Advanced Practice Nurse (Nurse Practitioner) - Cardiology
What you'd do
The Advanced Practice Nurse (APN) Certified Nurse Practitioner (NP) practices in the Cardiology Specialty 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.
Major duties
The Advanced Practice Nurse (APN) Certified Nurse Practitioner (NP) practices 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. Other duties may include but not limited too: 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. Demonstrates positive, practical communication skills and professional behaviors that promote cooperation and teamwork with patients and other customers. 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. Patient intakes - vital signs/ekg acquisition/screen symptomatology. Take and manage patient phone calls, medication renewals, triage issues. Medication titration for CHF, lipids and HTN management according to guideline directed medical therapy criteria (GDMT) Review of laboratory results, identification of abnormalities and communication of results to both the provider and the patient in a timely manner. Patient education for procedures and medications. EKG and Event Monitor review and interpretation. Stress Test Supervision (physical and pharmacological) and review and interpretation of results. Patient care that is compassionate, appropriate, and effective for treating health problems and promoting health Identify barriers to learning and prioritize education for cardiovascular disease. Utilize concepts of Motivational Interviewing when counseling patients. Provide emotional support to patients, families, and caregivers. Know the methods to evaluate and manage cardiovascular conditions and diseases including but not restricted to hypertension, CHF, valvular heart disease, coronary artery disease, dysrhythmias, in diverse patient populations that are considered in the realm of current cardiovascular care. Monitor and manage anti-arrhythmic drug (AAD) therapy. Skills to perform a cardiovascular risk assessment and to develop an evidenced based treatment plan. Skills to educate patients with cardiovascular disease on a heart healthy diet regimen. Contributes to performance improvement initiatives by identifying, analyzing, developing, and implementing processes that improve care at the panel, program, or population level. Exemplifies the ICARE core values of-Integrity, Commitment, Advocacy, Respect, and Excellence. 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, subject to change based on the needs of the facility. Telework: Not available. Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not authorized. Permanent Change of Station (PCS): Not authorized.
What you need to qualify
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. Preferred Experience: At least 5 years of outpatient General Cardiology patient care management Proficiency in using electronic health records (EHR) Strong clinical and diagnostic skills Ability and experience to work independently and as part of multidisciplinary team Ability and experience to conduct comprehensive assessments of patients with cardiovascular conditions and develop individualized care plans. Ability and experience to diagnose and treat common cardiological conditions including but not limited to coronary artery disease, cardiomyopathy and heart failure, arrhythmia, including, but limited to atrial fibrillation, hypertension, valvular disease, and outpatient postcardiac surgery patients. Ability and experience to order and interpret diagnostic tests and imaging studies including, but not limited to, ECG, ambulator monitor, echocardiogram, stress test, cardiac CT, and to monitor patient progress and make informed treatment decisions Ability and experience to supervise exercise stress tests 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. Physical Requirements: This position requires moderate lifting and carrying 15-44 pounds and over, straight pulling and pushing 1 -2 hours, reaching above shoulder, walking 1-4 hours, standing 2-6 hours, both legs required, ability for rapid mental and muscular coordination simultaneously, near vision correctable at 13" to 16" to Jaeger 1 to 4, far vision correctable in one eye to 20/20 and to 20/40 in the other, both eyes and depth perception required, hearing (aid) permitted, sitting 4-8 hours, mental, emotional stability and use of computer.
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