VA Northern Indiana Heathcare System is seeking a well-qualified Nurse Practitioner (NP) for Palliative Care. The NP will apply specialized clinical nursing and medical knowledge and skills to Veterans within the Community Living Center (CLC). The Advanced Practice Registered Nurse (APRN) for Palliative Care is a registered nurse with advanced education and experience who applies Palliative care principles of practice to clinical nursing. The Palliative APRN possesses medical knowledge and skills to lead and facilitate resident care for veterans in need of end of life care. An APRN independently provides theory and evidence-based care to Veterans, facilitating attainment of health goals, works with nurses and other members of the healthcare team to advance clinical practice to improve outcomes cost-effectively, and/or provides clinical expertise to affect system-wide changes in organizations to improve programs of care. The APRN consults and collaborates with other providers and other team members; attends team meetings, and provides assistance in the implementation and application of all medical programs. Incumbent provides leadership in improving resident care, maintaining standards of care, and teaching personnel in a variety of settings. This position has responsibilities that require demonstration of leadership, experience, and creative approaches to management of complex therapeutic interventions for residents receiving care at VA NIHCS. The APRN functions as a licensed independent provider (LIP) with advanced education and experience who cares for a specific population of resident/patients in a variety of settings. The APRN typically provides care to adult Veterans requiring interventions in a complex, psychiatric and/or medical conditions, and Veterans with cognitive impairments. The APRN provides a unique approach to healthcare that allows the incorporation of traditional nursing, end of life care and advanced practice skills in the care of resident/patients ranging from young adulthood to geriatrics. These skills enable the APRN to anticipate and implement preventive health measures with a strong emphasis on patient and significant other/family education and illness management of primary, chronic and specialty care. The APRN incorporates Veteran age, gender, culture, and learning abilities in the plan of care. Responsibilities include but are not limited to the following: Takes a leadership role in utilizing problem-solving methodologies to resolve system and/or process problems that impact on resident care or staff performance at the program or service level that is supported by documented evidence of: Assuming responsibility for meeting an identified need; Developing and implementing the plan to meet the identified need; and Evaluating and providing evidence of improved resident care or staff performance relative to the identified need. Collaborative Learning Community (CLC) Demonstrates role modeling, leadership and advanced clinical expertise to improve end of life care in the delivery of patient -centered care through the use of the nursing process for patients requiring specialized/complex care. Develops creative, innovative strategies to resolve problems and/or promote positive outcomes in collaboration with the veteran/family member/nursing/medical center leaders. Initiates, completes, and follows up on referrals, including consults and related referrals. Identifies the need for new or revised policies, procedures, standards, or guidelines utilizing best practices in Palliative care as a framework for practice. Completes routine rounds and evaluations as needed including but not limited to Palliative Care veterans, short stay residents and long stay residents Completes orders and follows up on results, including lab, radiology, consults, medications, diets, code status and other needs to treat the resident. Performs and documents reassessments, recognizing changes in patient's needs and re-establishes priorities for care, seeking assistance as necessary. Modifies practice based upon quality improvement findings and recommendations. Identify opportunities for improvement and develops, implements, and evaluates plans that result in improved patient care. Participates in the achievement of VANIHCS Performance Measures for Palliative Care, Long Term Care and chronic disease management. Provides care to adult Veterans with complex medical, emotional, psychosocial, and cognitive disease processes within the Veterans home environment longitudinally. This position is eligible for the Education Debt Reduction Program (EDRP), a student loan reimbursement program. If selected for this position, you must meet specific individual eligibility requirements and submit your application within four months of appointment. The final award amount and eligibility period (one to five years) is determined by the VHA Education Loan Repayment Services office. Questions regarding EDRP should be sent to: VHAEDRPProgramSupport@va.gov Financial Disclosure Report: Not required
Internal Number: 594868700
About Veterans Affairs, Veterans Health Administration
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.