Advanced Practice Nurse (Interventional Radiology Nurse Practitioner)

Summary 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. Duties and Responsibilities 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. Writes 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 interventional 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. Assesses lab values/contraindications. Provides on‑call IR 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. Participates in educational activities such as seminars, continuing education, and grand rounds. Participates in employee education programs supporting organizational learning and development at the West Palm Beach VA Healthcare System. Other tasks as assigned. Benefits and Compensation: 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 401(k) 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. #J-18808-Ljbffr