Nurse Practitioner - Dayton, OH - Overview Summary The Nurse Practitioner will provide care to patients who present to the Dayton VA Medical Center Emergency Department. The Emergency Room is the principal portal to admissions and transfers to the Medical Center. Work is predominantly emergent illness. The incumbent evaluates and treats patients presenting for care in the Emergency Room. Most cases are medical emergencies, trauma management is limited. The individual will be involved in triage and management of patients requiring medical and surgical cases. Work Schedule: Typical work hours are 80 hours per pay period. These hours may be in 8, 10 or 12 hour shifts. Please note: due to the nature of this position (ED and MOD) the shift days/times will specifically cover nights, weekends and holidays. Financial Disclosure Report: Not required This position has also been advertised as a Physician Assistant. The Service Line may fill with either a NP or PA. If you are a PA please apply under the PA announcement VIN 10210948 which closes 05/24/2018. Duties - Writing Admission Orders - Performing/documenting initial histories and physical examinations on outpatients - Documenting progress notes and summaries in the patient's medical record - Providing on-going outpatient care for assigned patients - Completing consults - Initiating and expediting requests for consultations and scheduling special tests/studies - Identifying normal and abnormal findings on histories, physical examinations and commonly performed diagnostic studies - Assessing patients, making a diagnosis, developing/implementing treatment plans and monitoring the effectiveness of therapeutic interventions - Ordering and/or performing routine diagnostic procedures, as indicated, within the scope of practice - Instituting and changing orders on patient charts - Obtaining and documenting consents for procedures performed within the NP's scope of practice - Prescribing medications per formulary or non-formulary request where appropriate - Performing wound care management, suturing minor lacerations and removing the sutures - Removing superficial foreign bodies - Drawing blood specimens or obtaining other specimens for laboratory testing as needed - Administering IV fluids - Administering local anesthesia - Inserting a Foley or cudae catheter into the urinary bladder and removing the catheter - Carrying out health promotion and disease prevention activities - Providing education and counseling of patients/families in preventative care, medical conditions and use of prescribed treatments and drugs - $83,307 $146,715 Job Details Application Open Date 5/22/2018 Application Close Date 6/3/2018 Organization Veterans Affairs, Veterans Health Administration Who May Apply None Status None - More About VA - Annual leave shall accrue for full-time Nurses, and Nurse Anesthetists at the rate of 8 hours for each full biweekly pay period. Selected applicants will be required to complete an online onboarding process. This job opportunity announcement may be used to fill additional vacancies. It is the policy of the VA to not deny employment to those that have faced financial hardships or periods of unemployment. This position is in the Excepted Service and does not confer competitive status. United States Citizenship Required; non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. 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. 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. If you are unable to apply online view the following link for information regarding an Alternate Application. - Qualifications - 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. Preferred Experience: Emergency Medicine or Critical Care 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 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. Additional Requirements for 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. BLS and ACLS. 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: Standing (up to 2 hours), walking (up to 6 hours), stooping, bending, reaching, lifting, and turning; repositioning patients; assisting with transfers; pushing or lifting in excess of 45 pounds; visual (corrected to 20/30 or better with color discrimination) and auditory acuity; work for periods of time with arms above shoulder level or with neck in a fully flexed or extended position; possess sound and logical clinical judgment; mature, flexible, sensible individual capable of working effectively in stressful situations, able to shift priorities based on patient needs; ability to work on computers for extended periods of time. - Benefits