Summary

The Advanced Practice Nurse (CNP) Breast Imaging (NP) The Advanced Practice Nurse (APN) Breast Imaging Nurse Practitioner (BINP) provides a full range of sex specific services emphasizing quality - timeliness - and the advancement of the Veterans Affairs (VA) mission. BINP provides advanced clinical practice - consultation - and management.

Duties

• Major duties and responsibilities of the position: include - but are not limited to the following: Demonstrates critical thinking - creativity and versatility in handling complex situations and problem solving
• Reflects leadership skills and attributes - reviewing traditional practices - supporting fellow staff members to search for evidence-based practices and bring findings to the attention of the unit
• Teaches others to critically think by verbally expressing rationale for decisions and following up by coaching and critiquing colleagues' thought processes in complex situations
• Follows the nursing process - modifies care based on continuous evaluation of the patient's condition - demonstrates clinical problem-solving and critical thinking - and makes decisions using evidence-based analytical approach
• Plans for routine events and anticipates/prevents and manages/elevates emergent situations
• Contributes to meeting departmental targets for quality and safety measures on unit-based scorecard
• Obtains and coordinates outside medical records - including breast imaging reports - pathology reports - consultation notes - operative reports - and other pertinent clinical documentation required for patient care
• Coordinates acquisition - transfer (i.e
• transfer to and from our facility) - and review of outside as well as MEDVAMC breast imaging studies and associated images to ensure availability for comparison and interpretation by Breast Imaging Radiologists Maintains a comprehensive patient tracking system to ensure Veterans with abnormal breast imaging findings receive timely and appropriate follow-up care
• Tracks Veterans throughout the breast imaging continuum - including completion of recommended diagnostic imaging - image-guided breast biopsies - breast MRI examinations - contrast-enhanced mammography (CEM) - genetic counseling consultations - surgical oncology consultations - medical oncology consultations - and other clinically indicated services
• Communicates and coordinates care with Veterans - Primary Care Providers - Community Care staff - radiologists - surgeons - oncologists - genetic counselors - and other interdisciplinary team members
• Reviews outside breast imaging reports and enters appropriate Bl-RADS assessment categories into the radiology information system (i.e
• radiology package) in accordance with Breast Imaging Section protocols
• Maintains accurate tracking databases - follow-up logs - and documentation systems to support quality assurance - patient safety - and regulatory compliance
• Assists with monitoring and reporting of breast imaging quality metrics and follow-up compliance measures
• Provides nursing support before - during - and after image-guided breast procedures - including breast biopsies and localization procedures
• Performs patient assessment - education - and procedural preparation for breast imaging examinations and image-guided procedures
• Follows up with patients post procedures and documents patient status in the medical record system
• Establishes peripheral intravenous access as clinically indicated for contrast-enhanced mammography (CEM) and breast MRI examinations in accordance with facility policy
• Monitors patients for adverse reactions - procedural complications - and post ­procedure recovery needs and provides appropriate nursing interventions and education
• 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 6:30am-3:00pm - 7:00am-3:30pm - 8:00am-4:30pm- subject to the needs of the facility Rotating schedule Telework: Not Available Virtual: This is not a virtual position
• Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized