Advanced Practice Registered Nurses / Physician Assistants
Ordering cardiology diagnostic studies and prosthetic devices; Administering, ordering and dispensing IM, IV, SQ, and oral medications; initiation of appropriate life saving procedures when necessary; providing education and counseling of patients and families in preventive care, medical conditions, and the use of prescribed treatments and drugs. Obtaining medical histories and performing physical examinations. Providing and coordinating medical care for assigned patients in any care setting, including establishing diagnoses, formulating and implementing care plans, and providing follow-up care. Evaluating patients to determine the need for further health care. Ordering diagnostic studies and other special tests, such as Magnetic Resonance Imaging (MRI), Computerized Tomography (CT) scans, etc. Carrying out health promotion, disease prevention, and patient education activities. -Ordering or obtaining laboratory specimens. -Ordering ancillary services, such as, pharmacy, social services, physical medicine and rehabilitation therapies, prosthetic services, etc. -Ordering VA specialty service consults and initiating requests for non-VA medical care and consults in accordance with VHA and local facility policy and procedures. -Ordering patient care supplies. -Writing orders for and/or prescribing medications. -Admitting and discharging patients in consultation with, and on behalf of the collaborating physician/service; PAs may be delegated responsibility for admitting patients, but the decision to admit or discharge a patient remains with the collaborating physician(s). -Documenting a discharge summary (the collaborating physician must write a discharge note or cosign the discharge summary in accordance with Joint Commission standards), obtaining consent for and documenting procedures performed by the applicant. -Performing administrative duties; educating healthcare trainees; participation in clinical research -Perform emergency duties carried out for patients in life-threatening situations where a physician is not immediately available. The PA initiates these activities but makes every effort to summon a physician or emergency medical personnel as soon possible. -Emergency preparedness (e.g., duties that may arise because of national health disasters). -Counsel patients and their families on LST options, document discussions, and sign LST orders to include, but not limited to, DNAR/DNR. -Pronounce death in the hospital. -Receives, triages, and provides disposition of consults for their respective service. -May serve as proctor if PA has proven competency in procedure they are proctoring. Work Schedule: Varies Financial Discloser 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.