Veterans Affairs, Veterans Health Administration Preoperative Paranesthesia Nurse Practitioner in Omaha, Nebraska
Summary This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific individual eligibility requirements in accordance with VHA policy and submit your EDRP application within four months of appointment. Approval, award amount (up to $200,000) and eligibility period (one to five years) are determined by the VHA Education Loan Repayment Services program office after complete review of the EDRP application. Responsibilities The Omaha VA Health Care System is currently recruiting for a full time, permanent, Preoperative/Paranesthesia Nurse Practitioner This position will report to the Chief of Anesthesia. Development and implementation of robust tele-health preoperative evaluation process. Demonstrate the knowledge and skills to coordinate and promote telehealth as an established, evidence form of preoperative care. Work closely with Anesthesia staff physicians and CRNA staff to provide high-quality, comprehensive patient care during preoperative evaluations. Perform preoperative history and physical evaluations per current AHA/ASA guidelines. History and physical examinations include focusing on risk factors for cardiac, pulmonary, and infectious complications, and a determination of a patient's functional capacity, are to be performed and are essential to comprehensive preoperative evaluation. Evaluate and maximize management of medical conditions which contribute significantly to preoperative risk (including medication management). Meet regularly with Anesthesia providers to review select cases, including diagnostic testing. Track abnormal lab results to confirm that patient has had appropriate follow-up as ordered in the patient's plan of care. Act as a resource for patients requesting lab results and requisition. Appropriately triage medical Preoperative/Paranesthesia requests and consults, consistently and accurately identifying urgent/emergent issues. Assist in coordinating perioperative planning. Determine need for additional medical clearance and ensure contact and documentation with appropriate providers. Review perioperative course with patients in advance of surgery at the MVAMC, including cardiac testing, imaging, etc., timing of surgery, anesthesia evaluation, preoperative lab testing and follow up, anticipated hospital course, prescription information. Function as a team member, interacting regularly with surgical and anesthesia team providers. Additional duties may be as assigned. Telehealth Components: As telehealth has become a vital process for providing access to cost-effective quality care to patients, the department of anesthesiology is seeking an Advanced Practice Provider who will be able to aid the development of telehealth preoperative anesthesia care. This new initiative has been driven by increased interest by the National Veterans Administration Healthcare organization in the presence of national & local needs to extend care to veterans in a safe, cost-effective & convenient method. The APP will be able to demonstrate the knowledge & skills to help coordinate & promote telehealth as an established, evidence-based form of preoperative care. Preferred: Advanced Cardiac Life Support (ACLS) preferred. Work Schedule: Typically Monday-Friday, Additional information may be provided during interview process. Telework: Ad Hoc available Virtual: This is not a virtual position. Financial Disclosure Report: Not required Requirements Conditions of Employment Qualifications Applicants pending the completion of educational or certification/licensure requirements may be referred and tentatively selected but may not be hired until all requirements are met. Basic Requirements: United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. 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 Accreditation Commission for Education in Nursing (ACEN) or The Commission on Collegiate Nursing Education (CCNE). 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. OR 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. Students should submit the certificate of professional nursing to sit for the NCLEX to the VA along with a copy of the MSN transcript. (Reference VA Handbook 5005, Appendix G6) OR In cases of graduates of foreign schools of professional nursing, possession of a current, full, active and unrestricted registration will meet the requirement for graduation from an approved school of professional nursing. 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. Grade Determinations: The following criteria must be met in determining the grade assignment of candidates, and if appropriate, the level within a grade: Nurse I Level I - An Associate Degree (ADN) or Diploma in Nursing, with no additional nursing practice/experience required. Nurse I Level II - An ADN or Diploma in Nursing and approximately 1 year of nursing practice/experience; OR an ADN or Diploma in Nursing and a bachelor's degree in a related field with no additional nursing practice/experience; OR a Bachelor's of Science in Nursing (BSN) with no additional nursing practice/experience. Nurse I Level III - An ADN or Diploma in Nursing and approximately 2-3 years of nursing practice/experience; OR an ADN or Diploma in Nursing and a Bachelor's degree in a related field and approximately 1-2 years of nursing practice/experience; OR a BSN with approximately 1-2 years of nursing practice/experience; OR a Master's degree in nursing (MSN) or related field with a BSN and no additional nursing practice/experience. Nurse II - A BSN with approximately 2-3 years of nursing practice/experience; OR ADN or Diploma in Nursing and a Bachelor's degree in a related field and approximately 2-3 year's of nursing practice/experience; OR a Master's degree in nursing or related field with a BSN and approximately 1-2 year's of nursing practice/experience; OR a Doctoral degree in nursing or meets basic requirements for appointment and has doctoral degree in a related field with no additional nursing practice/experience required. Nurse III - Master's degree in nursing or related field with BSN and approximately 2-3 year's of nursing practice/experience; OR a Doctoral degree and approximately 2-3 year's of nursing practice/experience. Nurse Practitioners. A nurse practitioner must be licensed or otherwise recognized as a nurse practitioner in a State, possess a master's degree from a program accredited by the NLNAC 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. Reference: VA Regulations, specifically VA Handbook 5005, Part II, Appendix G-6 Nurse Qualification Standard. This can be found in the local Human Resources Office. Physical Requirements: The work is generally sedentary in nature with some daily intermittent walking, standing, bending, stooping, reaching, and carrying of lightweight items required. Rigid deadlines and need for high degree of accuracy periodically becomes stressful. Education 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. Additional Information Testing Designated Position: All applicants tentatively selected for VA employment in a testing designated position are subject to urinalysis to screen for illegal drug use prior to appointment. Applicants who refuse to be tested will be denied employment with VA. Annual leave shall accrue for full-time Nurses, and Nurse Anesthetists at the rate of 8 hours for each full biweekly pay period. This job opportunity announcement may be used to fill additional vacancies. It is the policy of the VA to not deny employment to those that have faced financial hardships or periods of unemployment. 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. 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. If you are unable to apply online or need to fax a document you do not have in electronic form, view the following link for information regarding an Alternate Application.