The Wilmington VA Medical Center (VAMC) is located just outside of the Wilmington City limits. The Wilmington VA Medical Center offers comprehensive services ranging from preventive screenings to long-term care; with state-of-the-art technology and education. The Wilmington VAMC proudly serves Veterans in five (5) Community Based Outpatient Clinics (CBOCs) located throughout Delaware and Southern New Jersey. NOTE: Will review applicants in 3 weeks. 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. 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: 3 years non-VA Primary Care experience OR 1 year of VA Primary Care Experience Previous experience with home visits 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 years of nursing practice/experience; OR a Master's degree in nursing or related field with a BSN and approximately 1-2 years 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 years of nursing practice/experience; OR a Doctoral degree and approximately 2-3 years 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: Physical demands include repetitive body movements including the following: frequent reaching, standing, walking, and lifting of equipment and/or patients to provide patient care. This position requires extension of the hand(s) and arm(s) in any direction including above or below shoulder level, during the provision of patient care, including retrieval of needed equipment, supplies and to make contact with the patient. This position requires the maintenance of an upright position to perform duties associated with patient care. This position is typically non-sedentary, and frequently involves being in the standing position. This position requires moving about accomplish tasks, such as assisting with patient ambulation and moving one patient area to the next. This position requires the raising of objects from a lower position to a higher position or the movement of objects horizontally position to position. Lifting may be done to move a patient from one location to the next, i.e.- from the exam table to the chair, and in the movement of equipment or supplies. ["VA offers a comprehensive total rewards package: VA Nurse Total Rewards The incumbent is in collaboration with the team physician, and is a clinical provider that practices within the Rules and Regulations of the Nursing Practice Act of the state of licensure, and provides comprehensive primary care services for patients in the Primary Care setting in the assigned location at the Sussex County (Georgetown), Delaware CBOC. The incumbent utilizes advanced practice nursing skills and knowledge in a relatively independent manner in areas of patient care, education, research, and consultation. This process includes assessment, diagnosis, treatment plan, and evaluation. The NP practices in accordance with a written scope of practice established for the specific practice area. The NP functions as an advocate for patients in meeting their unique medical, physical, and psychological needs, and possesses advanced educational and clinical preparation for directing and delivering of comprehensive geriatric and extended care. He/she provides leadership in the application of the nursing process to client care, organizational processes and/or system in order to improve outcomes at the program, service , or organizational level. The scope of practice for the NP includes responsibilities, diagnosis and treatment authorities prescribing privileges for drugs, devices, tests and procedures, and referral authority. Core elements of performance include knowledge and active participation in unit/program level quality improvement processes and initiatives as well as the customer service program. The incumbent interacts with customers, including veterans, employees, peers, and the general public; and utilizes the following customer service values: Respect by recognizing the worth of customers and treating them with dignity. Listening by continually learning and not assuming what is not important to customers. Compassion by responding to customers' feelings and needs in a caring manner. Integrity by serving customers with honesty, professionalism, and accountability. Quality by promoting customers' health and well-being in a manner that is competent, beneficial, cost effective, timely, and caring. The candidate must be willing to: Tre at opiate use disorder with buprenorphine therapy (training available) in consultation with Behavioral Health Treat Geriatric Primary Care patients and is encouraged to apply for implementation of a Geriatric Primary Care panel (encouraged but not required); and Engag e in Women's Health treatment, hypertension management, and diabetes management. The NP will direct provision of care in the Veterans home. Leading an interdisciplinary team of clinicians to deliver the VA HBPC program's mission of providing compassionate and quality care that promotes independence and well-being as our elderly veterans choose to age in place. 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: Monday - Friday 7:00 am - 3:30 pm Monday - Friday 7:30 am - 4:00 pm Monday - Friday 8:00 am - 4:30 pm Telework: Not Available Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized Financial Disclosure Report: Not required"]
Providing Health Care for Veterans: The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,255 health care facilities, including 170 medical centers and 1,074 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.