This position is as a primary care provider in the Extended Care Service of the VA Palo Alto HCS. The position may entail patient care responsibilities in both the Home-Based Primary Care (HBPC) program and the Community Living Center (CLC) (VA nursing home) primarily offering coverage during absences of existing staff. Is clinically and administratively responsible to the Assistant Deputy Chief of Staff. 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. Master's or Doctoral Degree from a program accredited by the Accreditation Commission for Education in Nursing or the Commission (ACEN-Formerly NCLAC) or the Collegiate Nursing Education (CCNE). 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 and Certifications - Current BLS provider card A valid state driver's license. One (1) year of full-time experience providing care in the home or community setting as an RN/RNP. Prescriptive privileges (Nurse Practitioner Furnishing Number) with a current DEA Licensure from the United States Drug Enforcement Administration for scheduled II-V controlled substances with demonstration of meeting California State Board of Nursing requirements to prescribe controlled substances. 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 and approximately 2-3 year's of nursing practice/experience. Note regarding MSN degrees: If your MSN was obtained via a Bridge Program that qualifies for professional nursing registration, a BSN is not required. 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: This position requires heavy lifting, 45 pounds heavy carrying, 45 pounds straight pulling (2 hours); reaching above shoulder; use of fingers; both hands required; walking & standing 8 hours - intermittently; repeated bending; both legs required; ability for rapid mental& muscular coordination simultaneously; near vision correctable at 13" to 16" to Jaeger 1 to 4; far vision correctable in one eye to 20/20 and to 20/40 in the other; depth perception; ability to distinguish shades of colors; hearing (aide permitted). 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 delirium, dementia, or psychiatric disorders. The incumbent must be a mature, flexible, sensible individual capable of working effectively in stressful situations, able to shift priorities based on patient needs. ["This is an open continuous announcement for this vacancy. The first certificate of eligible applicants will be issued with subsequent cut-off dates every 14 days up to September 29, 2023. The provision of care may be in the home for the HBPC program in areas from Palo Alto to San Jose and in the CLC located in Menlo Park and Palo Alto. Provides oversight when consulting & collaborating with interdisciplinary team members to develop strategies / plan of care for handling specific patient needs. May develop and update, with the collaboration of the interdisciplinary team, patient treatment plans and ensures care coordination by involving the patient, caregiver(s), family, VA and community programs. Provides and/or coordinates skilled nursing services which includes but not limited to: monitoring and management of chronic and acute illnesses, medication management, wound care, lab tests, catheter care, injections, electrocardiograms, promotion of health, wellness, and independence. Coordinates and participates in implementation of clinical practice guidelines. Participates in QA activities and utilizes an ethical code of conduct and continuing education to promote and maintain high standards of professionalism and leadership. Supports the mission of HBPC to provide comprehensive primary care and case management to veterans in the home. Facilitates interdisciplinary academic and clinical training in geriatrics/gerontology to students in the health professions of medicine, nursing, pharmacy, psychology, occupational therapy, and social work. Supports the services offered by HBPC that include short-term transitional care, palliative care, facilitate the transition from an institutional setting to the community, and chronic disease management. Works effectively with others to initiate and lead interdisciplinary groups and establish relationships with professional and/or other health related groups within the community. Develops a professional practice by leadership and accomplishments in the development and implementation of best-practice guidelines in patient care and healthcare delivery. Nurse Practitioners are clinicians with advanced training who provide primary, acute, and specialty health care services and delivers care under a set of privileges, based upon education, training, and certification. Responsibilities include: Work Schedule: Monday to Friday 8am to 4L30pm May vary depending on deployment and/or assigned facility needs Telework: Ad-hoc Travel: Up to 25% may be required. Virtual: This is not a virtual position. Relocation/Recruitment Incentives (Sign-on Bonus): Available for well-qualified applicants EDRP Authorized: 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. Approval, award amount (up to $200,000) and eligibility period (one to five years) are determined by the VHA Education Loan Repayment Services program office after complete review of the EDRP application. Contact V21CCOEEDRP@VA.GOV, the EDRP Coordinator for questions/assistance. Learn more. Permanent Change of Station (PCS): Not Authorized"]
The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,298 health care facilities, including 171 medical centers and 1,113 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.