The primary purpose of the nurse practitioner (NP) is to practice to the full extent of their education, training and certification, without the clinical supervision or mandatory collaboration of physicians, as a licensed independent practitioner to provide specified medical or other patient care service. This position is eligible for the Education Debt Reduction Program (EDRP)

Duties

The nurse practitioner (NP) collaborates with other disciplines to develop, implement, and coordinate a system of patient care delivery that promotes communication, teamwork, high quality care, patient satisfaction, positive outcomes, appropriate utilization of resources and cost-effective services. Further duties of the position are, but not limited to: Prescriptive authority for a panel of patients or program. Performing history and physical examinations, Diagnosing, treating, and managing acute and chronic health care problems. Ordering appropriate testing and consults. Performing adult care check-ups, prescribing medication, and treatments, and teaching health promotion and disease prevention to patients. Responsible and accountable for all elements of the nursing process when providing and/or supervising direct patient care. Assesses, plans, implements, and evaluates care based on age-specific components. Coordination of care focused on patient transition through the continuum of care, Patient and family education. Patient self-management after discharge. Supporting factors that impact customer satisfaction. Considers all characteristics of the individual, including age and life stages, state of health, race and culture, values, and previous experiences. Administers and/or orders medications and procedures per established policies and guidelines. Influences care outcomes by collaborating with members of the interdisciplinary team. Other duties as assigned. This position is located in the charming town of Gillette, which is the 3rd most populated city in the state of Wyoming. Surrounded by the Bighorn Mountains, Black Hills and the Powder River Basin. The town tends to attract outdoor lovers with unapparelled landscapes, hiking opportunities and unmatched wildlife. Gillette's rich culture, history and warm hospitality from the locals, you feel right at home! To learn more about Gillette, WY click here for the Chamber of Commerce or here for information about the town. VA offers a comprehensive total rewards package: VA Nurse Total Rewards 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. Approval, award amount (up to $200,000) and eligibility period are determined by the VHA Education Loan Repayment Services program office after complete review of the EDRP application. Work Schedule: 7:30am to 4:00pm, Monday to Friday Telework: May be approved on an Ad-Hoc basis. Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not Authorized. EDRP: EDRP is authorized for this position, contact Linda Orchard at [email protected] Learn more. Permanent Change of Station (PCS): Not Authorized. Financial Disclosure Report: Not required.

Requirements

Qualifications

BASIC REQUIREMENTS. 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. Candidates must be proficient in spoken and written English to be appointed as authorized by 38 U.S.C. § 7403(f). Education. A post-master's certificate or master's or doctoral degree as a Nurse Practitioner. (See Education under this announcement for nurse school requirements) Licensure and Certification. The following licensure and certification requirements are considered conditions of employment. 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. Basic Certification. All APNs (NPs) must maintain full and current board certification in an area of clinical specialty from one of the following: The American Nurses Credentialing Center (ANCC); The American Academy of Nurse Practitioners Certification Board Other nationally recognized certifying body in the area in which the Nurse Practitioner is academically prepared. GRADE REQUIREMENTS. Experience. To be creditable, experience must demonstrate possession of the following dimensions of practice requirements identified for each grade level: Research. At any grade, an APN (NP) may conduct, collaborate or assist with approved research or scholarly projects that enhance their knowledge and skills in the profession and advance the missions of VA. 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. APN (Nurse Practitioner) II. Scope. Demonstrates leadership in delivering and improving holistic care through collaborative strategies with others. 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. Dimension Requirement. APNs (NPs) at level II are expected to meet the following dimension requirements: Clinical Practice. Delivers evidence-based health care, demonstrating proficiency in the ability to manage a patient panel, population or program. 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. Leadership. Works effectively as a leader within a team/unit/group and seeks interdisciplinary collaboration as appropriate to enhance patient care. Professional Development. Acquires knowledge and skills to develop expertise in area of practice. Professionalism/Collegiality. Demonstrates effective communication skills and professional behavior, promoting cooperation and teamwork. Participates in interdisciplinary teams and processes that positively impact patient outcomes. APN (Nurse Practitioner) III. Scope. Executes position responsibilities that demonstrate leadership, experience and creative approaches to management of complex client care. Education and Experience Requirement. Meets basic education requirement for an APN (NP). AND One year of specialized APN (NP) experience equivalent to the Nurse II grade level Dimension Requirement. APNs (Nurse Practitioners) at grade Ill are expected to meet the following dimension requirements: 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. 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. 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. Professional Development. Acquires knowledge and skills, then disseminates acquired information within and/or outside the medical facility. 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 5005/160, Part II, Appendix G-6a Advance Practice Nurse (Nurse Practitioner) Qualification Standard. This can be found in the local Human Resources Office. Physical Requirements: This position involves considerable standing, walking, stooping, bending, reaching, lifting and turning. It requires repositioning patients and assisting with transferring patients to wheelchairs/stretchers. Mechanical devices when available are required to be used for heavy or difficult to lift patients. The work may involve pushing or lifting weight in excess of 50 pounds and going up and down flights of stairs. The position requires visual and auditory acuity at a level to provide safe and effective nursing care. The positions requires the nurse to work for periods of time with arms above shoulder level or with the neck in a fully flexed or extended position and the ability to physically control or protect him/herself from physically abusive patients.

Education

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:

• 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
• 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 (MCN) 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.

Basic Certification

• 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.
• 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.
• 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.

Contacts

• Address Sheridan VA Medical Center 1898 Fort Road Sheridan, WY 82801 US
• Name: Chris David
• Phone: 541-537-0650
• Email: [email protected]