The Nurse Practitioner (NP) is a RN with advanced education and experience. He/she applies specialized clinical nursing knowledge and skills to patient care as well as the improvement of the quality of care provided by others. The NP provides a unique approach to healthcare that allows the incorporation of traditional nursing skills as well as advanced practice skills in the care of patients ranging from young adulthood to geriatrics.

Duties

Clinical duties may include completing and outpatient consults, review/disposition of clinical and care in the community consults, GI clinics to potentially include telehealth clinics. Performs an advanced comprehensive health history and physical exam considering the psychosocial, emotional, ethnic and cultural aspects of health. Uses health assessment information and critical thinking to identify health concerns, risks, normal and abnormal states of health, and formulate differential diagnoses. Uses scientific knowledge to deliver evidence-based care to the Veteran. Identifies and requests the appropriate lab and imaging studies for Veterans and can interpret the requested tests using critical thinking. Communicates with Veterans and/or Veteran's designated surrogate the diagnoses/options, likely response to care, and includes common side effects of treatment. Documents health assessments, clinical data, diagnoses, management, and conclusions in a timely manner using the electronic medical record. Completes and documents notes in CPRS in a timely manner. Notes and encounters will be closed by the end of tour of duty. Areas to be addressed include encounters: reasons for visit; diagnosis codes; service connection. Primary assignment, Service-connected conditions; Diagnosis tab; Procedures, etc. Return to clinic orders will comply with national guidelines. Initiates timely referrals for subspecialty care as appropriate. Reviews Veterans with Ambulatory Care Sensitive Conditions (ACSCs) and determines if the Veteran needs more in-depth treatment, referrals (such as HT, social work, nursing visit/calls, nutrition, pharmacy drug monitoring), education (formal and/or informal); and/or telephone calls between provider visits to assist in care management/coordination. Completes clinical reminders timely. Anticipates and recognizes changing urgent and emergent problems and intervenes appropriately. Actively provides counseling to promote health, reduce risk factors, prevent disease, and disability. Recognizes environmental health problems affecting Veterans and provides health protection interventions. Selects, prescribes, analyzes, and utilizes correct dosages, routes and frequencies of medications and non-pharmacologic treatment modalities based on relevant individual needs, i.e., illness, age, gender, previous adverse drug reactions and medicines received from outside providers. Medicines are documented in the Medicine Reconciliation Note per health system policy. Ability Perform and manage the high resolution anoscopy program and many more not listed. 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: 08:00 to 16:30, or depending by service Financial Disclosure Report: Not required

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 and Certifications - Experience working with Colonoscopy GAP reminders Experience in Gastroenterology Ability to work with a team of Nurse Practitioners and Gastroenterologists Some experience with administrative responsibilities 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 - Master's degree in nursing (MSN) or related field with a BSN and no additional nursing practice/experience. Nurse II - 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: Heavy lifting (45 lbs. and over); Moderate Carrying (15-44 pounds); Straight Pulling; Pushing; Reaching above Shoulder; Walking; Standing; Repeated bending; Ability for rapid mental and muscular coordination simultaneously; Near vision correctable at 13" to 16" to Jaeger 1 to 4; Hearing aid (permitted); Ability to distinguish basic colors; Ability to distinguish shades of colors; Depth perception; Both eyes required; Both legs required; Use of fingers and both hands required. For more information on these qualification standards, please visit the United States Office of Personnel Management's website at http://www.opm.gov/qualifications

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: https://sites.ed.gov/international/recognition-of-foreign-qualifications/.

Contacts

• Address Jerry L Pettis Memorial Veterans Hospital 11201 Benton Street Loma Linda, CA 92357 US
• Name: Robin Curtis
• Phone: (909) 583-6138
• Email: [email protected]