Advanced Practice Nurse; Family Practice GS

Overview

This position is located at Branch Health Clinic Portsmouth ( New England) Maine

This is a Direct Hire Authority solicitation.

Salary negotiation may be available for those candidates who are new to Federal service

Duties

Serve as a direct primary health care provider in the capacity of a credentialed Nurse Practitioner to provide primary care services to patients in a primary health care clinic of a military medical treatment facility. Provide health management for a DOD beneficiary patient population with responsibility for the independent examination, diagnosis and treatment within personal credentials and privileges delineated by the MTF.

Provide leadership in comprehensive primary care services and auxiliary practices in general medicine to active duty service members. Perform varied duties requiring many different and unrelated processes and methods applied to a broad range of general medicine in the adult and patients in specialty areas. Make decisions regarding the medical care required and in the interpretation and evaluation of processes resulting from continuing changes in the medical field due to new technological developments or conflicting requirements.

Perform a variety of complex duties involving the full range of medical care that involves isolating and defining unknown medical conditions. Assignments include a wide range of activities including assessing, planning, evaluating and modifying the treatment of patients in various locations throughout the MTF. Secure a health and medical history from the patients records findings and makes clinical evaluation. Examine patient and performs initial patient work-up and assessment of patient s care and treatment;

and determines the need for and orders laboratory tests, X-rays and other procedures necessary to complete assessment of the patient. Discriminates between normal and abnormal findings to recognize early stages of serious physical, emotional or mental problems. Provide surveillance of adherence to medical and primary care practices and procedures to stabilize chronically ill patients; adjusts regimens within established protocols recognizing when to refer the patient to the physician or other primary care members.

Make decisions concerning primary care needs of patients that impacts the care of other healthcare professionals and ancillary staff; work independently and collaboratively with physicians in patient management, evaluation, and revision of therapeutic plans; and refer extremely or selected complex medical problems to medical management. Diagnose disease, illness, disorder or injury, institutes treatment of patients. Prescribe for and treats a variety of diseases, disorders and injuries, treats patients returning for routine or directed follow-up and treatment of chronic illnesses previously documented in patients medical records;

write routine orders on outpatients, performs medical histories; and dictates narrative summaries. Provide a full range of emergency services or crises interventions in the absence of the physician, including life-saving emergency procedures in order to stabilize a patient within the scope of practice and approved protocols. Write prescriptions, order the administration of medications, dispense medications, and prescribes controlled substances in accordance with scope of practice for Nurse Practitioners.

Perform a variety of physical examinations such as school, employment, sports, retirement, discharge, reenlistment, disability separation or retirement, annual and other special physicals, health certificate employment and other related physical examinations. Order laboratory tests, X-rays, etc. and arranges for physician consultation if required. Record entries into patient s charts including progress notes, treatment rendered, tests or procedures ordered, and notations of prescriptions or orders, and drugs dispensed or administered in accordance with approved protocols including computer-based progress notes.

Evaluate the primary care aspects of patient care recognizing when reassessment by a physician or other staff professionals is required. Provide primary care…