Advanced Practice Nurse (Interventional Radiology Nurse Practitioner)

<p>The incumbent is a qualified Advanced Practice Registered Nurse (APRN) who serves as a licensed independent practitioner within the Imaging Service at the West Palm Beach VA Healthcare System, providing outpatient and inpatient specialty care for Veterans undergoing diagnostic imaging, fluoroscopy, interventional radiology (IR), and contrast enhanced examinations. The APRN functions in a role comparable to other advanced practice providers within Diagnostic Imaging.</p><h3>Major Duties</h3><p>Major duties and responsibilities of the position: - Provides in-house coverage for general fluoroscopic examinations and independently operates fluoroscopy equipment in accordance with approved clinical privileges and radiation safety standards, including ALARA principles. - Reviews imaging orders, consults, and procedure requests for appropriateness; performs focused history and physical examinations; determines readiness for diagnostic imaging and/or interventional procedures; writing orders for diagnostic and/or interventional procedures; post-procedural care and follow up with patients. - Obtains informed consent for diagnostic and interventional imaging procedures, including high-risk contrast studies. - Manages high-risk contrast usage, including patients with mild to moderate contrast allergy requiring premedication and those with impaired renal function; evaluates laboratory values and medical history to determine appropriateness of contrast administration. - Responds to and manages contrast reactions within Imaging Service: performs clinical assessment, initiates treatment per protocol, coordinates escalation of care with Code Assist and Code Blue teams, determines patient disposition, and ensures appropriate discharge planning or transfer. - Performs lnterventional Radiology procedures within approved scope of practice and under the direction of the Radiologist with documented competencies, including but not limited to ultrasound-guided paracentesis, thoracentesis, fine needle aspiration(thyroid/lymph nodes), arthrocentesis, and arthrography. - Assess lab values/contraindications. - Provides on-call lR coverage, including triage of urgent and emergent cases and performance of procedures limited to granted competencies and privileges. - Serves as secondary in-house clinical coverage for pacemaker MRI and minimal sedation MRI cases; assists with patient screening, monitoring, and emergency response as indicated.- Protocoling and advising on Radiology orders. - Documents all patient assessments, procedures, treatments, and clinical outcomes in the electronic health record (EHR) accurately and in a timely manner. - Ensures high-quality patient care is delivered in a resource efficient manner. - Complies with VHA regulations, professional standards, ethical conduct, and Medical Staff Bylaws; adheres to West Palm Beach VA Healthcare System policies, Joint Commission standards, and applicable regulations, including mandatory trainings, BLS requirements, maintenance of licensure/certification/registration, timely completion of unsigned/un-cosigned notes, and credentialing and privileging. - Promotes an environment of system-oriented continuous quality improvement (CQI); actively participates in long- and short-term goals supporting the mission; establishes and maintains effective, harmonious relationships with peers. - Provides education, mentorship, and clinical guidance to nursing staff, technologists, trainees, and new advanced practice providers. - Follows duties assigned by the Section Chief and/or Chief of Imaging. - Participation in educational activities such as seminars, continuing education, and grand rounds. - Participation in employee education programs supporting organizational learning and development at the West Palm Beach VA Healthcare System. - Other tasks 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 - Friday 8:00 am - 4:30 pm Telework: Not Available Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized</p><h3>Requirements</h3>U.S. Citizenship; non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. All applicants tentatively selected for VA employment in a testing designated position are subject to urinalysis to screen for illegal drug use prior to appointment. Applicants who refuse to be tested will be denied employment with VA. English Language Proficiency. In accordance with 38 U.S.C. 7402(f), no person shall serve in direct patient care positions unless they are proficient in basic written and spoken English. Selective Service Registration is required for males born after 12/31/1959. Subject to background/security investigation. Selected applicants will be required to complete an online onboarding process. Acceptable form(s) of identification will be required to complete pre-employment requirements (https://www.uscis.gov/i-9-central/form-i-9-acceptable-documents). Effective May 7, 2025, driver's licenses or state-issued identification cards that are not REAL ID compliant cannot be utilized as an acceptable form of identification for employment. Must pass pre-employment physical examination. Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP). You may be required to serve a probationary period. Complete all application requirements detailed in the "Required Documents" section of this announcement.