The Nurse Practitioner will be assigned to Primary Care Service at the Wyoming VA Medical Center. The incumbent is accountable for the management and evaluation of a panel of patients under his/her care. The Nurse Practitioner provides comprehensive preventive and wellness care for Veterans. To qualify for this position, applicants must meet all requirements by the closing date of this announcement, 01/26/2022. Basic Requirements: United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. Graduate of a school of professional nursing approved by the appropriate State-accrediting agency and accredited by one of the following accrediting bodies at the time the program was completed by the applicant: The Accreditation Commission for Education in Nursing (ACEN) or The Commission on Collegiate Nursing Education (CCNE). In cases of graduates of foreign schools of professional nursing, possession of current, full, active and unrestricted registration will meet the requirement of graduation from an approved school of professional nursing. OR The completion of coursework equivalent to a nursing degree in a MSN Bridge Program that qualifies for professional nursing registration constitutes the completion of an approved course of study of professional nursing. Students should submit the certificate of professional nursing to sit for the NCLEX to the VA along with a copy of the MSN transcript. (Reference VA Handbook 5005, Appendix G6) OR In cases of graduates of foreign schools of professional nursing, possession of a current, full, active and unrestricted registration will meet the requirement for graduation from an approved school of professional nursing. Current, full, active, and unrestricted registration as a graduate professional nurse in a State, Territory or Commonwealth (i.e., Puerto Rico) of the United States, or the District of Columbia. Nurse Practitioners. A nurse practitioner must be licensed or otherwise recognized as a nurse practitioner in a State, possess a master's degree from a program accredited by the NLNAC or CCNE, and maintain full and current certification as a nurse practitioner from the American Nurses Association or another nationally recognized certifying body. [The certification must be in specialty to which the individual is being appointed or selected.] English Language Proficiency. Nurse Practitioners must be fluent in written and spoken English. Physical Requirements (listed below.) Valid unrestricted drivers license and ability to drive independently. Grade Determinations: The following criteria must be met in determining the grade assignment of candidates, and if appropriate, the level within a grade: Nurse I Level I - An Associate Degree (ADN) or Diploma in Nursing, with no additional nursing practice/experience required. Nurse I Level II - An ADN or Diploma in Nursing and approximately 1 year of nursing practice/experience; OR an ADN or Diploma in Nursing and a bachelor's degree in a related field with no additional nursing practice/experience; OR a Bachelor's of Science in Nursing (BSN) with no additional nursing practice/experience. Nurse I Level III - An ADN or Diploma in Nursing and approximately 2-3 years of nursing practice/experience; OR an ADN or Diploma in Nursing and a Bachelor's degree in a related field and approximately 1-2 years of nursing practice/experience; OR a BSN with approximately 1-2 years of nursing practice/experience; OR a Master's degree in nursing (MSN) or related field with a BSN and no additional nursing practice/experience. Nurse II - A BSN with approximately 2-3 years of nursing practice/experience; OR ADN or Diploma in Nursing and a Bachelor's degree in a related field and approximately 2-3 year's of nursing practice/experience; OR a Master's degree in nursing or related field with a BSN and approximately 1-2 year's of nursing practice/experience; OR a Doctoral degree in nursing or meets basic requirements for appointment and has doctoral degree in a related field with no additional nursing practice/experience required. Nurse III - Master's degree in nursing or related field with BSN and approximately 2-3 year's of nursing practice/experience; OR a Doctoral degree and approximately 2-3 year's of nursing practice/experience. Reference: VA Regulations, specifically VA Handbook 5005, Part II, Appendix G-6 Nurse Qualification Standard. This can be found in the local Human Resources Office. Physical Requirements: Visual acuity, keen hearing, clear distinctive speech, and manual dexterity. Long periods of continued walking, standing, stooping, sitting, bending, pulling, and pushing. May be exposed to infected patients and contaminated materials and may be required to don protective clothing in isolation situations, operative/invasive procedures, or home settings. The incumbent may occasionally be exposed to patients who are combative secondary to delirium, dementia, or psychiatric disorders. The incumbent must be a mature, flexible, sensible individual capable of working effectively in stressful situations, able to shift priorities based on patient needs. Must complete annual Employee Health requirements, such as annual TB screening or testing. The incumbent who provides care in home settings or other off-site locations required to drive and/or ride in GSA-vehicles. ["The Nurse Practitioner (NP) uses the nursing process and evidence based proactive to provide inter-professional, team-based care for a panel of patients. The NP is a member of the interdisciplinary team providing diagnosis and treatment.The NP provides patient and family health education with a focus on self-management, prevention, and wellness, based on the patient's goals. The NP is prepared in advanced practice across the health continuum. This practice includes independent and interdependent decision-making and direct accountability for clinical judgment. The NP role includes participating in and use of research, development and implementation of health policy, leadership, education, case management and consultation. The NP provides patient and family health education with a focus on self-management, prevention, and wellness, based on the patient's goals. Duties include but are not limited to: The incumbent is responsible for entering accurate, complete, timely progress notes for each episode of care in the patient's electronic record. This is accomplished by utilizing the Computerized Patient Record System (CPRS). Respond to patient telephone calls, inform patients of test/lab results, renew medication prescriptions, give telephone or e-mail advice to other providers, and administrative duties. Addresses Advance Directives in accordance with the standards of their work area. Acts as a consultant to other team/staff members. Provides wellness/prevention education to Veteran and family. Adheres to safety, health, and infection control standards, regulations and work practices, as well as ergonomic standards. Reports any unsafe conditions to supervisor and/or appropriate officials Assists in orientation of new staff, and will provide patient and family education, including informed consent. Participates in performance improvement activities, disaster preparedness, administrative duties, and other responsibilities assigned by Medical Service. Understands the approved settings for granted and requested clinical privileges; acknowledges set restrictions and agreed to exercise clinical privileges only in approved settings under appropriate, supported conditions. In an emergency or life-threatening situation, authorized and expected to perform any indicated treatments and procedures within their capabilities until the patient can be moved to an appropriate setting. Practice in accordance with VA guidelines; Battle Creek VAMC policies/procedures; medical staff bylaws, rules and regulations; and in accordance with current Joint Commission standards. Work Schedule: Monday - Friday; 7:30AM - 4:00PM\nFinancial 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.