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Nurse Practitioner

U.S. Department of Veteran Affairs

U.S. Department of Veteran Affairs

Posted on Tuesday, July 2, 2024

Summary

The Advanced Practice Registered Nurse (APRN) is a registered nurse with national certification and a master's degree in nursing or higher. Responsible for assessing, diagnosing, planning, implementing, and evaluating direct and indirect health and quality of care for patients under their care. The care can be provided in a primary, secondary, or tertiary care setting. Works under a collaborative practice agreement that is endorsed by the APRN collaborating provider and organizational leadership

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Overview

  • Accepting applications
  • Open & closing dates

    07/01/2024 to 07/11/2024

  • Salary

    $146,205 - $246,400 per year

  • Pay scale & grade

    VN 00

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    Location

    1 vacancy in the following location:

  • Remote job

    No

  • Telework eligible

    No

  • Travel Required

    Not required

  • Relocation expenses reimbursed

    No

  • Appointment type

    Permanent

  • Work schedule

    Full-time

  • Service

    Excepted

  • Promotion potential

    None

  • Job family (Series)

    0610 Nurse

  • Supervisory status

    No

  • Security clearance

    Other

  • Drug test

    Yes

  • Position sensitivity and risk

    Non-sensitive (NS)/Low Risk

  • Trust determination process

    Credentialing

    Suitability/Fitness


  • Announcement number

    CBSX-12462528-24-RS

  • Control number

    797894300

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This job is open to

Clarification from the agency

This position will give first priority to Current VA Loma Linda Employees. To be considered you MUST submit a current SF-50.

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Duties

FUNCTIONS
Preoperative nurse practitioners (NPs) evaluate patients requiring anesthesia for procedures and surgery. Preoperative NPs each complete >100 consults monthly. The goal of these consults is to minimize patients' risk for adverse perioperative events and to optimize their chance to have safe and positive anesthetic outcomes.
Preoperative NPs work with providers over multiple disciplines in developing and implementing patient care plans.

Clinical responsibilities:
- Work with anesthesia practitioners on the preoperative evaluation and care of patients of various surgical and procedural services, including but not limited to: head and neck surgery, plastic surgery, podiatry, gynecology, orthopedics, urology, general surgery, vascular surgery, neurosurgery, thoracic surgery, dental, gastroenterology, cardiology, and interventional radiology
- Perform medical risk stratification, which includes a detailed review of a patient's medical problems, a physical exam, and a review of laboratory, radiologic, and other diagnostic studies such as EKG's, cardiac stress tests, and pulmonary function tests.
- Work with anesthesia providers in determining if a patient needs additional preoperative testing or subspecialty referral and then arranging for those tests and referrals
- Follow up on any pending labs, studies, or consults that may affect a patient's perioperative course
- Identify any urgent medical, surgical, or psychiatric needs and assist in the timely development and execution of plans to avoid cancellation or delay of the surgery or procedure
- Work with anesthesia providers to establish recommendations for perioperative care and medication management
- Provide patient education regarding preoperative instructions and perioperative medication management
- Follow the clinic's standard operating procedures (SOPs)
- Advocate for patients and ensure that they receive all necessary care, which may require coordination of follow up with primary care or referral to a specialist
- Evaluate, promote, and strive to protect the health, safety, and rights of patients throughout the perioperative process
Additional opportunities:
- Participate in practice improvement projects
- Participate in interdisciplinary care pathways and initiatives
- Make contributions throughout the medical center through professional presentations, academic teaching, and active participation in professional organizations

III. SUPERVISORY CONTROLS
The APRN is responsible to the first level supervisor both clinically and administratively. The APRN collaborates with others involved in patient care, including but not limited to Licensed Vocational Nurses (LVN's), Nursing Assistants (NA's), social workers (LSW's), and other Registered Nurses (RN's). The Approving Official is the second level supervisor.

Patient Centered Care
VAGLAHCS's customer service delivery model is Patient Centered Care (PCC). This center endorses a team- oriented, customer-driven, professional environment that promotes access to care for all veterans. Components of this model include educating and empowering patients and their families, providing support for all aspects of a patient's health, and maintaining integrity and accountability in order to ensure a high quality of care. The incumbent is responsible for implementing Patient-Centered Care principles in their work area.

