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

Duties

The APN is directly responsible to the designated manager in the assigned area. The APN utilizes advanced practice nursing skills and knowledge in an independent manner in areas of patient care, education, research, and consultation. The APN collaborates with the interdisciplinary health care team to ensure continuity of care and to maximize the patient's response to treatment. The APN practices according to practice guidelines established for the specific practice area. The scope of practice for the APN includes prescribing medications and devices. The APN functions as an advocate for patients in meeting their unique physical and psychological needs. The APN evaluates surgical patients in-person which includes, but is not limited to: Gather full medical history and assessment. Review vital signs and review of systems assessment performed by Pre-Op RN. Perform full physical exam (including airway exam). Provide input regarding pre-op medication management/ special medication instructions. Provide pre-op patient education for comorbidity optimization. Consult anesthesiology/ surgical team/ PCP regarding additional pre-op testing/ clearances/ steps for optimization prior to proceeding with elective surgery. Discuss procedures/ risks/ benefits involved in planned anesthesia for particular surgery and patient. Present high risk surgical cases in multidisciplinary workgroup for additional input regarding perioperative risk reduction, consideration of palliative care, etc. Order appropriate testing as needed. Initiate consults and monitor (in collaboration with Anesthesia RN Navigator) scheduling of special tests needed pre-operatively. Change orders when appropriate, following pre-operative assessments. Notify responsible physician of changes in patient's condition. Counsel patient and family about preventative care, medical problems, and use of prescribed treatments and medications. VA offers a comprehensive total rewards package: VA Nurse Total Rewards Work Schedule: Monday to Friday 0700 - 1530 Telework: Not Eligible for Telework Virtual: This is not a virtual position. EDRP Authorized: Contact, the EDRP Coordinator for questions/assistance. Learn more. Permanent Change of Station (PCS): Not Authorized Financial Disclosure Report: Not required.

Requirements

Qualifications

Basic Requirements: United States Citizenship: Citizen of the United States in accordance with section 7402(c) to title 38, United States Code (U.S.C.). Non-citizens may be appointed when it is not possible to recruit qualified candidates in accordance with 38 U.S.C. §7407(a). Education. A post-master's certificate or master's or doctoral degree as a Nurse Practitioner. Education Accreditation Requirement. Nursing education must be from a school of professional nursing accredited by one of the following accrediting organizations at the time the program was completed by the applicant: (a)The Accreditation Commission for Education in Nursing (ACEN),3343 Peachtree Road NE, Suite 850, Atlanta, GA 30326. The ACEN accredits all levels of nursing programs, including clinical doctorate, masters/post master's certificate, baccalaureate, associate and diploma nursing education programs. (Note: The National League for Nursing Accrediting Commission/NLNAC changed its name to ACEN in May 2013. ACEN's website may be utilized to verify accredited programs using automated inquiry processes; however, for verification of any nursing program's accreditation prior to 1998, an automated inquiry cannot be used and ACEN must be contacted directly via their email contact information on the ACEN website to verify.); or (b)The Commission on Collegiate Nursing Education (CCNE), 655 K Street, NW, Suite 7, Washington, DC 20001. The CCNE is an accrediting arm of the American Association of Colleges of Nursing (AACN) and accredits nursing education programs at the bachelor and master's level. Foreign Education. Graduates of foreign schools of professional nursing programs, the nurse practitioner degree equivalency must be validated through an Agency recognized degree equivalency evaluation agency, such as the International Consultants of Delaware (ICD). Candidates with equivalent Nurse Practitioner masters or doctorate level degrees who possess current, full, active and unrestricted registration and certification(see paragraph 2c) will meet the requirement of graduation from an approved school of professional nursing to warrant appointment. Licensure and Certification. All APNs (NPs) must possess and maintain an active, current, full and unrestricted APN license to practice as a NP in a State, Territory or Commonwealth of the United States, or in the District of Columbia. All APNs (NPs) must maintain full and current board certification in an area of clinical specialty from one of the following: i The American Nurses Credentialing Center (ANCC); ii The American Academy of Nurse Practitioners Certification Board(AANPCB); or iii Other nationally recognized certifying body in the area in which the Nurse Practitioner is academically prepared. (b)The required basic certification as a Nurse Practitioner must be identified in support of any position being established or filled as an APN (NP). An approved list of NP/APN certifications may be found on the Office of Nursing site at the Office of Nursing Services. Basic certification as a nurse practitioner is a condition of employment and qualifying factor for the specific assignment. (d)APNs (NPs) are credentialed and privileged to provide care based upon scope of practice, formal graduate nursing educational preparation, certification and patient population. It is the focus of care based on patient care needs, not the care setting, that defines the provider's scope of practice and basic certification required. The scope of practice is determined by the provider's formal academic education and basic Nurse Practitioner certification. The assignment will either require a specific basic certification as a nurse practitioner ,i.e., Mental Health, Women's Health, etc., or may allow for more than one basic nurse practitioner certification. Physical Requirements. See VA Directive and Handbook 5019, Employee Occupational Health Service. English Language Proficiency. Candidates must be proficient in spoken and written English to be appointed as authorized by 38 U.S.C. § 7403(f). Grade Determinations: The following criteria must be met in determining the grade assignment of candidates, and if appropriate, the level within a grade: APN (Nurse Practitioner) II. (a) Scope. Demonstrates leadership in delivering and improving holistic care through collaborative strategies with others. (b) Education and Experience Requirement. Meets basic education requirement for APN (CNS). Nurse II is considered the entry grade level for APN (NPs); no experience is required. APN (Nurse Practitioner) III. (a)Scope. Executes position responsibilities that demonstrate leadership, experience and creative approaches to management of complex client care. (b)Education and Experience Requirement. i Meets basic education requirement for an APN (NP). AND One year of specialized APN (NP) experience equivalent to the Nurse II grade level. Part-Time and Intermittent Nurse/APN Experience. Part-time experience as a Nurse/APN is credited per the relationship to a full work week. For example, a Nurse/APN employed 20 hours per week on a half-time basis would receive one full-time work week credit for two weeks of such service. Intermittent experience as a Nurse/APN is credited based on actual days worked. Reference: VA Regulations, specifically VA Handbook 5005, Part II, Nurse Qualification Standard, Appendix G6a-G6d. This can be found in the local Human Resources Office.

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 Harry S Truman Memorial Veterans Hospital 800 Hospital Drive Columbia, MO 65201 US
• Name: Kelly Cummins
• Phone: 720-309-5521
• Email: [email protected]