Summary

The incumbent is a qualified Advanced Practice Registered Nurse (APRN) who serves as a licensed independent practitioner within the Imaging Service at the West Palm Beach VA Healthcare System - providing outpatient and inpatient specialty care for Veterans undergoing diagnostic imaging - fluoroscopy - interventional radiology (IR) - and contrast enhanced examinations. The APRN functions in a role comparable to other advanced practice providers within Diagnostic Imaging.

Duties

• Major duties and responsibilities of the position: - Provides in-house coverage for general fluoroscopic examinations and independently operates fluoroscopy equipment in accordance with approved clinical privileges and radiation safety standards - including ALARA principles
• - Reviews imaging orders - consults - and procedure requests for appropriateness
• performs focused history and physical examinations
• determines readiness for diagnostic imaging and/or interventional procedures
• writing orders for diagnostic and/or interventional procedures
• post-procedural care and follow up with patients
• - Obtains informed consent for diagnostic and interventional imaging procedures - including high-risk contrast studies
• - Manages high-risk contrast usage - including patients with mild to moderate contrast allergy requiring premedication and those with impaired renal function
• evaluates laboratory values and medical history to determine appropriateness of contrast administration
• - Responds to and manages contrast reactions within Imaging Service: performs clinical assessment - initiates treatment per protocol - coordinates escalation of care with Code Assist and Code Blue teams - determines patient disposition - and ensures appropriate discharge planning or transfer
• - Performs lnterventional Radiology procedures within approved scope of practice and under the direction of the Radiologist with documented competencies - including but not limited to ultrasound-guided paracentesis - thoracentesis - fine needle aspiration(thyroid/lymph nodes) - arthrocentesis - and arthrography
• - Assess lab values/contraindications
• - Provides on-call lR coverage - including triage of urgent and emergent cases and performance of procedures limited to granted competencies and privileges
• - Serves as secondary in-house clinical coverage for pacemaker MRI and minimal sedation MRI cases
• assists with patient screening - monitoring - and emergency response as indicated.- Protocoling and advising on Radiology orders
• - Documents all patient assessments - procedures - treatments - and clinical outcomes in the electronic health record (EHR) accurately and in a timely manner
• - Ensures high-quality patient care is delivered in a resource efficient manner
• - Complies with VHA regulations - professional standards - ethical conduct - and Medical Staff Bylaws
• adheres to West Palm Beach VA Healthcare System policies - Joint Commission standards - and applicable regulations - including mandatory trainings - BLS requirements - maintenance of licensure/certification/registration - timely completion of unsigned/un-cosigned notes - and credentialing and privileging
• - Promotes an environment of system-oriented continuous quality improvement (CQI)
• actively participates in long- and short-term goals supporting the mission
• establishes and maintains effective - harmonious relationships with peers
• - Provides education - mentorship - and clinical guidance to nursing staff - technologists - trainees - and new advanced practice providers
• - Follows duties assigned by the Section Chief and/or Chief of Imaging
• - Participation in educational activities such as seminars - continuing education - and grand rounds
• - Participation in employee education programs supporting organizational learning and development at the West Palm Beach VA Healthcare System
• - Other tasks as assigned
• VA offers a comprehensive total rewards package: VA Nurse Total Rewards Pay: Competitive salary - regular salary increases - potential for performance awards Paid Time Off: 50 days of paid time off per year (26 days of annual leave - 13 days of sick leave - 11 paid Federal holidays per year) Retirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA Insurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement)Licensure: 1 full and unrestricted license from any US State or territory Work Schedule: Monday - Friday 8:00 am - 4:30 pm Telework: Not Available Virtual: This is not a virtual position
• Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized