Nurse Practitioner, Community Living Center/Palliative Care Unit

Location
San Diego, CA
Salary
Competitive
Posted
Sep 15, 2019
Closes
Oct 15, 2019
Contract Type
Permanent
Hours
Full Time
The NP CLC/Palliative has a prescriptive authority and provides care for an identified patient panel in collaboration with a physician. The core functions include diagnosing and treating acute and chronic health/mental health problems, performing adult care follow up as indicated per treatment plan, prescribing medication when indicated, creating and updating treatment plans, and teaching health promotion and disease prevention to patients and/or family members. The duties and responsibilities are, but are not limited to, the following:

1. Performs completion of clinical reminders, initiates consult to specialty areas, and ensures immunizations, chest X-rays, EKGs and PPDs are current as required or needed.
2. Using approved standardized procedures, coordinates the care of CLC/Palliative Care patients by:
  • a. developing interdisciplinary treatment plan and outcome evaluation, writing treatment orders, collaborating with and presenting patient cases to attending physician as appropriate, etc.
  • b. initiating interdisciplinary conferences with physicians, nurses, social workers, rehabilitation staff and others as needed.
  • c. meeting with patient/family to provide education, emotional support and clarification of treatment/discharge plan, including reviewing medications, diet and rehabilitation/follow-up care plans.
  • d. coordinating the discharge planning process, including home care needs, rehabilitation requirements, medications, patient education, and continuing care needs.

3. Physician consultation obtained for non -emergent situations when the NP is managing a medical or psychiatric condition that is not resolving as anticipated, adjustments in medication/therapy have not brought about the expected improvements, or any time the NP seeks additional expertise on providing appropriate treatment for a specific condition.
4. Participates in staff education/development in the care of patients, including lectures, bedside teaching, rounds, etc.
5. Coordinating the discharge planning process including home care needs, rehabilitation requirements, medications, patient education, and continuing care needs. Identifying the need for and coordinating transfers of acutely ill patients to the inpatient units and titrating intravenous analgesics at the end of life.

Work Schedule: Full-Time, Monday - Friday, 40 hours/week, 8-hour tour, 11:30 am - 8:00 pm. Nights, weekends, and holidays as required to meet patient care needs.
Financial Disclosure Report: Not requiredBasic 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 in a State, Territory or Commonwealth (i.e., Puerto Rico) of the United States, or the District of Columbia.

Preferred Experience: 3-5 years current experience in med/surg/psychiatry/long term care/palliative/hospice/rehabilitation/gerontology; experience in the following: 1)managing a panel of patients in a hospital program, community homecare, hospice programs or residential treatment facilities; 2)managing a panel of patients with medical, mental health, hospice or palliative care and substance abuse problems; 3)Long Term Care Institute, The Joint Commission, or Council of Accreditation for Rehab Facilities; management of pain, anxiety, and wound care; End of Life Training (ELNEC); uses EMR, databases and identify expected outcomes relevant to the individual and family and with the interdisciplinary team/healthcare team, when appropriate; communicates effectively and resolves conflict constructively.

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 I - An Associate Degree (ADN) or Diploma in Nursing, with no additional nursing practice/experience required.
  • Nurse I Level II - An ADN or Diploma in Nursing and approximately 1 year of nursing practice/experience; OR an ADN or Diploma in Nursing and a bachelor's degree in a related field with no additional nursing practice/experience; OR a Bachelor's of Science in Nursing (BSN) with no additional nursing practice/experience.
  • Nurse I Level III - An ADN or Diploma in Nursing and approximately 2-3 years of nursing practice/experience; OR an ADN or Diploma in Nursing and a Bachelor's degree in a related field and approximately 1-2 years of nursing practice/experience; OR a BSN with approximately 1-2 years of nursing practice/experience; OR a Master's degree in nursing (MSN) or related field with a BSN and no additional nursing practice/experience.
  • 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 [If MSN obtained in a Bridge Program, no BSN is required.]; OR a Doctoral degree.

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: Heavy Lifting (45 lbs and over); Straight Pulling, Pushing, Walking, Standing, Repeated bending (8 - 12 hours); Reaching above shoulder; Use of fingers; Both hands and legs required; Ability for rapid mental and muscular coordination simultaneously; 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; Both eyes required; Depth perception; Ability to distinguish basic colors and shades of colors; Hearing (aid permitted); Emotional/Mental stability; Keyboarding and reading computer screen (8-12 hours intermittently over scheduled shift).

In compliance with VA Directive 1192, annual influenza vaccination will be required for all VA Employees. The vaccination will be provided by or proof of the vaccination must be provided to the VA Facility's Occupational (Employee) Health Office on an annual basis.None

The following documents are required. You must provide a complete Application Package which includes the below documents. *IF THE REQUIRED DOCUMENTS ARE NOT PROVIDED, YOUR APPLICATION WILL NOT RECEIVE FURTHER CONSIDERATION AND YOU WILL BE RATED AS INELIGIBLE.*

CV or Resume - It must include sufficient experience and/or education. Therefore, we encourage you to submit a thorough resume that directly relates to this position. Your resume MUST include the following: the month and year for each position held, and the number of work hours per week, e.g., 03/09 - 06/11 (or Present), 40 hrs/week.

Current VA Form 10- 2850a - Application For Nurses And Nurse Anesthetists (required) Available at the VA Forms website: http://www.va.gov/vaforms/medical/pdf/vha-10-2850a-091998-fill.pdf

Unofficial transcript(s) - MUST show degree, completion, and confer date. We accept unofficial transcripts, as long as they contain the applicant's name, the name of the school, the date and degree that was awarded, and the list of classes and credits earned. NOTE: Applicant's education program must show accreditation either in ACEN or CCNE websites at the time the program was completed. If the school is not currently listed, applicants must provide evidence of past accreditation in the application materials.

Proof of Current Nurse Practitioner (ANP-BC, FNP-BC) certification accredited by ANCC or AANP. This is a condition of employment and documentation of the certification is required in your application package.

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, such as a copy of your transcript (if using education to qualify), SF-50's, etc.
  • Cover Letter
  • DD-214
  • VA Form 10-2850a
  • Other Veterans Document
  • Resume
  • SF-15
  • SF-50
  • Transcript

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