he Nurse Practitioner (NP) is a RN with advanced education and experience who will care for patients who have issues concerning the gastrointestinal tract and those patients who have diseases concerning the liver. An understanding of diseases concerning the gastrointestinal tract is preferred, but not required. She/he will be expected to apply specialized clinical nursing knowledge and skills to patient care as well as the improvement of the quality of care provided by others.

Duties

I. PRACTICE 1. Provides care to patients demonstrating advanced assessment and decision making. 2. Expected to evaluate clinic access and determine which patients need continuity of care in hepatology versus those who can be managed by primary care 3. Assists with the development of philosophy, objectives, policies, and procedures and mission of the Healthcare System. 4. Demonstrates problem solving, decision-making, and change process and conflict resolution in matters related to clinical practice issues and management of the clinical practice area. 5. Documents care/visit in CPRS appropriately, accurately, and concisely. 6. Consistently examines and evaluates clinical practice and patient effectiveness designed to increase personal competence and advanced patient care. 7. Expected to manage the hepatology dashboard 8. Expected outcomes are identified with consideration of current scientific and practice knowledge. 9. Evaluates and intervenes in moral, legal, and ethical issues in practice. 10. Identifies and effectively resolves patient risk management issues. 11. Assures the implementation of Patients' Rights and standards. 12. Maintains an ethical nursing practice. 13. Serves as a patient advocate. 14. Actively participates with patients in completing advance directives. 15. Reviews resource utilization in the work setting. 16. Maintains workload data. 17. Analyzes workload for decision-making. 18. Identifies and documents appropriate ICD and CPT coding for each patient encounter. 19. Demonstrates consideration of costs and benefits in the selection of resources/services/products for clients. 20.. Demonstrates knowledge of the Joint Commission's National Patient Safety Goals and applies the Standards when providing patient care. II. PROFESSIONAL DEVELOPMENT 1. Maintains mandatory requirements and/or competency standards. 2. Maintains professional knowledge and skills through participation in educational opportunities. 3. Identifies the learning needs of clients and facilitates learning using creative teaching strategies. 4. Participates in identifying, developing, and presenting educational programs aimed at staff development and/or patient education. 5. Health histories are consistently complete/pertinent. 6. Physical examinations are consistently complete/pertinent. 7. Plans are consistent with assessments. 8. Orders diagnostic tests appropriately. 9. Selects/prescribes pharmacologic agents appropriately. 10. Sets priorities to provide care in an organized and timely manner. 11. Continuously seeks feedback and monitors the patient and social/family group learning process; modifies the teaching plan/technique based on feedback and evaluation. 12. Promotes a practice environment that supports professional responsibility, accountability, and development. 13. Practice reflects health promotion, prevention, and clinical practice guidelines. 14. Contributes to the development, implementation, and evaluation of clinical programs, which will enhance patient care throughout the Healthcare System. 15. Has the ability to present cases in a concise, organized manner when necessary 16. Evaluates own performance according to the standards of the profession and regulatory bodies and takes actions to improve practice. III. COLLABORATION 1. Participates in Healthcare System committees and task forces. 2. Collaborates with an interdisciplinary team in promoting quality patient care for those patients seen in their assignment. 3. Serves as an internal/external consultant on a formal (referral) or informal basis to enhance the knowledge of others and their ability to provide improved patient care. 4. Treats staff, patients, and family with respect and dignity. 5. Works to enhance department cooperation and teamwork. 6. Provides leadership in assigned setting. 7. Demonstrates active involvement in professional community activities. 8. Establishes effective relationships within the professional community. 9. Serves as a role model for excellence in practice. 10. Maintains membership in at least one advanced practice professional organization 11. Participates in interdisciplinary rounds. 12. Serves as a consultant to health professionals to improve patient care. 13. Facilitates colleagues in team building. IV. SCIENTIFIC INQUIRY 1. Analyzes data generated through quality-of-care activities to identify opportunities to improve care. Rating 2. Formulates recommendations to improve clinical practice based on data obtained from quality-of-care activities. 3. Participates in quality management processes. 4. Uses clinical research techniques to resolve problems and/or initiate changes. 5. Promotes clinical inquiry through research. 6. Reviews findings from studies, applying them to improve patient care delivery. and many more not listed Work Schedule: 0800-1630 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. 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. 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. Preferred Experience: Experience in hepatology. Ability to manage patients with Hepatitis C, Non-alcoholic fatty liver disease (NAFLD) and understand other chronic liver diseases. Ability to perform paracentesis. Ability to work with two other nurse practitioners and two hepatologists 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: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: http://www.ed.gov/about/offices/list/ous/international/usnei/us/edlite-visitus-forrecog.html.

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]