The Surgical Nurse Practitioner, as a Title 38 advanced practice nurse is responsible for surgical care for any of the subspecialty surgical sections to include; General Surgery, Vascular, Thoracic, urology, Orthopedics, Plastics Otolaryngology (Ear, Nose and Throat (ENT), Interventional Radiology, Podiatry, Ophthalmology, and Anesthesia. Care is provided in the following settings; outpatient, inpatient, operating Room (first assist), telehealth, video visits, and telephone care. 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