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.
IN DESCRIBING YOUR EXPERIENCE, PLEASE BE CLEAR AND SPECIFIC. WE MAY NOT MAKE ASSUMPTIONS REGARDING YOUR EXPERIENCE.
Reference: VA Handbook 5005/27, Part II, Appendix G-6 NURSE QUALIFICATION STANDARD