ADVANCED PRACTICE NURSE (GASTROENTEROLOGY)

About the role

Madigan Army Medical Center is a Level II Trauma Center in Washington State, offering unique partnerships with civilian facilities. Staff here serve the military but are not subject to military requirements, operating under safe staffing standards.

Responsibilities

• Serves as a credentialed Nurse Practitioner, providing services to adult patients within the Gastroenterology Clinic of a Medical Treatment Facility (MTF).
• Performs a variety of professional, direct, clinical healthcare duties within the field of Gastroenterology.
• Utilizes appropriate ancillary services and consultants, as needed to provide treatment.
• Records outpatient records to include admission and discharge paperwork and progress notes required by hospital regulations and standards of practice.
• Takes health and medical history from patients or family members and records findings for the record.
• Examines patients and performs initial patient work-up and assessment of care and treatment; determines the need for and orders laboratory tests, X-rays and other procedures to include endoscopic evaluation when necessary as well as appropriate referrals to specialties or subspecialties, ensuring a complete patient assessment.
• Discriminates between normal and abnormal findings to recognize early stages of serious physical, emotional, or mental problems.
• Works collaboratively with physicians in patient management, evaluation and revision of therapeutic plans.
• Decides on specific methodology based on the needs of patients; refers extremely and selected complex gastroenterological problems for physician management.
• Diagnoses disease, illness, disorder, or injury, instituting treatment of patients.
• Seeks advice of appropriate physicians for more serious or uncommon conditions.
• Prescribes medications and treats a variety of diseases, disorders, and injuries.
• Treats patients returning for routine or directed follow-up and treatment of chronic illnesses previously documented in medical records.
• Writes routine orders on outpatients.
• Orders administration of and dispenses medications and prescribed controlled substance in accordance with approved treatment protocols.
• Records treatment, progress notes including tests and procedures, and notations of prescriptions and drugs dispensed or administered.
• Provides consultation, teaching, and coordination with patients and their family members of treatment and medical care.
• Collaborates with physician advisor regarding management of the most complex gastroenterology patients, such as Inflammatory Bowel Disease, requiring biological therapy or administration of corticosteroid treatment, in evaluating and revising therapeutic plans.
• Refers unstable patients to physician.
• Plans with other healthcare professionals and agencies involved in providing services to patients and their families.
• Coordinates health care, as appropriate.
• Receives referrals from other healthcare professionals.
• Documents all observations, plans, treatments, teaching, and other important findings in patient records.
• Identifies components of the nursing regimen that may be delegated to other nursing personnel.
• Performs other duties as assigned.

Qualifications

• A graduate or higher level degree from an accredited professional nursing educational program is required.
• Licensure: A current, active, full, and unrestricted license or registration as a professional nurse from a State, the District of Columbia, the Commonwealth of Puerto Rico, or a territory of the United States.
• Experience: One or more full years of professional nursing experience which includes administering anesthetics to patients and monitoring patients receiving anesthesia care.