Nurse Pracititioner (Home Based Primary Care)
The Nurse Practitioner functions autonomously within a defined scope of practice, as well as function in a variety of roles in collaboration with other health care professionals. He/she is a direct care provider in the Home Based Primary Care line of Extended Care whose responsibilities may also include education, research, consultation and administrative roles. The Nurse Practitioner (NP) for Home Based Primary Care functions as an interdisciplinary team member in providing primary care to veterans who are high risk high need with complex, chronic, and disabling diseases for whom routine clinic-based care is not effective. The NP's primary functions include physical assessment, cognitive assessment and depression screens, prescribing medications as well as supplies/durable medical equipment, coordination of care, and diagnostic work-ups, in collaboration with the medical director. As an interdisciplinary team member, the NP is required to make home visits, draw labs peripherally, administer vaccinations, and implant and interpret tests. Other responsibilities include, but are not limited to participating in interdisciplinary team discussions, providing staff in-services, participating on selected committees, attending departmental and organization related meetings, providing coverage for clinical program functions, and supervising selected health care staff. He/she will also be required to complete and review non-VA documents including, but not limited to home health aide certification forms, hospice visiting nurse referrals, physical assessment documents from non-VA agencies, Aid and Attendance and applications to long term care facilities. The NP will be required to incorporate technology into his/her practice. Examples of technology include, but not limited to Clinical Video Telehealth (CVT), Care Coordination Home Telehealth (CCHT) and Secure Messaging. The NP should be able to demonstrate leadership skills, maintain confidentiality of patients, and work independently in the absence of supervision.The NP should also be able to communicate clearly and concisely, both orally and in writing. Duties include, but are not limited to:
Obtains health history from the Veteran and/or caregivers. Performs comprehensive physical assessments and needs assessments. Order and interpret diagnostic tests Order supplies and durable medical equipment. Manages wounds. Formulates diagnoses based on medical, physical, psychosocial status and diagnostic test results. Assesses and evaluates patients' responses to services provided, treatment, and medication. Peripheral specimen collection, administration of vaccinations and skin tests. Based on patients' goals and expectations for care, develops care plan and communicate plan to patient, the caregiver or family, and the interdisciplinary team. Makes appropriate referrals to specialists and community resources. Determines the effectiveness of care plans for documentation of patient outcomes and modifying the plan as necessary to achieve medical and health goals; communicating findings and plan of care to patient, the caregiver or family, and the primary care provider. Completes and maintains written records in a timely fashion and in compliance with VAFLHCS rules and regulations. The Nurse Practitioner provides clinical care in home settings. A valid driver's license is required for this position. Preferred
Experience:
2-3 years of nurse practitioner experience that demonstrates leadership and performance in the application of the nursing process to patient care, organizational processes and/or systems and improving patient care outcomes including NP experience in adult health with emphasis in the home-based primary care specialty area or homecare preferred. Work Schedule:
Full time, Monday - Friday, 8:
00 am - 4:
30 pm Financial Disclosure Report:
Not Required 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. Graduate of a school of professional nursing approved by the appropriate State-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). In cases of graduates of foreign schools of professional nursing, possession of current, full, active and unrestricted registration will meet the requirement of graduation from an approved school of professional nursing. OR The completion of coursework equivalent to a nursing degree in a MSN Bridge Program that qualifies for professional nursing registration constitutes the completion of an approved course of study of professional nursing. Students should submit the certificate of professional nursing to sit for the NCLEX to the VA along with a copy of the MSN transcript. (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. 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. Preferred
Experience:
Home care experience is preferred. Grade Determinations:
The following criteria must be met in determining the grade assignment of candidates, and if appropriate, the level within a grade:
Nurse I Level I - An Associate Degree (ADN) or Diploma in Nursing, with no additional nursing practice/experience required. Nurse I Level II - An ADN or Diploma in Nursing and approximately 1 year of nursing practice/experience; OR an ADN or Diploma in Nursing and a bachelor's degree in a related field with no additional nursing practice/experience; OR a Bachelor's of Science in Nursing (BSN) with no additional nursing practice/experience. Nurse I Level III - An ADN or Diploma in Nursing and approximately 2-3 years of nursing practice/experience; OR an ADN or Diploma in Nursing and a Bachelor's degree in a related field and approximately 1-2 years of nursing practice/experience; OR a BSN with approximately 1-2 years of nursing practice/experience; OR a Master's degree in nursing (MSN) or related field with a BSN and no additional nursing practice/experience. Nurse II - A BSN with approximately 2-3 years of nursing practice/experience; OR ADN or Diploma in Nursing and a Bachelor's degree in a related field and approximately 2-3 year's of nursing practice/experience; OR a Master's degree in nursing or related field with a BSN and approximately 1-2 year's of nursing practice/experience; OR a Doctoral degree in nursing or meets basic requirements for appointment and has doctoral degree in a related field with no additional nursing practice/experience required. Nurse III - Master's degree in nursing or related field with BSN and approximately 2-3 year's of nursing practice/experience; OR a Doctoral degree. Valid, current driver's license and safe driving record required. Nurse Practitioners and Clinical Nurse Specialists. On and after March 17, 2009 , registered nurses appointed or otherwise moving into these assignments must meet and maintain the following additional qualifications. This includes employees appointed before March 17, 2009 , who obtain such qualifications on or after March 17, 2009. (a) Nurse Practitioners.A nurse practitioner must be licensed or otherwise recognized as a nurse practitioner in a State, possess a master's degree from a program accredited by the NLNAC or CCNE, and maintain full and current certification as a nurse practitioner from the American Nurses Association or another nationally recognized certifying body. The certification must be in the specialty to which the individual is being appointed or selected. 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:
see VA Handbook 5005, Part III, Chapter 2, paragraph 7 and VA Handbook 5019, Occupational Health Services at http:
//vaww1.va.gov/ohrm/Directives-Handbooks/Documents/5019.doc.All applicants must be physically and mentally able to perform efficiently the duties of the position. The population of male and female veterans served ranges from the adult, age 18, to the elderly adult, age 65 and over. 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. 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 patient needs.
