This Position Is No Longer Available
  1. Overview
  2. Duties
  3. Qualifications & Evaluations
  4. Benefits & Other Info
  5. How to Apply

Job Title:Advanced Practice Nurse (Domiciliary)

Department:Department Of Veterans Affairs

Agency:Veterans Affairs, Veterans Health Administration

Job Announcement Number:AH-12-EGB-777524

This position is closed and no longer accepting online applications through USAJOBS.

The contents of the announcement can still be viewed.


$49,808.00 to $108,898.00 / Per Year


Monday, October 29, 2012 to Tuesday, November 13, 2012




Full Time - Excepted Service Permanent


1 vacancy in the following location:
Bonham, TX United StatesView Map


United States Citizens


Vacancy Identification Number (VIN): 777524

To fulfill President Lincoln's promise – "To care for him who shall have borne the battle, and for his widow, and his orphan" – by serving and honoring the men and women who are America's Veterans.

How would you like to become a part of a team providing compassionate care to Veterans?

As a VA professional nurse, your opportunities are endless. With many openings in the multiple functions of VA, you will have a wide range of opportunities at your fingertips. Not only is it the largest, most technologically advanced integrated health care system in the nation, but we also provide many other services to Veterans through the Benefits Administration and National Cemeteries.

VA professionals feel good about their careers and their ability to balance work and home life. VA offers generous paid time off and a variety of predictable and flexible scheduling opportunities.  

For more information on the Department of Veterans Affairs, go to .  


  • U.S. Citizenship
  • Full unrestricted Licensure, Certification, or Registration required.
  • Must pass pre-employment examination.
  • Designated and/or Random Drug Testing required.
  • Background and/or Security Investigation required.
  • English Language Proficiency required.


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Applications are being accepted for one Nurse Practitioner vacancy in the Bonham domiciliary, a 224-bed Domiciliary Residential Rehabilitation Treatment Program (DRRTP). The DRRTP is an intensive biopsychosocial rehabilitation program for homeless veterans with potential for rehabilitation. Veterans served typically have multiple areas of need (medical, psychiatric, vocational, and educational). Program goals focus upon the acquisition of various social skills and knowledge that will foster successful community re-entry.

The position tour of duty is: MONDAY – FRIDAY, 8:00 a.m. to 4:30 p.m. with flexibility required as the incumbent may need to work beyond the tour of duty for patient care.

The position is located in the Ambulatory Care Service, in the Domiciliary located at the Sam Rayburn Memorial Veterans Center in Bonham, TX

Applicant must have a Master of Science Degree in Nursing with national board certification in the required specialty. Clinical experience and prescriptive authority will be critically evaluated. The position is subject to successful completion of a two year probationary period.











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Required skills/duties for the APRN include:

a. Perform screenings and/or comprehensive biopsychosocial examinations to determine the appropriate level of health care.

b. Order and interpret diagnostic studies (i.e. x-rays, laboratory tests and EKG).

c. Perform initial, interim, discharge and annual history and physical examinations for veterans admitted to the Domiciliary level of care.

d. Perform comprehensive physical assessment of the veteran includes mental status, values and belief assessment, nutrition and suicide assessment.

e. Perform functional capacity testing.

f. Formulate medical diagnoses through collaboration with the consulting physicians assigned.

g. Formulate an initial medical plan of care with consideration to environmental developmental, vocational, nutritional, religious educational and psychosocial factors

h. Provide preventative health and disease management.

i. Prescribe medication in accordance VACO policy using the VANTHCS approved formulary whenever possible,including narcotics and controlled substances and entering subsequent drug requests with refills as indicated for a resident in the Domiciliary.

j. Conduct an assessment to identify deficits in hygiene and personal grooming, mental health, ability to maintain independent housing, job readiness, and role identification in the circle of the family, domiciliary living, workplace functionality and community living.

k. Collaborate with treatment team members to facilitate an individualized treatment plan.

l. Initiate and expedite consultation services to patients utilizing the ambulatory care clinic for health promotion needs, and educate patients and significant others accordingly.

m. Document in the medical record all procedures for which the APRN is responsible, any changes in patient condition, modifications to initial plan of care and appropriate interim and/or discharge summaries in the patient medical record.

n. Provide education to the patient and his/her family, other staff and at times members of the community in preventive or supportive medical care and the use of prescribed treatments.

o. Coordinate triage to other areas, such as primary care clinics, mental health access or outpatient clinics, the emergency room or other specialty care when appropriate.

p. Complete patient incident reports and note level of injury and treatment provided.