VI. AGE, DEVELOPMENT, AND CULTURAL NEEDS OF PATIENTS
The population of veterans served ranges from the young adult, age 18, to the elderly adult, age 65 and over. VAGLAHCS is a major interdisciplinary teaching facility serving medical, surgical, and psychiatric inpatients and outpatients.
The incumbent should be sensitive to the various needs of several veterans' populations served:
- Young Adults (20 to 40): developing a career, fanning intimate relationships, selecting a healthy life style, and acquiring problem-solving skills
- Middle Age (40 to 65): attaining personal growth and meaning; maintaining balance in terms of family life, work, and community involvement; health maintenance/prevention of illness.
- Senior Adults (65 to 75): adaptation to retirement, adjustment to decreased body functioning, and dealing with inevitable losses
- Middle Old Adults (74 to 84): adaptation to declines in speed of movement, reaction time, and sensory abilities that may lead to increased dependence on others
- Elder Adults (85+): safety issues related to a decrease in sensory, motor, and cognitive functioning, chronic medical conditions, maintenance of social relationships to avoid isolation
o Maintain Activities of Daily Living (ADL) and self-care
o Establish fiduciaries/beneficiaries
- Gender spectrum: includes male, female, transgender, nonbinary, gender fluid, among others
- Service/Time: veterans of various eras and wars

and many more not listed above

Work Schedule: To be determined
Financial Disclosure Report: Not required

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Requirements

Conditions of Employment

  • U.S. Citizenship; non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy.
  • All applicants tentatively selected for VA employment in a testing designated position are subject to urinalysis to screen for illegal drug use prior to appointment. Applicants who refuse to be tested will be denied employment with VA.
  • Selective Service Registration is required for males born after 12/31/1959.
  • You may be required to serve a probationary period.
  • Subject to background/security investigation.
  • Selected applicants will be required to complete an online onboarding process.
  • Must pass pre-employment physical examination
  • Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP).
  • Participation in the Coronavirus Disease 2019 (COVID-19) vaccination program is a requirement for all Veterans Health Administration Health Care Personnel (HCP) - See "Additional Information" below for details.

Qualifications

Advanced Practice Nurse (Nurse Practitioner) Basic Requirements
  • English Language Proficiency. In accordance with 38 U.S.C. 7402(f), no person shall serve in direct patient care positions unless they are proficient in basic written and spoken English.
  • 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.
  • 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.
NOTE: Grandfathering Provision - All persons currently employed in VHA in 0610 series and an APN (NP) assignment that are also performing the duties as described in the qualification standard on the effective date of the standard (1/29/2024) are considered to have met all qualification requirements for the grade held including positive education and licensure/certification.

The following Scope, Education and Experience, and Dimension criteria must be met to qualify for Advanced Practice Nurse (Nurse Practitioner) II:
Exception to Licensure for Graduate Nurse Technicians. 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 on a temporary appointment up to any period not-to-exceed one year and a day under the authority of 38 U.S.C. § 405(c)(2)(B).
  • 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.

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:
Straight pulling and pushing; reaching above shoulder; use of fingers; both hands required; walking up to 8 hours; repeated bending; Ability for rapid mental and muscular coordination simultaneously; hearing aid permitted.

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.

Additional information

During the application process you may have an option to opt-in to make your resume available to hiring managers in the agency who have similar positions. Opting in does not impact your application for this announcement, nor does it guarantee further consideration for additional positions.

This job opportunity announcement may be used to fill additional vacancies.

This position is in the Excepted Service and does not confer competitive status.

VA encourages persons with disabilities to apply. The health-related positions in VA are covered by Title 38, and are not covered by the Schedule A excepted appointment authority.

Pursuant to VHA Directive 1193.01, VHA health care personnel (HCP) are required to be fully vaccinated against COVID-19 subject to such accommodations as required by law (i.e., medical, religious or pregnancy). VHA HCPs do not include remote workers who only infrequently enter VHA locations. If selected, you will be required to be fully vaccinated against COVID-19 and submit documentation of proof of vaccination before your start date. The agency will provide additional information regarding what information or documentation will be needed and how you can request a legally required accommodation from this requirement using the reasonable accommodation process.

If you are unable to apply online or need an alternate method to submit documents, please reach out to the Agency Contact listed in this Job Opportunity Announcement.

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How You Will Be Evaluated

You will be evaluated for this job based on how well you meet the qualifications above.

IN DESCRIBING YOUR EXPERIENCE, PLEASE BE CLEAR AND SPECIFIC. WE MAY NOT MAKE ASSUMPTIONS REGARDING YOUR EXPERIENCE. Your application, resume, C.V., and/or supporting documentation will be verified. Please follow all instructions carefully. Errors or omissions may affect consideration for employment.

NOTE: Candidate's education, scope, and length of nursing practice (experience) will be considered in determining the grade and salary of the applicant selected. The recommended salary may be at any point in the range listed for this vacancy.

Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religions; spiritual; community; student; social). Volunteer work helps build critical competencies, knowledge, and skills and can provide valuable training and experience that translates directly to paid employment. You will receive credit for all qualifying experience, including volunteer experience.

The Department of Veterans Affairs performs pre-employment reference checks as an assessment method used in the hiring process to verify information provided by a candidate (e.g., on resume or during interview or hiring process); gain additional knowledge regarding a candidate's abilities; and assist a hiring manager with making a final selection for a position.

It is the policy of the VA to not deny employment to those that have faced financial hardships or periods of unemployment.

