Nurse Practitioner Hospitalist
The nurse practitioner conducts a comprehensive assessment of patients' medical, physical and bio-psychosocial status and manages/evaluates outcomes of care, including:
Obtains a relevant health and medical history Performs a physical examination. Conducts preventive screening procedures based on age and history. Updates evaluation of health status to determine need for further health care. Formulates appropriate medical diagnosis based on data obtained. Orders and interprets appropriate diagnostic procedures and laboratory tests. Identifies and prescribes appropriate pharmacological and non-pharmacological agents. Identifies needs of the individual and family as a result of the evaluation of collected data. Provides relevant patient/family education. Makes appropriate referrals to both health professionals and community agencies. Consults with collaborating health care professionals when doubt exists as to the diagnosis, when expected improvement is not soon apparent and when specialized therapeutic or diagnostic techniques are indicated. Determines the effectiveness of the plan of care through documentation for client care outcomes. Reassesses and modifies the plan as necessary to achieve medical and health goals. The NP will participates in and/or develops and leads in the monitoring and evaluation of the quality of care delivered to veterans and health care research activities. Participates in the Ongoing Professional Practice Evaluation of his/her practice in partnership with the collaborating physician per medical staff bylaws. Also includes but not limited to:
A. Practice:
Applies nursing process to systems or processes at the unit/team/work group level to improve care. Demonstrates leadership by involving other in improving care. B. Ethics:
Supports and enhances client self-determination. Serves as a resource for clients and staff in addressing ethical issues C. Resource Utilization:
Identifies and assesses resource utilization and safety issues, taking appropriate action. Professional Development A. Education/Career Development:
Acquires knowledge and skills to maintain expertise in area of practice. Participates in educational activities to improve clinical knowledge and enhance role performance. B. Performance:
Evaluates practice of self and others using professional standards, relevant statutes, and regulations. Takes action to improve performance. Collaboration A. Collaboration:
Uses group process to identify, analyze and resolve care problems. B. Collegiality:
Educates colleagues and/or students and serves as a preceptor and/or mentor. Scientific Inquire (Quality of Care, Research) A. Quality of Care:
initiates/participates in quality improvement activities that result in approved outcomes. B. Research:
Uses a body of research to validate and/or change work group practice. Work Schedule:
Monday - Friday is variable-0700 to 1530 or 0800 to 1630 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. 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. 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. 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. Preferred
Experience:
3 years of experience providing inpatient care and consultative services for internal medicine patients Physical Requirements:
Heavy lifting, 45 pounds and over, Heavy carrying, 45 pounds and over, Straight pulling (4hours), Pushing (4hours), Reaching above shoulder, both hand required, Walking (8-12 hours), Standing (8-12 hours), repeated bending (8 hours), Both legs required, Ability for rapid mental and muscular coordination simultaneously, Near vision correctable at 12 to 16 to Jaeger 1 to 4, Far vision correctable in one eye to 20/20 and to 20/40 in the other, Both eyes required, Ability to distinguish shades of colors, Hearing (aid permitted), Transferring patients & objects may be required, Do protective clothing in isolation situation or operative/invasive procedures, May occasionally be exposed to patients wo are combative secondary to delirium.
Estimated Salary: $20 to $28 per hour based on qualifications.
Obtains a relevant health and medical history Performs a physical examination. Conducts preventive screening procedures based on age and history. Updates evaluation of health status to determine need for further health care. Formulates appropriate medical diagnosis based on data obtained. Orders and interprets appropriate diagnostic procedures and laboratory tests. Identifies and prescribes appropriate pharmacological and non-pharmacological agents. Identifies needs of the individual and family as a result of the evaluation of collected data. Provides relevant patient/family education. Makes appropriate referrals to both health professionals and community agencies. Consults with collaborating health care professionals when doubt exists as to the diagnosis, when expected improvement is not soon apparent and when specialized therapeutic or diagnostic techniques are indicated. Determines the effectiveness of the plan of care through documentation for client care outcomes. Reassesses and modifies the plan as necessary to achieve medical and health goals. The NP will participates in and/or develops and leads in the monitoring and evaluation of the quality of care delivered to veterans and health care research activities. Participates in the Ongoing Professional Practice Evaluation of his/her practice in partnership with the collaborating physician per medical staff bylaws. Also includes but not limited to:
A. Practice:
Applies nursing process to systems or processes at the unit/team/work group level to improve care. Demonstrates leadership by involving other in improving care. B. Ethics:
Supports and enhances client self-determination. Serves as a resource for clients and staff in addressing ethical issues C. Resource Utilization:
Identifies and assesses resource utilization and safety issues, taking appropriate action. Professional Development A. Education/Career Development:
Acquires knowledge and skills to maintain expertise in area of practice. Participates in educational activities to improve clinical knowledge and enhance role performance. B. Performance:
Evaluates practice of self and others using professional standards, relevant statutes, and regulations. Takes action to improve performance. Collaboration A. Collaboration:
Uses group process to identify, analyze and resolve care problems. B. Collegiality:
Educates colleagues and/or students and serves as a preceptor and/or mentor. Scientific Inquire (Quality of Care, Research) A. Quality of Care:
initiates/participates in quality improvement activities that result in approved outcomes. B. Research:
Uses a body of research to validate and/or change work group practice. Work Schedule:
Monday - Friday is variable-0700 to 1530 or 0800 to 1630 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. 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. 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. 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. Preferred
Experience:
3 years of experience providing inpatient care and consultative services for internal medicine patients Physical Requirements:
Heavy lifting, 45 pounds and over, Heavy carrying, 45 pounds and over, Straight pulling (4hours), Pushing (4hours), Reaching above shoulder, both hand required, Walking (8-12 hours), Standing (8-12 hours), repeated bending (8 hours), Both legs required, Ability for rapid mental and muscular coordination simultaneously, Near vision correctable at 12 to 16 to Jaeger 1 to 4, Far vision correctable in one eye to 20/20 and to 20/40 in the other, Both eyes required, Ability to distinguish shades of colors, Hearing (aid permitted), Transferring patients & objects may be required, Do protective clothing in isolation situation or operative/invasive procedures, May occasionally be exposed to patients wo are combative secondary to delirium.
- Department:
0610 Nurse - Salary Range:
$98,159 to $130,543 per year
Estimated Salary: $20 to $28 per hour based on qualifications.
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