The NP Primary Care Nurse Practitioner is a Certified Advanced Practice Nurse working independently, collectively, and collaboratively within an interdisciplinary team. S/He provides care within an integrative approach to optimize the patient's medical condition. Executes responsibilities that demonstrate leadership, experience, and creative approaches to the management of complex client care and panel management.

Duties

The Primary Care Nurse Practitioner must be able to demonstrate the knowledge and skills necessary to provide care appropriate to adult and geriatric patients. The individual must possess the ability to assess data reflective of the patient's status, and interpret the appropriate information needed to identify each patient's requirements relative to their age-specific needs, providing care as needed as described in policies and procedures. The Primary Care Service Line Nurse Practitioner will coordinate the provision of counseling, treatment for sexual (military) trauma, drug, alcohol therapy and/or referral, as well as providing/ordering cancer screening test for our population. The Primary Care Service Line Nurse Practitioner is accountable to Primary Care Service and is responsible for the following duties. Collaborating with the client/family to establish physical, psychosocial, and environmental factors that facilitate or impede realistic goals and activities. Conducting physical exams, comprehensive assessments, and documenting findings on initial, periodic, episodic, and/or annual health histories. Ordering and/or interpreting and providing follow-up for appropriate laboratory tests, x-rays, and other diagnostic studies and procedures. Determining and tracking needs of treatment changes, diagnostic workups or specialty related consultations. Detecting and evaluating any significant change in patient's condition, treating as indicated with current evidence-based practice. Reviewing medications and treatment modalities for clinical need, simplification, and possible adverse reactions to adjust as indicated and applicable. Reviewing and evaluating the patient's response to pharmacologic and non­ pharmacologic treatment or procedure regimens. Making referrals and collaborating with other multidisciplinary services such as Mental Health, Geriatrics, Pharmacy, Nutrition, Neurology, Medicine, Social Work, and Specialties Groups. In addition, this individual would collaborate and coordinate care and manage interventions in conjunction with unique specialty programs and teams including, but not limited to, MOVE, Diabetes Management, Operation Enduring/Iraqi Freedom (OEF/OIF) and Support Groups to optimize the patient's health. The Primary Care Service Line Nurse Practitioner's responsibilities will include but not limited to: routine/new/acute appointments in multiple modalities, preventive health, cancer screenings, answering and appropriately dispositioning messages and alerts from all applicable sources related to patient care and clinic operations, assessing planning, implementing, documenting and evaluating care for a designated group of patients while recognizing the age related cognitive, physical, emotional, and chronological maturation needs of the adult and geriatric patient; and others duties as assigned. The incumbent develops and implement informational systems to track services included but not limited to visits, referrals, procedures, abnormal results, and Veteran follow-ups. Actively participates in care delivery with priority attention to patient preference. Maintains confidentiality of all patient information, including electronic, print and conversations. Assumes a leadership role with all members of both Teamlet and expanded Teams in identifying problems, collecting, and analyzing data, to coach and mentor nursing staff and other health care team members. VA offers a comprehensive total rewards package: VA Nurse Total Rewards Pay: Competitive salary, regular salary increases, potential for performance awards Paid Time Off: 50 days of paid time off per year (26 days of annual leave, 13 days of sick leave, 11 paid Federal holidays per year) Retirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA Insurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement) Licensure: 1 full and unrestricted license from any US State or territory Work Schedule: Full-time, Discuss in interview Telework: Not Available Recruitment Incentive (Sign-on Bonus): Approved Virtual: This is not a virtual position. Permanent Change of Station (PCS): Not Authorized Financial Disclosure Report: Not required Education Debt Reduction Program (Student Loan Repayment): This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific individual eligibility requirements in accordance with VHA policy and submit your EDRP application within four months of appointment. Approval, award amount (up to $200,000) and eligibility period (one to five years) are determined by the VHA Education Loan Repayment Services program office after complete review of the EDRP application.Learn more. EDRP Authorized: Contact [email protected] or [email protected], the EDRP Coordinator for questions/assistance

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. 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: Primary Care experience. 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 years of nursing practice/experience; OR a Master's degree in nursing or related field with a BSN and approximately 1-2 years 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; OR a Doctoral degree and approximately 2-3 years 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 Primary Care Nurse Practitioner 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 Primary Care Nurse Practitioner may occasionally be exposed to patients who are combative secondary to delirium, dementia, or psychiatric disorders. The Primary Care Nurse Practitioner must be a mature, flexible, sensible individual capable of working effectively in stressful situations, able to shift priorities based on patient needs.

Education

IMPORTANT: 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.

Contacts

• Address Ralph H Johnson Department of Veterans Affairs Medical Center 109 Bee Street Charleston, SC 29401 US
• Name: Cherrie Layton
• Email: [email protected]