Nurse Practitioner Spinal Cord Injury/Disorder
The APRN will function within the following areas and provide services as designated in accordance with VHA Directives 1176 and 1176.1
SCI Center will provide: acute rehabilitation, rehabilitation, acute and subactue medical and surgical care, preventative health care, respite care, hospice care as appropriate and extended care consisted with the overall VHA policies. All acute and complex specialty care is to occur at the center.
SCI Center Outpatient Program will offer: full spectrum healthcare and rehabilitation with scheduled hours and time for unscheduled visits for those with acute needs. The care will be interdisciplinary and comprehensive. The APRN will be directly involved in the annual exams and preventative health screening assessments.
SCI-HC/SCI Home Based Primary Care will provide: support during transition to the home including medical, rehabilitation, and preventative services. Telehealth may be utilized.
SCI Support Clinics: The Minneapolis SCI center is the center of the hub and spoke model. The APRN will work collaboratively with the spoke sites and those within the center and facility to provide primary care, basic specialty care, and consultative services to the veteran.
SCI Primary Care Team: The APRN will provide and manage a primary patient population. Veterans will be served across the life continuum. Practitioners will be expected to utilize evidence based clinical practice guidelines specific to SCI/D populations. Emergent issues will be addressed on a case by case basis with collaboration of other teams and experts as needed.
SCI Long term care: SCI veterans are not to be discharged to a nursing home solely because of the SCI. The goal is to provide the full continuum of care and establish maximum independence despite loss of function. The provider will make judgments with the team about these situations and, when appropriate, work with community providers to best meet the veteran's needs, adhering to VA guidelines regarding long term care referrals and processes. (refer to VHA policy 1176.1)
Research and Education: The APRN will be involved with team research projects and staff, patient, and family education as indicated by the needs of the service line and patient population.
Admissions and discharges: The APRN will perform admission history and physicals for patients admitted from clinic as appropriate. The APRN may follow inpatients.
Code status: The APRN may address and document code status on SCI veterans.
Clinic visits: The APRN will see veterans on a scheduled as well as prn basis in the outpatient setting including annual exams, preventative and acute care, and annual exams.
Annual exams: The APRN will work collaboratively to ensure a seamless process for veterans to receive holistic, comprehensive, high quality care while at the SCI center for the annual exam. The annual must include the H/P, risk assessment, cardiovascular screening, Autonomic dysreflexia (AD) evaluation, respiratory assessment, vaccination updates, rectal exam, urinary system evaluation (done by urodynamics often), counseling, musculoskeletal exam, lab and imaging studies, bone assessment, seating evaluation, neurological exam, a review of diet and medications, dental, social and psychosocial evaluation, equipment review, caregiver/ family support and any other services thought to improve the function and well-being of the SCI/D veteran.
Research and Education: The APRN is expected to communicate with multiple disciplines including spoke sites. The role may include educating staff on any changes in care or issues related to SCI/D. Research is an anticipated part of this role. The APRN will comply with VHA and IRB/ Human subjects regulations concerning research activities.
Work Schedule: Full-Time M-FBasic Requirements:
- United States Citizenship: Non-citizens may only 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. 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 and Advanced Practice Nurse in a State, Territory or Commonwealth (i.e., Puerto Rico) of the United States, or the District of Columbia.
- Current APRN Certification as a condition of employment.
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 - Master's degree in nursing 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 - Master's degree in nursing with approximately 2-3 year's of nursing practice/experience; OR a Doctoral degree.
Selected applicants will be required to complete an online onboarding process.
To apply for this position, you must provide a complete Application Package which includes:
1.CV or Resume.
2.VA Form 10-2850a - Application for Nurse and Nurse Anesthetist. Available at http://www.va.gov/vaforms/medical/pdf/vha-10-2850a-091998-fill.pdf
3.VA Form 306 - Declaration for Federal Employment. Available at https://www.opm.gov/forms/pdf_fill/of0306.pdf
4.If prior military service, include all copies of your DD Forms 214 (required).
5. Three references, one which should be a signed and dated performance review. If a new graduate please provide 3 letters of recommendation from clinical instructors or preceptors.
1.CV or Resume.
2.VA Form 10-2850a - Application for Nurse and Nurse Anesthetist (Available at http://www.va.gov/vaforms/medical/pdf/vha-10-2850a-091998-fill.pdf
3. SF-50 - https://eopf.nbc.gov/va/
The following documents are accepted, and may be required if applicable to your eligibility and/or qualifications for this position. Please use this checklist to ensure you have included all documents required for your application.
- Cover Letter
- Other Veterans Document