The VA Black Hills is looking to add an Advanced Practice Professional (PA/NP) to our Urology Department. This would be an addition to our current Medial Staff falling in line with our Surgical Department.

Duties

The VA Midwest Health Care Network advocates for a Whole Health System of care in each of the Medical Centers. This is an approach to healthcare that empowers and equips people to take charge of their health and well-being and live their lives to the fullest. As an employee operating in a Whole Health System of care, you will operate in a model with three core elements, seeking to create a personalized health plan for each Veteran. This is done in the context of healing relationships and healing environments and a connection back to the Veteran's community. This aligns with the Veterans Health Administration (VHA) Mission Statement to Honor America's Veterans by providing exceptional health care that improves their health and well-being. Clinical Direct Patient Care - Responsible for the clinical management of health care to the veterans referred to the Urology service. This includes independent initial consultations in the clinic, emergency department or inpatient setting, complete evaluations, and devising/implementing therapeutic intervention. Has the authority to order all tests and procedures necessary to evaluate and treat these patients. Exercises sound clinical judgment on conditions requiring consultation, referral or evaluation by Urology Chief or other Health care professionals. Will have a Panel of urologic patients, including inpatient rounding and patients within the subspecialty focus of each PA, which is maintained with appropriate independent continuity of care, in conjunction with the Attending Urologic Staff. Will have cross-training to other elements of urologic procedures, including straightforward urodynamics procedures. Will assist in surgery general or urology. OR Duties - Responsible for reviewing patient preparation for upcoming operative interventions, (and subsequent recommendations impacting surgery), PreOp Screening appointments, ordering anti-coagulant perioperative management, and postoperative follow-up. After hours general surgery call may be required. Administrative Duties: Participate in the educational programs for surgical personnel as well as other members of the medical staff Participate in monitoring the quality, safety and appropriateness of patient care Participate in developing and updating policies and procedures specific to urology Demonstrate ethical conduct and serve as a positive role model to others at all levels of the organization Participate in quality assurance programs and chart reviews as needed. Attend Surgical Services staff meetings Complete medical records in accordance with Bylaws and Rules and Regulations of the Medical Staff Participate in committee assignments as determined by the ACOS. Perform other duties assigned by the ACOS. Work Schedule: 7:30 to 4:00 Monday through Friday Compressed/Flexible: Not Available Telework: Not Available Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not Authorized EDRP Not Authorized Permanent Change of Station (PCS): Not Authorized PCS Appraised Value Offer (AVO): Not Authorized Financial Disclosure Report: Not required VA offers a comprehensive total rewards package: VA Nurse Total Rewards

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. 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. (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. (e) The APNs (NPs) may also hold a specialty certification which in many cases is not specific to a Nurse Practitioner role. Specialty certifications may be highly recommended but are not required as a condition of employment or required for an assignment and do not support the basic board certification nurse practitioner requirement. (3) Impaired Licensure and Certification. Human Resources office staff must appoint APNs (NP) in accordance with the provisions in chapter 3, section B, paragraph 15 of this part, who have, or have ever had, any license or certification revoked, suspended, denied, restricted, limited or issued/placed in a probationary status. (4) Exception to Licensure for Graduate Nurse Technicians. (a) Candidates who otherwise meet the basic requirements, but do not possess the required licensure and/or certification, may be appointed at the entry step of the Nurse II, as a Graduate Nurse Technician Nurse Practitioner (GNT-NP) on a temporary appointment up to any period not-to-exceed one year and a day under the authority of 38 .S.C. § 7405(c)(2)(B). (b) GNT-NP must take the national certification examination at the earliest scheduled date following the date of their temporary appointment. (c) GNT-NP must actively pursue and obtain required licensure and certification within a year and a day and sign a statement of understanding. (d) Failure to achieve licensure and certification within this period will result in separation from service with two-week's notice. 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: Must pass a pre-employment physical examination as required by VA Handbook 5019. This examination is administered by VA Occupational Health. This position requires moderate lifting up to 44 lbs., carrying objects up to 15 lbs., frequent reaching, use of hands and fingers, use of cranes and motor vehicles, walking, standing, bending and climbing. The incumbent must be physically and mentally able to efficiently perform the essential functions of this position without hazard to themselves or others.

Education

• Education. 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.

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. Beyond the minimum education requirements, grade determination for appointment, advancement and promotion will be based on the following specific requirement for an APN (NP). 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.
(c) Dimension Requirement. APNs (NPs) at level II are expected to meet the following dimension requirements:
i Clinical Practice. Delivers evidence-based health care, demonstrating proficiency in the ability to manage a patient panel, population or program.
ii Outcome Focus. Utilizes research and evidence-based practice to evaluate the patient care delivery system within a patient panel or program, presents findings and contributes to changes that enhance the quality and timeliness of veteran/patient care.
iii Leadership. Works effectively as a leader within a team/unit/group and seeks interdisciplinary collaboration as appropriate to enhance patient care.
iv Professional Development. Acquires knowledge and skills to develop expertise in area of practice.
v Professionalism/Collegiality. Demonstrates effective communication skills and professional behavior, promoting
cooperation and teamwork. Participates in interdisciplinary teams and processes that positively impact patient outcomes.
(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.

Contacts

• Address VA Black Hills Health Care System 113 Comanche Road Fort Meade, SD 57741 US
• Name: Todd Otterberg
• Phone: 605-347-2511 X7380
• Email: [email protected]