Palliative Care Provider-Advance Practice Nurse

The Advanced Practice Nurse (APN) Certified Nurse Practitioner (NP) in Geriatrics and Extended Care (GEC) Palliative Service provides advanced clinical care - consultation - and management for GEC Palliative Service. The APN practices to full scope of education and certification - with prescriptive authority - delivers quality - timely care - collaborates with teams - and advances the VA mission.

The Advanced Practice Nurse (APN) Certified Nurse Practitioner (NP) in Geriatrics and Extended Care (GEC) Palliative Service provides advanced clinical care - consultation - and management for GEC Palliative Service. The APN practices to full scope of education and certification - with prescriptive authority - delivers quality - timely care - collaborates with teams - and advances the VA mission.

• Start your career here
• A Career At VA Salt Lake City Health Care System Can Take You Places () The NP is a licensed independent practitioner with advanced education and national certification - providing evidence-based care for a population of patients - manages a panel of patients with terminal illness with an emphasis on symptom management related to illness and discussion of goals of medical care
• Duties of the position are - but not limited to:
  Develop and implement an individualized plan to achieve improved quality of life
• Demonstrates leadership and work collaboratively with the interdisciplinary team
• Order and interpret labs - tests - and diagnostic studies
• Prescribe pharmacologic and non-pharmacologic interventions
• Initiate referrals and consultations with specialty services
• Provide education to patients and their families
• Assess and adjust the plan of care as needed to achieve optimal patient outcomes
• Exemplify the ICARE core values of-Integrity
  - Commitment
  - Advocacy
  - Respect - and Excellence
• Respond to all palliative care consults within 48 hours
• Initiate - chair and record outcomes of Veteran/family meetings - communicate' goals
• meetings may be in the impatient or the outpatient setting
• providers - social workers - and chaplain are encouraged to attend these meetings
• issues of discussion may include code status - advanced directives - and identification of resource needs
• Collaborate with veterans and the medical providers (provider may be urgent care/ER - primary care - specialty care - or hospitalist) to be informed of patient history and prognosis
• Provider is available to Emergency Medicine as needed - to assist with case-finding and goal setting
• Directly interact with Veterans and family in various venues - such as primary care visits at the time of the veteran's appointment
  - Oncology Clinic - subspecialty clinics and acute care settings
• Review ongoing pain and symptom management with evaluation and adjustments as needed for Veterans under the care of the SLCVHA
• Provide care to inpatient palliative and hospice patients
• Special interest/skill in malignant acute pain management with availability to other medical providers for consultation
• Fill scripts for opioids - palliative care medications and durable medical equipment requests as needed
• Attend palliative care/hospice team meetings and palliative care memorial service - participate as requested
• Assist with request evaluation for inpatient palliative care admissions
• Contribute to local - VISN - and National Palliative Care work groups or QI as needed
• Participate in conference calls as scheduled
• Advance and enhance Hospice and Palliative Care services across VISN - foster continuous improvement and quality care delivery - which is above and beyond normal duties and contributes to higher evaluations
• Other duties 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 to Friday Telework:
  Not available
• Virtual:
  This is not a virtual position
• Relocation/Recruitment
  
  Incentives:
  
  Not available
• Permanent Change of Station (PCS):
  Not available.