Summary

The position is located at the Audie L. Murphy Memorial Veterans' Hospital in San Antonio - TX and reports to Surgical Care. The APN in Vascular Surgery provides a full range of services and practices decisions autonomously and in consultation with physician and health care professionals - in a collegial relationship for mutual consultation and referral. Orders - facilitates - and interprets laboratory tests - diagnostic studies - and for Vascular Surgery patients to ensure timely completion.

Duties

• The Vascular Surgery APN/NP is a licensed independent practitioner with advanced education and national certification who provides a full range of care utilizing treatment guidelines in the delivery of high-quality care
• Major duties and responsibilities of the position include - but are not limited to: Make practice decisions autonomously and in consultation with physician and health care professionals - in a collegial relationship for mutual consultation and referral
• Order - facilitate - and interpret laboratory tests - diagnostic studies - and for Vascular Surgery patients to ensure timely completion
• Write progress notes daily for General surgery patients and assist teams as necessary with other progress notes
• Independently review or complete discharge summaries on all patients on a daily basis
• Provide follow-up for evaluation of outcomes of x-rays - laboratory tests and diagnostic procedures
• Detect and evaluate any significant change in patient's condition and provide treatment as indicated
• Independently managing a panel of patients with acute and chronic health conditions with an emphasis on health promotion and disease prevention using evidence-based practice Providing assessments - evaluations - and care coordination of Veterans Prescribes pharmacologic and non-pharmacologic interventions
• Developing and implementing an individualized plan to achieve optimal population health and disease management Ordering and interpreting labs - tests - and diagnostic studies
• Demonstrates critical thinking in assessing and managing complex clinical situations
• Communicates with patients via phone inquiries - secure messaging - etc
• regarding surgical issues pre and post surgery
• Aiding in health promotion - disease prevention - and health education Initiating referrals/consults for services - serving as a VA and community liaison Leads the delivery of care to assure continuity of care and peer accountability for practice - improving outcomes of panel/program
• Communicates to attending surgeons and physicians regarding Vascular Surgery patients follow up and management of urologic procedures
• Routinely staff the Vascular Surgery and Pre-Admission Surgical Screening Clinic (PASS) clinics In conjunction with Vascular Surgeon responsible for postoperative care of patients including inpatient rounding - discharge instructions from hospital - postoperative clinic evaluation and care
• Educate patients on procedures to decrease post-operative wound infections - discuss some of the known risks of the surgery they are about to undergo - the pre-operative and post-operative expectations and expected hospital stay as needed
• Maintaining written scopes of practice to medical aspects of patient care that are agreed upon and reviewed every 2 years by the APN and collaborating physician Identify systems issues affecting patient care and take appropriate actions to resolve the situation
• Collaborate with nursing - MAS - radiology - pharmacy and other interdisciplinary services as indicated
• Reviewing consults for Vascular Surgery and assigns to appropriate clinics for scheduling by MAS
• Collaborate with the client/family to establish physical - mental - cultural and environmental factors that facilitate or impede expected goals of surgery and post operative discharge
• Contributes to performance improvement initiatives by identifying - analyzing - developing - and implementing processes that improve care at the panel - program - or population level
• Collaborates with stake holders to improve patient care - staff development - and performance measure
• VA offers a comprehensive total rewards package: VA Nurse Total Rewards Pay: Competitive salary - regular salary increases - potential for performance awards Paid Time Off: 50 days of paid time off per year (26 days of annual leave - 13 days of sick leave - 11 paid Federal holidays per year) Retirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA Insurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement) Licensure: 1 full and unrestricted license from any US State or territory Work Schedule: Monday - Friday - 7:30-4pm CST Telework: Not Available Virtual: This is not a virtual position
• Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized EDRP: Not Authorized