This job originated on www.usajobs.gov. For the full announcement and to apply, visit www.usajobs.gov/job/797894300. Only resumes submitted according to the instructions on the job announcement listed at www.usajobs.gov will be considered.
The Advanced Practice Registered Nurse (APRN) is a registered nurse with national certification and a master's degree in nursing or higher. Responsible for assessing, diagnosing, planning, implementing, and evaluating direct and indirect health and quality of care for patients under their care. The care can be provided in a primary, secondary, or tertiary care setting. Works under a collaborative practice agreement that is endorsed by the APRN collaborating provider and organizational leadership
07/01/2024 to 07/11/2024
$146,205 - $246,400 per year
VN 00
1 vacancy in the following location:
No
No
Not required
No
Permanent
Full-time
Excepted
None
No
Yes
CBSX-12462528-24-RS
797894300
This position will give first priority to Current VA Loma Linda Employees. To be considered you MUST submit a current SF-50.
FUNCTIONS
Preoperative nurse practitioners (NPs) evaluate patients requiring anesthesia for procedures and surgery. Preoperative NPs each complete >100 consults monthly. The goal of these consults is to minimize patients' risk for adverse perioperative events and to optimize their chance to have safe and positive anesthetic outcomes.
Preoperative NPs work with providers over multiple disciplines in developing and implementing patient care plans.
Clinical responsibilities:
- Work with anesthesia practitioners on the preoperative evaluation and care of patients of various surgical and procedural services, including but not limited to: head and neck surgery, plastic surgery, podiatry, gynecology, orthopedics, urology, general surgery, vascular surgery, neurosurgery, thoracic surgery, dental, gastroenterology, cardiology, and interventional radiology
- Perform medical risk stratification, which includes a detailed review of a patient's medical problems, a physical exam, and a review of laboratory, radiologic, and other diagnostic studies such as EKG's, cardiac stress tests, and pulmonary function tests.
- Work with anesthesia providers in determining if a patient needs additional preoperative testing or subspecialty referral and then arranging for those tests and referrals
- Follow up on any pending labs, studies, or consults that may affect a patient's perioperative course
- Identify any urgent medical, surgical, or psychiatric needs and assist in the timely development and execution of plans to avoid cancellation or delay of the surgery or procedure
- Work with anesthesia providers to establish recommendations for perioperative care and medication management
- Provide patient education regarding preoperative instructions and perioperative medication management
- Follow the clinic's standard operating procedures (SOPs)
- Advocate for patients and ensure that they receive all necessary care, which may require coordination of follow up with primary care or referral to a specialist
- Evaluate, promote, and strive to protect the health, safety, and rights of patients throughout the perioperative process
Additional opportunities:
- Participate in practice improvement projects
- Participate in interdisciplinary care pathways and initiatives
- Make contributions throughout the medical center through professional presentations, academic teaching, and active participation in professional organizations
III. SUPERVISORY CONTROLS
The APRN is responsible to the first level supervisor both clinically and administratively. The APRN collaborates with others involved in patient care, including but not limited to Licensed Vocational Nurses (LVN's), Nursing Assistants (NA's), social workers (LSW's), and other Registered Nurses (RN's). The Approving Official is the second level supervisor.
Patient Centered Care
VAGLAHCS's customer service delivery model is Patient Centered Care (PCC). This center endorses a team- oriented, customer-driven, professional environment that promotes access to care for all veterans. Components of this model include educating and empowering patients and their families, providing support for all aspects of a patient's health, and maintaining integrity and accountability in order to ensure a high quality of care. The incumbent is responsible for implementing Patient-Centered Care principles in their work area.
VI. AGE, DEVELOPMENT, AND CULTURAL NEEDS OF PATIENTS
The population of veterans served ranges from the young adult, age 18, to the elderly adult, age 65 and over. VAGLAHCS is a major interdisciplinary teaching facility serving medical, surgical, and psychiatric inpatients and outpatients.
The incumbent should be sensitive to the various needs of several veterans' populations served:
- Young Adults (20 to 40): developing a career, fanning intimate relationships, selecting a healthy life style, and acquiring problem-solving skills
- Middle Age (40 to 65): attaining personal growth and meaning; maintaining balance in terms of family life, work, and community involvement; health maintenance/prevention of illness.
