Veterans Affairs, Veterans Health Administration Nurse Practitioner (Women's Health) in Cincinnati, Ohio
Summary The Cincinnati, OH VA Medical Center is recruiting for a Nurse Practitioner (NP) to work in the Women's Health section of Primary Care. This NP is accountable for the management and evaluation of a panel of patients under their care. The NP is a member of the Teamlet providing diagnosis and treatment Work Schedule: primarily M-F 8:00 - 4:30 pm with 2 Saturdays per month and may include some evening hours This is a temporary position, not to exceed one year. Responsibilities Condition of Appointment: This position is funded for one year. This appointment does not confer status as a VA employee for purposes of continued employment. At the end of the not-to-exceed appointment, your employment with the Cincinnati, OH VA Medical Center will end unless additional funding is granted to extend the appointment. If additional funds are approved, this appointment may be extended or possibly converted to permanent without further competition The NP is prepared in advanced practice across the health continuum, and the role includes participating in and use of research, development and implementation of health policy, leadership, education, case management, and consultation. Duties and responsibilities include but are not limited to the following: Provides comprehensive preventative and wellness care, as well as, the spectrum of acute, episodic, chronic, and end-of-life care to Veterans assigned to their Patient Aligned Care Team (PACT) Teamlet. Uses the nursing process and evidence-based practice to work collaboratively with the Teamlet and the family/caregiver, internal and community-based services and disciplines involved in providing care to the patient, and in developing the patient-driven holistic care plan for life. Interviews, evaluates, assesses, diagnoses, and treats ambulatory patients presenting to the Primary Care Clinics. Utilizes preventative clinical guidelines, appropriate nursing and medicine standards of care, and collaborates with team physicians in providing quality care to patients presenting with acute and chronic conditions. Provides patient and family health education with a focus on self-management, prevention, and wellness, based on the patient's goals. Utilizes critical judgment in the performance of comprehensive health assessments, differential diagnosis, and the prescribing of pharmacological and non-pharmacological treatments in the direct management of acute and chronic illness and disease. Promotes wellness and prevents illness and injury. Serves as a resource to other members of the health care team, providing consultation and education as needed. Demonstrates leadership through development and coordination of programs to improve quality of care and organizational processes. Demonstrates and maintains full competency in the use, pre-cleaning and/or reprocessing of reusable medical equipment. The NP conducts a comprehensive assessment of patients' medical, physical, and bio-psychosocial status including: Obtains a relevant health and medical history Performs a physical examination based on age and history Conducts preventative screening procedures based on age and history Updates evaluation of health status to determine need for further health care Formulates appropriate medical diagnosis based on data obtained Orders appropriate diagnostic procedures and laboratory tests Identifies and prescribes appropriate pharmacological and non-pharmacological agents Identifies needs of the individual and family as a result of the evaluation of collected data Provides relevant patient/family education Consults with collaborating health care professionals when doubt exists as to the diagnosis, when expected improvement is not soon apparent, and when specialized therapeutic or diagnostic techniques are indicated Determines the effectiveness of the plan of care through documentation of client care outcomes Reassesses and modifies the plan as necessary to achieve medical and health goals Utilizes Telehealth programs in providing care coordination throughout the continuum of care Performing any procedures for which she/he has been credentialed The Nurse Practitioner, Primary Care, is accountable to the ACOS/Primary Care Service. They work in collaboration with the attending staff, Primary Care Nurse Practitioners, and physicians. The Nurse Practitioner is directly supervised by the Primary Care Service Nurse Manager or Chief Nurse assigned to their assigned location. Financial Disclosure Report: Not required Recruitment Incentive/Relocation Incentive is not authorized for this position. PCS is not authorized for this position. EDRP is not authorized for this position. Requirements Conditions of Employment Qualifications Basic Requirements: United States Citizenship. Education: 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. Licensure: Must hold a 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. English Language Proficiency. RNs appointed to direct patient care positions must be proficient in spoken and written English as required by 38 U.S.C. 7402(d) and 7407(d). Nurse Practitioners. A nurse practitioner must be licensed or otherwise recognized as a nurse practitioner in a State, possess a master's degree from a program accredited by the NLNAC or CCNE, and maintain full and current certification as a nurse practitioner from the American Nurses Association or another nationally recognized certifying body. [The certification must be in the specialty to which the individual is being appointed or selected.] 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. Preferred Qualifications: One year of Primary Care experience Women's Health/Clinic experience preferred National Certification related to position assignment Physical Requirements: Per VA Directive and Handbook 5019 - a physical examination will be conducted based on the physical requirements of the position. A physical examination prior to placement is required. Regarding this specific RN position, the population of male and female veterans served ranges from adult, age 18, to the elderly adult, age 65 and over. The VA Medical center is a major interdisciplinary teaching facility, serving medical, surgical, and neurological inpatients and outpatients. There is a large outpatient psychiatric population, with admissions for medical co-morbidities. This position requires visual acuity, keen hearing, clear distinctive speech, and manual dexterity. This position requires potentially long periods of continues walking, standing, stooping, sitting, bending, pulling, and pushing. Transferring patients and objects may be required. The incumbent may be exposed to infected patients and contaminated materials and may be required to don protective clothing in isolation situations or operative/invasive procedures. The incumbent may occasionally be exposed to patients who are combative secondary to delirium, dementia, or psychiatric disorders. The incumbent must be a mature, flexible, sensible individual capable of working effectively in stressful situations, able to shift priorities based on patient needs. Education IMPORTANT: 1. Please be sure to click on the following links to verify that you are a 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: The Accreditation Commission for Education in Nursing (ACEN) or The Commission on Collegiate Nursing Education (CCNE). 2. If your school has changed names, or is no longer in existence, you must provide this information in your application. 3. If your school was accredited by the Accreditation Commission for Education in Nursing (ACEN) or the Commission on Collegiate Nursing Education (CCNE) at the time of graduation but is no longer listed on the ACEN website or the CCNE website, you must provide documentation of accreditation with your application packet. 4. A transcript must be submitted with your application if you are basing all or part of your qualifications on education. Note: Only education or degrees recognized by the U.S. Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment. You can verify your education here: http://ope.ed.gov/accreditation/. If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education. For further information, visit: http://www.ed.gov/about/offices/list/ous/international/usnei/us/edlite-visitus-forrecog.html. Additional Information Annual leave shall accrue for full-time Nurses, and Nurse Anesthetists at the rate of 8 hours for each full biweekly pay period. This job opportunity announcement may be used to fill additional vacancies. It is the policy of the VA to not deny employment to those that have faced financial hardships or periods of unemployment. This position is in the Excepted Service and does not confer competitive status. VA encourages persons with disabilities to apply. The health-related positions in VA are covered by Title 38, and are not covered by the Schedule A excepted appointment authority. Veterans and Transitioning Service Members: Please visit the VA for Vets site for career-search tools for Veterans seeking employment at VA, career development services for our existing Veterans, and coaching and reintegration support for military service members. If you are unable to apply online view the following link for information regarding an Alternate Application.