VA San Diego Healthcare System currently has one (1) opening in Nursing Services for a RN, Clinical Nurse Specialist - Diabetes Educator located at La Jolla, CA. The Clinical Nurse Specialist (CNS) APRN Diabetes Educator, RN is a professional nurse who provides high quality, evidence-based care to patients through the utilization of advanced educational preparation and clinical expertise. The CNS supports the Medical Specialty Access Clinic. Collaborates with Nurse Manager (NM) Nursing Education, Nurse Manager and Assistant Nurse Manager (ANM) Medical Specialty Clinic, Associate Nurse Executive (ANE) Education & Research and ANE Medical Specialty Clinic to provide clinical leadership for the Medical Specialty Access clinic and clinical care to patients with diabetes. Provides educational services to patients with a diagnosis of diabetes including but is not limited to initial assessment of diabetes knowledge, group classes, individual teaching, and other appropriate approaches to education. Provides direct and indirect care for patients in the outpatient Medical Specialty Access clinic and inpatient settings when appropriate. Provides consultation regarding diabetes education and management to staff, patients, families, community, and other VASDHS related entities as appropriate. Provides continuing education services to staff to enhance care of patients with diabetes as appropriate, coordinates and provides diabetes educational programs and activities. Collaborates with other diabetes care providers to continually assess and improve clinical and educational service for patients with diabetes. Coordinates diabetes education among the community-based outpatient clinics and inpatient settings by providing staff education and educational materials and supplies as appropriate. Initiates consults and referrals to other departments as appropriate. Develops data systems and evaluates outcomes for VASDHS diabetic population to maintain American Diabetes Association (ADA) certification for the ADA Education Recognition Program. Completes electronic progress notes in a problem-oriented format with detail to obtain a clear picture of the patient's current health status. Provides case management services as appropriate for acutely and critically ill patients with diabetes during their inpatient stay. Acts as a resource, member, or chair to Nursing Service Councils, Hospital wide committees, VISN 22 groups and national workgroups related to diabetes care. Facilitates diabetes care using evidence-based practice (EBP) and participates in EBP projects. Disseminates accreditation standards and ensures staff compliance with The Joint Commission and other regulatory agency requirements related to diabetes care. Reviews and participates in Mock Tracers, Joint Patient Safety Reporting (JPSRs), Root Cause Analysis (RCAs), audits and sentinel events for training, system concerns, etc. Collaborates and participates with Medical Specialty Access Clinic nursing staff and Nursing Service in the selection and process of performance measure improvement for diabetes care. Maintains mandatory and clinical competencies for the position including certification as a Clinical Nurse Specialist (CCNS) from American Nurses Credentialing Center or from a VA-approved certifying body. Assists CNS team to evaluate and document clinical competency of nursing staff related to diabetes care. Coordinates with CNS group to provide orientation on diabetes education and cross-coverage for all inpatient and outpatient care units as needed. Lead, author, and provide consultation on Medical Specialty diabetes policies and procedures. Provides shared decision making to patients with diabetes to set individualized self-management goals which may include, but are not limited to glycemic control, lifestyle and medications, risk reduction, diet, physical activity, and coping. Counsels patients on lifestyle and medications. Addresses psychosocial issues related to diabetes. Provides comprehensive and ongoing patient education regarding diabetes medication therapy including insulin. Implements patient and staff education and training on devices such as insulin pumps, and continuous glucose monitoring. Performs continuous glucose monitor data interpretation. Provides basic diet counseling (e.g. consistent carbohydrate diet, carbohydrate counting). Performs history and physical (H&P) exams for patients with Diabetes or Pre-Diabetes. Performs diagnosis, management, and evaluation of Diabetes specific complications. The CNS may perform the following functions: general evaluation of health status, including, but not limited to the ordering of diagnostic procedures; medical supplies and formulating plans of care; assessment and management of acute and chronic illness; and the furnishing of medications and devices according to approved standardized procedures as it relates to diabetes. Performs other duties as assigned. Work Schedule: Monday - Friday, 0730 - 1600. Financial Disclosure Report: Not required
Internal Number: 600092500
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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.