Current, permanent VA employees and Federal employees from other federal agency should apply under CBST-11160921-21-LD This position is located in the Primary Care Service at the Ozark CBOC (Community Based Outpatient Clinic) within the Veterans Healthcare System of the Ozarks. Provide therapeutic, rehabilitative and preventive care for patients such as reinforcement and initiation of patient and family education with minimal supervision. Demonstrate disease processes to observe for and recognize physiological and/or psychological deviations in patient's condition and initiate appropriate changes in plan of care with concurrence of the charge nurse. Report and record current observations such as patient's physical condition, emotional response and results of procedures; observe skin conditions, variations in vital signs, personal habits of patients, and listen for clues to patient's reaction to illness and treatment. Obtain information about the patient and chart pertinent data regarding the patient's condition. Demonstrate advanced nursing practice with very minimal remote supervision of a registered nurse or physician. Provide patient and family education regarding the patient's condition, procedures, and preventive health care; reinforces health teaching initiated by the multidisciplinary treatment team. Properly prepare and administer medications with minimal to no supervision as well as be able to recognize contradictions and to assess the effectiveness of medications given. Recognize emergency situations, cardio-pulmonary arrest, and initiate CPR or appropriate action. Maintains precise adherence to basic principles of asepsis, safety, and universal precautions to provide a safe environment for patients, families, and employees. Perform Telehealth imaging, including teleretinal screening, teledermatology, Telewound care and other Telehealth programming as technology becomes available, as identified and referred by the primary care provider, other providers, and the imager. The TCT will provide patient education regarding the imaging process. Responsible for the patient site facilitation of the clinical, business, scheduling and technical aspects for real-time Telehealth applications, including, but not limited to, Telemental health, primary care Telehealth, Telerehabilitation and telepatient education clinics. Use video-conferencing technologies, Telehealth technology and scheduling software to coordinate and connect staff, resources, patients and providers in the manner effective to delivery of services, patient care, education and training. Conducts quality control procedures on equipment and products and maintains proper records for quality control reports and workload reporting. The TCT is responsible for the day-to-day operation of the clinical video conferencing, training, CCHT, SF, My Health E Vet and Telehealth clinics. Perform personal care, diagnostic support duties and treatments according to procedure under the direction of the professional nurse in a timely manner. Responds to patient's nursing needs, including physical comfort, and emotional needs and recognizing deviations from the normal. Involves patients and family to participate in the provision of care throughout the continuum. Advanced knowledge and ability to understand the patient's chart, medical history, and nursing plan of care for distinguishing between patients and communicating appropriately about the provision of care. Perform other related duties as indicated by the needs of the patient and the unit Work Schedule: Monday-Friday 7:30am-4:00pm 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.