Nurse Practitioner-Employee and Occupational Health
Veterans Affairs, Veterans Health Administration
Location: Toledo, Ohio
Internal Number: 678123900
This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific individual eligibility requirements in accordance with VHA policy and submit your EDRP application within four months of appointment. **Recruitment incentive may be authorized for highly qualified candidates** 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. 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: This position potentially requires flexibility in schedule and assignments, as this is a 24/7 hospital. The incumbent must be poised and articulate in communicating with people of varied educational levels and varied ethnic backgrounds. The incumbent is willing to work cooperatively as a member of a team in all assignments. The incumbent makes caring for the patient his/her priority while in the work setting and demonstrates customer service principles in all aspects of work. The incumbent is self-motivated in the pursuit of meeting professional work standards. 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 years of nursing practice/experience; OR a Master's degree in nursing or related field with a BSN and approximately 1-2 years 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 years of nursing practice/experience; OR a Doctoral degree and approximately 2-3 years of nursing practice/experience. 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: The population of male and female employees, compensated and uncompensated, ranges from adult, age 18, to the elderly adult, age 65 and over. AAVAMC is a major interdisciplinary teaching facility, employing over 3,000 full-time and part-time, clinical, and non-clinical health care professionals annually. 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 physical or psychiatric disorders. The incumbent must be a mature, flexible, sensible individual capable of working effectively in stressful situations, and able to shift priorities based on patient needs. ["VA offers a comprehensive total rewards package: VA Nurse Total Rewards The EOH Nurse Practitioner is accountable to the Associate Chief of Staff for Ambulatory Care. The incumbent is responsible for providing, integrating, and evaluating patient care delivery at the Employee and Occupational Health Clinic. The Nurse Practitioner is the first line clinical provider for acute patient care needs. He/she collaborates with the Medical Director for the EOH Clinic, allied health providers, supporting staff, and medical and administrative leadership throughout the AAVAMC to facilitate optimal safe patient care and flow in the EOH Clinic. The incumbent is also expected to participate in national and VISN teleconferences related to employee and occupational health, whole health and wellness, and ambulatory care operations and to carry out implementation of VHA mandates and directives related to EOH care. The Employee and Occupational Health (EOH) Nurse Practitioner is a skilled health care provider who utilizes critical judgment in the performance of comprehensive health assessments, differential diagnosis, and the prescribing of pharmacological and non-pharmacological treatments in the direct management of acute and chronic illness and disease. The nurse practitioner practice promotes wellness and prevents illness and injury. This nurse works effectively with all levels of staff and promotes collaborative efforts with other healthcare professionals. The EOH Nurse Practitioner serves as an expert practitioner, executing position responsibilities that demonstrate leadership, experience, and creative approaches to management of complex patient care. The Nurse Practitioner demonstrates leadership in delivering holistic care through collaborative strategies. The Nurse Practitioner for EOH conducts a comprehensive assessment of patients' medical, physical and bio psychosocial status including: - Obtains a relevant health and medical history\n- Performs a physical examination based on age and history\n- Conducts preventative screening procedures based on age and history\n- Updates evaluation of health status to determine need for further health care\n- Formulates appropriate medical diagnoses based on data obtained\n- Orders appropriate diagnostic procedures and laboratory tests\n- Identifies and prescribes appropriate pharmacological and non-pharmacological agents\n- Identifies needs of the individual as a result of the evaluation of collected data\n- Provides relevant patient education\n- Makes appropriate referrals to other health professionals and community agencies, when clinically necessary\n- 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\n- Determines the effectiveness of the plan of care through documentation of patient care outcomes\n- Reassesses and modifies the plan as necessary to achieve medical and health goals\n- Attends weekly interdisciplinary team meetings Pay: Competitive salary, regular salary increases, potential for performance awards\nPaid Time Off: 50 days of paid time off per year (26 days of annual leave, 13 days of sick leave, 11 paid Federal holidays per year)\nRetirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA\nInsurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement)\nLicensure: 1 full and unrestricted license from any US State or territory Work Schedule: 8:00 AM to 4:30 PM ( Monday through Friday), possible occasional weekends/evenings\nCompressed/Flexible: No\nTelework: No\nVirtual: This is not a virtual position. Relocation/Recruitment Incentives: Not authorized\nEDRP Authorized: Contact Visn10hrEDRPSLRP@va.gov, the EDRP Coordinator for questions/assistance. Learn more\nPermanent Change of Station (PCS): Not authorized\nFinancial Disclosure Report: Not required"]
Providing Health Care for Veterans: The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,255 health care facilities, including 170 medical centers and 1,074 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.