The Iowa City VA Health Care System is recruiting for a full-time Nurse Practitioner in the Primary Care service line. The provider will manage scheduled and unscheduled patients in the outpatient clinic setting. This is an open and continuous announcement. Applications will be referred every 2 weeks until position is filled or announcement closes, whichever occurs first. This vacancy may be filled by either an NP or Physician and is also being announced through CBSY-11073869-21-CAB. The ARNP is directly responsible and accountable to the consumer and is prepared through a formal, organized educational program to coordinate and deliver comprehensive, continuous personalized health care. The assignment for this nurse practitioner is Primary Care. General clinical privileges and responsibilities include, but are not necessarily limited to the following: Obtain a comprehensive (or otherwise appropriate) health history on patients seen in assigned clinical areas. Performs a comprehensive (or otherwise appropriate) and problem focused physical examination on patients seen in assigned areas. Order lab work, x-rays, diagnostic studies and make referrals as indicated for further assessment. Interpret the history, physical examination and test results, employing a comprehensive clinical assessment to formalize a diagnosis. Make sound clinical judgements based on this evaluation and formulates an individual treatment plan based on patient needs. Evaluate health outcomes and implement a revised assessment and plan if indicated. Collaborate with staff physician for confirmation of diagnosis and treatment plan in complex or unstable patient care situations. Refer medical problems beyond the scope of the nurse practitioner to the physician for evaluation. Disagreements between nurse practitioner and physician will be resolved by the ACOS for Ambulatory Care. Documents all notes for permanent chart record on all patients seen. Assess and manage minor acute and stable chronic physical and/or psychiatric problems. Prescriptive authority for the nurse practitioner falls within the nurse practitioner's scope of practice as outlined in Prescription Practice Guidelines. Confer with a collaborating physician prior to obtaining consultation with other subspecialty services in medical, surgical or psychiatric services. Accept phone calls from patients, family members, Visiting Nurse Association (VNA) staff, and other outside professionals regarding patient status and/or questions regarding their care. Confer with physician when necessary. Patient care functions may include nail care, blood glucose assessment, and wound care. Procedures may include basic bladder ultrasound, pelvic examinations, diaphragm fitting, and testicular/prostate/rectal examinations. Carry out activities as part of a preventive health care program; utilize screening methods to determine the need for further health care. Provide health care education and counseling for the patient and patient's family regarding medical conditions, health status, and the use of prescribed treatment and drugs. Recommend therapy measures regarding physical, social and environmental factors. Performs health promotion and illness prevention counseling utilizing patient education, self-care and risk reduction strategies. Demonstrates compliance with policies and procedures related to bloodborne pathogens. Utilizes precautions. Self-evaluation of practice every twelve months. Periodic review of the medical record by the ACOS for Ambulatory Care or designee. Peer review may be utilized as an evaluation component. Maintain state ARNP licensure and nurse practitioner certification/recertification. Sensitive information (electronic, written or oral) obtained in connection with employment whether involving patients, employees, medical center or VA information will not be discussed with anyone (unless a patient release is signed or at the direction of the medical center director.) and only with VA employees on a "need to know" basis. This includes protection of information from loss, alteration, unauthorized deletion, and unauthorized access. Triage and appropriate scheduling requests for GI consults by health care providers. Incorporate developmental life stages and age-related competencies into the assessment and management treatment plan for each individual. Additional Duties may include: Precept and educate nursing and nurse practitioner students as Adjunctive Faculty for the University of Iowa College of Nursing. Act as mentor to other non-physician providers as requested. Coordinate, chair, or participate in hospital programs, committees, clinical guideline or policy development, and quality improvement (QI) activities. Work Schedule: Monday-Friday, 8:00am-4:30pm Financial Disclosure Report: Not required This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific individual eligibility requirements in accordance with VHA policy and submit your EDRP application within four months of appointment. Approval, award amount (up to $200,000) and eligibility period (one to five years) are determined by the VHA Education Loan Repayment Services program office after complete review of the EDRP application. Learn more
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.