THIS IS AN OPEN CONTINUOUS ANNOUNCEMENT. CERTIFICATES WILL BE ISSUED BI-WEEKLY TO THE HIRING MANAGER. The primary purpose of the nurse practitioner (NP) is to practice to the full extent of their education, training and certification, without the clinical supervision or mandatory collaboration of physicians, as a licensed independent practitioner to provide specified medical or other patient care service. 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. 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. Preferred Experience: ER training/certification and experience is preferred bedside procedure proficiency is preferred 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 III - Master's degree in nursing (MSN) and no additional nursing practice/experience. Nurse II - Master's degree in nursing 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 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: This position requires visual acuity, keen hearing, clear distinctive speech, and manual dexterity. This position requires potentially long periods of continued walking, standing, stooping, sitting, bending, pulling, and pushing. Transferring patients and objects may be required. Mechanical inpatient lifts are provided. The incumbent 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, as a condition of employment. The incumbent who provides care in home settings or other off-site locations may be required to drive and/or ride in GSA-vehicles. ["VA offers a comprehensive total rewards package: VA Nurse Total Rewards The primary purpose of the nurse practitioner (NP) is to practice to the full extent of their education, training and certification, without the clinical supervision or mandatory collaboration of physicians, as a licensed independent practitioner to provide specified medical or other patient care service. The NP collaborates with other disciplines to develop, implement, and coordinate a system of patient care delivery that promotes communication, teamwork, high quality care, patient satisfaction, positive outcomes, appropriate utilization of resources and cost-effective services - Coordinate and supervise the delivery of outpatient care for Emergency Department patients including patient evaluation; treatment including biopsies, order appropriate medications, schedule follow-up as needed, appropriate referrals as needed. - Serve as primary Emergency Department provider for an independent panel of clinic patients after an initial training period. - Perform new patient Emergency Department consultation and return Emergency Department visits and telephone follow up visits and collaborate with Emergency Department staff. Establish a comprehensive plan of care based on clinical findings and standards of care. Establish mutual goals with patient/family. - Prescribe medications based on patients' status, accepted scientific guidelines, prescriptive authority, and ongoing evaluation of therapies. - Lead and direct others in Emergency Department to assure access to and continuity of care across the VA continuum, between referral bases, and transitioning from inpatient/observation status toward outpatient follow-up care. - Order and interpret diagnostic tests, including but not limited to biopsies, laboratory tests, and appropriate radiology studies. - Help triage requests for outpatient Emergency Department consultation in a timely manner, coordinate tests and visits based on clinical urgency, and assist in facilitating IFC consults and referrals from other VA facilities. - Support and enhance the mission and goals of the Eastern Oklahoma VA Healthcare System. - Work effectively with others to initiate and lead interdisciplinary groups and establish relationships with professional and/or other related groups within the community. - Develop a professional practice by leadership and accomplishments in the development and implementation of best-practice guidelines in the patient care and healthcare delivery. - Demonstrate ability to function independently in advanced leadership, critical thinking, problem solving, and project management skills. - Is proactive in identifying potential emergency/crisis situations and providing appropriate interventions. - Performs procedures within the approved scope of practice and based on documented competencies: Performing diagnostic and stabilization procedures based on ACLS protocol. Performing procedures such as incision and drainage, joint aspiration, suturing Screening patients to determine the need for hospital admission o Screening patients to determine the need for further health care including consultations Ordering and interpreting diagnostic studies such as laboratory test, Xrays, electrocardiograms, PFT's, CT, MRI, stress testing, nuclear medicine studies Work Schedule: week on and a week off Telework: Not Available Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized Financial Disclosure Report: Not required"]
The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,298 health care facilities, including 171 medical centers and 1,113 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.
