The GeriPACT Nurse Practitioner is responsible for identifying and facilitating options and services for meeting patients' health needs while decreasing fragmentation, preventing duplication of care, enhancing quality, and providing cost-effective clinical outcomes. The GeriPACT Nurse Practitioner works under the direction of the Chief, GEC Service, and works collaboratively with the GeriPACT physicians and other staff. - Performs an advanced comprehensive health history and physical exam considering the psychosocial, emotion, ethnic and cultural aspects of health. - Uses health assessment information and critical thinking to: - identify health concerns and risks. - identify normal and abnormal states of health. - formulate differential diagnoses. - Uses scientific knowledge to deliver evidence-based care to the Veteran. - Identifies and requests the appropriate patient lab and imaging studies and can interpret the requested tests using critical thinking. - Communicates with patients and the patient's designated surrogate the diagnoses/options and likely response to care and includes common side effects of treatment. - Documents health assessments, clinical data, diagnoses, management and conclusion in a timely manner using the electronic medical record. - Initiates timely referrals for subspecialty care as appropriate. - Actively provides counseling to promote health, reduce risk factors and prevent disease and disability. - Selects, prescribes, and analyzes correct dosages, routes and frequencies of medications and utilizes non-pharmacologic treatment modalities based on relevant individual needs, i.e., illness, age, gender, previous adverse drug reactions and medicines received from outside providers. Medicines are documented in the Medication Reconciliation note. - Evaluates the patient's response to the health care provided and the effectiveness of care. - Assumes accountability for practice. Demonstrates knowledge of the role of the nurse practitioner in case management. - Performs as an active member of the health care team to help Veterans negotiate through the system. - Demonstrates respect for the inherent dignity of every human being, regardless of their age, gender, religion, socioeconomic class, sexual orientation and ethnicity. - Provides care and monitors patients according to GeriPACT Program policies and guidelines. - Accurately determines patient eligibility for program participation. - Effectively assists patient in self-care management and compliance. - Completes and documents secure messaging, as applicable, in a timely manner. Escalation of secure messaging must not exceed the VHA standard. Appropriately responds to patient with assistance or name of staff member the patient may contact; if this unknown, alerts MyHealtheVet coordinator for assistance to prevent incomplete or escalation of messages. - Cleans equipment per RME policy after each use. - Actively participates in peer review activities with evaluation through the service as well as system based EPRP reviews. This includes self-evaluation - Actively participates in policies, procedures and standards to promote evidence-based patient-driven care. - Actively works to develop the role of the advanced practice nurse by: - Marketing the nurse practitioner role to the health care team; - Regularly participating in education opportunities to enhance knowledge base; - Acting as a preceptor to novice nurse practitioners when expert level has been achieved. - Advocates for the role of the Advanced Practice Nurse in the health care system. - Interprets his/her own professional strengths, role and scope of ability to peers, patients and colleagues. - Anticipates and recognizes changing urgent and emergent problems and collaborates with the physician for intervention. Other duties as assigned. Work Schedule: Monday-Friday, 8:00am-4:30pm Financial Disclosure Report: Not required
Providing Health Care for Veterans: The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,255 health care facilities, including 170 medical centers and 1,074 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.