The VA Health Care System is seeking many Medical Specialty Pulmonary Registered Nurses for Pike County, Georgia. PULMONARY NURSING TASKS: (this is not an all-inclusive list but is the majority of the tasks) Triage: all F2F patients in the pulmonary area. We have F2F clinic every day, Monday-Friday morning and afternoon sessions, between ATL Pulmonary-Special, ATL Pulmonary-Johnson PA-C, and ATL Pulmonary-23. On Monday afternoon, there is also a Pulmonary-ILD clinic. Triage also includes COVID-19 screening. Calls to patients to convert from F2F to telephone visit: Every week, the outpatient pulmonary attending assigned to the clinics will give a list of patients for nursing to call to convert to a telephone visit. We are reviewing the list a week in advance so we minimize F2F visits as much as we are able. However, the facility is lifting the restrictions for F2F, so we anticipate more patients will eventually be coming F2F. Every week, nursing will call all the F2F patients in fellows clinic to convert to a telephone visit the week prior. Fellows clinic occurs on Monday afternoon (8 clinics) and Friday morning (1 clinic). Again, as the restrictions on F2F are lifted, there will be less phone calls to make as more patients come F2F. All of these phone calls should be documented by nursing as a telephone note. Each note documenting a conversation that nursing spoke with the patient should have their own separate encounter that nursing will complete as the PRIMARY provider. Nursing will need to contact CACs to change their profile to add them as a provider in the encounter forms if they are not listed. Pre-clinic assessments: Administering disease specific questionnaires such as the asthma control test, or the modified Medical Research Council questionnaire. Patient education for patients in clinic: Inhaler technique Smoking cessation Self-administration of biologics Pre-procedural instructions Post-procedural instructions Answering patient phone calls that relate to medical questions: This includes reading secure messages that are forwarded to nursing, answering voicemails left by patients on the nurse phone line x205041, receiving phone calls from patients that are forwarded from the front desk. Nursing may be able to handle questions without provider input but should collect additional information if provider input is necessary. Coordinating care for patients in pulmonary clinic: This includes, but is not limited to, calling radiology to facilitate scheduling urgent imaging studies, transporting patients to ED if needed and doing hand-off with triage nurse, requesting outside records from outside facilities. Performing point of care testing for patients in clinic: This includes performing the point of care test, documentation of the results, and closing the encounter forms as the PRIMARY provider. Nursing also provides support for these point of care tests for Monday afternoon fellows clinics. FeNO (exhaled breath measurement) Alpha 1 antitrypsin (finger stick)-nursing should keep track of these tests because they are a lab send-out. PROCEDURES: These are scheduled in ATL Pulmonary-Procedures Self-administration teaching for asthma biologics-nursing will schedule patients for appointments to teach them how to self-administer Nucala, Fasenra, and Dupixent. Nursing should document teaching and patient competence. If patient is not competent, nursing will arrange for next dose administration to be witnessed by nursing. Bronchoscopy with moderate sedation-nursing will schedule bronchoscopies, provide pre-procedural instructions including pre-procedural COVID-19 testing instructions and document instructions, and do all tasks related to procedure. Nursing also provides post-procedural instructions to patients. Nursing can work with CCU OBS unit to see if patients can recover in OBS unit. Bronchoscopies are performed for outpatients and inpatients. Average time required for nursing tasks related to a bronchoscopy is 3 hours. Inpatient bronchoscopy can be required with same day notification. Thoracentesis-nursing will schedule, provide pre-procedural instructions, and do all tasks related to procedure. Pre-procedural COVID-19 testing not necessary. Nursing can work with CCU OBS unit to see if patients can recover in OBS unit. Thoracenteses are performed for outpatients and inpatients. Average time required for nursing tasks related to thoracentesis is 45 minutes. Inpatient thoracentesis can be required with same day notification. FeNO and alpha 1 anti-trypsin-these are also scheduled in ATL Pulmonary-Procedures when they are ordered for patients who can not get the test on the same day as the clinic appointment. Monitored injection clinic-eventually would like to have pulmonary injectable medications administered by pulmonary nursing instead of medical specialty clinic nurses. Work Schedule: Flexible days. Hours vary based on unit staffing needs-provision. Telework: Not Available. Virtual: This is not a virtual position. Financial Disclosure Report: Not required.
Providing Health Care for Veterans: The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,255 health care facilities, including 170 medical centers and 1,074 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.
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