Nurse Practitioner (NP) - PT

STGi•West Seneca, NY

32d•Onsite

About The Position

STGi is seeking a Nurse Practitioner (NP) to provide services at our Community Based Outpatient Clinic (CBOC). The Nurse Practitioner is an Advanced Practice Registered Nurse responsible for providing professional clinical services under the direction of the CBOC Primary Care Provider (PCP). This role involves a wide range of health services, including urgent and emergent evaluation of episodic and chronic problems, and comprehensive, integrated primary health care. The NP will be knowledgeable in assessment, treatment, and evaluation of health problems, emergency measures, preventive health, prescribing medications, ordering and interpreting diagnostic studies, and patient/family education. The position requires maintaining current knowledge, acting as a role model and mentor, advocating for clients, and participating in professional activities. The Nurse Practitioner will work closely with the Patient Aligned Care Team (PACT) and support staff, emphasizing wellness, prevention, and early detection, while supervising support staff in patient care delivery. They will maintain universal precautions, infection control practices, and ensure a smooth patient flow in accordance with VA access standards and triage protocols. Responsibilities also include performing CPR, investigating health problems, conducting physical examinations, diagnosing health problems, developing and evaluating treatment plans, prescribing medications, making referrals, and directing healthcare services. The NP will operate therapeutic and emergency equipment, obtain patient history, perform examinations, order diagnostic tests, demonstrate knowledge of pharmacology, and administer medications within established guidelines. They will also recommend and follow up on laboratory tests, document patient information in VISTA, maintain the VISTA clinic reminder tracking system, close patient charts, and schedule appointments according to VA standards. Additionally, the NP will keep patients informed of their care plan, provide health education, assist the Registered Nurse with electronic documentation, comply with all safety and operational regulations, participate in performance improvement programs, ensure timely and accurate reporting, participate in staff development, and maintain confidentiality. The role also involves aiding in the management and coordination of the CBOC's daily activities and performing other assigned clinical duties.

Requirements

Advanced Practice Registered Nurse (APRN) with Nurse Practitioner (NP) designation.
Knowledgeable in the assessment, treatment, and evaluation of a comprehensive range of health care problems.
Proficient in emergency measures and preventive health.
Skilled in prescribing medications and other treatments.
Ability to order, conduct, and interpret laboratory and diagnostic studies and procedures.
Competent in patient and family education utilizing community, social, and health resources.
Maintains knowledge of current practice.
Acts as client advocate.
Functions within the scope of practice of the state Nurse Practice Act (NPA).
Adheres to Joint Commission standards.
Follows VA Medical Center guidelines.
Complies with Officer of the Inspector General directives.
Maintains universal precautions and infection control practices.
Proficient in performing cardiopulmonary resuscitation (CPR).
Demonstrates knowledge of pharmacology.
Maintains confidentiality of all information.
Supports patients' privacy, rights, and safety.

Nice To Haves

Acts as role model and mentor to other APRNs.
Participates in professional activities at local and state level.

Responsibilities

Provides primary and preventive medical care to meet the needs (physical, mental, and emotional) of patients under a limited scope of Current Procedural Terminology (CPT) codes and within his/her skills and training.
Provides medical patient care to the scope and standards of practice established by a nationally recognized credentialing organization representing Nurse Practitioners.
Functions within the scope of practice of the state Nurse Practice Act (NPA), the Joint Commission standards, the VA Medical Center guidelines, and Officer of the Inspector General.
Works closely with the Patient Aligned Care Team (PACT) and extended support staff including daily huddles with the team.
Emphasizes wellness, prevention, and early detection.
Supervises support staff in delivery of care to patients.
Maintains universal precautions and infection control practices.
Provides smooth and timely flow of patients in accordance with the Veteran Administration's (VA) access standards and triage protocol.
Performs cardiopulmonary resuscitation (CPR) and assisting during respiratory and cardiac arrest procedures.
Investigates health problems or health needs by gathering and assessing historical information.
Performs a physical examination appropriate to the patient's history.
Diagnoses health problems based on interpretation of the patient's history, physical exam findings, and diagnostic test results.
Develops a treatment plan, tailored to the patient's needs, which includes health education, pharmacologic and non-pharmacologic treatment.
Prescribes medications, as appropriate.
Evaluates the results of the treatment plan, modifying the plan as needed to achieve the treatment goals.
Makes referrals for specialty evaluation or treatment.
Directs and coordinates the provision of health care services for patients in primary care, i.e., walk in patients.
Provides a model for clinical practice within the clinic setting.
Sets up and operates therapeutic and emergency equipment, including monitor, electrocardiogram (EKG), oxygen, automatic electronic defibrillator (AED) and portable suction.
Obtains patient history on new and follow-up and record appropriate findings according to VA standards.
Performs initial and periodic physical examinations within limits of privileges and record findings.
Orders diagnostic tests according to the chief complaint, physical and emotional/mental findings and symptoms.
Demonstrates the knowledge of pharmacology.
Prescribes and administers medication within limits of privileges and state and federal regulations.
Recommends and follows up on laboratory tests and specialized diagnostic procedures, as deemed necessary.
Documents all pertinent patient information in the medical records and Veterans Health Information Systems and Technology Architecture (VISTA) to demonstrate quality care delivery and promote continuity of care.
Keeps the VISTA clinic reminder tracking system current for each enrolled patient.
Closes patient charts within 24-72 hours of encounter and places Return to Clinic (RTC) orders promptly.
Assists in scheduling patients for initial and follow-up appointments in accordance with the VA's access standards and the patient's medical necessity.
Keeps patients informed of their plan of care, including lab and diagnostic test results as needed.
Provides health educational materials, resources and education to patients and their families for informational purposes and in accordance to their need and learning capacity.
Assists the Registered Nurse to ensure all patient information on electronic encounter documentation is complete and accurate.
Complies with all federal, state, local, Joint Commission, Occupational Safety and Health Administration (OSHA), Veteran Affairs, and Subcontractor safety and operational regulations, directives and standards.
Participates in the ongoing Performance Improvement Program between the VAMC and STGi Performance Excellence program including regularly scheduled peer reviews.
Ensures that all required reports and clinical information is completed in an accurate, timely and complete fashion.
Participates in staff development programs.
Maintains confidentiality of all information and supporting patients' privacy, rights, and safety.
Aids in management/coordination of the CBOC's day-to-day activity.
Performs other clinical duties assigned within limits of privileges.