Defense Health Agency Civilian Corps, Falls Church, VA
Location
Spokane County, Washington
The Advanced Practice Nurse provides comprehensive primary, preventative, and therapeutic health care services in a family practice clinic, including performing physical assessments, diagnosing, and managing acute and chronic illnesses. Responsibilities also involve ordering and interpreting various diagnostic tests, performing minor procedures, prescribing medications, and educating patients and families on health maintenance.
Applicants must possess a graduate or higher-level degree from an accredited professional nursing educational program in Family Practice, along with a current, active, full, and unrestricted professional nurse license. Qualification also requires one or more full years of professional nursing experience performing patient examinations, interpreting lab tests, and prescribing medications, with no substitution of education permitted for this experience.
MAJOR DUTIES DUTY 1: Provides comprehensive primary, preventative, and therapeutic health care service to assigned patients in a family practice clinic in a Military Treatment Facility (MTF). Performs comprehensive physical assessments of patients to include baseline data such as past medical and surgical history, family history, social history, and immunization history. Independently diagnoses and manages acute episodic and chronic illnesses including but are not limited to asthma, chronic obstructive pulmonary disease, hypertension, diabetes, arthritis, upper respiratory infections, sexually transmitted diseases, and dermatological or orthopedic conditions; minor traumas; behavior/psychological problems; and short term health issues such as injuries and infections. Performs baby exams, pre-employment physicals, and sports physicals. Performs pre-deployment and post-deployment assessments of active duty personnel. Performs Preventive Health Assessment (PHA)/Reserve Component PHA exams, overseas clearances for dependents, and medical evaluation board (MEB) summaries on military personnel in accordance with annual requirements. Performs or requests special screening and development tests and laboratory tests and interprets the results. Orders, performs, collects, and interprets laboratory tests to include but not limited to electrocardiogram (EKGs), wet preps, wet mounts, hema-occults, routine blood chemistry, hematology, microbiology, bacteriology, virology, toxicology, pathology, and cytology. Orders and interprets the findings of radiological studies, including but not limited to computerized tomography (CT) scans, magnetic resonance imaging (MRIs), X-rays, ventilation/perfusion (VQ) scans, nuclear medicine scans, and other tests that may be necessary for the diagnosis and treatment of a patient. When needed, requests consultations to assist on interpretation of abnormal studies. Performs procedures to include but not limited to biopsies such as shave biopsies, minor suturing, toenail removals, and joint aspirations. Uses knowledge of a variety of pharmacological agents to treat patients based the desired effects, side effects, and potential complications of the pharmacologic agent used. Accurately administrates pharmacologic agent and determines proper dosage calculations. Prescribes and monitors pain management regimes in patients with chronic pain. Uses knowledge of patient education principles and behavioral readiness to change along with knowledge of disease management programs and clinical practice guidelines (e.g., Department of Veterans Affairs (VA)/Department of Defense (DoD) Clinical Practice Guidelines (CPGs), and Healthcare Effective Data and Information Set (HEDIS) measurements to teach patients and family members ways to maintain or improve their health status. Uses patient education materials as appropriate. Maintains electronic medical records or patient paper charts to document medical information and treatment procedures. Incorporates current knowledge of disease and condition management into daily work activities to include evidence-based primary, secondary, and tertiary prevention. Recognizes scope of practice/limitations, consults with a physician and/or medical specialty services as needed, and refers patients as appropriate. Ensures referrals include the appropriate level of severity/urgency of the care needed. DUTY 2: As a Family Nurse Practitioner (FNP), provides comprehensive health care services. Performs procedures, treatments, and orders medications based on assessment results and standards of care. Educates patients and family members on diagnosis, discusses treatment options and makes recommendations, and ensures patients/family members have information required to provide informed consent for treatment. Prescribes medications and adjusts dosage according to patient’s needs and responses, to include appropriate dosing, side effects, and medication interactions. Performs minor diagnostic procedures, such as punch biopsies, mole removal, wart removal, needle aspiration for culture, and shave biopsies. Also performs minor suturing, toenail removals, and joint aspirations. Additionally performs procedures such as intravenous (IV) line placement, dressing changes, catheterizations, wound irrigation, oxygen administration, and specimen collection such as blood and cerebrospinal fluid. Participates with the consulting physician in planning, instituting, evaluating, and revising program plans; assists in determining conditions, resources, and policies essential to the delivery of health care services. In partnership with physicians, makes decisions concerning medical care needs of patients as well as nursing care needs. Provides surveillance of adherence to medical and nursing regimens to stabilize chronically ill patients; adjusts regimens within established protocols recognizing when to refer the patient to the physician or other health team members. Develops family nursing protocol and defines and develops relevant procedures for the facility. DUTY 3: Shares clinical expertise as consultant and instructor. Evaluates clinical practices and collaborates with health care team members to improve patient care delivery IAW evidence based practice standards. Participates in staff development programs. Participates in evaluation of the quality and effectiveness of activities/services of the unit by organizing nursing monitoring and evaluation activities. Submits to and performs peer reviews on providers. Participates in continuing education programs to update and/or maintain skills and knowledge to meet annual requirements. DUTY 4: Participates in committees, functions, and other meetings as directed. Serves as a member of various committees, functions, and other meetings as needed. Provides relevant and timely information to these groups. Assists with decision making and process improvement. Serves as a functional expert on family health care for the medical group, serving as an advocate for these functions. PERFORMS OTHER DUTIES AS ASSIGNED
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Who May Apply: US CitizensIn order to qualify, you must meet the education and experience requirements described below. Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religious; spiritual; community; student; social). You will receive credit for all qualifying experience, including volunteer experience. Your resume must clearly describe your relevant experience; if qualifying based on education, your transcripts will be required as part of your application. Additional information about transcripts is in this document.Basic Requirement for Advanced Practice Nurse (Practitioner/Family Practice):Degree: A graduate or higher-level degree from an accredited professional nursing educational program in Family Practice is required. This education must have been accredited by the Commission on Collegiate Nursing Education, Council on Accreditation of Nurse Anesthesia Educational Programs, Accreditation Commission for Midwifery Education, or an accrediting body recognized by the U.S. Department of Education at the time the degree was obtained. (Note: You must attach a copy of your transcripts.).Foreign Degree: A degree from a Foreign Nursing School. Official certification from the Commission on Graduates of Foreign Nursing Schools is required for individuals who graduated from foreign nursing schools.Licensure: A current, active, full, and unrestricted license or registration as a professional nurse from a State, the District of Columbia, the Commonwealth of Puerto Rico, or a territory of the United States; and you must have passed the National Council Licensure Examination.APN Licensure: A current, active, full, and unrestricted license or registration as a professional nurse in the specialty of Family Practice or related specialty from a State, the District of Columbia, the Commonwealth of Puerto Rico, or a territory of the United States.Exemption: You are exempt from the basic requirements above if you are a current federal employee occupying a position in the 0610 occupational series and have been continuously employed in this occupational series since September 27, 2017 or before. Applicants claiming this exemption must meet the requirement below.
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