Career Center

The Nurse Practitioner position is located within the Amarillo VA Health Care System in Amarillo, TX. Applicants pending the completion of educational or certification/licensure requirements may be referred and tentatively selected but may not be hired until all requirements are met. 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. English Language Proficiency. In accordance with 38 U.S.C. 7402(d), no person shall serve in direct patient care positions unless they are proficient in basic written and spoken English. Education: 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. License: 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. Preferred Experience: Assess, diagnose and treat and manage patients. Prescribe medication in manner consist with state regulations Leadership experience in managing the admission and the discharge of patients in the hospital. Order of ancillary services. Leadership experience in managing and participating in policy and procedure(s) development. 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 years of nursing practice/experience; OR a Master's degree in nursing or related field with a BSN and approximately 1-2 years 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 years of nursing practice/experience; OR a Doctoral degree and approximately 2-3 years 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: Light lifting, under 15 pounds; Light carrying, under 15 pounds; Us of fingers; Both hands required; Walking, standing; Both legs required; Be able to use a computer; Hearing (aid may be permitted). ["This is an OPEN CONTINUOUS ANNOUNCEMENT & will remain open until January 24, 2023, or until all positions are filled. The first cut-off date is August 09, 2022 . Eligible applications received after that date will be referred at regular intervals or as additional vacancies occur on an as-needed basis until positions are filled. Applicants will remain active for 3 months after their initial application is received and/or updated. After that time, you must update your application through your USAJobs account if you would like to be made active again for possible consideration during the open period. Assess, diagnose, treat, and manage, monitor, promote health and protect from disease, injury. Assess, stabilize, and determine disposition of patients with acute medical/surgical conditions (including emergent conditions). Appropriate Physician consultation will be obtained when indicated. Perform and document complete history and physical examinations and maintain progress notes. Develop, prioritize, and order plans of care using evidence-based practice guidelines. (including admission orders-in consultation with Attending Physician) Provide counseling and education to patients, families, and caregivers as appropriate Prescribe medications in a manner consistent with State Regulations (including State Nurse Practice Act), VA regulation and the guidelines of the Federal Controlled Substances Act Prescribe devices, supplies and durable medical equipment. Order and interpret diagnostic testing and therapeutic modalities including but not limited to laboratory tests, EKG, radiological studies, hemodynamic monitoring, treatment with IV fluids, electrolytes, oxygen, etc. Order VA specialty consults and initiate requests for non-VA care Order ancillary services including, but not limited to pharmacy, physical, occupational and speech therapy, nutrition, prosthetics, etc. Implement palliative and end-of-life care planning; including the initiation of hospice consults when appropriate. Initiate/Remove DNR, Modified DNR and Palliative Care orders in consultation with Attending Physician Obtain and document informed consent for the treatment or procedure for which the NP is responsible Wound care, debridement, and simple wound closure; including, local anesthesia. Assess, stabilize, and manage the acutely agitated, anxious patient. If patient needs are recognized to be beyond the Advanced Practice Provider's education, certification, and experience, (examples {not a comprehensive list}: acute psychosis, acute mania, psychiatric emergency}), immediate Psychiatric consultation/disposition will be obtained. Round on Inpatients and Document Discharge Summaries Assist in pre-operative evaluation, operative intervention/surgical procedures, and postoperative care. Emergent management of acute cardiopulmonary arrest following ACLS Guidelines Collaborative management of patients requiring ventilator support (CPAP/BiPAP/Mechanicalventilation), frequent hemodynamic monitoring (including invasive). Remove arterial catheters Insert and/or remove Peripherally Inserted Central Catheters Insert and/or remove Midline catheters Remove central venous catheters (IJ, SC {non-tunneled}) Removal of central venous catheters (tunneled) Removal of foreign bodies (localized) Tube extractions or removals Laceration repair (intermediate and complex), with specialty consultation as indicated Complex wound management Joint aspiration/injections VA offers a comprehensive total rewards package: VA Nurse Total Rewards\nPay: Competitive salary, annual performance bonus, regular salary increases\nPaid 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)\nRetirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA\nInsurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement)\nLicensure: 1 full and unrestricted license from any US State or territory Work Schedule: Full-time, 12 hours shifts, Rotating Shifts, Nights/weekends/holidays\nTelework: Not available\nVirtual: This is not a virtual position.\nRelocation/Recruitment Incentives: Not authorized\nPermanent Change of Station (PCS): Not authorized\nFinancial Disclosure Report: Not required"]