Nurse Practitioner - Emergency Department

Department Of Veterans Affairs Salt Lake City , UT 84101

Posted 2 months ago

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Summary

The ED Nurse Practitioner is responsible for managing patients with emergent and/or urgent medical and psychological complaints in an ED setting. Management is achieved through assessment, planning, implementation, collaboration and evaluation to meet the needs of patients.

These positions will be responsible for COVID testing operations.

Learn more about this agency

Responsibilities

  • Coordinate and supervise the delivery of outpatient care for Emergency Department patients including patient evaluation; treatment including biopsies, order appropriate medications, schedule follow-up as needed, appropriate referrals as needed.

  • Serve as primary Emergency Department provider for an independent panel of clinic patients after an initial training period.

  • Perform new patient Emergency Department consultation and return Emergency Department visits and telephone follow up visits and collaborate with Emergency Department staff. Establish a comprehensive plan of care based on clinical findings and standards of care. Establish mutual goals with patient/family.

  • Prescribe medications based on patients' status, accepted scientific guidelines, prescriptive authority, and ongoing evaluation of therapies.

  • Lead and direct others in Emergency Department to assure access to and continuity of care across the VA continuum, between referral bases, and transitioning from inpatient/observation status toward outpatient follow-up care.

  • Order and interpret diagnostic tests, including but not limited to biopsies, laboratory tests, and appropriate radiology studies.

  • Help triage requests for outpatient Emergency Department consultation in a timely manner, coordinate tests and visits based on clinical urgency, and assist in facilitating IFC consults and referrals from other VA facilities.??????

  • Support and enhance the mission and goals of the VA Salt Lake City Health Care System.

  • Work effectively with others to initiate and lead interdisciplinary groups and establish relationships with professional and/or other related groups within the community.

  • Develop a professional practice by leadership and accomplishments in the development and implementation of best-practice guidelines in the patient care and healthcare delivery.

  • Demonstrate ability to function independently in advanced leadership, critical thinking, problem solving, and project management skills.

  • Is proactive in identifying potential emergency/crisis situations and providing appropriate interventions.

  • Performs procedures within the approved scope of practice and based on documented competencies:

o Performing diagnostic and stabilization procedures based on ACLS protocol.

o Performing procedures such as incision and drainage, joint aspiration, suturing

o Screening patients to determine the need for hospital admission

o Screening patients to determine the need for further health care including consultations

o Ordering and interpreting diagnostic studies such as laboratory test, X-rays,

electrocardiograms, PFT's, CT, MRI, stress testing, nuclear medicine studies Ordering and/or

starting IV solutions and medications.

o Ordering and/or inserting nasogastric suction catheters

o Ordering or performing bladder catheterization

o Ordering "one on one" status on patients with SI or at risk for elopement

o Performing medical clearance exams on patients being admitted to IPU

o Performing other procedures as listed in credentialing packet

Other duties may include serving on committees and administrative duties as directed by ED nurse manager or chief of medicine service

Work Schedule: Hours of Operation for COVID Testing; 7:30am

  • 6:00pm, may be required to cover other Emergency Department tours as needed.

Financial Discloser Report: Not required

Travel Required

Occasional travel

  • You may be expected to travel for this position.

Supervisory status

No

Promotion Potential

00

  • Job family (Series)

0610 Nurse

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  • Nurse Practitioners

  • Practitioners, Nurse

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Requirements

Conditions of Employment

  • You must be a U.S. Citizen to apply for this job

  • Designated and/or random drug testing required

  • Selective Service Registration is required for males born after 12/31/1959

  • You may be required to serve a probationary period

  • Subject to a background/security investigation

  • Must be proficient in written and spoken English

  • Selected applicants will be required to complete an online onboarding process

  • Must pass pre-employment physical examination

Qualifications

Basic Nurse 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.

Nurse Practitioner Requirements:

  • 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.

  • Must be licensed or otherwise recognized as a nurse practitioner in a state in the United States.

  • Possess a master's degree from a program accredited by the NLNAC or CCNE

  • 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 (Primary Care).]

???????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.

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 position involves considerable standing, walking, stooping, bending, reaching, lifting, and turning. It requires restraining confused patients, repositioning patients, assisting with transferring patients to Wheelchairs/stretchers/cars, and transporting them to other departments or facilities. Mechanical devices available and are required to be used for heavy or difficult to lift patients. The work may involve pushing or lifting weight in excess of 50 pounds and going up and down flights of stairs. The incumbent may be exposed to infected patients and contaminated materials and may be required to don protective clothing in isolation situations or operative/ invasive procedures. This position requires visual acuity, good hearing, distinctive speech and manual dexterity. The position requires the nurse to work for periods of time with arms above shoulder level with neck in a fully flexed or extended position and the ability to physically control or protect his/herself from physically abusive patients.

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.

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Nurse Practitioner - Emergency Department

Department Of Veterans Affairs