Advanced Practice Nurse (CNP) Breast Imaging

The Advanced Practice Nurse (CNP) Breast Imaging (NP) The Advanced Practice Nurse (APN) Breast Imaging Nurse Practitioner (BINP) provides a full range of sex specific services emphasizing quality, timeliness, and the advancement of the Veterans Affairs (VA) mission. BINP provides advanced clinical practice, consultation, and management.

Major duties and responsibilities of the position: include, but are not limited to the following: Demonstrates critical thinking, creativity and versatility in handling complex situations and problem solving. Reflects leadership skills and attributes, reviewing traditional practices, supporting fellow staff members to search for evidence-based practices and bring findings to the attention of the unit. Teaches others to critically think by verbally expressing rationale for decisions and following up by coaching and critiquing colleagues' thought processes in complex situations. Follows the nursing process, modifies care based on continuous evaluation of the patient's condition, demonstrates clinical problem-solving and critical thinking, and makes decisions using evidence-based analytical approach. Plans for routine events and anticipates/prevents and manages/elevates emergent situations. Contributes to meeting departmental targets for quality and safety measures on unit-based scorecard. Obtains and coordinates outside medical records, including breast imaging reports, pathology reports, consultation notes, operative reports, and other pertinent clinical documentation required for patient care. Coordinates acquisition, transfer (i.e. transfer to and from our facility), and review of outside as well as MEDVAMC breast imaging studies and associated images to ensure availability for comparison and interpretation by Breast Imaging Radiologists Maintains a comprehensive patient tracking system to ensure Veterans with abnormal breast imaging findings receive timely and appropriate follow-up care. Tracks Veterans throughout the breast imaging continuum, including completion of recommended diagnostic imaging, image-guided breast biopsies, breast MRI examinations, contrast-enhanced mammography (CEM), genetic counseling consultations, surgical oncology consultations, medical oncology consultations, and other clinically indicated services. Communicates and coordinates care with Veterans, Primary Care Providers, Community Care staff, radiologists, surgeons, oncologists, genetic counselors, and other interdisciplinary team members. Reviews outside breast imaging reports and enters appropriate Bl-RADS assessment categories into the radiology information system (i.e. radiology package) in accordance with Breast Imaging Section protocols. Maintains accurate tracking databases, follow-up logs, and documentation systems to support quality assurance, patient safety, and regulatory compliance. Assists with monitoring and reporting of breast imaging quality metrics and follow-up compliance measures. Provides nursing support before, during, and after image-guided breast procedures, including breast biopsies and localization procedures. Performs patient assessment, education, and procedural preparation for breast imaging examinations and image-guided procedures. Follows up with patients post procedures and documents patient status in the medical record system. Establishes peripheral intravenous access as clinically indicated for contrast-enhanced mammography (CEM) and breast MRI examinations in accordance with facility policy. Monitors patients for adverse reactions, procedural complications, and post ­procedure recovery needs and provides appropriate nursing interventions and education. 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: Monday- Friday 6:30am-3:00pm, 7:00am-3:30pm , 8:00am-4:30pm- subject to the needs of the facility Rotating schedule Telework: Not Available Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized

U.S. Citizenship; non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. All applicants tentatively selected for VA employment in a testing designated position are subject to urinalysis to screen for illegal drug use prior to appointment. Applicants who refuse to be tested will be denied employment with VA. English Language Proficiency. In accordance with 38 U.S.C. 7402(f), no person shall serve in direct patient care positions unless they are proficient in basic written and spoken English. Selective Service Registration is required for males born after 12/31/1959. Subject to background/security investigation. Selected applicants will be required to complete an online onboarding process. Acceptable form(s) of identification will be required to complete pre-employment requirements (https://www.uscis.gov/i-9-central/form-i-9-acceptable-documents). Effective May 7, 2025, driver's licenses or state-issued identification cards that are not REAL ID compliant cannot be utilized as an acceptable form of identification for employment. Must pass pre-employment physical evaluation/examination. Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP). You may be required to serve a probationary period. Complete all application requirements detailed in the "Required Documents" section of this announcement.