Advanced Practice Registered Nurses / Physician Assistants
Internal Number: 613537200
This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific individual eligibility requirements in accordance with VHA policy and submit your EDRP application within four months of appointment. Approval, award amount (up to $200,000) and eligibility period (one to five years) are determined by the VHA Education Loan Repayment Services program office after complete review of the EDRP application. Learn more GENERAL DESCRIPTION OF ASSIGNED DUTIES This position is located within the Department of Veterans Affairs (VA), Veterans Health Administration (VHA), VA Mid-Atlantic Health Care Network (VISN 6), Hampton Veterans Affairs Medical Center (HVAMC), under the Mental Health and Behavioral Sciences Service Line (MHBS). This position is aligned with the BHIP/Outpatient Program. The Psychiatry Physician Assistant (PA) is responsible for the care and administrative needs of mental health patients in both the inpatient and outpatient settings. The PA also functions as a coordinator between the attending physician and the other team members to include nurses and PMH NPs, psychologists, social workers, psychotherapists, LMFTs, LPCs, addiction therapists and other clinic personnel. The Psychiatry PA will be responsible for the primary medical needs of inpatients and outpatients in the mental health clinics and wards. Duties will include, but are not limited to, the evaluation of current psychiatric and medical problems, administrative assistance, quality assurance and educational support as detailed below. 2. FUNCTIONS OR SCOPE OF ASSIGNED DUTIES Provide medical care and evaluation for both psychiatry inpatients and outpatients in the mental health wards and/or outpatient clinics. These patients often have associated medical problems and are multi-symptomatic. The PA may perform the following duties: Clinical Responsibilities 80% a. Conduct initial psychiatric evaluations, including initial assessment interviews, history and physical exams; lab, imaging, medication and psychotherapy consultation orders, aftercare plans and follow up visits. Following the initial evaluation, the PA will provide appropriate follow up care including reassessments of diagnoses and conditions, medication adjustments, and any further tests or consults indicated. b. Provide mental health education /counseling and brief therapy of patients and their families. c. Primary responsibility for care of patients when the clinic medical director is absent. d. Conduct ongoing follow up appointments for stable patients, including regular refills of medications, required lab and other tests and documenting progress. e. Perform examinations and screening scales (such as AIMS, MoCA, HAM-D) and similar non-invasive examinations specific to the ongoing care of psychiatric patients. f. Ordering appropriate laboratory tests, imaging studies, EKGs (electrocardiograms), and similar noninvasive tests. g. Initiating and expediting consultation requests and scheduling special tests and studies. h. Drawing blood specimens for testing and obtaining other body fluid samples requiring comparably low levels of invasiveness. i. Making rounds for inpatients, holding scheduled appointments for outpatients to observe and record patients' medical progress, and notifying the collaborating physician of significant changes in patients' condition. j. Mixing and starting IV (intravenous) solutions and administering IV medications. k. Dispensing medications (including injections). l. Providing education and counseling of the patient and the patient's family in preventive care, medical conditions, and the use of prescribed treatments and medications. m. Performing preventive health activities (including intradermal testing). n. Ordering appropriate prosthetic devices and medical equipment. o. Recording notes on all procedures performed for which the PA is responsible. p. Initiating ECT or TMS work up and scheduling. q. Ordering diets. r. Case management. s. Conducting educational groups. t. Perform treatment planning in an outpatient or inpatient setting. u. Integrate the activities of the psychiatry clinic/ward with other patient care programs at the facility. Administrative Responsibilities 10% a. Evaluates outside consultations presenting to the mental health clinic and determines the appropriate disposition, routing, and urgency of those consults. b. Facilitates access to the mental health clinic medical director and other staff for other Health Care Providers. c. Participates in quality assurance program with a multi-disciplinary group-developing criterion for administrative goals in the clinic. d. Participates in hospital, care line, or program work groups or committees for various professional, facility, or VA needs. Academic/Teaching/Training 5% As the psychiatry inpatient or outpatient physician assistant, the incumbent is responsible for the following educational assignments: a. Develops and implements in-service training for primary care providers regarding the specialty of psychiatry, and assists with training medical students, PA students, NP students, psychiatry residents and fellows. b. Performs academic didactic or clinical teaching, lectures, or presentations for VA affiliated academic institutions as needed per the PAs training and areas of interest. Work Schedule: Monday thru Friday, between 7:30AM to 4:30PM EST Financial Disclosure Report: Not required
Providing Health Care for Veterans: The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,255 health care facilities, including 170 medical centers and 1,074 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.