor scheduling accuracy and clinic profiles.
• Perform preoperative histories and physicals and assist with day-to-day surgical patient management, including pre- and postoperative orders, ICU transfer orders, and medication and IV orders.
• Perform listed GU procedures, including catheter and tube placement or removal, injections, percutaneous tibial nerve stimulation, cryoablation, drain and stent removal, medication administration and IV infusion initiation, cystoscopic procedures, transrectal ultrasound, and urodynamic studies.

Benefits

• Competitive salary, regular salary increases, and potential performance awards.
• 50 days of paid time off per year, comprising 26 days of annual leave, 13 days of sick leave, and 11 paid Federal holidays.
• Traditional federal pension with five-year vesting.
• Federal 401K with up to 5% in contributions by VA.
• Federal health, vision, dental, term life, and long-term care insurance; many federal insurance programs can be carried into retirement.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level