The Nurse Practitioner provides primary health care to a selected patient in a Critical Care Setting with acute and/or chronic conditions. This practice includes independent and interdependent decision-making and direct accountability for clinical judgment. The primary setting will be the Medical Intensive Care units. This position will support the Federal Government's response efforts to COVID-19 ****This position is temporary, not to exceed 9/30/2022 and does not confer permanent status as a VA employee for purposes of continued employment. Once the time or COVID needs expire, your employment with the VA Caribbean Healthcare System may end.**** The Nurse Practitioner provides primary health care to a selected patient in a Critical Care Setting with acute and/or chronic conditions. This practice includes independent and interdependent decision-making and direct accountability for clinical judgment. The primary setting will be the Medical Intensive Care units. In addition to the above core and specialty specific duties, this applicant in Pulmonology/MICU possesses the necessary training and/or experience to perform the following specialty specific duties and procedures: May screen patients to determine the need for hospital admission, admission order placed after concurrence of collaborating physician, provide Inpatient Care to patients on the NP's clinical service including rounding, progress notes, discharge summaries, etc. Perform Local anesthesia (topical and injection), Wound care, debridement and simple wound closure, Arterial puncture and blood gas sampling, Insert/Remove Arterial Lines, Nasogastric Intubation, Gastric Lavage, Incision and drainage of simple abscesses, Insert Central lines, Paracentesis . In the outpatient setting, the NP evaluates and treats patients with common pulmonary disorders including: COPD, asthma, pneumonia, latent TB, and other Pulmonary disorders. The NP evaluates patients with newly discovered lung masses and arranges diagnostic workup as indicated. The NP performs pulmonary pre-operative risk assessments and radiographic surveillance of lung nodules after discussion with the supervising Pulmonary Diseases/Critical Care Medicine Staff Physician. The Nurse Practitioner in Pulmonology/MICU provides emotional support and education for patients and family members throughout the care process. The NP is fully integrated with both the physician and nursing care teams; and actively collaborates on MICU medical policy decisions and care paths. The Nurse Practitioner in Pulmonology/MICU performs under the supervision of a Pulmonary/Critical Care Medicine specialist, in a critical care setting, a comprehensive range of care, including , but not limited to: Hemodynamic management of patients with hypovolemia, management of sepsis and septic shock, management of vasopressors and other critical care medications, respiratory care and ventilator management, management of renal failure, infection, nutrition, diabetes, emergency management of acute cardiopulmonary arrest using ACLS criteria, and administering medications, Emergency management of acute metabolic disturbances, including overdosages and intoxication syndromes. Emergency management of anaphylaxis and acute allergic reactions, emergency management of endocrine effects of critical illness, hematologic and coagulation disorders associated with critical illness, Management of respiratory failure including acute respiratory distress syndrome, acute and chronic respiratory failure in obstructive lung diseases, and neuromuscular respiratory drive disorders, Management of circulatory failure due to cardiogenic or noncardiogenic (anaphylaxis, gastrointestinal bleeding) etiology and performing other emergency management . Work Schedule: Rotating shifts depending on service needs, all shifts include rotating weekends and holidays. Telework: Not available Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not authorized. 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.