Estimated Salary: $20 to $28 per hour based on qualifications.
Obtains health history from the Veteran and/or caregivers. Performs comprehensive physical assessments and needs assessments. Order and interpret diagnostic tests Order supplies and durable medical equipment. Manages wounds. Formulates diagnoses based on medical, physical, psychosocial status and diagnostic test results. Assesses and evaluates patients' responses to services provided, treatment, and medication. Peripheral specimen collection, administration of vaccinations and skin tests. Based on patients' goals and expectations for care, develops care plan and communicate plan to patient, the caregiver or family, and the interdisciplinary team. Makes appropriate referrals to specialists and community resources. Determines the effectiveness of care plans for documentation of patient outcomes and modifying the plan as necessary to achieve medical and health goals; communicating findings and plan of care to patient, the caregiver or family, and the primary care provider. Completes and maintains written records in a timely fashion and in compliance with VAFLHCS rules and regulations. The Nurse Practitioner provides clinical care in home settings. A valid driver's license is required for this position. Preferred
Experience:
2-3 years of nurse practitioner experience that demonstrates leadership and performance in the application of the nursing process to patient care, organizational processes and/or systems and improving patient care outcomes including NP experience in adult health with emphasis in the home-based primary care specialty area or homecare preferred. Work Schedule:
Full time, Monday - Friday, 8:
00 am - 4:
30 pm Financial Disclosure Report:
Not Required 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. Graduate of a school of professional nursing approved by the appropriate State-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). In cases of graduates of foreign schools of professional nursing, possession of current, full, active and unrestricted registration will meet the requirement of graduation from an approved school of professional nursing. OR The completion of coursework equivalent to a nursing degree in a MSN Bridge Program that qualifies for professional nursing registration constitutes the completion of an approved course of study of professional nursing. Students should submit the certificate of professional nursing to sit for the NCLEX to the VA along with a copy of the MSN transcript. (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. 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. Preferred
Experience:
Home care experience is preferred. Grade Determinations:
The following criteria must be met in determining the grade assignment of candidates, and if appropriate, the level within a grade:
Nurse I Level I - An Associate Degree (ADN) or Diploma in Nursing, with no additional nursing practice/experience required. Nurse I Level II - An ADN or Diploma in Nursing and approximately 1 year of nursing practice/experience; OR an ADN or Diploma in Nursing and a bachelor's degree in a related field with no additional nursing practice/experience; OR a Bachelor's of Science in Nursing (BSN) with no additional nursing practice/experience. Nurse I Level III - An ADN or Diploma in Nursing and approximately 2-3 years of nursing practice/experience; OR an ADN or Diploma in Nursing and a Bachelor's degree in a related field and approximately 1-2 years of nursing practice/experience; OR a BSN with approximately 1-2 years of nursing practice/experience; OR a Master's degree in nursing (MSN) or related field with a BSN and no additional nursing practice/experience. Nurse II - A BSN with approximately 2-3 years of nursing practice/experience; OR ADN or Diploma in Nursing and a Bachelor's degree in a related field and approximately 2-3 year's of nursing practice/experience; OR a Master's degree in nursing or related field with a BSN and approximately 1-2 year's of nursing practice/experience; OR a Doctoral degree in nursing or meets basic requirements for appointment and has doctoral degree in a related field with no additional nursing practice/experience required. Nurse III - Master's degree in nursing or related field with BSN and approximately 2-3 year's of nursing practice/experience; OR a Doctoral degree. Valid, current driver's license and safe driving record required. Nurse Practitioners and Clinical Nurse Specialists. On and after March 17, 2009 , registered nurses appointed or otherwise moving into these assignments must meet and maintain the following additional qualifications. This includes employees appointed before March 17, 2009 , who obtain such qualifications on or after March 17, 2009. (a) Nurse Practitioners.A nurse practitioner must be licensed or otherwise recognized as a nurse practitioner in a State, possess a master's degree from a program accredited by the NLNAC or CCNE, and maintain full and current certification as a nurse practitioner from the American Nurses Association or another nationally recognized certifying body. The certification must be in the specialty to which the individual is being appointed or selected. 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:
see VA Handbook 5005, Part III, Chapter 2, paragraph 7 and VA Handbook 5019, Occupational Health Services at http:
//vaww1.va.gov/ohrm/Directives-Handbooks/Documents/5019.doc.All applicants must be physically and mentally able to perform efficiently the duties of the position. The population of male and female veterans served ranges from the adult, age 18, to the elderly adult, age 65 and over. 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. 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 patient needs.
- Department:
0610 Nurse - Salary Range:
$66,146 to $116,335 per year
Estimated Salary: $20 to $28 per hour based on qualifications.
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