The APRN is expected to follow VANTHCS policies and procedures within the context of a multidisciplinary environment, which will involve input and guidance from a number of professional staff.

The APRN will ensure the highest possible quality of care for veteran patients seeking treatment throughout VA North Texas Health Care System using policy, treatment planning, and implementation of available programs to meet the needs of veteran patients. This includes, but is not limited to, the use of special programs for patients who are suicidal and/or experience addictive disorders, severe and persistent mental illnesses, homelessness, and post-traumatic stress.

The APRN must have the capacity to respond appropriately to multiple demands and be able to facilitate inter-team or program cooperation and collaboration.

Prescriptive authority for medication management is a mandatory requirement for the position.

The APRN will participate in performance improvement activities/committees.

Applicants must demonstrate excellent interpersonal skills, mastery of effective communication, dependability, motivation and commitment to the mission of the VANTHCS and Mental Health Service.

Applicants will need to establish and promote trust and compassion while engaging the patient in clinical assessment and the appropriate clinical services including potential inpatient hospitalization and/or outpatient follow-up.

Applicant must have the physical capabilities to initiate crisis intervention measures along with the ability and willingness to accomplish satisfactory training and performance in mental health emergencies.

Applicant must complete 8-12 hours of training in the Prevention and Management of Disruptive Behavior annually.

Applicant must be able to perform:

Non-routine/Non-emergency Duties such as

a. routine incision and drainage.

b. wound care and debridement

c. ear irrigation

d. obtaining venous and arterial blood samples for diagnostic testing.

e. perform electrocardiogram, and

Emergency duties such as:

a. CPR and First Aid

b. treatment of acute respiratory failure

c. treatment of life threatening traumatic injuries

d. facilitate immediate triage of unstable patients


Citizen of the United States. 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 National League for Nursing Accrediting Commission (NLNAC) or The Commission on Collegiate Nursing Education (CCNE). 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. 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. Must be proficient in spoken and written English.

Applicant's education and length of nursing practice (experience) will be considered by a Nurse Professional Standards Board in determining the grade and salary of the applicant selected. Experience as a RN will be evaluated to determine if the experience is of an acceptable level of quality with regard to the following four dimensions of nursing: Practice, Professional Development, Collaboration and Scientific Inquiry. Each dimension of practice has criteria that demonstrate essential core competencies for VHA Nursing Personnel. The criteria are as follows: Practice: practice, ethics and resource utilization, Professional Development: performance, education/career development, Collaboration; collaboration, collegiality, Scientific Inquiry: quality of care, research. Education/Experience Requirements:

Nurse I Level I - An Associate Degree (ADN) or Diploma in Nursing, no experience.

Nurse I Level II - An ADN or Diploma in Nursing and approximately 1 year of experience, or an ADN or Diploma in Nursing and a bachelor's degree in a related field and no experience; or a Bachelors of Science in Nursing (BSN) and no experience.

Nurse I Level III - An ADN or Diploma in Nursing and approximately 2-3 years of experience, or an ADN or Diploma in Nursing and a bachelors degree in a related field and approximately 1-2 years of experience; or a BSN with approximately 1-2 years of experience, or a Master's degree in nursing (MSN) or related field with a BSN and no experience.

Nurse II - A BSN with approximately 2-3 years of experience, or ADN or Diploma in Nursing and a bachelors degree in a related field and approximately 2-3 years experience or a Master's degree in nursing or related field with a BSN and approximately 1-2 years experience, or a Doctoral degree in nursing or meets basic requirements for appointment and has doctoral degree in a related field with no experience.

Nurse III - Master's degree in nursing or related field with BSN and approximately 2-3 years experience or Doctoral degree in nursing or related field and approximately 2-3 years experience.

