Summary

The Advanced Practice Nurse (APN) - Certified Nurse Practitioner (NP) practices in a specialized service to provide a full range of services emphasizing quality - timeliness - and the advancement of the Veterans Affairs (VA) mission. The NP provides advanced clinical practice - consultation - and management.

Duties

• The NP practices to the full extent of their education - training - and certification
• Core functions are outlined in the clinical privileges that correspond with this position
• The NP has prescriptive authority for a panel of patients or program as indicated by their position
• FUNCTIONS OF ASSIGNED DUTIES: The NP is a licensed independent practitioner with advanced education and national certification who provides evidence-based care for a population of patients
• Major duties and responsibilities of the position: Independently manages a panel of patients with acute and chronic health conditions with an emphasis on health promotion and disease prevention using evidence-based practice
• Develops and implements an individualized plan to achieve optimal population health and disease management
• Demonstrates leadership and works collaboratively with the interdisciplinary team
• Orders and interprets labs - tests - and diagnostic studies
• Prescribes pharmacologic and non-pharmacologic interventions
• Initiates referrals and consults to specialty services
• - Provides education to patients and their families
• Assesses and adjusts the plan of care as needed to achieve optimal patient outcomes
• - Exemplifies the ICARE core values of-Integrity - Commitment - Advocacy - Respect - and Excellence
• License and DEA requirements: The NP practices to the full extent of their education - training - and certification
• However - per the Controlled Substances Act - 21 U.S.C. 801 et seq. - which is enforced by the Drug Enforcement Administration (DEA) - NPs prescribing controlled substances will need to meet North Carolina (NC) rules regarding prescribing
• The NP will be required to have a collaborative practice agreement with a physician ONLY as it pertains to prescribing controlled substances
• Such agreement is embedded in the NP's privileging forms
• Furthermore - NPs who are NOT prescribing controlled substances will not have a collaborative agreement of any category
• It is a preferred qualification of the DVAHCS for all NPs to obtain a DEA (even if he/she is not prescribing controlled substances)
• The DVAHCS cannot mandate that an NP obtain a North Carolina NP approval to practice (aka NP license)
• However
• if an NP requests to maintain an NP license in a Non-FPA state - and that state's regulation requires that all NPs must collaborate with a physician who also holds a license in that same non FPA state - then the NP must abide by that state's practice act/ state's regulation
• If there is NOT a physician collaborator at the DVAHCS who holds a matching state license in the Non-FPA state - and if it is a condition of the NPs employment to order/ prescribe controlled substances in his/her respective specialized service - then the NP will need to consider applying for a North Carolina NP approval to practice in order to fulfill his/her commitment to the assigned job duties
• NPs maintaining a license in a Non-Full Practice Authority (FPA) State while working at the DVAHCS must be aware of and must abide by that state board's regulation and practice act
• It is the NPs responsibility to provide information regarding his/her state's practice act/state's regulation to members of the Durham VA Health Care System when requested
• NPs maintaining a license in a Full Practice Authority (FPA) State while working at the DVAHCS must be aware of and must abide by that state board's regulation and practice act
• It is the NPs responsibility to provide information regarding his/her state's practice act/state's regulation to members of the Durham VA Health Care System when requested VA offers a comprehensive total rewards package: VA Nurse Total Rewards Pay: Competitive salary - regular salary increases - potential for performance awards Paid Time Off: 50 days of paid time off per year (26 days of annual leave - 13 days of sick leave - 11 paid Federal holidays per year) Retirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA Insurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement) Licensure: 1 full and unrestricted license from any US State or territory Work Schedule: Mon-Fri - 0730am-4:30 pm Telework: Not Available Virtual: This is not a virtual position
• Permanent Change of Station (PCS): Not Authorized PCS Appraised Value Offer (AVO): Not Authorized