This position is located at Seymour Johnson AFB, Goldsboro, NC.
A health care provider who uses critical judgment to perform comprehensive health assessments, differential diagnosis, and prescribe pharmacologic and non-pharmacologic treatments in direct management of acute and chronic illness and disease. Promotes wellness and prevents illness and injury. The organizational location of this position is: ACC, 4th Fighter Wing, 4th Medical Group, 4th Medical Operations Squadron, Seymour Johnson AFB, NC.
As a Family Practice Nurse Practitioner:
Provides comprehensive primary, preventative, and therapeutic health care service to
assigned patients in a family practice clinic in a Military Treatment Facility (MTF). Performs
comprehensive physical assessments of patients to include baseline data such as past medical
and surgical history, family history, social history, and immunization history. Independently
diagnoses and manages acute episodic and chronic illnesses including but are not limited to
asthma, chronic obstructive pulmonary disease, hypertension, diabetes, arthritis, upper
respiratory infections, sexually transmitted diseases, and dermatological or orthopedic
conditions; minor traumas; behavior/psychological problems; and short term health issues such
as injuries and infections. Performs baby exams, pre-employment physicals, and sports
physicals. Performs pre-deployment and post-deployment assessments of active duty personnel.
Performs Preventive Health Assessment (PHA)/Reserve Component PHA exams, overseas
clearances for dependents, and medical evaluation board (MEB) summaries on military personnel
in accordance with annual requirements. Performs or requests special screening and
development tests and laboratory tests and interprets the results. Orders, performs, collects,
and interprets laboratory tests to include but not limited to electrocardiogram (EKGs), wet preps,
wet mounts, hema-occults, routine blood chemistry, hematology, microbiology, bacteriology,
virology, toxicology, pathology, and cytology. Orders and interprets the findings of radiological
studies, including but not limited to computerized tomography (CT) scans, magnetic resonance
imaging (MRIs), X-rays, ventilation/perfusion (VQ) scans, nuclear medicine scans, and other
tests that may be necessary for the diagnosis and treatment of a patient. When needed,
requests consultations to assist on interpretation of abnormal studies. Performs procedures to
include but not limited to biopsies such as shave biopsies, minor suturing, toenail removals, and
joint aspirations. Uses knowledge of a variety of pharmacological agents to treat patients based
the desired effects, side effects, and potential complications of the pharmacologic agent used.
Accurately administrates pharmacologic agent and determines proper dosage calculations.
Prescribes and monitors pain management regimes in patients with chronic pain. Uses
knowledge of patient education principles and behavioral readiness to change along with
knowledge of disease management programs and clinical practice guidelines (e.g., Department
of Veterans Affairs (VA)/Department of Defense (DoD) Clinical Practice Guidelines (CPGs), and
Healthcare Effective Data and Information Set (HEDIS) measurements to teach patients and
family members ways to maintain or improve their health status. Uses patient education
materials as appropriate. Maintains electronic medical records or patient paper charts to
document medical information and treatment procedures. Incorporates current knowledge of
disease and condition management into daily work activities to include evidence-based primary,
secondary, and tertiary prevention. Recognizes scope of practice/limitations, consults with a
physician and/or medical specialty services as needed, and refers patients as appropriate.
Ensures referrals include the appropriate level of severity/urgency of the care needed.
As a Family Nurse Practitioner (FNP), provides comprehensive health care services. Performs
procedures, treatments, and orders medications based on assessment results and standards of
care. Educates patients and family members on diagnosis, discusses treatment options and
makes recommendations, and ensures patients/family members have information required to
provide informed consent for treatment. Prescribes medications and adjusts dosage according to
patient’s needs and responses, to include appropriate dosing, side effects, and medicatio
interactions. Performs minor diagnostic procedures, such as punch biopsies, mole removal, wart
removal, needle aspiration for culture, and shave biopsies. Also performs minor suturing, toenail
removals, and joint aspirations. Additionally performs procedures such as intravenous (IV) line
placement, dressing changes, catheterizations, wound irrigation, oxygen administration, and
specimen collection such as blood and cerebrospinal fluid. Participates with the consulting
physician in planning, instituting, evaluating, and revising program plans; assists in determining
conditions, resources, and policies essential to the delivery of health care services. In
partnership with physicians, makes decisions concerning medical care needs of patients as well
as nursing care needs. Provides surveillance of adherence to medical and nursing regimens to
stabilize chronically ill patients; adjusts regimens within established protocols recognizing when
to refer the patient to the physician or other health team members. Develops family nursing protocol
and defines and develops relevant procedures for the facility.
US Citizenship required
Must have passed the National Council Licensure Examination and possess a current, active, full, and unrestricted license or registration as a professional nurse from a State, the District of Columbia, the Commonwealth of Puerto Rico, or a territory of the United States.
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