Advanced Practice Nurse (NP) - Vascular Surgery

US-Department-of-Veterans-Affair; San Antonio (TX); Sur place; USD 100 000 - 130 000; Plein temps

Résumé du poste

The Advanced Practice Nurse (Nurse Practitioner) in Vascular Surgery at the Audie L. Murphy Memorial Veterans' Hospital in San Antonio, TX reports to Surgical Care and provides a full range of services with autonomous and collaborative decision-making with physicians and other healthcare professionals.

Requirements include a post-master's certificate or master's/doctoral NP degree, an active NP license, and PMHNP board certification from ANCC or equivalent.

Qualifications

• Requires post-master's certificate or Master's/Doctoral degree as a Nurse Practitioner.
• Active, current, full APN license to practice as NP.
• Current PMHNP board certification from ANCC, AANPCB, or another recognized certifying body.

Responsabilités

• Provide full scope of APN services in Vascular Surgery, including autonomous decisions in collaboration with physicians.
• Order, facilitate, and interpret labs and diagnostics for vascular surgery patients.
• Deliver and coordinate patient care with emphasis on timely completion of tests and referrals.

Formation

Master's degree in Nursing (APN/NP)

Post-master's certificate as Nurse Practitioner

Doctoral degree in Nursing (optional)

Description du poste

The position is located at the Audie L. Murphy Memorial Veterans' Hospital in San Antonio, TX and reports to Surgical Care. The APN in Vascular Surgery provides a full range of services and practices decisions autonomously and in consultation with physician and health care professionals, in a collegial relationship for mutual consultation and referral. Orders, facilitates, and interprets laboratory tests, diagnostic studies, and for Vascular Surgery patients to ensure timely completion.

Advanced Practice Nurse (Nurse Practitioner) Basic Requirements

• 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 - 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 Board Certification - All APN (NPs) must maintain full and current basic board certification as a Psychiatric-Mental Health Nurse Practitioner (PMHNP) 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.

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:

• 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

Preferred Experience:

1. Make practice decisions autonomously and in consultation with physician and health care professionals, in a collegial relationship for mutual consultation and referral.
2. Order, facilitate, and interpret laboratory tests, diagnostic studies, and for Vascular Surgery patients to ensure timely completion. Write progress notes daily for General surgery patients and assist teams as necessary with other progress notes. Independently review or complete discharge summaries on all patients on a daily basis.
3. Provide follow-up for evaluation of outcomes of x-rays, laboratory tests and diagnostic procedures. Detect and evaluate any significant change in patient's condition and provide treatment as indicated.

Physical Requirements:

moderate lifting, 15-44 pounds; moderate carrying, 15-44 pounds; reaching above shoulder; use of fingers; both hands required; walking, 8 hours; standing, 8 hours; repeated bending, 4-6 hours; ability for rapid mental and muscular coordination simultaneously; near vision correctable at 13 to 16 inches to Jaeger 1 to 4; specific visual requirement of far vision, 20/30; both eyes required; depth perception; ability to distinguish basic colors; ability to distinguish shades of colors; hearing, with an aid permitted; mental/emotional stability; ability to perform privileges; independently performs physical exam; and cognitive stability.