Nurse Practitioner

Summary

The VA Black Hills is looking to add an Advanced Practice Professional (PA/NP) to our Urology Department. This would be an addition to our current Medial Staff falling in line with our Surgical Department.

Qualifications

Applicants pending the completion of educational or certification/licensure requirements may be referred and tentatively selected but may not be hired until all requirements are met

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

• English Language Proficiency
• In accordance with 38 U.S.C
• 7402(d), no person shall serve in direct patient care positions unless they are proficient in basic written and spoken English
• Licensure and Certification
• The following licensure and certification requirements are considered conditions of employment
• (1) License
• All APNs (NPs) must possess and maintain an active, current, full and unrestricted APN license to practice as a NP in a State, Territory or Commonwealth of the United States, or in the District of Columbia
• (2) Basic Certification
• (a)

All APNs (NPs) must maintain full and current board certification in an area of clinical specialty from one of the following:
i The American Nurses Credentialing Center (ANCC); ii The American Academy of Nurse Practitioners Certification Board (AANPCB); or iii Other nationally recognized certifying body in the area in which the Nurse Practitioner is academically prepared

• (b) The required basic certification as a Nurse Practitioner must be identified in support of any position being established or filled as an APN (NP)
• An approved list of NP/APN certifications may be found on the Office of Nursing site at the Office of Nursing Services
• (c) Basic certification as a nurse practitioner is a condition of employment and qualifying factor for the specific assignment
• (d) APNs (NPs) are credentialed and privileged to provide care based upon scope of practice, formal graduate nursing educational preparation, certification and patient population
• It is the focus of care based on patient care needs, not the care setting, that defines the provider's scope of practice and basic certification required
• The scope of practice is determined by the provider's formal academic education and basic Nurse Practitioner certification
• The assignment will either require a specific basic certification as a nurse practitioner, i.e., Mental Health, Women's Health, etc., or may allow for more than one basic nurse practitioner certification
• (e) The APNs (NPs) may also hold a specialty certification which in many cases is not specific to a Nurse Practitioner role
• Specialty certifications may be highly recommended but are not required as a condition of employment or required for an assignment and do not support the basic board certification nurse practitioner requirement
• (3) Impaired Licensure and Certification
• Human Resources office staff must appoint APNs (NP) in accordance with the provisions in chapter 3, section B, paragraph 15 of this part, who have, or have ever had, any license or certification revoked, suspended, denied, restricted, limited or issued/placed in a probationary status
• (4) Exception to Licensure for Graduate Nurse Technicians
• (a)

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 (GNT-NP) on a temporary appointment up to any period not-to-exceed one year and a day under the authority of 38 .S.C

• § 7405(c)(2)(B)
• (b) GNT-NP must take the national certification examination at the earliest scheduled date following the date of their temporary appointment
• (c) GNT-NP must actively pursue and obtain required licensure and certification within a year and a day and sign a statement of understanding
• (d) Failure to achieve licensure and certification within this period will result in separation from service with two-week's notice

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:
Must pass a pre-employment physical examination as required by VA Handbook 5019

• This examination is administered by VA Occupational Health
• This position requires moderate lifting up to 44 lbs., carrying objects up to 15 lbs., frequent reaching, use of hands and fingers, use of cranes and motor vehicles, walking, standing, bending and climbing
• The incumbent must be physically and mentally able to efficiently perform the essential functions of this position without hazard to themselves or others.

Duties

"The VA Midwest Health Care Network advocates for a Whole Health System of care in each of the Medical Centers.

This is an approach to healthcare that empowers and equips people to take charge of their health and well-being and live their lives to the fullest.

As an employee operating in a Whole Health System of care, you will operate in a model with three core elements, seeking to create a personalized health plan for each Veteran.

This is done in the context of healing relationships and healing environments and a connection back to the Veteran's community.

This aligns with the Veterans Health Administration (VHA) Mission Statement to Honor America's Veterans by providing exceptional health care that improves their health and well-being.

Clinical Direct Patient Care - Responsible for the clinical management of health care to the veterans referred to the Urology service.

This includes independent initial consultations in the clinic, emergency department or inpatient setting, complete evaluations, and devising/implementing therapeutic intervention.

Has the authority to order all tests and procedures necessary to evaluate and treat these patients.

Exercises sound clinical judgment on conditions requiring consultation, referral or evaluation by Urology Chief or other Health care professionals.

Will have a Panel of urologic patients, including inpatient rounding and patients within the subspecialty focus of each PA, which is maintained with appropriate independent continuity of care, in conjunction with the Attending Urologic Staff.

Will have cross-training to other elements of urologic procedures, including straightforward urodynamics procedures.
Will assist in surgery general or urology.

OR Duties - Responsible for reviewing patient preparation for upcoming operative interventions, (and subsequent recommendations impacting surgery), PreOp Screening appointments, ordering anti-coagulant perioperative management, and postoperative follow-up.

After hours general surgery call may be required.

Administrative Duties:

Participate in the educational programs for surgical personnel as well as other members of the medical staff Participate in monitoring the quality, safety and appropriateness of patient care Participate in developing and updating policies and procedures specific to urology Demonstrate ethical conduct and serve as a positive role model to others at all levels of the organization Participate in quality assurance programs and chart reviews as needed.

Attend Surgical Services staff meetings Complete medical records in accordance with Bylaws and Rules and Regulations of the Medical Staff Participate in committee assignments as determined by the ACOS.

Perform other duties assigned by the ACOS.
Work Schedule: 7:30 to 4:00 Monday through Friday Compressed/Flexible:

Not Available Telework:

Not Available Virtual:
This is not a virtual position.

Relocation/Recruitment Incentives:
Not Authorized EDRP Not Authorized Permanent Change of Station (PCS): Not Authorized PCS Appraised Value Offer (AVO):

Not Authorized Financial Disclosure Report:
Not required VA offers a comprehensive total rewards package: VA Nurse Total Rewards"