Nurse Practitioner

Nurse Practitioner

Alpine, Texas On-Site Federal Civilian

Helping Those Who Need It Most

We offer full-time positions with excellent benefits and an opportunity to make a real difference to the lives of those that need it most. Experienced professionals are encouraged to apply.

Loyal Source is at the forefront of critical humanitarian efforts, delivering turnkey medical solutions to agencies and organizations worldwide. Our extensive humanitarian work is unmatched in the industry as we've partnered on many successful initiatives serving refugee and migrant populations, providing a variety of physical and mental health services to facilitate family reunification.

Schedule: Full time

3648-hour work week

Day, Night, and Weekend shifts

PAY: $61.50 + $4.93 Fringe

Required Qualifications

NP Education and Training: Candidates must have graduated from a school of professional nursing approved by the appropriate state accrediting agency. At the time of program completion, the program must have been accredited by either the Accreditation Commission for Education in Nursing (ACEN) or the Commission on Collegiate Nursing Education (CCNE). The accrediting institution must be recognized by the U.S. Department of Education.

Candidates must hold current, unrestricted Registered Nurse (RN) and Advanced Practice Registered Nurse (APRN) licenses issued by any U.S. state. Any change in licensure status must be reported to the employer immediately. Temporary licenses are not accepted.

Candidates must maintain current Basic Life Support (BLS) certification issued by the American Heart Association, the American Red Cross, or the American Safety and Health Institute.

Candidates must have at least one year of clinical experience obtained after initial licensure as a Nurse Practitioner in any combination of family medicine, emergency medicine, acute care, ambulatory care, and/or public/community health medicine.

Within the preceding three years, candidates may not have a gap in clinical practice exceeding six months unless the gap is fully explained and approved by leadership.

Candidates must have experience providing care to pediatric patients and pregnant patients within the preceding five years and be comfortable treating both populations.

The NP must not have had any healthcare certification or license withheld, suspended, revoked, or denied.

The NP must not have surrendered, or allowed a license or certificate to expire or lapse as a result of an investigation or disciplinary action.

The NP must not have been convicted of, or pled guilty to, or pled nolo contendere to, or received probation before judgment for any crime other than a minor traffic violation the record of which has not been expunged.

The NP shall be in compliance with state and federal laws and regulations relating to prescription of dangerous drugs and controlled substances.

Shall comply with all state and federal laws governing patient care privacy regulations.

Is willing to undergo a federal background check which may include information on or interviews with current and former family members, foreign travel, neighbors and past employers.

Is able to work with electronic systems including a computer to access the EMR, medication applications, trainings, policies, and reporting requirements. Is also knowledgeable about Microsoft Outlook, Microsoft Calendar, Microsoft Teams as these are the primary mechanisms to communicate.

Is willing to use personal cell phone as necessary for time keeping, phone calls and other necessary applications.

Other Skills

Knowledge of and ability to apply professional NP principles, procedures, and techniques to patient care.

Alertness and skill in providing care and reacting to emergency situations.

Interpersonal skills to develop a rapport with patients and co-workers during which instructional information is presented.

Has experience in working closely with consulting/supervising physicians, peers and others in positions of authority (ex: law enforcement).

Is able to make independent clinical decisions such as diagnosis, treatment and referrals.

Has experience working with Standard Operating Procedures.

Is able to work with persons from diverse backgrounds including non-English speaking people.

Supervisory Controls

Works under the administrative direction of program management staff.

Clinical supervision is provided by the Physician Supervisor.

Physical Demands

Work requires walking, standing, bending, and some lifting, for example to assist persons in CBP custody out of wheelchairs.

Works in an environment where temperature control and noise management is not at the discretion of the staff.

Works shifts that may include nighttime, night driving and remote locations. (Requires dependable transportation to/from locations)

Requires frequent use of provided telephonic translation services for communication with patients.

Duties and Responsibilities

Initiates and maintains compliance with policies and works within Scope of Practice and performs functions outlined in the Protocols for Loyal Source and CBP.

Provides direct healthcare services to persons in CBP custody (migrants) and may respond to emergency health situations involving staff, contractors, and civilians.

Standard Operating Procedures (SOP).

Performs medical histories on migrants and completes necessary evaluations with documentation in the Electronic Medical Record.

Evaluates and provides care to migrants; to include medical follow up, sick call and medication prescriptions.

Provides prescriptions for medications including translation of foreign initiated medications into US equivalent.

Provides care for all ages including pregnant patients.

Scope of care includes

o Basic acute care management (example Upper Respiratory Infection, sprained ankle, headache)

o Provides care working within a Trauma Informed Care model.

o Basic prenatal care (example: urine pregnancy test, morning sickness management, fetal movement check, vital sign monitoring)

o Non-complex pediatric management (otitis media, asthma exacerbation, rash evaluation, GI illness)

o Routine adult care of chronic health issues (hypertension evaluation, glucose check, anxiety, cough)

Provides emergency and First Aid treatment within Scope of Work until care is transferred to a local healthcare system as appropriate.

Reviews/reevaluates daily or as necessary, those cases requiring ongoing medical/pharmaceutical attention.

Communicates routinely with Loyal Source contracted physician supervisors and pediatric advisors. Carries out orders authorized by the supervising physician or pediatric advisor.

Provides relevant patient health education to migrants verbally and/or with handouts.

Documents health problems on the Problem List in the migrant's EMR and initiates a plan of treatment, referring for further medical treatment as appropriate.

Coordinates health care needs of migrants with other staff members and coordinates referrals to offsite providers as required.

Maintains patient confidentiality and privacy of medical records. Works collaboratively with other need to know persons such as CBP agents, ER's and pharmacies.

Applies knowledge of medications and therapeutics when prescribing and dispensing medication.

Is able to appropriately write prescriptions with accurate (liquid) dosing for persons who cannot swallow pills such as children or people with certain health conditions.

Maintains safety when dispensing medications such as consistent oversight of the medication, administration and documentation of the process.

Ensures all health and safety precautions are followed in the medical unit or areas where health care is provided including removal of disposing of sharps/needles, ensuring medications are out of reach of unauthorized persons, and keeping any medical instruments in the care of healthcare personnel.

Adheres to a level of transparency in identifying, reporting, participating and following up on health safety issues including healthcare errors, good catches/near misses and deviations from standard procedures.

Maintains non-involvement in the security aspects of persons in CBP custody.

Keeps an ethical professional working relationship with peers, patients and others who work with migrants including contractors, CBP agents and others. Does not provide health care services to persons other than migrants unless in an emergency response. Uses all health resources, including an NP's time to respond to the health needs of migrants or other assigned duties of employment with Loyal Source (training, drills, timekeeping).

Assists in the disposal of biologically hazardous wastes on a regular basis.

In certain circumstances, may take blood, urine specimens, sputum samples, etc. for laboratory analysis (examples might include such things as glucose finger sticks, pregnancy tests); however, in most cases, migrants will be referred to local healthcare if laboratory or radiological studies are required.

Interprets selected laboratory findings or external medical records such as results of Point of Care tests or records from an Emergency Department visit