Nurse Practitioner Hospice DURHAM, NC

Job Title:Nurse Practitioner (Hospice)

Department:Department Of Veterans Affairs

Agency:Veterans Affairs, Veterans Health Administration

Job Announcement Number:VHA-558-14-DU1109371-RWR

$86,145.00 to $124,875.00 / Per YearThursday, May 01, 2014 to Wednesday, May 14, 20141 vacancy in the following location:
Durham, NC

Vacancy Identification Number (VIN) 1109371 

OUR MISSION: 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.
Since 1953, VAMC Durham has been improving the health of the men and women who have so proudly served our nation. We consider it our privilege to serve your health care needs in any way we can. Services are available to more than 200,000 veterans living in a 26-county area of central and eastern North Carolina. In addition to our main facility in Durham, we offer services in three community-based outpatient clinics. These clinics are located in —

·         Raleigh, North Carolina

·         Greenville, North Carolina

·         Morehead City, North Carolina

 
NOTE:  Applicant's education and length of nursing practice (experience) will be considered by a Nurse Professional Standards Board in determining the grade and step of the applicant selected. 
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.

Relocation Expenses: Relocation expenses are not authorized for this position.

As a condition of employment with the Durham VAMC, the selectee will have to obtain/maintain a license with the State Of North Carolina as a Nurse Pratitioner (NP) in the specialty which they are being appointed to.

Must pass pre-employment examination. Designated and/or Random Drug Testing required. Background and/or Security Investigation required. Must be proficient in written and spoken EnglishSelective Service Registration is required for males born after 12/31/1959Tour of Duty:Monday-Friday, 8 hour tours, occasional weekend coverage

The CLC Hospice is a 10-bed unit providing pain control, symptom management, end of life care and bereavement support to the residents and family of the imminently dying. The program is designed to provide optimal comfort care to Veteran and meets the mission, vision and values of the VAMC and nursing division. The acuity ranges from comfort care to some critical care type modalities when needed to control pain. The length of stay for veterans in the unit may range from a few hours to 30 days or occasionally longer. Veterans are accepted for Hospice care from the Emergency Department, ICU, medical/surgical wards, home and community facilities. The CLC Hospice Unit has an interdisciplinary team that includes staffing representing Nursing, Chaplain, Social Work, Pharmacy, Dietary, Nurse Practitioners, and Physicians. The interdisciplinary team meets to plan care and modify treatment according to needs of Veteran and family. End of life care Veterans may require IV push medication, PCA pumps, epidural analgesia, BiPap, CPap, and management of delirium.

The successful candidate will be responsible for:

·         Primary care of inpatients on the Hospice/Palliative Care Unit.

·         Conducting admission history and physical assessment. Writing admission notes and discharge summaries.

·         Writing orders for patient care, evaluation and treatment plans in accordance with the individuals Scope of Practice and under the authority

·         of the Medical Director of the Hospice Unit or their designee.

·         Prescribing and monitoring medications as allowed by the Durham VAMC under the guidelines of the NP Scope of Practice.

·         Ordering and interpreting medical tests and x-rays

·         Performing procedures to include minor surgical procedures (suture removal, I&D, removal of foreign bodies etc.).

·         Counseling patient/family for terminal and end of life care.

·         Education Champion for End of Life Care for Veterans. Responsibilities include providing regular education offering for Nursing Staff and

·         Medical Center personnel.

·         Attending Committee meetings, Process Action teams, etc to represent the Hospice/Palliative Care service as directed by the Medical

·         Director.

·         Coordinating referrals, consults, and discharge activities.

·         Screening and evaluation of patients referred to Hospice/Palliative Care

·         Facilitating response/action to patient inquiries regarding care and treatment

·         Active member of the Palliative Care Consult Team.

·         Other administrative duties as assigned by the Medical Director of Hospice/Palliative Care and the ACNS for CLC.

The Scope of Practice of all registered nurses in all areas of clinical practice is defined in the four (4) dimensions outlined in the Nurse Qualification Standard, and is specific to the Grade:

1.PRACTICE: Provides leadership in the application of the nursing process to patient care, organizational processes and/or systems, improving outcomes at the program or service level.ETHICS:Provides leadership in identifying and addressing ethical issues which impact patients, staff, including initiating and participating in ethics consultations. RESOURCE UTILIZATION: Manages program resources (financial, human, material or informational) to facilitate safe, effective, efficient care.

2.PROFESSIONAL DEVELOPMENT (Education/Career Development, Performance). EDUCATION/CAREER DEVELOPMENT: Implements an educational plan to meet changing program or service needs for self and others.PERFORMANCE: Uses professional standards of care and practice to evaluate programs and/or service activities.

3.COLLABORATION (Collaboration, Collegiality): Uses group process to identify, analyze and resolve problems. COLLEGIALITY: Makes sustained contributions to healthcare by sharing knowledge and advanced skills internal and external to the healthcare system. The NP will coach colleagues in team building.

4.SCIENTIFIC INQUIRY (Quality of Care, Research).QUALITY OF CARE: Initiates interdisciplinary projects to improve organizational performance. RESEARCH: Collaborates with others in research activities to validate and/or improve care.

To qualify for this position, applicants must meet all requirements by the closing date of this announcement.

Citizenship. Citizen of the United States.

Education. Graduate of a school of professional nursing approved by the appropriate State agency and accredited by the National League of Nursing at the time the program was completed by the applicant. In cases of graduates of foreign schools of professional nursing, possession of a current, full active and unrestricted registration will meet the requirement of graduation from an approved school of professional training.

