The Nurse Practitioner (NP) practices in the Transplant Department of the Operative Care Division (OCD) at the VA Portland Health Care System (VAPORHCS) which includes the Portland and Vancouver campuses and CBOC sites. Additionally, the NP may assume on-call activities with team members should the transplant program require it 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. 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. Preferred Experience: Surgical or internal medicine experience preferred. 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 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: Light to moderate lifting (up to 44 pounds); Light to moderate carrying(up to 44 pounds); Reaching above shoulder; Use of fingers; Both hands required; Walking (6-10 hours); Standing (6-10 hours); Kneeling (2 hours); Repeated bending (1 hour); Both legs required; Near vision correctable to 13" to 16" to Jaeger 1 to 4; Far vision correctable in one eye to 20/50 and to 20/100 in the other; Depth perception; Ability to distinguish basic colors and shades of color; Hearing (aid may be permitted). ["VA offers a comprehensive total rewards package: VA Nurse Total Rewards The Transplant Nurse Practitioner (NP) functions in an Advanced Practice Registered Nursing role in providing patient driven care and clinical collaboration/consultation/education for clinical program functions. The NP functions as a licensed independent practitioner and is credentialed and privileged through the Medical Staff Office. The NP seeks to improve quality of patient care and provides specialty and primary care to pre and post kidney, liver transplant patients and hepatobiliary patients. In addition to traditional NP responsibilities, the Transplant NP conducts histories and physicals, formulates diagnoses based upon data collected and within scope of practice, initiates and adjusts therapeutic regimen including medications, orders laboratory tests and diagnostic studies/procedures, initiates consults and referrals, orders patient care supplies, performs procedures, dictates discharge summaries and clinic notes, and is responsible for an independent case load. The incumbent works collaboratively with other interdisciplinary team members in providing quality care and education. In addition to providing health care, the NP serves as a clinical resource and consultant to nurses, medical staff, interdisciplinary teams, and other health care providers in the care of pre and post kidney and liver transplant and hepatobiliary patients as well as addressing and improving system issues. The position oversees inpatient and outpatient case load. The Transplant NP shares in the development, evaluation, and communication of standards and plans of care as well as policies and procedures; serves on designated committees and task forces; and participates in research, research utilization, and program development. The Transplant NP is expected to participate in ongoing educational activities related to clinical knowledge and professional issues. The incumbent will seek experiences that reflect current clinical practice in order to maintain clinical skills and competence in transplantation. Work Schedule: Monday through Friday, 6:30am - 5:00pm per service needs\nTelework: Adhoc / Part time telework may be considered following training period.\nVirtual: This is not a virtual position.\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.