The Advance Practical Registered Nurse(APRN) position is located in the Katy Community Based Outpatient clinic in the Home Based Primary Care (HBPC) Section of Rehabilitation and Extended Care Line (RECL) at the Michael E. DeBakey VA Medical Center (MEDVAMC). The role of Advance Practical Registered Nurse(APRN) will involve assessing/evaluating Veterans, interpreting routine diagnostic tests, establishing diagnoses, planning, coordinating, and executing treatment plans to include prescribing medications. The APRN must be able to provide care to patients facilitating the attainment of health goals, works with nurses to advance nursing practice to improve outcomes cost-effectively, and/or provides clinical expertise to affect system-wide changes in organizations to improve programs of care. The APRN will make scheduled home visits to the veteran's residence; this position requires driving within a 50 mile radius of the assigned duty station. The APRN cares for a specific population or patients primarily in the patient's home but includes and are not limited to, emergency department primary care clinics, medical foster home, residential and ambulatory surgery programs. This includes identifying the patient's biopsychosocial concerns, defining the management of these problems, and determining the need for treatment, consultation, or referral. The APRN consults/collaborates with healthcare clinicians and other team members. The incumbent is responsible for leading the multidisciplinary team in coordinating and supporting care activities from the point of diagnosis and across the continuum of care through disposition for patients receiving services at MEDVAMC. The APRN provides leadership that facilitates the delivery of quality coordinated care through the application of the Physician Assistants process, medical model, and using patient-centered principles of care. The APRN is responsible for the development and continued effective function of the HBPC program while working collaboratively with other VISN facilities to improve coordination of care. The APRN must maintain a valid driver's license and clean driving record. The APRN performs initial histories and physical examinations. The APRN assumes primary medical responsibility and provides ongoing care for assigned HBPC patients. The APRN coordinates and collaborates with other team members and health care providers. The APRN has an active role in weekly Interdisciplinary Team Meetings. Initiates and follow-up on requests for consultations and scheduling special tests and studies. Determines the need for consultation from medical/surgical/psychiatric subspecialty clinics. Prescribes treatment and medications within defined scope of practice. Orders diagnostic studies such as laboratory tests, x-rays, electrocardiograms (EKGs). Determines the need for and facilitates admission to the hospital. Carries out health promotion and disease prevention activities. Draws blood specimens for testing and performing other comparable lab procedures if needed. Makes interim summaries of the patient's medical record. Dictates discharge summaries for supervising physician signature. Provides education and counseling of patients and families in preventive care, medical conditions, and use of prescribed treatments and drugs. Provides optimum care to the veteran. May cover other Physician Assistant in Geriatrics Extended Care (GEC) areas in the absence of assigned staff. All other duties dictated by patient care. Work Schedule: Tour: 8:00 am - 4:30 pm May required extended hours, nights, or weekends. Subject to change at the discretion of the agency Financial Disclosure Report: Not required Education Debt Reduction: No
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.