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    Nurse Practitioner - San Francisco, United States - Veterans Health Administration

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    Description

    Summary

    The Specialty Care Clinics are the access point for referral specialty care a the San Francisco VAMC. The Nurse Practitioner will work in Pulmonary Sleep Medicine. Polysomnogram sleep studies will return to SF VA. This service will increase the number of sleep studies ordered and the number of patient encounters in sleep medicine.

    Duties

    Sleep Medicine has continued to grow and evolve over the past 3 years. The department is transitioning into the new Mental Health/Sleep Medicine Building. The new services will increase consults, sleep studies, and patient encounters. The Sleep Medicine Department in collaboration with the Department of Cardiology initiated a new service for the management of patients with Central Sleep apnea. This service will be available not only for the SF VA catchment area but also as an interfacility service.

    Major duties include, but are not limited to:
  • Identifies physiological, psychological, social and environmental variable affecting the functional status of the older adult and palliative care patient. Identifies current coping mechanisms an support systems and their effectiveness.
  • Identifies current level of knowledge and skill of patient/significant other(s) in management of health care.
  • Identifies needs for possible discharge planning and appropriate referrals.
  • Documents on approved VA forms/computer programs
  • Determines nursing and medical diagnoses based on analysis of assessment data.
  • Plans interventions which promote health.
  • Develops teaching plans based on assessment of individual needs.
  • Plans alternative interventions for medicine/surgical patients with unique needs.
  • Initiates patient care conferences with staff.
  • Assures implementation of the plan of care.
  • Maintains a high standard of practice in giving direct care to patients with complex needs.
  • Participates in interdisciplinary patient care rounds.
  • Assists staff as needed in providing care for identified patients and families.
  • Provides individualized instruction or directs nursing staff in teaching specific content/skill to geriatric patients/significant others.
  • Anticipates possible discharge needs and assists patient/significant others and multidisciplinary teach in achieving goals for discharge.
  • Prepares professional clinical documentation of patient care.
  • Evaluates services rendered and the patient's response to the plan of care.
  • Mutually, with professional colleagues, monitors the patient response and makes needed revisions.
  • Provides professional leadership regarding nursing standards and services.
  • Participates in established continuing improvement per medicine/surgical policies.
  • VA offers a comprehensive total rewards package:

    Work Schedule: 8:00am-4:30pm, varies patient care needs
    Telework: Not Available
    Virtual: This is not a virtual position.
    Relocation/Recruitment Incentives: Not Authorized
    Financial Disclosure Report: Not required.

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