Nurse Practitioner - Urology

Department of Veterans Affairs

This position is located in the Green Bay Community Based Outpatient Clinic (CBOC), in the Northeast Wisconsin Ambulatory Clinic (NEWAC) Division. The Nurse Practitioner - Urology practices in the Urology Service Line to provide a full range of services emphasizing quality, timeliness, and the advancement of the Veterans Affairs (VA) mission. A Urology NP Board Certification is required for this position.

• Major Duties and Responsibilities: Provide high-quality Urology care to Veterans across outpatient, clinic, and surgical settings, increasing access and improving outcomes. Obtain and evaluate medical histories; perform physical examinations and diagnostic/therapeutic procedures; develop and adjust medical management plans to achieve optimal outcomes. Order and interpret diagnostic studies (MRI, CT, labs, EKG, imaging) and order ancillary services, consults, and patient care supplies per VHA and local policy. Write orders for and prescribe medications; order pre-procedure/pre-operative antibiotics and other medications; order administration of blood products. Obtain and document informed consent for treatments/procedures performed under Full or Limited Autonomy, or as an integral member of the treatment team (e.g., assisting the primary surgeon), provided the NP has sufficient knowledge of indications, risks, benefits, and alternatives to counsel the patient. Provide health promotion, disease prevention, and patient/family education and counseling on conditions and treatments; provide peri- and post-operative teaching. Complete medical records per Medical Staff Bylaws and Rules and Regulations. Establish professional working relationships with providers across the medical center, OPCs, and CBOCs, providing Urology education as needed. GU Surgery Responsibilities (Full and Limited Autonomy): Clinical/administrative duties include triaging, assigning, and managing Urology outpatients; obtaining informed consent for common GU procedures; coordinating care with other health care professionals; monitoring scheduling accuracy and clinic profiles; performing pre-operative history/physicals; and assisting in day-to-day management of surgical patients, including pre- and post-operative orders, ICU transfer orders, medication and IV orders. Procedures performed: Insertion and placement of urethral catheters, including over a wire Removal or exchange of suprapubic tubes/catheters Intracavernosal injections and teaching Percutaneous tibial nerve stimulation Cryoablation of genital lesions with liquid nitrogen Removal of drains, ureteral stents, and nephrostomy tubes Administration of oral and IV medications; initiation of IV infusions per hospital sterile technique protocols Cystoscopy Cystoscopy with ureteral stent removal Cystoscopy with basketing of stones/foreign body Cystoscopy with biopsy and fulguration Transrectal ultrasound Urodynamic studies 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 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: 0800 - 1630 Monday - Friday Telework: Not Available Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized

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