The Command Center Medicine Nurse Practitioner at the VA Palo Alto Health Care System (VAPAHCS) provides direct patient care and work collaboratively with members of the Clinical Command Center and Medical Service specialties to ensure optimization of patient flow throughout the health care system.

Duties

VA offers a comprehensive total rewards package: VA Nurse Total Rewards Work Schedule: 8:00am to 4:30pm, Monday through Friday Telework: Available Adhoc Virtual: This is not a virtual position Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized Financial Disclosure Report: Not Required The Command Center Medicine Nurse Practitioner's areas of responsibility encompass assisting with clinical evaluations, consultation and collaboration with patients, families, nursing staff, physicians, multidisciplinary staff, and other healthcare team members regarding the medical care and needs of patients with acute and chronic inpatient medical disorders. The incumbent clinical works collaboratively with the Medicine teams on the inpatient services and the Clinical Command Center, participates in daily interdisciplinary team meetings, utilization management review process, MESS huddles, and may participate in rounds of the acute medicine inpatients. Major duties and responsibilities include, but are not limited to: Works with the Clinical Command Center team on preplanned, direct, or special admissions. Works collaboratively with the hospitalist teams on the inpatient services, participates in daily interdisciplinary team meetings, utilization management review process, MESS huddles, and may participate in rounds of the acute medicine inpatients. Ensures urgent/emergent patient care issues are addressed quickly with attending hospitalist/resident/intern and arranges admissions/ transfers as needed. Under direct supervision of the Hospitalist, the Nurse Practitioner: Performs complete and/or interval histories and performs pertinent physical exams with assessment of normal and abnormal findings on hospitalized patients. Orders appropriate lab tests, radiology and nuclear medicine studies, and assists with the follow-up of those orders and documents treatment plans. Obtains outside medical records needed for patient care. Initiates consults to other medical and surgical services, social work, palliative care and hospice. Consults, collaborates, and serves as a clinical liaison with patients, physicians, nursing staff, UM team, and other interdisciplinary health team members regarding the comprehensive needs of medical inpatients and their clinical management. Coordinates appropriate peri-operative care and collaborates with Case Management, Social Work and Clinical Command Center for discharge planning needs, and post-hospital care. Will notify supervising physician regarding patients with atypical findings or a problem that is not resolving as anticipated. Educates patients and their families as needed in anticipation of discharge. Works in collaboration with a wide range of interdisciplinary staff to collect data and participate in improvement projects related to Inpatient flow, Clinical Command Center, and Acute Care metrics. Performs all other duties as assigned

Requirements

Qualifications

Applicants pending the completion of educational or certification/licensure requirements may be referred and tentatively selected but may not be hired until all requirements are met. Basic Requirements: United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. English Language Proficiency. In accordance with 38 U.S.C. 7402(d), no person shall serve in direct patient care positions unless they are proficient in basic written and spoken English. Graduate of a school of professional nursing approved 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). The approving official may authorize a waiver of the requirement for ACEN or CCNE accreditation of any degree in nursing provided the college or university has regional accreditation from an accrediting body recognized by the Department of Education at the time of the candidate's graduation and the composite qualifications of the applicant warrant such consideration. 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. Master's or Doctoral Degree from a program accredited by the Accreditation Commission for Education in Nursing or the Commission (ACEN-Formerly NCLAC) or the Collegiate Nursing Education (CCNE). 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. Nurse Practitioners must be licensed or otherwise recognized as a nurse practitioner in a State 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. Preferred Experience: BLS/ACLS certification Minimum of 2-years RNP experience in an inpatient or outpatient setting Previous RN/RNP experience in any medical specialty Drug Enforcement Administration (DEA) number for prescribing and dispensing authorities (a current DEA number from the United States Drug Enforcement Administration for Schedule II-V controlled substances) 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 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; OR a Doctoral degree and approximately 2-3 year's of nursing practice/experience. Note regarding MSN degrees: If your MSN was obtained via a Bridge Program that qualifies for professional nursing registration, a BSN is not required. 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: This position requires visual acuity, keen hearing, clear distinctive speech, and manual dexterity. This position requires potentially long periods of continued 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. Must complete annual Employee Health requirements, such as annual TB screening or testing, as a condition of employment.

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.

Contacts

• Address Palo Alto VA Medical Center 3801 Miranda Avenue Palo Alto, CA 94304 US
• Name: Melody Harris-Woods
• Phone: 213-675-5363
• Email: [email protected]