The Nurse Practitioner (NP) is a RN with advanced education and experience. He/she applies specialized clinical nursing knowledge and skills to patient care as well as the improvement of the quality of care provided by others. The NP provides a unique approach to healthcare that allows the incorporation of traditional nursing skills as well as advanced practice skills in the care of patients ranging from young adulthood to geriatrics.

Duties

The Nurse Practitioner (NP) will report to the Chief Surgical Service/Section Chief of Urology . She/he applies specialized clinical nursing knowledge and skills to patient care as well as the improvement of the quality of care provided by others. The NP provides a unique approach to healthcare that allows the incorporation of traditional nursing skills as well as advanced practice skills in the care of patients ranging from young adulthood to geriatrics. These skills enable the NP to anticipate and implement preventive health measures with a strong emphasis on patient/significant other/family education as well as illness management of primary care/specialty care. The NP incorporates patient age, gender culture and learning abilities in the plan of care. The unit or section description and patient population served is as defined in applicable Scope of Service. The NP executes position responsibilities that demonstrate leadership, experience, and creative approaches to management of complex client care. The NP may function in a variety of roles including patient advocate, consultant, leader, educator, administrator, researcher, and/or clinical care expert. This nurse works effectively with all levels of staff, to include collaborative efforts with other health professionals. The NP collaborates with other disciplines to develop, implement, and coordinate a system of patient care delivery that effects achievement of quality care, patient satisfaction, positive outcomes, appropriate utilization of resources and cost-efficient services. The NP collaborates with the interdisciplinary team, in the inpatient and outpatient settings to identify VA, and community resources and programs which address inpatient and discharge planning needs for patients. The NP initiates interdisciplinary projects to improve organizational performance and participates in the Performance Improvement Process for related programs. Precepts and mentors' students and other nursing staff. The NP Professional Leader will maintain oversight and responsibility for their professional practice issues, including appropriate licensure and certification. Respond to Consults. Order any diagnostics related to consults. 1. Provides care to patients demonstrating advanced assessment and decision making. 2. Assists with the development of philosophy, objectives, policies, and procedures and mission of the Healthcare System. 3. 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. 4. Documents care/visit in CPRS appropriately, accurately, and concisely. 5. Consistently examines and evaluates clinical practice and patient effectiveness designed to increase personal competence and advanced patient care. 6. Expected outcomes are identified with consideration of current scientific and practice knowledge. 7. Evaluates and intervenes in moral, legal, and ethical issues in practice. 8. Identifies and effectively resolves patient risk management issues. 9. Assures the implementation of Patients' Rights and standards. 10. Maintains an ethical nursing practice. 11. Serves as a patient advocate. 12. Actively participates with patients in completing advance directives. 13. Reviews resource utilization in the work setting. 14. Maintains workload review data. 15. Analyzes workload for decision-making. 16. Identifies and documents appropriate ICD and CPT coding for each patient encounter. 17. Demonstrates consideration of costs and benefits in the selection of resources/services/products for clients. Preferred Experience : Urology experience preferred Work Schedule: TBD Telework: Not available Virtual: This is not a virtual position. Financial Disclosure Report: Not required

Requirements

Qualifications

Advanced Practice Nurse (Nurse Practitioner) Basic Requirements English Language Proficiency. In accordance with 38 U.S.C. 7403(f), no person shall serve in direct patient care positions unless they are proficient in basic written and spoken English. U.S. Citizenship; non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. Education: A post-master's certificate or master's or doctoral degree as a Nurse Practitioner. (Applicants pending the completion of educational requirements may be referred and tentatively selected but may not be hired until the education requirements are met.) Must be a graduate of a school of professional nursing approved by the appropriate accrediting agency and accredited 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). NOTE: 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 will meet the requirement of graduation from an approved school of professional nursing to warrant appointment. Graduate of a school of professional nursing approved by the appropriate accrediting agency and accredited 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); OR Individuals attending a master's level bridge program in nursing who have completed coursework equivalent to a bachelor's level degree in Nursing may have opportunity to become registered as a nurse with a state licensing board prior to completion of the bridge program. Upon achievement of a State license, the individual may be appointed on temporary basis and later converted to a permanent appointment upon successful completion and graduation from the bridge program. (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 to warrant an appointment as a Nurse who has completed an associated degree/entry level Nursing education program. Credit for foreign nursing education higher that associate degree/entry level requires a formal degree equivalency validation from a recognized equivalency evaluation accepted by VA such as International Consultants of Delaware (ICD). 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. Graduate Nurse Technician (GNT) Exception: Candidates who otherwise meet the basic education requirements, but do not possess the required licensure, may be appointed at the entry step of the grade and level applicable to the completed nursing education as a GNT on a 120-day temporary appointment while actively pursuing licensure (may be extended up to two years on a case-by-case-basis.) License and Certification: License. All APN (NPs) must possess and maintain an active, current, full, and unrestricted APN license to practice as an NP in a State, Territory or Commonwealth of the United States, or in the District of Columbia. Basic Certification. All APN (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), American Academy of Nurse Practitioners Certification Board (AANPCB), or other nationally recognized certifying body in the area in which the Nurse Practitioner is academically prepared. Grade Determinations: The following Scope, Education and Experience, and Dimension criteria must be met to qualify for Advanced Practice Nurse (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 (NP). 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. The following Scope, Education and Experience, and Dimension criteria must be met to qualify for Advanced Practice Nurse (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: APN (Nurse Practitioners) at grade III 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. *Note: Foreign education programs/degrees are not creditable as related degrees. Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/. Physical Requirements: Heavy lifting (45 lbs. and over) or Moderate Carrying (15-44 pounds) or 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.

Education

IMPORTANT: A transcript must be submitted with your application if you are basing all or part of your qualifications on 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: Michele Howard
• Phone: 909-871-7413
• Email: [email protected]