Robley Rex VA Healthcare System, Louisville, Kentucky is currently recruiting for a Nurse Practitioner-Surgical Care Louisville, Kentucky 603.

Duties

Executes position responsibilities that demonstrates leadership, experience, and creative approaches to management of complex patient care. The Surgery Nurse Practitioner is an EXPERT nurse, "with an enormous background of experience, who now has an intuitive grasp of each situation and zeros in on the accurate region of the problem without wasteful consideration of a large range of unfruitful, alternative diagnoses and solutions" (Benner). The Surgery Nurse Practitioner demonstrates performance and leadership that is broad enough to improve the care for a group of patients. The Surgery Nurse Practitioner is responsible for the documented outcomes at the program or service level. Program or service level outcomes must be broad and complex and can be demonstrated at any organizational level within a facility, VISN, or VACO. Program is defined as a substantial coordinated group of activities impacting patients and/or employees. The Surgery Nurse Practitioner demonstrates (a) Leading and organizing delivery of care to assure continuity of care and peer accountability for practice, including access to care and discharge planning (b) Using advanced clinical knowledge/judgment to promote staff involvement in planning, decision-making, and evaluating outcomes (c) Functioning as an expert in clinical practice and/or areas related to the assigned roles and responsibilities (d) Systematically evaluating current practice, and formulating outcomes for groups of patients and/or organizational processes within an area of expertise (e) Guiding, developing, and supporting staff from a leadership perspective, and (f) Using professional standards of care, scientific evidence, and practice to evaluate programs and/or service activities (g) The Nurse Practitioner has the primary responsibility and accountability to practice within the parameters of his/her scope of practice, professional standards of practice, and all other lawful standards and policies of this Medical Center, the state of licensure, and the VA (h) The APRN has the responsibility to ensure that appropriate collaborative agreements are in place to meet applicable state and federal requirements VA offers a comprehensive total rewards package: VA Nurse Total Rewards Work Schedule: Monday-Friday, 7:00am-4:00pm, on-call after hours and weekend call required Telework: Not available Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not authorized Permanent Change of Station (PCS): Not authorized Financial Disclosure Report: Not required. Pay Schedule: NF46

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: Citizen of the United States [in accordance with section 7402(c) of 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). 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. Licensure and Certification. The following licensure and certification requirements are considered conditions of employment. (1) License. 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. (2) Basic Certification. (a) 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. (c) Basic certification as a nurse practitioner is a condition of employment and qualifying factor for the specific assignment. *Certification in one of the following areas: Acute Care Nurse Practitioner-Board Certified (ACNP-BC) Adult-Gerontology Acute Care Nurse Practitioner-Board Certified (AGACNP-BC) Acute Care Nurse Practitioner-Adult/Gero (ACNP-AG) Acute Care Nurse Practitioner - Certified (ACNPC) Adult/Gero Acute Care CNS Wellness through Acute Care (ACCNS-AG) Family Nurse Practitioner-Board Certified (FNP-BC) Family Nurse Practitioner-Certified (FNP-C) Adult-Gerontology Primary Care Nurse Practitioner-Certified (AGNP-C) Adult Nurse Practitioner-Certified (ANP-C) Gerontology Nurse Practitioner-Certified (GNP-C) Preferred Experience and Certifications Podiatry background with proficiency in the assessment, diagnosis, treatment, and management of foot and ankle disorders, including wound care and trauma Experience in the role of a surgical assistant Experience in triaging acute medical issues as they relate to the foot and ankle Ability to educate patients and family members in the perioperative setting Ability to learn manual toenail and callus trimming Grade Determination. In addition to the basic qualification requirements, the grade level of an APN (NP) is based on a combination of education and experience. The level of practice at which an APN (NP) may perform is based upon a combination of many factors. Beyond the minimum educational requirements, grade determination, upon appointment and advancement, is dependent upon aspects such as continued professional development (formal and/or informal education), clinical performance, judgment, outcomes (at the service level and beyond), leadership and interpersonal skills that influence, inspire and motivate others within their program/service or beyond. As the APN (NP) acquires the knowledge, skills and judgment that accrues with experience, the privilege of increased authority for patient care and service in administrative roles is expanded as applicable. (1) 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. (2) 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 ii One year of specialized APN (NP) experience equivalent to the Nurse II grade level. (c) Dimension Requirement. APNs (Nurse Practitioners) at grade III are expected to meet the following dimension requirements: i Clinical Practice. Influences and models the delivery of evidence- based health care, demonstrating expertise in the ability to manage a patient panel, population or program. ii Outcome Focus. Leads and implements changes that enhance the quality and timeliness of Veteran/patient care applying research and evidence in the delivery of healthcare for patient populations. iii Leadership. Initiates and leads interdisciplinary teams informed by structured approaches and processes to improve outcomes that positively impact care for a patient panel, population or program. iv Professional Development. Acquires knowledge and skills, then disseminates acquired information within and/or outside the medical facility. v Professionalism/Collegiality. Initiates and leads interdisciplinary teams developing systems that positively impact outcomes at the panel, population or program level. Demonstrates effective communication skills and professional behavior, promoting cooperation and teamwork. 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: It is VA policy to ensure that all selected applicants and employed personnel are physically, mentally and emotionally fit to perform the duties of the position to which assigned. A pre-placement physical examination is required for all fulltime, part-time and intermittent employees identified by VA Directive and Handbook 5019. The pre-placement physical examination shall be completed prior to appointment to determine the physical and mental fitness for candidates for appointment in VA. The examination will be concerned with the mental and physical ability of the applicant to satisfactorily perform the duties of the proposed assignment and will include requisite laboratory and other screening as required by Federal regulatory agencies. 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. This position requires that you are able to lift at least 50 lbs. 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 organizational needs. Must complete annual Employee Health requirements, such as annual Influenza vaccination, TB screening or testing, as a condition of employment.

Education

• Graduate of a school of professional nursing. A post-master's certificate or master's or doctoral degree as a Nurse Practitioner. (NOTE: the post-master's certificate is formal education awarded from an acceptable school of professional nursing and is not considered board certification as described under 2.c.(2) of this appendix).
  • (1) 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.
  • (2) 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.

Contacts

• Address Robley Rex VA Medical Center 800 Zorn Avenue Louisville, KY 40206 US
• Name: Sean Shepherd
• Phone: 615-695-2251
• Email: [email protected]