The Primary Care Nurse Practitioner is a Float position. The applicant will provide coverage to all Primary Care Clinicals at the Chillicothe VA Medical Center and their Community Based Outpatient Clinics (Athens, Lancaster, Portsmouth and Wilmington) as well as Employee Health. Basic Requirements: Citizenship: United States Citizen. English Language Proficiency: Must be proficient is spoken and written 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. Licensure: 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. Driver's License: Must hold a current, valid Driver's License. Nurse Practitioner Requirements: 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 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 the specialty to which the individual is being appointed or selected (Primary Care).] Grade Determinations: The following criteria must be met in determining the grade assignment of candidates, and if appropriate, the level within a grade: Nurse II for NP - Master's degree in nursing or related field with 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 for NP - 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. Preferred Experience / Qualifications: 2 years of Nurse Practitioner experience in the following areas is preferred: treatment of congestive heart failure, chronic obstructive pulmonary disease, etc. 2 years of Nurse Practitioner experience working in an inpatient setting, acute care setting or home care setting as Provider is preferred. Experience as a Provider directing patient care in the home setting 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: Per VA Directive and Handbook 5019 - a physical examination will be conducted based on the physical requirements of the position. A physical examination prior to placement is required. Regarding this specific RN position, the population of male and female veterans served ranges from adult, age 18, to the elderly adult, age 65 and over. The VA Medical center is a major interdisciplinary teaching facility, serving medical, surgical, and neurological inpatients and outpatients. There is a large outpatient psychiatric population, with admissions for medical co-morbidities. This position requires visual acuity, keen hearing, clear distinctive speech, and manual dexterity. This position requires potentially long periods of continues walking, standing for periods of four or more hours, stooping, sitting, bending, pulling, and pushing. The incumbent may be exposed to infected patients and contaminated materials and may be required to wear protective clothing in isolation situations or operative/invasive procedures. 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 be able to complete all levels of the Preventive Management of Disruptive Behavior (PMDB) training as appropriate to the role. BLS/ACLS REQUIREMENTS UPON SELECTION: Per VHA Directive 1177, current certification in BLS issued from the American Heart Association or Military Training Network is required for all staff providing direct patient care, and police. Additionally, current ACLS is required for patient care staff that work in specified or high-risk areas. If you are selected for a position which requires BLS/ACLS certification, you will be required to have proof of certification (issued from the American Heart Association or Military Training Network) prior to being boarded for an appointment with the VA. (Failure to provide such certification can result in delays in the hiring process). ["Duties and responsibilities include, but are not limited to the following: Diagnose, treat and manage a panel of patients. Provider comprehensive patient-centered primary medical care. Identify acute/non-acute, chronic health problems. Use principles of risk management to identify system issues which impact patient care. Order and evaluate appropriate diagnostic tests. Adhere to clinical practice guidelines for patient chronic diseases. Conduct appropriate preventative screens and diagnostic tests. Provide appropriate disposition of identified health care problems. Participate in Primary Care multidisciplinary activities. Inform Veterans to accomplish shared decision making in medical treatment/regimes. Demonstrate medical expertise in diagnosing and treating multi-symptomatic patients. Adhere to local policies, procedures and directives related to timeliness of documentation and encounters for verification of patient visits, findings and medical recommendations in the electronic medical record. Use Computerized Patient Record System to review and update patient's electronic medical record. Maintain view alerts. Work Schedule: Monday - Friday, 7:30 am- 4:00 pm/ 8:00 am - 4:30 pm Including weekends and holidays\nTelework: Not eligible\nFinancial Discloser 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.