Applicant's education and experience will be reviewed by a Professional Standards Board in determining the grade and salary of the applicant selected.  The recommended salary may be at any point in the range listed for this vacancy.



Reference: VA Handbook 5005/27, Part II, Appendix G-6 NURSE QUALIFICATION STANDARD

Veterans' Preference:

When applying for Federal Jobs, eligible Veterans should claim preference on their application or résumé. Applicants claiming preference based on service-connected disability, or based on being the spouse or mother of a disabled or deceased Veteran, must complete an SF 15, Application for 10-Point Veteran Preference. Veterans who are still in the service may be granted tentative preference on the basis of information contained in their applications, but they must produce a DD Form 214 or other proof prior to appointment to document entitlement to preference.  For more information on Veterans' Preference, please visit

Applicants must successfully complete VETPRO (VA credentials databank) if selected.




Your application, résumé and/or supporting documentation will be verified. Please follow all instructions carefully. Errors or omissions may affect consideration for employment.   You may also be evaluated based upon the question responses you provide during a structured interview. In responding to structured interview questions you should be sure to cite specific examples of experience, explain exactly what you did, and the outcome.


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Working for the Department of Veterans Affairs offers a comprehensive benefits package that includes, in part, paid vacation, sick leave, holidays, life insurance, health benefits, thrift savings plan, and participation in the Federal Employees Retirement System. In addition to traditional "dollars and cents" benefits, we offer a range of benefits to help balance work and life.  For more information please visit us at .


This position is in the Excepted Service and does not confer competitive status. 


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To begin the process, click the Apply Online button at the right side of this screen to create an account or log in to your existing USAJOBS account. Follow the prompts to complete the occupational questionnaire. Please ensure you click the Submit My Answers button at the end of the process.

YOU MUST INCLUDE VA FORM 10-2850a IN YOUR APPLICATION PACKAGE TO BE CONSIDERED FOR THIS VACANCY.   You may upload the completed form to your USAJOBS or Application Manager account if you apply online.  Then you can use the uploaded form again and again when applying for future vacancies.  Please see this guide ( ) for more information on uploading and re-using the form in your applications.  Other required forms and documents can also be saved in your account and used the same way.   Applicants are urged to apply online; this process is much easier and faster.

Note: To return to a previously Saved or Incomplete application, just reapply through your account in USAJOBS.  Check your account ( ) to see the status of your application after applying, including any messages that may have been sent to you.

If you cannot apply online:

  1. Click the following link to view and print the occupational questionnaire: View Occupational Questionnaire.
  2. Print this 1203FX form to provide your response to the occupational questionnaire: .
  3. Fax the completed 1203FX form along with all supporting documents to (478)757-3144.  Your 1203FX form must be placed on top of all materials being faxed and will serve as a cover page for your fax transmission.
  4. Keep a copy of your fax receipt in case verification is needed.

To fax supporting documents you are unable to upload:

  1. Complete this cover page using the following Vacancy ID: T777524.  You must use this fax cover sheet in order for your documents to be matched with your online application.
  2. Fax your documents to (478)757-3144.

The complete Application Package must be submitted by 11:59 PM (EST) on Tuesday, November 13, 2012.


You must provide a complete Application Package which includes:

  1. CV or Resume.
  2. VA Form 10-2850a - Application for Nurse and Nurse Anesthetist (Available at: (required).
  3. Optional Form 306 - Declaration for Federal Employment (Available at  This is a required form and must be submitted with your application.
  4. If prior military service, include all copies of your DD Forms 214 (required).   Applicants claiming preference based on service-connected disability, or based on being the spouse or mother of a disabled or deceased Veteran, must also complete and submit an SF 15, Application for 10-Point Veteran Preference (available at
  5. If currently employed in the VA system, include latest SF-50 - Notification of Personnel Action. (required).
  6. Copy of transcript required.
  7. Copy of license required.


Employment Office
Phone: (214)857-1701
Agency Information:
Human Resources Mgmt
VAMC Dallas
4500 S Lancaster Rd
Dallas, TX


After we receive your complete application package (including any required documents), your qualifications will be reviewed to decide if you meet the basic requirements.  You will be notified when this decision is made.

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