U.S. Department of Veterans Affairs

Summary

Vacancy Identification Number: 1522198

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.

These positions are located within Mental Health Service at the Dayton VA Medical Center, Dayton, Ohio.  As a VA professional, your opportunities are endless.  With many openings in the multiple functions of VA, you will have a wide range of opportunities and leadership positions at your fingertips.  Not only is it the largest, most technologically advanced integrated health care system in the National, but we also provide many other services to Veterans through the Benefits Administration and National Cemeteries.  You may want to market the great benefits of working for the Government such as paid vacation and Thrift Savings Plan (similar to 401K) with matching contributions.

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.

Duties

The APN is responsible for planning, developing, implementing and evaluating the patient’s medical care in collaboration with psychiatrists, ED staff and other medical professionals in the Medical Center. He/she provides direct patient care. The IHAH APN is expected to provide direct patient care by performing comprehensive psychiatric assessments on an urgent or routine basis after hours within the Medical Center. The incumbent will admit and plan initial treatment for a variety of patients. Admission will include physical exam as well as a complete Mental Status Exam and write complete admission orders to include laboratory studies and medication as necessary. The incumbent works primarily in the Mental Health Service and prioritizes those requests, but initially also is available after hours to the Hospice and Physical Medicine and Rehabilitation unit. Hospitalists are available for consultation regarding medical issues as needed. The incumbent will formulate differential diagnoses based on findings using the current addition of the DSM; prescribing pharmacological and non-pharmacological treatments in the direct management of acute and chronic diseases; promotion of wellness and the prevention of illness. 

The incumbent focuses on new admission work ups routine and urgent as requested, follow-up, documentation of progress notes whenever a clinical condition requires an intervention, ordering diagnostic studies, as well as the education of veterans, family and staff.  

The APN is responsible for the teaching of concepts and clinical skills within his/her area of expertise of students from local, regional and national medical, nursing and pharmacy school(s). Additionally the APN participates in QA activities, peer review, medical record reviews; meets timeliness for documentation and productivity standards; protects printed and electronic files containing sensitive data accordance with the provisions of the Privacy Act and other applicable laws, federal regulations, VA statues and policy.  

This is a bargaining unit position

Work Schedule: Odd Tours, weekends and holidays may be required
Functional Statement Title/#: 000000

Travel Required

  • Not Required

Relocation Authorized

  • No


Job Requirements

Key Requirements

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

Qualifications

BASIC REQUIREMENTS:

  • U.S. citizenship.  Non-citizens may be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy.
  •  Full unrestricted Licensure, Certification, or Registration required
  • 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.
    • 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)
  • 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 in nursing or related field and approximately 2-3 year’s of nursing practice/experience.

Use for APN/NP/CNS only:(a) Nurse Practitioners. A nurse practitioner must be licensed or otherwise recognized as a nurse practitioner in a State, possess a Masters 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.]

(b) Clinical Nurse Specialists. A clinical nurse specialist must possess a Masters degree from an academic program accredited by the NLNAC or CCNE [and maintain full and current certification as a clinical nurse specialist 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.]

(c) Prescriptive Authority. Prescriptive authority is required.

Preferred Experience:

a. Prescriptive authority is required
b. Two years successful experience as a Nurse Practitioner; mental health experience strongly preferred
c. Proficiency in organizing/achieving a wide range of duties and responsibilities
d. Demonstrated ability to serve as a responsible member of an interdisciplinary team and interact with patients, family members, professional and supportive personnel who provide patient care
e. Working knowledge of computerized medical records and various computer application programs
f. Demonstrated knowledge of effective customer service techniques in order to work and deal with individuals with varied backgrounds and levels of understanding.
g. Demonstrated ability in recognizing and responding appropriately to emergency situations (CPR and resuscitative methods)

g.  Mental Health

Grade Determinations: Experience as a RN will be evaluated to determine if the experience is of an acceptable level of quality with regard to the following four dimensions of nursing: Practice, Professional Development, Collaboration and Scientific Inquiry. Each dimension of practice has criteria that demonstrate essential core competencies for VHA Nursing Personnel. The criteria are as follows:

·         Practice: practice, ethics and resource utilization;

·         Professional Development: performance, education/career development;

·         Collaboration: collaboration, collegiality;

·         Scientific Inquiry: quality of care, research.

Reference: VA Handbook 5005, Part II, Appendix G6 Nurse Qualification Standard

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.

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.

Physical Requirements: Heavy lifting, 45 pounds and over; pushing 1-2 hours; reaching above shoulder; use of fingers; walking and standing 6-8 hours; kneeling 0-1 hours; ability for rapid mental and muscular coordination simultaneously; specific visual requirement such as ability to visually inspect; depth perception; ability to distinguish basic colors, shades of colors; hearing aid permitted. Works closely with others.

Security Clearance

Other