Nurse Practitioner (Podiatry)
The Podiatry Nurse Practitioner (NP) would be authorized to perform routine duties on a regular, repetitive basis. These duties may be performed in accordance with current VHA Directives and without specific prior discussion with the supervising physician or the supervising physician's agent. These duties may include, but are not necessarily limited to:
- Perform initial histories and physical examinations on new inpatients and outpatients. All initial history and physical examinations will be reviewed by the supervising physician or the supervising physician's agent, who will note concurrence or addendum, as indicated.
- Assist and mentor the surgical residents in the delivery of care to assigned patients.
- Provide ongoing outpatient care for assigned patients, including, but not limited to: ordering, performing, and interpreting laboratory, radiographic and other diagnostic tests, and implementing appropriate treatment (including, but not limited to electrolyte replacement, order hyperalimentation, adjusting heparin and Coumadin dosages, ordering of blood/platelet transfusion).
- Screen outpatients to determine need for further health care and/or admissions.
- Prescribe and dispense medication in accordance with Arizona Board of Nursing Practice Act and SAVAHCS policy.
- Arizona Prescribing/dispensing with a DEA: NP may prescribe non-controlled drugs. Schedules II controlled substance may be prescribe once with no refills of the prescription; Schedules III and IV controlled substance may be prescribe a maximum of five refills in six months; and Schedule V controlled substance may prescribe refills for a maximum of one year. DEA registration required.
- Refer to and consult with appropriate health care professionals.
- Enter inpatient admission orders including post-operative orders.
- Obtain informed consent from patients using iMED software. RNC may obtain consent for those procedures in which the RNC has been trained and functions in a significant role (eg. 1st assisting). RNC must have detailed knowledge of the procedure, risks, benefits, and alternative treatments.
- Order tests and consults, as appropriate, for each clinic patient. Organize and support the outpatient clinic, assist the supervising physician or the supervising physician's agent in evaluation and management of clinic patients, provide patient education regarding physical limitations, return to work slips, complete insurance paperwork, and other services as appropriate for the daily management of the clinic.
- Initiate and expedite requests for consultations and scheduling special tests and studies.
- Identify patients suitable for pre-op screening. Coordinate patient information including H&P's, test results, etc. Provide patient education regarding the surgical procedure, pre and post-operative course, and other topics, as appropriate.
- Assist in overall post-operative care and evaluation. Receive and correlate serial lab data.
- Make rounds to observe and record patient's medical progress, updating and summarizing medical records, changing orders when appropriate, and notifying the responsible physician of significant changes in the patient's condition. Write discharge orders and instructions. Dictate or write discharge summaries.
- Assist other departments by providing information necessary for data collection. Participate on committees when assigned. Provide general coordination and support of the Surgical Care Line at the SAVAHCS.
- Adhere to Clinical Practice Guidelines and Prevention Disease Indices.
- Routine incision and drainage of infected spaces, provide wound care and debridement, and sharp and enzymatic wound debridement with supervision, until full competency is demonstrated
- Perform duties as assigned, such as administrative duties, education of medical residents and allied health care students, participation in clinical research on patients with wounds (including debridement), and draw blood specimens for testing and performing other comparable laboratory procedures, as needed.
- Nail and Callous care - sharp debridement.
- Orthotic Management.
- Wound Care including dressing changes, unna boots, compression dressings.
- Injections: soft tissue, joint, trigger point, biologics and graft placement.
Clinical Contact: Dr. James Dancho, Clinical/Program Director, Podiatric Surgery, (520)792-1450 ext. 2957, or, e-mail: email@example.com
Work Schedule: Full-Time, Monday through Friday, 0800 to 1630
Functional Statement Title/#: Scope of Practice, Nurse Practitioner, Podiatry
- Possess a master's degree from a program accredited by the NLNAC or CCNE; national certification as an Adult Nurse Practitioner (ANP),Family Nurse Practitioner (FNP), or Acute Care Nurse Practitioner; MSN or DNP.
- U.S. citizenship. Non-citizens may 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.
- 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)
- 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.
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 - 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 in nursing or related field and approximately 2-3 year's of nursing practice/experience.
Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religions; spiritual; community; student; social). Volunteer work helps build critical competencies, knowledge, and skills and can provide valuable training and experience that translates directly to paid employment. You will receive credit for all qualifying experience, including volunteer experience.
Physical Requirements: Light lifting (under 15 lbs), light carrying (under 15 lbs), use of fingers, walking 4-8 hours, standing 4-8 hours, near vision correctable at 13" to 16" to Jaeger 1 to 4, far vision correctable in one eye to 20/20 and 20/40 in the other, hearing (aid permitted), emotional stability, mental stability, working closely with others, working alone, and working with biohazardous materials.
All applicants are required to submit the following supporting document type(s):
*Other(VA Form 10-2850a - Application for Nurses)
Applicants may also submit the following supporting document type(s),which may not be required for all applicants:*Cover Letter
*Other Veterans Document
VA Form 10-2850a - Application for Nurses and Nurse Anesthetists (required) Available at the VA Forms website: http://www.va.gov/vaforms/search_action.asp?FormNo=10-2850&tkey=&Action=Search
OF-306 - Declaration for Federal Employment Available at: http://www.opm.gov/forms/pdf_fill/of0306.pdf)
Please use this checklist to make sure you have included other documents required for your application, such as a copy of your transcript (if using education to qualify), documentation to support Veterans Preference claims, etc. You will not be contacted for additional information.
Veterans' Preference: When applying for Federal Jobs, eligible Veterans should claim preference for 5pt (TP), or 10pt (CP/CPS, XPP, XP), or for Sole Survivor Preference (SSP), on the Occupational Questionnaire in the section(s) provided. A legible copy of your DD214(s) indicating character of service, disability certification, SF-15 (if claiming 10 pt. preference) or if you are currently serving on active duty and expected to be released or discharged within 120 days; documentation related to your active duty service which reflects the dates of service, character of service (honorable, general, etc.), or dates of impending separation. Documentation is required for eligibility verification.
Faxing Applications or Supporting Documents: You are encouraged to apply online. Applying online will allow you to review and track the status of your application. If you are unable to apply online or unable to upload your supporting documents to your online application, follow the directions located at the following site: Fax Options. The Vacancy ID of the job opportunity announcement is 1921281.
NOTE: If you applied online and your application is complete, do not fax the paper application (1203-FX) as this will overwrite your prior online responses and may result in you being found ineligible.