Nurse Practitioner - Ambulatory Care (Ft. Worth)
The Ambulatory Care Nurse Practitioner assists with the total care of the patient's medical needs by performing history and physical exams, ordering appropriate lab tests, evaluating those tests to ensure quality care of the patient and Women's Veteran Health. This will also include providing preventive medicine services, managing chronic disease problems and providing outpatient follow-up as needed. Duties include, but are not limited to:
Performing initial medical histories and physical examinations. Providing and coordinating comprehensive care for assigned patients. Managing medical problems to include writing orders for medications for stable medical conditions and treating minor illness; ordering laboratory tests; ordering imaging tests; adhering diets and over-the-counter medications and supplies; reviewing diagnostic tests; reports and consults. Observing and recording patient's medical progress, updating and summarizing medical records, and changing orders when appropriate. Notifying the responsible Physician of significant changes in the patient's condition, in such cases there must be documentation of consultation with the supervising Physician. 'Notes and Orders' do not routinely have to be co-signed. The Nurse Practitioner may be delegated to document the discharge summary, but the supervising Physician must write the discharge note or co-sign the discharge summary. Write prescriptions in accordance with Federal and State law and as allowed by the Scope of Practice. Acting of clinical reminders. Performing medication reconciliation. Carrying out health promotion and disease prevention activities, including education or patient, family, and staff. Work Schedule:
7:
30 a.m. - 4:
00 p.m. or 8:
00 a.m. - 4:
30 p.m. (Monday through Friday) Financial Disclosure Report:
Not required 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. English Language Proficiency. In accordance with 38 U.S.C. 7402(d), no person shall serve in direct patient care positions unless they are proficient in basic written and spoken English. 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. Preferred
Experience:
National Certification as Family or Internal Medicine Minimum 2 years nursing experience in Women's Health Proficient in computer proficiency software Grade Determinations:
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. 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:
This position requires visual acuity, hearing, clear distinctive speech, and manual dexterity. This position requires potentially long periods of continued walking, standing, stooping, sitting, bending, pulling, and pushing. Transferring patients and objects may be required. The incumbent may occasionally be exposed to patients who are combative secondary to delirium, dementia, or psychiatric disorders. The incumbent must be a mature, flexible, sensible individual capable of working effectively in stressful situations, and be able to shift priorities based on patient needs.
Estimated Salary: $20 to $28 per hour based on qualifications.
Performing initial medical histories and physical examinations. Providing and coordinating comprehensive care for assigned patients. Managing medical problems to include writing orders for medications for stable medical conditions and treating minor illness; ordering laboratory tests; ordering imaging tests; adhering diets and over-the-counter medications and supplies; reviewing diagnostic tests; reports and consults. Observing and recording patient's medical progress, updating and summarizing medical records, and changing orders when appropriate. Notifying the responsible Physician of significant changes in the patient's condition, in such cases there must be documentation of consultation with the supervising Physician. 'Notes and Orders' do not routinely have to be co-signed. The Nurse Practitioner may be delegated to document the discharge summary, but the supervising Physician must write the discharge note or co-sign the discharge summary. Write prescriptions in accordance with Federal and State law and as allowed by the Scope of Practice. Acting of clinical reminders. Performing medication reconciliation. Carrying out health promotion and disease prevention activities, including education or patient, family, and staff. Work Schedule:
7:
30 a.m. - 4:
00 p.m. or 8:
00 a.m. - 4:
30 p.m. (Monday through Friday) Financial Disclosure Report:
Not required 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. English Language Proficiency. In accordance with 38 U.S.C. 7402(d), no person shall serve in direct patient care positions unless they are proficient in basic written and spoken English. 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. Preferred
Experience:
National Certification as Family or Internal Medicine Minimum 2 years nursing experience in Women's Health Proficient in computer proficiency software Grade Determinations:
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. 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:
This position requires visual acuity, hearing, clear distinctive speech, and manual dexterity. This position requires potentially long periods of continued walking, standing, stooping, sitting, bending, pulling, and pushing. Transferring patients and objects may be required. The incumbent may occasionally be exposed to patients who are combative secondary to delirium, dementia, or psychiatric disorders. The incumbent must be a mature, flexible, sensible individual capable of working effectively in stressful situations, and be able to shift priorities based on patient needs.
- Department:
0610 Nurse - Salary Range:
$85,802 to $143,039 per year
Estimated Salary: $20 to $28 per hour based on qualifications.
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