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Advanced Practice Nurse

Company: Department of Veterans Affairs
Location: Bronx
Posted on: June 7, 2021

Job Description:

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Duties

Summary

Meets the needs of patients while supporting VHA mission. The incumbent is designated as an Employee Occupational Health Nurse Practitioner assigned to the Employee Occupational Health Clinic at the James J. Peters VA Medical Center. The primary purpose of the Provider is to provide high quality care to fellow employees within the scope of occupational medicine.

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Responsibilities

The health care services expected to be provided include, though are not limited to, pre-employment and other clearance examinations, assessment for immunizations, implementing/coordinating the employee influenza and other vaccination programs, work-related injury, illness at work and occupational health exposure assessment, return to work assessment and telehealth visits. The provider will work closely with infection control, safety officer, industrial hygienist and worker's comp representatives. The position reports to the Chief of Emergency Medicine and Occupational Health and collaborates with members of other services, including specialist physicians and other staff for appropriate referrals, human resources support and Primary Care providers. He/she will provide clinical, technical, specialized, and/or administrative support as common to all administrative and clinical staff assigned to this area.

GENERAL DUTIES:

  • Performs a comprehensive health history and physical examination tailored to the pre-employment clearance or reason for visit.
  • Adapts assessment tools and techniques according to individual patient needs for scheduled and unscheduled visits.
  • Determines the need for laboratory or imaging orders, receives and interprets the appropriate diagnostic test results.
  • Analyzes and synthesizes data from multiple sources to develop a differential and working diagnosis.
  • Applies knowledge and best practice standards in selecting a treatment plan or recommendation to treat conditions, diseases, disorders and injuries within the NP's scope of practice and clinical practice setting.
  • Communicates verbally and in writing, history, physical assessment findings, diagnosis, and any necessary referral or treatment plans.
  • Communicates progress and treatment options with the patient and other members of the team, when indicated.
  • Consults with other health care providers in an appropriate and timely manner.
  • Critically appraises and applies current, relevant research into clinical practice from an evidence-based framework.
  • Collaborates with the patient and health care team in management and monitoring of a health situation by:
  • Assesses aggregate patient needs by compiling qualitative and quantitative information about clinical programs using electronic or paper reporting tools.
  • Participates in the development of health promotion/prevention programs based on assessed needs, culture and evidence-based strategies and available resources for patients who are healthy or have acute or chronic conditions in collaboration with other clinical services.
  • Applies principles of teaching and learning when providing health education to employees and other patients.
  • Monitors, evaluates and modifies health promotion/prevention programs in partnership with the patient and other members of the health care team.
  • Encourages client to take responsibility for maintaining and/or improving health by increasing knowledge of, control over, and influence on, health determinants.
  • Accepts sole responsibility and accountability for all actions taken within his or her scope of practice.
  • Incorporates professional, legal, and ethical decision-making guidelines into the practice of Medicine.
  • Demonstrates leadership in clinical practice to meet multiple health care needs.
  • Participates in interdisciplinary, and/or inter-professional quality improvement and/or meetings that relates to her/his practice.
  • Participates in emergency preparedness and environmental health planning as part of a team.
  • Accepts personal responsibility for ongoing professional development related his/her competence, including, but not limited to, continuing education related to prescriptive authority and health management. Consistently communicates and treats customers (veterans, families, their representatives, visitors, and all VA staff) in a courteous, tactful, and respectful manner. Provides the customer with consistent information according to established policies and procedures. Handles conflict and problems in dealing with the customer constructively and appropriately.

Work Schedule: Full Time, Monday - Friday; 7:30AM - 4:00PM

Financial Disclosure Report: Not required

Travel Required

Not required

Supervisory status

No

Promotion Potential

None

  • Job family (Series)

0610 Nurse

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  • Requirements

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Requirements

Conditions of Employment

  • You must be a U.S. Citizen to apply for this job
  • Designated and/or random drug testing required
  • Selective Service Registration is required for males born after 12/31/1959
  • You may be required to serve a probationary period
  • Subject to a background/security investigation
  • Must be proficient in written and spoken English
  • Selected applicants will be required to complete an online onboarding process
  • Must pass pre-employment physical examination

Qualifications

  • Education: 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.
  • Licensure: 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 and Clinical Nurse Specialists. On and after March 17, 2009, registered nurses appointed or otherwise moving into these assignments must meet and maintain the following additional qualifications. This includes employees appointed before March 17, 2009, who obtain such qualifications on or after March 17, 2009.

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.]

Clinical Nurse Specialists. A clinical nurse specialist must possess a Masters 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 to which the individual is being appointed or selected.

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 I - An Associate Degree (ADN) or Diploma in Nursing, with no additional nursing practice/experience required.
  • Nurse I Level II - An ADN or Diploma in Nursing and approximately 1 year of nursing practice/experience; OR an ADN or Diploma in Nursing and a bachelor's degree in a related field with no additional nursing practice/experience; OR a Bachelor's of Science in Nursing (BSN) with no additional nursing practice/experience.
  • 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.

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: The population of male and female veterans served ranges from the adult, age 18, to the elderly adult, age 65 and over. This VA is an interdisciplinary teaching facility, providing medical, surgical, mental health, and long-term care of inpatients and outpatients. 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. 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.

Education

IMPORTANT: A transcript must be submitted with your application if you are basing all or part of your qualifications on education.

Note: Only education or degrees recognized by the U.S. Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment. You can verify your education here: http://ope.ed.gov/accreditation/. If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education. For further information, visit: http://www.ed.gov/about/offices/list/ous/international/usnei/us/edlite-visitus-forrecog.html.

Keywords: Department of Veterans Affairs, New Rochelle , Advanced Practice Nurse, Other , Bronx, New York

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