Master’s degree from a program accredited by one of following: (1) The National League for Nursing Accrediting Commission (NLNAC), or (2) The Commission on Collegiate Nursing Education (CCNE), an accrediting arm of the American Association of Colleges of Nursing (AACN).

Licensure. Current, full and unrestricted licensure as a Registered Nurse in a State, Territory, or Commonwealth (i.e., Puerto Rico). Candidate must possess and maintain full current licensure/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.)

English Language Proficiency. Must be proficient in spoken and written English as required by 38 U.S.C. 7402(d) and 7407(d).

Physical Standards. See VA Directive and Handbook 5019 .(Applicants must must be physically and mentally able to perform efficiently the duties of the position).

Preferred Qualifications.

1. Minimum of 1 year experience in Palliative Care and/or Hospice setting.

2. Demonstrated leadership skills, good communication and ability to work independently and with an interdisciplinary team. 

Preferred Education. Master's in Nursing or PHD with FNP, GNP, or ANP.

Preferred Certification. Certification in Geriatric Nursing.

Reference: VA Handbook 5005/27, Part II, Appendix G-6 NURSE QUALIFICATION STANDARD http://www1.va.gov/vapubs/viewPublication.asp?Pub_ID=464&FType=2

IN DESCRIBING YOUR EXPERIENCE, PLEASE BE CLEAR AND SPECIFIC. WE WILL NOT MAKE ASSUMPTIONS REGARDING YOUR EXPERIENCE.

PLEASE NOTE:  Education must be accredited by an accrediting institution recognized by the U.S. Department of Education in order for it to be credited towards qualifications (particularly positions with a positive education requirement.)  Therefore, applicants must report only attendance and/or degrees from schools accredited by accrediting institutions recognized by the U.S. Department of Education.  Applicants can verify accreditation at the following website: http://www.ed.gov/admins/finaid/accred/index.html All education claimed by applicants will be verified by the appointing agency accordingly.  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.

Physical Requirements: The Nurse Practitioner is required to meet the physical standards as outlined on the OF 178 Certificate of Medical Examination (Attachment A). 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 Staff may be required to don protective equipment in isolation situations or operative/invasive procedures. RN is responsible for the reprocessing of reusable medical equipment, according to the medical center policies. They are required to use available safe patient handling lifting devices in all clinical areas. They may also be exposed to Veterans who are combative, secondary to delirium, dementia, or psychiatric disorders.

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 review the information for disabled Veterans in the application checklist or visit http://www.fedshirevets.gov/job/vetpref/index.aspx.

Your application, résumé and/or supporting documentation will be verified.  Please follow all instructions carefully.  Errors or omissions may affect consideration for employment.

All applicants are encouraged to apply online.

To apply for this position, you must complete the occupational questionnaire and submit the documentation specified in the Required Documents section below.

The complete application package must be submitted by 11:59 PM (EST) on Wednesday, May 14, 2014 to receive consideration.
To begin, click Apply Online to create a USAJOBS account or log in to your existing account. Follow the prompts to select your USAJOBS resume and/or other supporting documents and complete the occupational questionnaire.Click the Submit My Answers button to submit your application package.
It is your responsibility to ensure your responses and appropriate documentation is submitted prior to the closing date.  

To verify your application is complete, log into your USAJOBS account, https://my.usajobs.gov/Account/Login, select the Application Status link and then select the more information link for this position. The Details page will display the status of your application, the documentation received and processed, and any correspondence the agency has sent related to this application.  Your uploaded documents may take several hours to clear the virus scan process.

To return to an incomplete application, log into your USAJOBS account and click Update Application in the vacancy announcement.  You must re-select your resume and/or other documents from your USAJOBS account or your application will be incomplete.

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
·Executive Core Qualifications (ECQs)
·OF-306
·Other (VA Form 2850-C)
·Other Veterans Document
·SF-15
·SF-50
·Transcript

All applicants are requiredto 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
·Other
·Other Veterans Document
·SF-15
·SF-50
·Transcript

Form OF 306 can be obtained at http://www.opm.gov/forms/pdf_fill/of0306.PDF.  Wednesday, May 14, 2014.

The form can also be obtained by searching at www.google.com (Use version revised October 2011).

VA Form 10-2850a - Application for Nurses and Nurse Anesthetists (Available http://vaww4.va.gov/vaforms/medical/pdf/vha-10-2850a-fill.pdf)

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.

NOTE:  If you applied online and your application is complete, do not fax the paper application (1203FX) as this will overwrite your prior online responses and may result in you being found ineligible.

If you completed the occupational questionnaire online and are unable to upload supporting document(s):

To fax your documents, you must use the following cover page http://staffing.opm.gov/pdf/usascover.pdf and provide the required information.  The Vacancy ID is 1109371.Fax your documents to 1-478-757-3144.
If you cannot complete the Application Package online, you may fax all of your materials.  The complete application package must be submitted by 11:59 PM (EST) on Wednesday, May 14, 2014 to receive consideration.  Keep a copy of your fax confirmation in the event verification is needed.

To complete the occupational questionnaire and submit via fax:
Click the following link to view and print the occupational questionnaire View Occupational Questionnaire.Print the 1203FX form, follow the instructions and provide your responses to the occupational questionnaire items http://www.opm.gov/forms/pdfimage/opm1203fx.pdf.  Fax the completed 1203FX form along with any supporting documents to 1-478-757-3144.  Your 1203FX will serve as a cover page for your fax transmission.
Your application, résumé and/or supporting documentation will be verified.  Please follow all instructions carefully.  Errors or omissions may affect consideration for employment.

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