The Advanced Practice Nurse (APN) Registered Nurse Practitioner (ARNP) practices in the Outpatient Chronic Pain clinic in the Anesthesia Department with the primary purpose to provide direct Pain care within the Pain Clinic through a full range of services emphasizing quality, timeliness, and the advancement of the Veterans Affairs (VA) mission. Demonstrates leadership in delivering and improving multimodal Pain care through collaborative strategies with others.
Advanced Practice Nurse (Nurse Practitioner) Basic Requirements Education: A post-master's certificate or master's or doctoral degree as a Nurse Practitioner. (Applicants pending the completion of educational requirements may be referred and tentatively selected but may not be hired until the education requirements are met.) Must be a graduate of a school of professional nursing approved by the appropriate 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). NOTE: Foreign Education. Graduates of foreign schools of professional nursing programs, the nurse practitioner degree equivalency must be validated through an Agency recognized degree equivalency evaluation agency, such as the International Consultants of Delaware (ICD). Candidates with equivalent nurse practitioner masters or doctorate level degrees who possess current, full, active, and unrestricted registration and certification will meet the requirement of graduation from an approved school of professional nursing to warrant appointment. License - All APN (NPs) must possess and maintain an active, current, full, and unrestricted APN license to practice as an NP in a State, Territory or Commonwealth of the United States, or in the District of Columbia. Basic Board Certification - All APN (NPs) must maintain full and current basic board certification in one of the following: Family Nurse Practitioner (FNP), Adult Nurse Practitioner (ANP), Adult-Gerontology Primary Care Nurse Practitioner (AGPCNP), Acute Care Nurse Practitioner (ACNP), Adult-Gerontology Acute Care Nurse Practitioner (AGACNP), or Gerontology Nurse Practitioner (GNP) from one of the following: the American Nurses Credentialing Center (ANCC), American Academy of Nurse Practitioners Certification Board (AANPCB), or other nationally recognized certifying body in the area in which the Nurse Practitioner is academically prepared. NOTE: Grandfathering Provision - All persons currently employed in VHA in 0610 series and an APN (NP) assignment that are also performing the duties as described in the qualification standard on the effective date of the standard (1/29/2024) are considered to have met all qualification requirements for the grade held including positive education and licensure/certification. The following Scope, Education and Experience, and Dimension criteria must be met to qualify for Advanced Practice Nurse (Nurse Practitioner) II: Exception to Licensure for Graduate Nurse Technicians. Candidates who otherwise meet the basic requirements, but do not possess the required licensure and/or certification, may be appointed at the entry step of the Nurse II, as a Graduate Nurse Technician - Nurse Practitioner on a temporary appointment up to any period not-to-exceed one year and a day under the authority of 38 U.S.C. § 405(c)(2)(B). Scope: Demonstrates leadership in delivering and improving holistic care through collaborative strategies with others Education and Experience Requirement: Meets basic education requirement for APN (NP). Nurse II is considered the entry grade level for APN (NPs); no experience is required. Dimension Requirement: APNs (NPs) at level II are expected to meet the following dimension requirements: Clinical Practice. Delivers evidence-based health care, demonstrating proficiency in the ability to manage a patient panel, population, or program. Outcome Focus. Utilizes research and evidence-based practice to evaluate the patient care delivery system within a patient panel or program, presents findings and contributes to changes that enhance the quality and timeliness of veteran/patient care. Leadership. Works effectively as a leader within a team/unit/group and seeks interdisciplinary collaboration as appropriate to enhance patient care. Professional Development. Acquires knowledge and skills to develop expertise in area of practice. Professionalism/Collegiality. Demonstrates effective communication skills and professional behavior, promoting cooperation and teamwork. Participates in interdisciplinary teams and processes that positively impact patient outcomes. The following Scope, Education and Experience, and Dimension criteria must be met to qualify for Advanced Practice Nurse (Nurse Practitioner) III: Scope: Executes position responsibilities that demonstrate leadership, experience, and creative approaches to management of complex client care. Education and Experience Requirement: Meets basic education requirement for an APN (NP) AND one year of specialized APN (NP) experience equivalent to the Nurse II grade level. Dimension Requirement: APN (Nurse Practitioners) at grade III are expected to meet the following dimension requirements: Clinical Practice. Influences and models the delivery of evidence- based health care, demonstrating expertise in the ability to manage a patient panel, population, or program. Outcome Focus. Leads and implements changes that enhance the quality and timeliness of Veteran/patient care applying research and evidence in the delivery of healthcare for patient populations. Leadership. Initiates and leads interdisciplinary teams informed by structured approaches and processes to improve outcomes that positively impact care for a patient panel, population, or program. Professional Development. Acquires knowledge and skills, then disseminates acquired information within and/or outside the medical facility. Professionalism/Collegiality. Initiates and leads interdisciplinary teams developing systems that positively impact outcomes at the panel, population, or program level. Demonstrates effective communication skills and professional behavior, promoting cooperation and teamwork Physical Requirements: Heavy lifting, 45 pounds and over, Moderate lifting, 15-44 pounds, Light lifting, under 15 pounds, Pushing, Use of fingers, Both hands required, Walking (1-4 hours), Standing (1-4 hours), Repeated bending (1-2 hours), Ability for rapid mental and muscular coordination simultaneously, Near vision correctable at 13" to 16" to Jaeger 1 to 4, Specific visual requirement (see computer screen), Depth perception, Ability to distinguish shades of colors, Hearing (aid may be permitted), Mental and emotional stability Environmental Factors: Outside and inside, Constant noise, Dust, Fumes, smoke, or gases, Working closely with others, Working alone
Duties include but are not limited to: Provides appropriate direct and indirect care within the outpatient Pain Clinic, including after hours on call coverage, and supporting the Inpatient Pain Service for Veterans ranging in age from 18 through the geriatric years, taking into consideration diagnosis and physical, psychosocial, spiritual, and cultural needs. Hold responsibility in coordinating activities within and between the various pain service programs, consulting & supporting services, as well as providing leadership within the multidisciplinary staff (e.g., psychologists, pharmacists, physical therapists, nurses, schedulers, movement therapists, massage therapists, acupuncturists) to ensure optimal & efficient, Veteran centered health care. Share expertise in such care to learners in the VHA systems. Collaborates with the interdisciplinary team across services including (but not limited to): mental health, pain, whole health, education, primary care, rehabilitation services, acute care, surgical services, outpatient services, inpatient services, complimentary/integrated health. Work under varying levels of supervision, depending on the project, and must be responsible for sound decisions at all times, to include reporting the Acute Pain Service Attending Physician when participating in the hospital in our Acute Pain Service Expansion Program (APSEP). Documents care and progress in the medical record Appropriately compiles, interprets and maintains required program records Evaluates progress in Pain Clinic practice and recommends changes in treatments, products or services as indicated Maintains necessary competency in the use of telehealth technology supporting quality care through these modalities. Preferred Experience: Preferred education is a master's degree or Doctoral degree Prefer at least 3 years of clinical experience as an NP after graduation from NP program Prefer 1-2 years of clinical experience in a multidisciplinary Pain Clinic Prefer prior experience working in a Veterans Affairs hospital Prefer prior experience treating substance abuse disorders in other healthcare setting Prefer experience with responsible opioid prescribing for pain and opioid use disorder Prefer prior experience working in a Veterans Affairs hospital Prefer experience managing chronic pain in an inpatient setting Prefer with performing minor pain procedures (ultrasound-guided injections, trigger point injections, dry needling, Botox for migraine, etc.). Prefer Quality Improvement/clinical research experience Prefer research experience; ideally has experience with conducting/assisting with clinical trials, literature review, data entry, compiling/completing study paperwork such as IRB submissions, and/or other clinical research experience 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: Monday-Friday 8:00am-4:30pm Compressed/Flexible: Not Authorized Telework: Not Authorized Virtual: This is not a virtual position.