- Senior Adults (65 to 75): adaptation to retirement, adjustment to decreased body functioning, and dealing with inevitable losses
- Middle Old Adults (74 to 84): adaptation to declines in speed of movement, reaction time, and sensory abilities that may lead to increased dependence on others
- Elder Adults (85+): safety issues related to a decrease in sensory, motor, and cognitive functioning, chronic medical conditions, maintenance of social relationships to avoid isolation
o Maintain Activities of Daily Living (ADL) and self-care
o Establish fiduciaries/beneficiaries
- Gender spectrum: includes male, female, transgender, nonbinary, gender fluid, among others
- Service/Time: veterans of various eras and wars
and many more not listed above
Work Schedule: To be determined
Financial Disclosure Report: Not required
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.
During the application process you may have an option to opt-in to make your resume available to hiring managers in the agency who have similar positions. Opting in does not impact your application for this announcement, nor does it guarantee further consideration for additional positions.
This job opportunity announcement may be used to fill additional vacancies.
This position is in the Excepted Service and does not confer competitive status.
VA encourages persons with disabilities to apply. The health-related positions in VA are covered by Title 38, and are not covered by the Schedule A excepted appointment authority.
Pursuant to VHA Directive 1193.01, VHA health care personnel (HCP) are required to be fully vaccinated against COVID-19 subject to such accommodations as required by law (i.e., medical, religious or pregnancy). VHA HCPs do not include remote workers who only infrequently enter VHA locations. If selected, you will be required to be fully vaccinated against COVID-19 and submit documentation of proof of vaccination before your start date. The agency will provide additional information regarding what information or documentation will be needed and how you can request a legally required accommodation from this requirement using the reasonable accommodation process.
If you are unable to apply online or need an alternate method to submit documents, please reach out to the Agency Contact listed in this Job Opportunity Announcement.
A career with the U.S. government provides employees with a comprehensive benefits package. As a federal employee, you and your family will have access to a range of benefits that are designed to make your federal career very rewarding. Opens in a new windowLearn more about federal benefits.
Eligibility for benefits depends on the type of position you hold and whether your position is full-time, part-time or intermittent. Contact the hiring agency for more information on the specific benefits offered.
You will be evaluated for this job based on how well you meet the qualifications above.
IN DESCRIBING YOUR EXPERIENCE, PLEASE BE CLEAR AND SPECIFIC. WE MAY NOT MAKE ASSUMPTIONS REGARDING YOUR EXPERIENCE. Your application, resume, C.V., and/or supporting documentation will be verified. Please follow all instructions carefully. Errors or omissions may affect consideration for employment.
NOTE: Candidate's education, scope, and length of nursing practice (experience) will be considered 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.
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.
The Department of Veterans Affairs performs pre-employment reference checks as an assessment method used in the hiring process to verify information provided by a candidate (e.g., on resume or during interview or hiring process); gain additional knowledge regarding a candidate's abilities; and assist a hiring manager with making a final selection for a position.
It is the policy of the VA to not deny employment to those that have faced financial hardships or periods of unemployment.
Veterans and Transitioning Service Members: Please visit the VA for Vets site for career-search tools for Veterans seeking employment at VA, career development services for our existing Veterans, and coaching and reintegration support for military service members.
A career with the U.S. government provides employees with a comprehensive benefits package. As a federal employee, you and your family will have access to a range of benefits that are designed to make your federal career very rewarding. Opens in a new windowLearn more about federal benefits.
Eligibility for benefits depends on the type of position you hold and whether your position is full-time, part-time or intermittent. Contact the hiring agency for more information on the specific benefits offered.
As a new or existing federal employee, you and your family may have access to a range of benefits. Your benefits depend on the type of position you have - whether you're a permanent, part-time, temporary or an intermittent employee. You may be eligible for the following benefits, however, check with your agency to make sure you're eligible under their policies.
To apply for this position, you must provide a complete Application Package which includes:
All applicants are encouraged to apply online. To apply for this position, you must complete the full questionnaire and submit the documentation specified in the Required Documents section below. The complete application package must be submitted by 11:59 PM (ET) on 07/11/2024 to receive consideration. To preview the questionnaire click https://apply.usastaffing.gov/ViewQuestionnaire/12462528.
