As an advanced practice registered nurse (APRN), has prescriptive authority with a panel of patients. Core functions include diagnosing and treating acute and chronic health care problems, performing adult care check-ups, and prescribing medication and treatments. Diagnoses and manages minor trauma including suturing. Teaches health promotion and disease prevention to patients. - Performs an advanced comprehensive mental health history and mental status exam considering the psychosocial, emotion, ethnic and cultural aspects of health. - Uses health assessment information and critical thinking to identify mental health concerns and risks, normal and abnormal states and formulate differential diagnoses. - Uses scientific knowledge to deliver evidence-based care to the Veteran. - Identifies and requests the mental health appropriate lab and imaging studies for Veterans and can interpret the requested tests using critical thinking. - Communicates with Veterans and/or Veterans' designated surrogate, the diagnoses/options and likely response to care and common side effects of treatment. - Documents mental health assessments, clinical data, diagnoses, management, and conclusions in a timely manner using the electronic medical record. - Initiates timely referrals for subspecialty care as appropriate. - Anticipates and recognizes changing urgent and emergent problems and intervenes appropriately. - Actively provides counseling to promote mental health, reduce risk factors and prevent disease and disability. - Recognizes environmental health problems affecting Veterans and provides health protection interventions. - Selects, prescribes and analyzes correct dosages, routes and frequencies of medications to include psychotropic medications and utilizes non-pharmacologic evidence-based treatment modalities based on relevant individual needs, e.g., illness, age, gender, previous adverse drug reactions and medicines received from outside providers. - Medicines are documented in the Medicine Reconciliation Note as per health system policy. - Actively seeks out health promotion opportunities for Veterans. Works closely with the mental health team to provide coordinated care. - Evaluates the Veteran's response to the mental health care provided and the effectiveness of the care. - Provides cross coverage to other clinical sites throughout the VA Texas Valley Coastal Bend Health Care System via telemedicine as needed. Work Schedule: Monday - Friday 8:00 a.m. - 4:30 p.m. or as agreed upon with the possibility of extended hours and weekends. NOTE: Candidates must be willing to work weekends, irregular work hours and extended hours. The candidate must be willing to be assigned to other related services and/or locations, if necessary. Financial Disclosure Report: Not required Note: This is a Bargaining Unit Position.
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.