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- Full Time
- Implementing the components and processes relative to the VHA Primary Care Medical Home (PCMH) healthcare system design.
- Coordinating care for a panel of outpatients as assigned by TVHS.
- Evaluating and treating acute and chronic health problems for scheduled and unscheduled patients in the clinic setting.
- Performing histories and physical exams.
- Providing appropriate documentation to minimally include history, physical exam findings, diagnosis, definitive care plan and disposition of the patient.
- Ensuring patients encounters are appropriately closed-out; including disposition that clearly indicates the next steps of care.
- Ensuring each patient is provided a list of current medications and an appointment list at encounter close-out.
- Performing office procedures contained within their approved privileges.
- Prescribing medications as appropriate.
- Ordering routine laboratory, radiological and diagnostic tests and providing initial interpretation of results.
- Communicating test results to patients.
- Responding to questions and other inquiries from patients.
- Initiating or expediting requests for consultations and special tests.
- Providing education to the patient and family as necessary.
- Ordering immunizations and other preventive or screening services as necessary.
- Screening patients to determine the need for hospitalization.
- Performing Basic Life Support as necessary.
- Communicating clinical findings to other providers using the Computerized Patient Record System (CPRS).
- Treating patients 18 years of age or greater.
- Communicating and treating customers (veterans, their representatives, visitors, and all VA Staff) in a courteous, tactful, and respectful manner.
- Protecting printed and electronic files containing sensitive data.
- Using office automation functions to store and retrieve documents and files, activate printers, insert and delete text; format letters, reports, and memoranda, and transmit and receive email.
- Electronically tracking components of care to promote a higher level of care coordination.
- Maximizing the use of virtual care modalities such as Home Telemedicine, Group Visits, Secure Messaging, and e-Consults to enhance access to care.
- Serving on committees as deemed necessary.
- Working on assignments related to peer evaluations as assigned.
- Complying with the Medical Center Bylaws and the Rules and Regulations of the Medical Staff.
Work Schedule: Based on the needs of the service.
Financial Discloser 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.
- Graduation from School of Nursing:
(a) Graduate of a school of professional nursing approved by the appropriate State agency, and accredited by one of the following accrediting bodies at the time the program was completed by the applicant. [NOTE: See exception in subparagraph (b) below for candidates who are enrolled in a MSN Bridge Program.]
1. The National League for Nursing Accrediting Commission (NLNAC), an accrediting arm of the National League for Nursing located at 61 Broadway, 33rd Floor, New York, New York 10006 or call (800) 669-1656 extension 153. The NLNAC accredits all levels of nursing programs. Additional information may be obtained from the NLNAC web site; or
2. The Commission on Collegiate Nursing Education (CCNE), an accrediting arm of the American Association of Colleges of Nursing (AACN). The CCNE accredits bachelors and masters degree programs, and is located at One Dupont Circle N.W., Suite 530, Washington, DC 20036 or call (202) 463-6930. Additional information may be obtained from the CCNE web site.
(b) [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. In these programs, students are given a certificate of professional nursing to sit for the NCLEX and should submit this certification to VA prior to appointment. Students do not earn a BSN, but receive a MSN degree upon completion of course work. A copy of the MSN transcript must be provided to VA. Bridge programs that confer a master's degree also fully meet the education requirement, even though a Bachelor's Degree is not awarded.
(c)] In cases of graduates of foreign schools of professional nursing, possession of current, full, active, and unrestricted registration (see paragraph 2a(3)) will meet the requirement of graduation from an approved school of professional nursing.
NOTE: Most individuals admitted as permanent residents or adjusting to permanent resident status as registered nurses on or after December 14, 1998, for the purpose of working as a registered nurse, must meet the certification requirements in Section 343 of the Illegal Immigration Reform and Immigrant Responsibility Act (Pub. L. 104-208, September 30, 1996). This certification involves a review of the alien's education, training, license(s), and experience, verification that the alien possess an acceptable level of competence in written and oral English, and a requirement that the individual has passed either the Commission on Graduates of Foreign Nursing Schools (CGFNS) Qualifying Examination or the National Council of State Boards of Nursing, Inc. examination, the NCLEX-RN. For additional information see Pub. L. 104-208, 63 Federal Register 55007-55012, dated October 14, 1998, and the CGFNS web site.
Note: The NP must maintain a current, full, active and unrestricted license/certification to continue employment with VA. A certificate of fitness for prescribing medications is required.
- ACLS certification is preferred.
- Certification as an Advanced Nurse Practitioner is required (FNP/GNP/AGCNP/AGNP/ANP)
- Nurse Practitioner and RN license is required.
IF your nursing program is not listed on one of the websites below, and the program was accredited at the time of graduation, you will need to submit additional written documentation from one of these agencies, or from the Director of the Nursing program from your school, as proof of accreditation by the NLNAC or CCNE. Your college transcripts are not proof of this accreditation.***1NLNAC web site; http://www.acenursing.org/
The CCNE accredits bachelors and master's degree programs, and is located at One Dupont Circle N.W., Suite 530, Washington, DC 20036 or call (202) 463-6930. Additional information may be obtained from the CCNE web site. http://www.aacn.nche.edu/ccne-accreditation
1. 5 years of experience in Primary Care.
2. Experience in Women's Healthcare.
3. American Heart Association Basic Life Support Certificate (AHA-BLS) and Advanced Cardiovascular Life Support (ACLS).
Loss of Credential. An employee in this occupation who fails to obtain licensure/certification/registration within the required time frame, or who fails to maintain the required licensure/certification/registration must be removed from the occupation, which may also result in termination of employment.
Nurse I Level III - An ADN or Diploma in Nursing and approximately 2-3 years of nursing practice/experience;
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 years 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 years of nursing practice/experience;
a Doctoral degree in nursing or related field and approximately 2-3 years of nursing practice/experience.
References: 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: The work is mainly sedentary. However, there may be some walking; standing; bending for periods of time. The work requires working under stressful conditions in a fast-pace setting to facilitate patient care.
Work Environment: Work environment involves everyday risks or discomforts of a medical center/hospital environment that require normal safety precautions typical of places such as offices, meeting, examination, and training rooms, or libraries. The workspace is adequately lighted, heated and ventilated.None
To apply for this position, you must provide a complete Application Package which includes:
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), etc.
- Cover Letter
- Executive Core Qualifications (ECQs)
- Other Veterans Document
Application for Nurses and Nurse Anesthetists (VA 10-2850a)
Declaration for Federal Employment (OF 306)
Veterans' Preference: When applying for Federal Jobs, eligible Veterans should claim preference for 5pt (TP), 10pt (CP/CPS/XP), or for Sole Survivor Preference (SSP) in the questionnaire. You must provide a legible copy of your DD214(s) which shows dates and character of service (honorable, general, etc.). If you are currently serving on active duty and expect to be released or discharged within 120 days you must submit documentation related to your active duty service which reflects the dates of service, character of service (honorable, general, etc.), and dates of impending separation. Additionally, disabled veterans and others eligible for 10-point preference (such as widows or mothers of eligible Veterans) must also submit an SF-15 "Application for 10 Point Veteran Preference" with required proof as stated on the form. Documentation is required to award preference. For more information on Veterans' Preference, please visit http://www.fedshirevets.gov/job/vetpref/index.aspx.