Nurse Practitioner - Urology

Urology Clinical Nurse Specialist

The Urology Clinical Nurse Specialist is a licensed independent practitioner with advanced education and national certification who provides evidence-based care for a population of patients. Responsibilities include:

• Providing high-quality care, increasing access & improving outcomes for Veterans.
• Obtaining and evaluating medical histories. Performing physical examinations and therapeutic/diagnostic procedures.
• Ordering and interpreting labs, tests, and diagnostic studies.
• Reviewing pharmacologic and non-pharmacologic interventions.
• Developing appropriate medical management plans for Urology.
• Assessing and adjusting the plan of care as needed to achieve optimal patient outcomes.
• Prescribing medications and providing education and counseling to Veterans and their families regarding medical condition, prescribed treatments and drugs, diagnostic options, review of treatment plans, discussions of patient goals, etc.
• Performing/assisting with procedures including drain management/removal, foley catheter insertion and removal, suprapubic catheter exchange, cystoscopy, cystoscopy with stent removal, transrectal ultrasound, and bladder biopsy/fulguration.
• Obtaining informed consent from patients for procedures outlined above, as well as vasectomy, prostate biopsy and other surgical interventions outlined by the operating physician.
• Managing a panel of patients with acute and chronic health conditions, with an emphasis on health promotion using evidence-based practice.
• Making arrangements for further care if appropriate (e.g., by entering consults) and serving as a consultant to other providers.
• Working collaboratively with a multidisciplinary staff in a fast-paced educational, and collegial environment.
• Initiating and/or expediting requests for consultations, special tests or studies on assigned patients and keeping the managing physician apprised of results and progress, to include radiologic and pathologic studies.
• Providing education to patients and their families.
• Developing meaningful goals to assist patients and their families in attaining the optimum level of physical, physiological, sociological and psychological balance within the limitations imposed by their illnesses.
• Providing telephone consultation - screening consults for appropriate and timely care prior to scheduling; and communicating with multidisciplinary team members, such as pharmacy, dietary, IT, lab, other specialists/providers.
• Establishing professional working relationships with clinical service providers within the medical center, Outpatient Clinics (OPCs), and the Community Based Outpatient Clinics (CBOCs), and providing Urology education as needed.
• Demonstrating leadership and participating in quality assurance programs and chart reviews.
• Completing medical records in accordance with Bylaws and Rules and Regulations of the Medical Staff.
• Contributing to the achievement of quality care standards, and actively participating in patient safety initiatives.
• Working independently, as allowed by VA policies, with delegated prescriptive authority for appropriate classes of medications, consulting with the collaborating physician where appropriate.
• Maintaining continuing education as required by the specialty section and the appropriate professional licensing board.
• Providing patient care in accordance with professional standards, and exemplifies the ICARE core values of-Integrity, Commitment, Advocacy, Respect, and Excellence.

VA offers a comprehensive total rewards package: VA Nurse Total Rewards

Pay: Competitive salary, regular salary increases, potential for performance awards

Paid Time Off: Up to 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: Day Shift, M-F (0800-1630)

Telework: Not available

Virtual: This is not a virtual position.

Relocation/Recruitment Incentives: Not authorized

Permanent Change of Station (PCS): Not authorized