Advanced Practice Nurse; OB​/GYN

Advanced Practice Nurse (OB/GYN) – Tacoma, WA

At Madigan you will practice alongside civilian and military health‑care experts and experience unique professional opportunities. Our staff serves by caring for our military but are not subject to military requirements. We operate within safe staffing standards—giving you time to provide exceptional care.

Located in the beautiful Pacific Northwest on the Puget Sound, Joint Base Lewis‑McChord (JBLM) is near the city of Lakewood, 10 minutes from Tacoma and 20 minutes from Olympia, the state capitol. JBLM is situated in a key location along Interstate 5, allowing easy access to Seattle, Tacoma, and the welcoming neighboring communities.

Although the Army and Air Force missions have changed over the years, one thing has not changed— the natural setting of the base. Majestic Mount Rainier looms on the horizon, towering over the other peaks of the Cascade Range. From the mountains to the deep waters of Puget Sound and the Pacific Ocean, the local areas abound in natural beauty and outdoor recreation opportunities: camping, hunting, fishing, hiking, boating and new sports are a way of life in Washington State.

Working for the Department of Defense comes with an abundance of benefits and perks, including competitive compensation packages, paid time off, medical benefits, student‑loan repayments, and a retirement package with Thrift Savings Plan and matching employer contributions. For more information, please visit US AJobs benefits page.

• Serve as an Advanced Practice Nurse (APRN) for Madigan Army Medical Center (MAMC) at Joint Base Lewis‑McChord (JBLM). As an APRN, serve as a direct Obstetrics and Gynecology (OB‑GYN) health‑care provider in the capacity of a credentialed Nurse Practitioner to provide OB‑GYN care services to female patients, making independent decisions regarding the medical care required and interpreting and evaluating the processes resulting from continuing changes in the medical field due to new technological developments or conflicting requirements.
• Provide independent, primary, comprehensive and therapeutic health‑care services, including examining, assessing, diagnosing, and treating patients in the OB‑GYN Clinic. Identify and manage, according to outlined protocols, an own caseload of ante‑partum and postpartum patients, and those with gynecologic problems: counsel on menopause, infertility, contraceptive and related health concerns. See unscheduled walk‑in patients at specified times for identification and management of acute minor gynecologic or obstetric illnesses.
  
  See patients with abnormal PAP screens.
• Obtain and record a problem‑oriented health history, perform a systematic physical examination, interpret abnormal and normal findings, and perform routine gynecologic examinations, including abdominal palpation, breast examination, and pelvic examination. Order and interpret related laboratory and diagnostic tests, and discriminate between normal and abnormal findings to establish a nursing diagnosis regarding physical, emotional, or social disabilities.
• Develop a problem list if indicated, implementing a therapeutic plan for each problem. Prescribe medications approved by the Therapeutic Agents Board.
• Provide teaching to patients and their families regarding the disease process, diagnostic tests, the therapeutic regimen including medication, diet and follow‑up care; methods of adapting medication and treatment to current lifestyles; pregnancy, labor and delivery, and postpartum; methods of contraception; infertility; menopause; and prevention and treatment of sexually transmitted diseases. Provide counseling to patients for prevention of illness and maintenance of health to assist patients in attaining physical, mental and social well‑being.
• Secure a health and medical history from the patients or family member, record findings and make clinical evaluation. Examine patients and perform initial work‑up and assessment of patient care and treatment; determine the need for and order laboratory tests, X‑rays and other procedures necessary to complete assessment of the patient.
• Provide surveillance of adherence to medical…