The Nurse Practitioner (NP) or Physician Assistant (PA) will manage the Protocol Titration Clinic for Cardiology patients. The purpose of the clinic is to increase access to care for Veterans transitioning from inpatient care to home. The cardiovascular team will consist of a physician, mid-level practitioner, and a registered nurse. The goal of the team is to improve access to specialty care, reduce recidivism, and to assist the provider with managing medications and chronic diseases. The development of protocols for national protocols, training, mentorship guidelines and competencies will allow the focus of the clinic to be on specialty access for patients and same day referrals. The Durham VA is one of the fastest growing facilities in the country servicing close to 1 million unique visits per year. Two-thirds of the Veteran populations have a cardiovascular diagnosis of sorts. This individual is delegated the authority and responsibility in his/her area of expertise to assume major clinical, consultative, educational, research, and administrative duties and assignments related to the care of cardiology patients. Functions or Scope of Assigned Duties: The following description covers the most significant duties performed but does not exclude other responsibilities, which may be assigned.
Clinical (Approximately 85%) 1. Works with the RN in the RN Protocol Titration clinic for cardiac patients. Cardiology patients who will be seen in this telework clinic include patients needing titration if diuretics, titration of guideline based medications for hypertension and congestive heart failure. 2. Coordinates and case manages same day heart failure clinic visits in decompensating patients. The patients are in the recovery unit where IV diuretic therapy is utilized and care will continue with mid-level provider as outpatients. 3. The mid-level provider will support and participate in research and consultation as needed 4. Promotes secondary heart disease prevention with patient and family education 5. Participates in discharge planning with transition of identified heart failure patients to a case managed outpatient setting with cardiology 6. Team collaboration is utilized to approach congestive heart failure care of veterans by establishing safe and cost effective hospital length of stay in an interdisciplinary setting. Administrative (Approximately 15%) 1. The program coordinator will collect and maintain data for quality improvement initiatives for heart failure 2. Maintain the disease specific database, analyze and synthesize data, and facilitate performance improvement initiatives. 3. Oversight of the implementation of the clinical practice guidelines for cardiac disease Supervisory Controls: The incumbent is directly responsible to the Chief, Cardiology Section and/or designee. Work Schedule: Monday-Friday, 8 hours between 0730 to 1730
Functional Statement Title: Nurse Practitioner or Physician Assistant
Nurse Practitioner Qualifications: 1. Citizen of the United States. Non-citizens may be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. 2.Nurse Practitioners appointed to direct patient care positions must be proficient in spoken and written English as required by 38 U.S.C. 7402(d) and 7407(d).
3. Graduate of a school of professional nursing approved by the appropriate State agency, and accredited by one of the following accrediting bodies at the time the program was completed by the applicant. 1) The Accreditation Commission for Education in Nursing (ACEN), 2) The Commission on Collegiate Nursing Education (CCNE), an accrediting arm of the American Association of College of Nursing (AACN). The CCNE accredits bachelors and masters degree programs. (b) [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. In these programs, students are given a certificate of professional nursing to sit for the NCLEX and should submit this certification to VA prior to appointment.
4.Licensed or otherwise recognized as a nurse practitioner in a State, possess a master's degree from a program accredited by the ACEN 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.
Physician Assistant Qualifications: 1. Must be a citizen of the United States. 2. Must have a bachelor's degree from a Physician Assistant Training Program which is certified by the Accreditation Review Commission on Education for the Physician Assistant (ARC-PA) OR graduation from a PA training program of at least 12 months duration which is certified by ARC-PA and a bachelor's degree in a health care occupation or a health related science OR graduation from a PA training program of at least 12 months duration which is certified by ARC-PA and a period of progressively responsible health care experience such as an independent duty medical corpsmen, licensed practical nurse, registered nurse, medical technologist or medical technician. The duration of approved academic training and health care experience must total at least 5 years. 3. Must be certified by the National Commission on Certification of Physician Assistants (NCCPA). 4. Must be proficient in spoken and written English as required by 38 USC 7402(d), 7407(d).
1.Minimum of two years' experience in practice and two years in cardiology. 2.Demonstrated ability to work independently and self-directed. 3.Demonstrated ability to coordinate care for cardiology clinic patients with other interdisciplinary staff. 4.Documented evidence of leadership potential with an emphasis on skills in interpersonal relationships. 5.Documented evidence of successful professional practice with progressively complex patients and/or assignments. 6.Demonstrated ability to use computer systems in support of patient care delivery.
7. Demonstrated excellence in written/verbal communication, time management and working with an interdisciplinary team. 8.Prior VA experience and working with Veterans
Preferred Education and Certification:
Physician Assistant -
1. Masters in Physician Assistant
Nurse Practitioner -
1. MSN with Adult, Family or Geriatric NP or DNP.
3. Cardiovascular NP from American Board of Cardiovascular Medicine (Nurse Practitioner)
Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religions; spiritual; community; student; social). Volunteer work helps build critical competencies, knowledge, and skills and can provide valuable training and experience that translates directly to paid employment. You will receive credit for all qualifying experience, including volunteer experience.
Reference:VA Handbook 5005, Part II, Appendices G6 Nurse Qualification Standard and G8 Physician Assistant Qualification Standard. These can be found in the local Human Resources Office.
Physical Requirements:The 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 Veterans and objects may be required.May be required to don protective equipment in isolation situations or operative/invasive procedures. Responsible for the reprocessing of reusable medical equipment, according to the medical center policies.Required to use available safe patient handling lifting devices in all clinical areas. May also be exposed to Veterans who are combative, secondary to delirium, dementia, or psychiatric disorders.
All applicants are required to submit the following supporting document type(s): *Resume
Applicants may also submit the following supporting document type(s),which may not be required for all applicants:
*Cover Letter *DD-214 *OF-306 *Other(VA Form 10-2850a Application for Nurses and Nurse Anesthetists or VA Form 10-2850c Application for Associated Health Occupations) *Other Veterans Document *SF-15 *SF-50 *Transcript
Please use this checklist to ensure you have included other documents required for your application, such as a copy of your transcript (if using education to qualify), documentation to support Veterans Preference claims, or ICTAP/CTAP documentation (for displaced Federal employees). You will not be contacted for additional information.
Veterans' Preference: When applying for Federal Jobs, eligible Veterans should claim preference on the Occupational Questionnaire in the section provided and provide a legible copy of your DD214(s) and/or documentation related to your active duty service which shows dates of service, character of service (honorable, general, etc.), or dates of impending separation. Additionally, disabled veterans and others eligible for 10-point preference (such as widows or mothers of eligible Veterans) must also submit an SF-15 "Application for 10 Point Veterans Preference" with required proof as stated on the form. For more information, please visit http://www.fedshirevets.gov/job/vetpref/index.aspx.
Faxing Applications or Supporting Documents: You are encouraged to apply online. Applying online will allow you to review and track the status of your application. If you are unable to apply online or unable to upload your supporting documents to your online application, follow the directions located at the following site: Fax Options. The Vacancy ID of the job opportunity announcement is 1987485.
NOTE: If you applied online and your application is complete, do not fax the paper application (1203-FX) as this will overwrite your prior online responses and may result in you being found ineligible.