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Supervisory Nurse (Ambulatory/Urology)



  • About the Position:

    We are currently offering a rewarding opportunity as a Supervisory Nurse in our Urology department, Carl R. Darnell Army Medical Center (CRDAMC), Ft. Hood, TX - Working as a Civilian employed provider.

    Location Highlights:

    • Ft Hood is nicknamed The Great Place because of the quality of life the post and area offer Soldiers and their families.
    • Ft Hood covers a total of 340 sq miles and rests in the beautiful hill and lake' country of Central Texas, between Killeen and Copperas Cove.
    • For those who enjoy the outdoors, Ft Hood is the ideal location because of warm winters and hot summers.
    • The nearby lakes, Belton and Stillhouse, offer year round outdoor recreation activities.

    Medical malpractice liability insurance is not required for federal civilian healthcare providers as they are covered by the Federal Tort Claims Act (28 U.S.C. ยง 1346(b)) while acting within the scope of their employment.

    Who May Apply: U.S. Citizens



Serves as Supervisory Nurse (Ambulatory/Urology) for Carl R. Darnall Army Medical Center (CRDAMC), Department of Urology. The incumbent provides case management and coordinates urologic procedures, and develops policies for the provision of care and maintaining Joint Commission compliance standards and performance improvement initiatives. The incumbent provides direct patient care, case management, and introduces innovative nursing techniques in collaboration with healthcare providers to assess, educate, plan, coordinate, deliver appropriate direct care through programs designed to provide efficient, comprehensive, and cost effective service for patients. Responsible for the successful progression of the patient from service entry through follow-up services. Virtual Health is an expanding aspect of the practice. The incumbent maintains a high level of clinical competence in surgical and urologic practice and expands professional growth and knowledge base through participation in patient care rounds, attendance at seminars, conferences, and professional lecture series. 1. As a Supervisory Nurse (Ambulatory/Urology) Carl R. Darnall Army Medical Center (CRDAMC), the incumbent ensures an advanced level of care in the outpatient setting for urologic patients of all ages, including clinic visits, office procedures and operating room procedures. Responsible for all clinical and procedural case management activities of the clinic.

Supervises assigned staff to the urology team which includes Medical Technicians, GS-620-06 and Licensed Vocational Nurses GS-0620-06. Sets priorities and prepares schedules for completion. Informs subordinates of civilian personnel policies and programs.
Establishes performance standards and evaluates performance. Approves and disapproves requests for leave. Recommends recognition and positive personnel actions (such as monetary awards) for deserving subordinates. Identifies and recommends employees for
additional training or continuing education/development. Effects minor disciplinary measures, recommends higher-level actions to deciding official. Within level of authority, provides a safe and occupationally health work environment for subordinates. Hears and
resolves employee complaints.

Develops a nursing plan of care providing appropriate family/patient education and
counseling. Utilizes the nursing process to assess the patient's health status, identifying
problems and initiating appropriate nursing intervention and referrals. Assesses, plans,
implements and evaluates educational programs for patients and staff to achieve stated
goals. Triages phone calls and secured messaging system (SMS) from patients and families
daily. Provides pre-procedure information, counseling, scheduling and ensures appropriate
pre-procedure prescriptions and directions.
b. The incumbent works collaboratively with the General Surgery, Otolaryngology, Plastic
Surgery, Ophthalmology, and other healthcare staff, as well as outside medical facilities to
provide and coordinate specialized nursing care and evaluate the individual needs of the
surgical patient. Consults and coordinates with other multidisciplinary healthcare
professionals, agencies, organizations and ancillary support systems to assist patients with
optimizing their level of function and self-care potential.
c. Monitors appropriateness of referrals from healthcare providers regarding evaluation and
management of patients with urologic condition. Assists urology providers with
implementation and revisions to the plan of care to assess for adequacy of therapeutic
response to surgical and medical regimens within established protocols. Serves as a
consultant to other healthcare providers and as a liaison to other clinics and committees as
needed. Provides guidance, education, and consultation in comprehensive preventive,
diagnostic, and therapeutic care and management to patients and families. Collaborates
with other disciplines in obtaining and maintaining informed consent information and pain
management for patients prior to implementing diagnostic procedures and continuously
during the course of treatment.
2. Oversees the coordination and scheduling of urology provider office visits, office
procedures and urology nursing procedures.
a. Ensures proper scheduling of cases in the CRDAMC urology procedures rooms to include
availability of equipment and personnel. Assists physician with invasive procedures to
include endoscopies, minor open procedures and intracavitary procedures. Observes
monitors and assesses patient's condition, recognizes life-threatening conditions. In the
absence of a physician, independently determines and implements proper emergency
measures in accordance with prescribed protocols and standards. Answers questions,
resolves conflicts and provides pertinent information to patients and physicians on
scheduling, test equipment and procedures. Assists in securing areas after operations, as
well as orders and organizes/directs necessary machine and operating room resupply to
ensure for continuity of procedures. Ensures the maintenance of equipment stock levels on
Procedure Room Carts and ensures its availability during procedures.
b. Evaluates and manages patient caseload according to national standards and mutually
agreed upon protocols by health care providers. Evaluates and utilizes subjective/objective
data in collaboration with other health care providers to make decisions regarding care and
treatment. Makes recommendations concerning efficacy and cost-effectiveness of care.
Requests special screening and laboratory tests related to plan of care as directed by the
scope of practice. Provides direct nursing care to patients and families to maintain quality
of life, provide comfort, reduce stress and enhance coping mechanisms.
c. Administers medications via the oral, intramuscular, intravenous, subcutaneous,
intradermal, topical, and intracavitary routes. Orders medications and solutions for the
clinic. Documents in the patient's records: patient history, patient teaching, medications
administered and any other information related to nursing intervention.

Responsible for the clinical competencies for assigned staff. Trains, directs, and guides
other health professionals in the basic principles of urologic case management and
utilization review. Leads and participates in multidisciplinary treatment teams. Coordinates
with staff and members of health team to make necessary referrals, if applicable.
b. Performs ongoing analysis and develops/implements processes to improve overall
efficiency of service to include to accurately capturing workload. The incumbent reviews
medical records of patients prior to follow-up or other scheduled appointments. Collects
and analyzes data. Coordinates with a patient-focused multidisciplinary group of clinicians
to develop timeline protocols which delineate the expected process of care delivery for
selected urologicpatients and which provide high quality, affordable healthcare to its
beneficiaries. Monitors exceptions, deviations, and differences from the established
protocols to identify and report problems. Variances are analyzed and reported through a
continuous process improvement channel to seek solutions and improve delivery of
surgical nursing care.
c. Responsible for collecting and reporting data related to urologicprocedures and
evaluates outcomes and effectiveness. Maintains a local database to assist with quality
assurance. Develops and monitors performance improvement projects with the assistance
of the medical and administrative staff, and outlines an annual goal plan to improve the
healthcare delivery system. Responsible for Joint Commission compliance within the


Who May Apply: U.S. Citizens Only

US unrestricted nursing license

Supervisory nursing experience required

Supervisory Nurse (Ambulatory/Urology)

Fort Hood, TX 76544
Full Time

Published on 01/04/2021