Once your online application is submitted you will receive a confirmation notification by email. After we receive application packages (including all required documents) and the vacancy announcement closes, we will review applications to ensure qualification and eligibility requirements are met. After the review is complete, a referral certificate(s) is issued and applicants will be notified of their status by email. Referred applicants will be notified as such and may be contacted directly by the hiring office for an interview. All referred applicants receive a final notification once a selection decision has been made.
You may check the status of your application at any time by logging into your USA Jobs account and clicking on Applications. Information regarding your application status can be found in the USAJobs Help Center.
NOTE: Participation in the seasonal influenza program is a condition of employment and a requirement for all Department of Veterans Affairs Health Care Personnel (HCP). It is a requirement that all HCP to receive annual seasonal influenza vaccination or obtain an exemption for medical or religious reasons. Wearing a face mask is required when an exemption to the influenza vaccination has been granted. HCP in violation of this directive may face disciplinary action up to and including removal from federal service. HCP are individuals who, during the influenza season, work in VHA locations or who come into contact with VA patients or other HCP as part of their duties. VHA locations include, but are not limited to, VA hospitals and associated clinics, community living centers (CLCs), community-based outpatient clinics (CBOCs), domiciliary units, Vet centers and VA-leased medical facilities. HCP include all VA licensed and unlicensed, clinical and administrative, remote and onsite, paid and without compensation, full- and part-time employees, intermittent employees, fee basis employees, VA contractors, researchers, volunteers and health professions trainees (HPTs) who are expected to perform any or all of their work at these facilities. HPTs may be paid or unpaid and include residents, interns, fellows and students. HCP also includes VHA personnel providing home-based care to Veterans and drivers and other personnel whose duties put them in contact with patients outside VA medical facilities.
The Federal hiring process is set up to be fair and transparent. Please read the following guidance.
To apply for this position, you must provide a complete Application Package which includes:
All applicants are encouraged to apply online. To apply for this position, you must complete the full questionnaire and submit the documentation specified in the Required Documents section below. The complete application package must be submitted by 11:59 PM (ET) on 07/11/2024 to receive consideration. To preview the questionnaire click https://apply.usastaffing.gov/ViewQuestionnaire/12462528.
Once your online application is submitted you will receive a confirmation notification by email. After we receive application packages (including all required documents) and the vacancy announcement closes, we will review applications to ensure qualification and eligibility requirements are met. After the review is complete, a referral certificate(s) is issued and applicants will be notified of their status by email. Referred applicants will be notified as such and may be contacted directly by the hiring office for an interview. All referred applicants receive a final notification once a selection decision has been made.
You may check the status of your application at any time by logging into your USA Jobs account and clicking on Applications. Information regarding your application status can be found in the USAJobs Help Center.
NOTE: Participation in the seasonal influenza program is a condition of employment and a requirement for all Department of Veterans Affairs Health Care Personnel (HCP). It is a requirement that all HCP to receive annual seasonal influenza vaccination or obtain an exemption for medical or religious reasons. Wearing a face mask is required when an exemption to the influenza vaccination has been granted. HCP in violation of this directive may face disciplinary action up to and including removal from federal service. HCP are individuals who, during the influenza season, work in VHA locations or who come into contact with VA patients or other HCP as part of their duties. VHA locations include, but are not limited to, VA hospitals and associated clinics, community living centers (CLCs), community-based outpatient clinics (CBOCs), domiciliary units, Vet centers and VA-leased medical facilities. HCP include all VA licensed and unlicensed, clinical and administrative, remote and onsite, paid and without compensation, full- and part-time employees, intermittent employees, fee basis employees, VA contractors, researchers, volunteers and health professions trainees (HPTs) who are expected to perform any or all of their work at these facilities. HPTs may be paid or unpaid and include residents, interns, fellows and students. HCP also includes VHA personnel providing home-based care to Veterans and drivers and other personnel whose duties put them in contact with patients outside VA medical facilities.
The Federal hiring process is set up to be fair and transparent. Please read the following guidance.
This job originated on www.usajobs.gov. For the full announcement and to apply, visit www.usajobs.gov/job/797894300. Only resumes submitted according to the instructions on the job announcement listed at www.usajobs.gov will be considered.