Veterans and Transitioning Service Members: Please visit the VA for Vets site for career-search tools for Veterans seeking employment at VA, career development services for our existing Veterans, and coaching and reintegration support for military service members.

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Required Documents

To apply for this position, you must provide a complete Application Package which includes:

  • Resume


The following documents are accepted, and may be required if applicable to your eligibility and/or qualifications for this position. Please use this checklist to ensure you have included all documents required for your application, such as a copy of your transcript (if using education to qualify), SF-50's (current/former Federal employees), etc.
  • Cover Letter
  • DD-214/ Statement of Service
  • Disability Letter (Schedule A)
  • Disability Letter (VA)
  • License
  • Other (1)
  • PCS Orders
  • Performance Appraisal
  • Professional Certification
  • Resume
  • Separation Notice (RIF)
  • SF-15
  • SF-50/ Notification of Personnel Action
  • Transcript


Veterans' Preference Note: Preference eligible candidates and other Veterans will be given preference when qualification of candidates are approximately equal for Title 38 positions in VHA. When applying for Federal Jobs, eligible Veterans should claim preference for 5pt (TP), 10pt (CP/CPS/XP), or for Sole Survivor Preference (SSP) in the questionnaire. You must provide a legible copy of your DD214(s) which shows dates and character of service (honorable, general, etc.). If you are currently serving on active duty and expect to be released or discharged within 120 days you must submit documentation related to your active duty service which reflects the dates of service, character of service (honorable, general, etc.), and dates of impending separation. Additionally, disabled veterans and others eligible for 10-point preference (such as widows or mothers of eligible Veterans) must also submit an SF-15 "Application for 10 Point Veteran Preference" with required proof as stated on the form. Documentation is required to award preference. For more information on Veterans' Preference, please visit Feds Hire Vets - Veterans - Job Seekers - Veterans' Preference.
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How to Apply

All applicants are encouraged to apply online. To apply for this position, you must complete the full questionnaire and submit the documentation specified in the Required Documents section below. The complete application package must be submitted by 11:59 PM (ET) on 07/11/2024 to receive consideration. To preview the questionnaire click https://apply.usastaffing.gov/ViewQuestionnaire/12462528.

  1. To begin, click Apply Online to create a USAJOBS account or log in to your existing account. Follow the prompts to select your USA JOBS resume and/or other supporting documents and complete the occupational questionnaire.
  2. Click Submit My Answers to submit your application package.

NOTE: It is your responsibility to ensure your responses and appropriate documentation is submitted prior to the closing date.

To verify your application is complete, log into your USA JOBS account, https://my.usajobs.gov/Account/Login, select the Application Status link and then select the more information link for this position. The Details page will display the status of your application, the documentation received and processed, and any correspondence the agency has sent related to this application. Your uploaded documents may take several hours to clear the virus scan process. To return to an incomplete application, log into your USA JOBS account and click Update Application in the vacancy announcement. You must re-select your resume and/or other documents from your USA JOBS account or your application will be incomplete.
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Agency contact information

Robin Sandoval
Address
Jerry L Pettis Memorial Veterans Hospital
11201 Benton Street
Loma Linda, CA 92357
US
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Next steps

Once your online application is submitted you will receive a confirmation notification by email. After we receive application packages (including all required documents) and the vacancy announcement closes, we will review applications to ensure qualification and eligibility requirements are met. After the review is complete, a referral certificate(s) is issued and applicants will be notified of their status by email. Referred applicants will be notified as such and may be contacted directly by the hiring office for an interview. All referred applicants receive a final notification once a selection decision has been made.

You may check the status of your application at any time by logging into your USA Jobs account and clicking on Applications. Information regarding your application status can be found in the USAJobs Help Center.

NOTE: Participation in the seasonal influenza program is a condition of employment and a requirement for all Department of Veterans Affairs Health Care Personnel (HCP). It is a requirement that all HCP to receive annual seasonal influenza vaccination or obtain an exemption for medical or religious reasons. Wearing a face mask is required when an exemption to the influenza vaccination has been granted. HCP in violation of this directive may face disciplinary action up to and including removal from federal service. HCP are individuals who, during the influenza season, work in VHA locations or who come into contact with VA patients or other HCP as part of their duties. VHA locations include, but are not limited to, VA hospitals and associated clinics, community living centers (CLCs), community-based outpatient clinics (CBOCs), domiciliary units, Vet centers and VA-leased medical facilities. HCP include all VA licensed and unlicensed, clinical and administrative, remote and onsite, paid and without compensation, full- and part-time employees, intermittent employees, fee basis employees, VA contractors, researchers, volunteers and health professions trainees (HPTs) who are expected to perform any or all of their work at these facilities. HPTs may be paid or unpaid and include residents, interns, fellows and students. HCP also includes VHA personnel providing home-based care to Veterans and drivers and other personnel whose duties put them in contact with patients outside VA medical facilities.

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