The APRN uses advanced assessment, planning, evaluation, & approved standardized procedures, to provide preventive and illness management healthcare incorporating the patient's age, gender, culture and learning abilities in the treatment plan. The APRN works collaboratively with many disciplines to provide care, including physicians, pharmacists, registered nurses, licensed practical/vocational nurses, dietitians, social workers, clerical and administrative staff, community agencies and others. 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 is open to both Clinical Nurse Specialists and Nurse Practitioners. The Wound Care APRN must also be certified as a Certified Wound Care Nurse (CWCN), Certified Wound Ostomy Nurse (CWON), or Certified Wound, Ostomy, and Continence Nurse (CWOCN). If not a certified nurse in the scopes listed, the APRN must be eligible to become certified within one year of hire and maintain this certification every five years. Full scope certification is preferred. The Wound Care APRN should have greater than 2 years experience as an APRN. Nurse Practitioner: 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 applicable to this position. Clinical Nurse Specialist: A clinical nurse specialist must possess a Master's degree from an academic program accredited by the NLNAC or CCNE and maintain full and current certification as a clinical Nurse Specialist from the American Nurses Association or another nationally recognized certifying body. The certification must be in the specialty applicable to this position. 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 3 - Master's degree in nursing. Nurse II - Master's degree in nursing 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 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: 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. Mechanical inpatient lifts are provided. The incumbent may be exposed to infected patients and contaminated materials and may be required to don protective clothing in isolation situations, operative/invasive procedures, or home settings. 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. Must complete annual Employee Health requirements as a condition of employment. The incumbent who provides care in home settings or other off-site locations may be required to drive and/or ride in GSA-vehicles. ["VA offers a comprehensive total rewards package: VA Nurse Total Rewards The primary purpose of the Wound Care Advanced Practice Registered Nurse (APRN) is to practice to the full extent of their education, training and certification, without the clinical supervision or mandatory collaboration of physicians, as a licensed independent practitioner to provide specified medical or other patient care service. The APRN collaborates with other disciplines to develop, implement, and coordinate a system of patient care delivery that promotes communication, teamwork, high quality care, patient satisfaction, positive outcomes, appropriate utilization of resources and cost-effective services. Clinical privileges will guide advanced practice beyond basic education and are renewed every two years. The APRN has prescriptive authority for a panel of patients. Core functions include: performing history and physical examinations, diagnosing, treating, and managing acute and chronic health care problems, ordering appropriate testing and consults, performing adult care check-ups, prescribing medication and treatments, and teaching health promotion and disease prevention to patients. Responsible for all elements of the nursing process when providing and/or supervising direct patient care. Assesses, plans, implements and evaluates care based on age-specific components. Coordinates care focused on patient transition through the continuum of care, patient and family education, patient self-management after discharge, etc. Considers all characteristics of the individual, including age and life stages, state of health, race and culture, values, and previous experiences. Administers and/or orders medications and procedures per established policies and guidelines. Influences care outcomes by collaborating with members of the interdisciplinary team. The APRN is prepared to perform a broad spectrum of patient care services at the expert level and possesses additional training and certification in skin and wound, ostomy, and/or continence care. The APRN functions with delineated clinical privileges granted by the medical staff. The APRN functions independently and maintains ongoing collaboration with others on the healthcare team and within the community. Care is based on VHA, Joint Commission, national standards, and evidence-based outcome research. Primary responsibilities include patient care, systematic evaluation of clinical practice, program development, nursing staff development, consultation, interdisciplinary collaboration, and problem resolution across service lines. The APRN primarily directs clinical practice within the outpatient wound care programs to include wound, ostomy, continence, and tele-wound services and the corresponding necessary resources to facilitate safe, effective, and efficient care. The APRN maintains flexibility with a high degree of interpersonal skill, effective communication, leadership, motivation, self-direction, and ongoing evaluation of activities. The APRN provides care to veterans in an outpatient setting and utilizing telehealth modalities where appropriate, however, will support the services provided by the inpatient wound care nurse. The settings will include the Rocky Mountain Regional (RMR) Medical Center and outlying CBOCs within ECHCS that may have wound care staff. Additionally, the APRN will work in conjunction with APRN peers and/or the Nurse Manager for the Wound Care Programs to ensure coverage of the entire program as needed. Within the clinical setting, the APRN may complete and/or oversee both initial and ongoing assessments. The APRN provider will simultaneously prepare, review, and evaluate care plans for remote Wound Care program nursing staff. The APRN provider will provide these nurses with instructions on how to manage, dress, and monitor wounds, ostomies, and/or other skin conditions while providing clinical direction and support for questions and concerns. The APRN demonstrates proficiency in practice based on deliberate planning and is self-directed in goal setting for managing complex client situations in the wound, ostomy, and continence role. Pay: Competitive salary, regular salary increases, potential for performance awards Paid 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) Retirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA Insurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement) Licensure: 1 full and unrestricted license from any US State or territory Work Schedule: Tour of duty will be 7:30 am to 4:00pm Compressed/Flexible: Not available Telework: Not available Virtual: This is not a virtual position Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized Financial 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.