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 SCOPE: Functions as a Licensed Independent Practitioner within the Behavioral Health Department at the Fayetteville VA Coastal Health Care System. Duties include initial and ongoing evaluation and assessment of Veterans seen who present to the Urgent Care Center/Emergency Department or are currently hospitalized on an inpatient unit (consultation). Includes management of required labs, medications, consultation and/or follow-up planning on known or suspected Mental Health pathology. Progress notes and orders, to include admission orders to the inpatient behavioral unit, are required on all patients, as well as, histories and physicals when indicated. Care planning with collaborating physicians/providers, peers, patients, families and allied services is expected. Executes position responsibilities that demonstrate leadership, experience, and creative approaches to management of complex client care. The Nurse II registered nurse is a PROFICIENT nurse, "who understands a situation as a whole because they perceive its meaning in terms of long-term goals." (Benner). The proficient nurse learns from experience what typical events to expect in a given situation and how plans need to be modified in response to those events. The proficient nurse can now recognize when the expected picture does not materialize; decision making is less labored. The proficient nurse considers fewer options and hones in on an accurate region of the problem (Benner). GENERAL DESCRIPTION OF ASSIGNED DUTIES The Psychiatric Nurse Practitioner functions in a clinical role to provide Veteran care and promote patient-centered interdisciplinary approaches to those individuals referred for Psychiatric services at FVAHCCS in accordance with standards of VHA and other accrediting bodies to include the following: These duties are performed on a routine and repetitive basis based upon the training and experience of the incumbent Psychiatric Nurse Practitioner. - Perform initial psychiatric comprehensive evaluations on new patients, collecting information of the chief complaint, as well as applicable additional information such as past psychiatric history, past substance abuse history, medical and family histories, psychosocial histories, and treatment histories. When appropriate, a limited (most common) or complete (uncommon) physical examination should be completed as needed to complete the Nurse Practitioner's understanding of the patient's situation and needs. - Develop an initial treatment plan incorporating the appropriate level of expertise regarding psychiatric evaluation and treatment. - Manages ongoing treatment of follow-up patients, consulting with other psychiatric and medical consulting providers as appropriate, based upon the Nurse Practitioner's experience and delegation of duties. - Coordinates care for psychiatric patients, ordering appropriate diagnostic tests, performing patient education regarding the ongoing care of the Veteran's mental health needs, prescribing medications as appropriate. - Places orders for diagnostic tests and evaluates the test results or reports. - Coordinates clinic and providers schedules to maximize clinic efficiency and Veteran access to care. - Participates in the evaluation and treatment, as well as triaging of walk-in or same day access outpatients when this is needed. - Manages inpatient care as requested, making rounds, recording psychiatric progress, updating and summarizing the medical records, changing patient orders as appropriate. The ARNP functions autonomously within their approved privileges and in collaboration with other providers, peers, and other member of the health care team to develop, implement, and coordinate a system of patient care delivery that effects achievement of quality of care, patient satisfaction, positive outcomes, appropriate utilization of resources, and cost-effective services. The ARNP is knowledgeable in assessment, treatment, and evaluation of a comprehensive range of psychiatric problems, emergency measures, preventative health, health promotion, prescribing of medications and treatments, ordering and interpreting laboratory data and diagnostic studies/procedures, and patient/family education. The ARNP provides care and counseling of persons based on the nursing process, which includes systematic data gathering, assessment, using appropriate nursing judgment, and evaluation of human responses to actual or potential psychiatric problems through such services as case finding, health teaching/counseling, provision of care supportive to or restorative of life and well-being, and executing medical regimens. The nurse practitioner's primary commitment is to the patient, whether an individual, family, group, or community (ANA Code of Ethics for Nurses). Work Schedule: Shift Work; based on the needs of the service 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.