Vesa Heatlh & Technology is seeking a qualified Nurse Practitioner or Physician Assistant to provide care to our Nation's Military members and their dependents at The Carl R. Darnall Army Hospital at Fort Hood, TX.
Position offers excellent pay, full benefits, generous paid time off and rewarding opportunity to work with our Nation's Military.
The Physician Assistant shall:
- Have and maintain a valid, unrestricted, current state medical license in one of the 50 states, District of Columbia, Puerto Rico, Guam or US Virgin Islands and a current Drug Enforcement Agency (DEA) registration number (certification).
- Have at least one year experience within the last three years routinely practicing as a PA. One year of experience for an Orthopedic PA will be in the form of ambulatory or hospital based orthopedic service.
- Possess a minimum of a Baccalaureate Degree from an accredited university within respective profession.
- Possess current Board Certification by the National Commission of Certification of Nurse Practitioner/Physician Assistants (NCCPA). Applicable diploma and proof of membership in the NCCPA is required.
- Have current Basic Cardiac Life Support (BCLS) by way of the American Heart Association. This certification shall be maintained in a current status at all times while performing services under the contract.
- Be able to read, write, and speak English well enough to effectively communicate with all patients and other health care providers.
- Have a minimum of one year of experience (within the past four years) of routinely practicing as a nurse practitioner.
- Be a graduate of a recognized advanced practice nursing educational program (accredited Master’s Level or Doctoral Program) and possess evidence of certification by a nationally recognized body according to the requirements of the advanced practice certifying organization, for example, American Nurses Credentialing Center (ANCC) or American Academy of Nurse Practitioner (AANP) Certification Program.
- Be a graduate of an NLN approved school of nursing and hold current registration as a registered nurse in the United States. If the state of registration has a separate Advanced Practice Nurse (APN) licensure, the FNP will also have APN licensure.
- Evidence of successful completion of an ANP program of education.
- Have current certification in Basic Cardiac Life Support (BCLS) for health care workers.
- A BSN is required, but a MSN is preferred.
Additional Qualifications for both:
- Knowledge of a full range of orthopedic nurse practitioner/physician assistant cre principles, practices, and procedures applied in providing services in the orthopedic clinic to adult and pediatric patients.
- Specialized knowledge of musculo-skeletal anatomy, physiology, and pathophysiology; orthopedic equipment, methods, procedures, principles and techniques to include traction, casting and splinting.
- Ability to assess and treat acute presentations to include infections, fractures, neoplasms, and congenital deformities.
- Ability to assume responsibility of consultation from various non-orthopedic trained physicians and PA’s in regard to the diagnosis, care, and referral time of orthopedic patients.
- Knowledge and the ability to perform reductions of fractures and dislocations with the use of appropriate anesthesia (i.e. hematoma blocks, digital blocks, nerve blocks). * Ability to function a a first assistant to an orthopedic surgeon in the operating room.
- Knowledge of, and ability to perform minor surgical procedures such as wound closure, pin removal, compartment pressure measuring and monitoring.
- Knowledge of and ability to perform surgical procedures to include incision and debridement, nail extraction, and orthopedic hardware removal.
- Ability to perform injections/aspirations of various joints.
- Ability to order and interpret skeletal radiographs, magnetic resonance imaging, computerized tomography, bone scans, arthrograms, and electromyography.
- Ability to perform adequate/appropriate work-up in evaluating potential surgical candidates.
- Ability to make daily ward rounds and enter progress notes in the inpatient chart.
- Ability to provide preventive care to healthy individuals including guidance in nutrition, common illnesses, child growth and development.
- Ability to design rehabilitation programs for patients.
- Ability to offer palliative treatment to chronic orthopedic conditions.
- Ability to counsel patients, families, and groups in general orthopedic care.
- Ability to conduct and dictate medical histories and physical examinations, and discharge summaries on orthopedic inpatients.
- Ability to use sound judgment in determining whether the orthopedic patients’ condition requires referral or consultation with an orthopedic surgeon.
- Knowledge of orthopedic field and ability to develop lecture or journal articles to the Orthopedic Clinic.
The Nurse Practitioner / Physician Assistant shall provide health care to patients
of all ages in the Orthopedic Clinic, Orthopedic Ward, and Operating Room, within the professional capabilities and operational limitations of staff and clinic. Primary health care shall include (but not limited to) the following:
- General medical/orthopedic care. Nurse Practitioner / Physician Assistant provides primary and specialty medical care for the sick and wounded within the limits of training and the privileges as granted by the MTF Commander.
- Diagnosis, treatments, and prescription. Within parameters of credentialing, diagnoses, prescribes, and treats diseases, disorders and injuries under physician supervision. Screens patients, referring the more complicated cases; individually treats acute and chronic illnesses and diseases within prescribed capabilities. In emergencies, latitude in treatment increases in accordance with established guides such as AR 40-66..Diagnosis and treatment limitations. As a Physician Assistant/Nurse Practitioner (Orthopedic) does not make a diagnosis or institute any treatment based on telephonic conversations with patients or any non-physician health care provides that are not authorized by physician-approved protocol.
- Referral and evacuation. Refers situations requiring more highly skilled medical diagnosis and treatment for evacuation. In the absence of a physician, the HCP will function as the primary source of advice to determine the medical necessity, priority, and requirements for patient evacuation.
- Orthopedic Clinical Preceptor duties are as follows:
- Clinically supervises all facets of Nurse Practitioner / Physician Assistant student training during their month long rotation in the Orthopedic Clinic. * Supervises and develops NP/PA students curriculum, schedule and testing as needed per individual student.
- Provides professional supervision for each NP/PA student as they evaluate and treat patients.
- Provides for the education of NP/PA students as outlined in, but not limited to, the Clinical Practice Procedural Check List (i.e. GR 351-8)
- Evaluates and grades all NP/PA students during their orthopedic rotation.
- Completes the appropriate Evaluation and Grading Report within prescribed time frames after the student has completed rotation.
- Serious illnesses, injuries, or trauma are referred to, or consulted with, the orthopedic surgeon in charge. In the clinic, assignments evolve from the flow of work and the incumbent provides care without detailed instructions, including assessment and treatment of injuries and illnesses. Work is reviewed for effective delivery of health services.
Job Type: Full-time
- Orthopedic: 1 year (Required)
- PA or NP: 3 years (Required)
- Physician Assistant (Required)
- Nurse Practitioner (Required)