12 days old
2018-08-092018-09-20

Nurse Practitioner - Orthopedic

Johnson City, TN
  • Jobs Rated
    74th
Summary
Duties

The Orthopedic Advanced Practice Registered Nurse, in collaboration with the interdisciplinary team, manages the care of outpatients and inpatients in the Orthopedics Section. This includes evaluation of new orthopedic consults, pre-operative assessment and post-operative follow-up. The APRN possesses clinical expertise in the assessment and management of fractures, degenerative joint disease, injuries within the realm of sports medicine as well as hand trauma and other pathology. The Orthopedic APRN also demonstrates knowledge of imaging and abnormal findings in the evaluation of orthopedic problems. The APRN provides ongoing assessment, diagnosis, education and medication management for patients. The APRN works collaboratively with attending Orthopedic Surgeons.

Work Schedule: The APRN will provide on-call services during nights, weekends and holidays, as required.
Financial Disclosure Report: Not required.

graph of estimated pay ranges
$87,227
$116,003
Job Details
Application Open Date
8/9/2018

Application Close Date
8/23/2018
Organization
Veterans Affairs, Veterans Health Administration

Who May Apply
15514-United States Citizens

Status
Full-Time


  • More About VAOpen More About VA SectionClose More About VA Section
    • Annual leave shall accrue for full-time Nurses, and Nurse Anesthetists at the rate of 8 hours for each full biweekly pay period.

      This job opportunity announcement may be used to fill additional vacancies.

      It is the policy of the VA to not deny employment to those that have faced financial hardships or periods of unemployment.

      This position is in the Excepted Service and does not confer competitive status.

      United States Citizenship Required; non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy.

      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.

      Veterans and Transitioning Service Members: Please visit the VA for Vets site for career-search tools for Veterans seeking employment at VA, career development services for our existing Veterans, and coaching and reintegration support for military service members.

      If you are unable to apply online view the following link for information regarding an Alternate Application.

  • QualificationsOpen Qualifications SectionClose Qualifications Section
    • 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.
      • 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.
      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.
      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.

      ROUTINE DUTIES:
      Routine duties include but are not limited to performing initial histories and physical examinations on new inpatients, outpatients and orthopedic pre-operative patients. Provide ongoing orthopedic care for assigned orthopedic patients, as outpatients and inpatients. Serve when needed as first assistant in orthopedic surgery cases. Order pre-operative medication for orthopedic patients and coordinate their peri-operative analgesia with the Anesthesia section. Screening outpatients to determine the need for health care. Initiate and expedite consultations to provide further care, treatment and services not within the scope of the Surgery Department, i.e. Internal Medicine, Rehabilitation Medicine, Prosthetics, etc.
      Order diagnostic studies, including but not limited to the following: laboratory tests, x-rays, nuclear studies, MRI's, ultrasound studies, stress tests, and echocardiograms.Order screening, typing, cross matching and transfusion of blood products. Carry out health promotion, disease and injury prevention programs. Drawing blood specimens for testing and performing other comparable laboratory procedures as needed, i.e., bleeding time test. Initiate and expedite requests for scheduling of special tests and studies. Make daily rounds on orthopedic inpatients or consults who are being followed to observe and record patient's medical progress, updating and summarizing medical records, changing and initiating orders when appropriate and notifying the responsible physician of significant changes in the patient's condition. Make interim summaries of patient's records. Coordinate transfer of post-surgical patients to wards of a non-acute surgical type or to another service to thus provide rehabilitative service to post-operative patients. Provide education and counseling of patients and families, within HIPAA Guidelines, in preventative care, medical conditions and the use of prescribed treatments and drugs. Coordinate and consult with Occupational Therapy to insure patients obtain necessary diversional therapy modalities for inpatient use while recuperating from surgery as well as providing equipment needed to further progress at home and assist with activities of daily living. Coordinate consultation services of the orthopedic clinic within the medical center. Assist program support clerk with coordination of the surgical schedule of staff and contract orthopedic surgeons. Coordinate the ordering and implantation of prosthetic joints. Prescribe medications for management of orthopedic conditions, inclusive of controlled narcotic and other medications; both in an inpatient and outpatient status. Remove patients from Seriously Ill (SI) list when indicated. Prescribe and refill routine prescriptions, other than those medications restricted by the hospital formulary. Perform arthrocentesis (competency verified). Prescribe pre-peri-post-operative Lovenox for anti-coagulation of patients as indicated. Remove surgical drains. With PRN consultation with Nutrition and Food Service, provide adequate dietary care for assigned patients. Order and apply traction devices, to include skeletal traction. Order prosthetic devices. Cast and splint musculoskeletal injuries and remove same. Remove orthopedic pins, appliances and casts. Perform inter-articular injections of steroids and medications (competency verified). Admit and discharge patients to the orthopedic clinic. Order autologous blood donations. Counsel with and educate patients in order to obtain informed consent for the administration of blood products. Provide back up for other Department of Surgery nurse practitioners while they are away from their assigned place of duty. Consult Orthopedic Services within VISN 9 to secure provision of treatment not available within this facility.

      Physical Requirements: This position requires visual acuity, keen hearing, clear distinctive speech, and manual dexterity. This position requires periods of walking, standing, stooping, sitting, bending, pulling, and pushing. Transferring patients and objects may be required. The incumbent may be exposed to infected patients and contaminated materials, and may be required to don protective clothing in isolation situations or operative/invasive procedures. The incumbent may occasionally be exposed to patients who are combative secondary to delirium, dementia, or psychiatric disorders. The incumbent must be a mature, flexible, sensible individual capable of working effectively in stressful situations, able to shift priorities based on patient needs.
  • BenefitsOpen Benefits SectionClose Benefits Section
  • How To ApplyOpen How To Apply SectionClose How To Apply Section
    • All applicants are encouraged to apply online. To apply for this position, you must complete the full questionnaire and submit the documentation specified in the Required Documents section below. The complete application package must be submitted by 11:59 PM (ET) on 08/23/2018 to receive consideration.

      1. To begin, click Apply Online to create a USAJOBS account or log in to your existing account. Follow the prompts to select your USA JOBS resume and/or other supporting documents and complete the occupational questionnaire.
      2. Click Submit My Answers to submit your application package.

      NOTE: It is your responsibility to ensure your responses and appropriate documentation is submitted prior to the closing date.

      To verify your application is complete, log into your USA JOBS account, https://my.usajobs.gov/Account/Login, select the Application Status link and then select the more information link for this position. The Details page will display the status of your application, the documentation received and processed, and any correspondence the agency has sent related to this application. Your uploaded documents may take several hours to clear the virus scan process. To return to an incomplete application, log into your USA JOBS account and click Update Application in the vacancy announcement. You must re-select your resume and/or other documents from your USA JOBS account or your application will be incomplete.
  • Additional DetailsOpen Additional Details SectionClose Additional Details Section
    • Series: 0610-Nurse
      Job Pay Type: Per Year
      Job Openings:
      Job Position: CBDQ-10280599-18-DPB

      The Orthopedic Advanced Practice Registered Nurse, in collaboration with the interdisciplinary team, manages the care of outpatients and inpatients in the Orthopedics Section. This includes evaluation of new orthopedic consults, pre-operative assessment and post-operative follow-up. The APRN possesses clinical expertise in the assessment and management of fractures, degenerative joint disease, injuries within the realm of sports medicine as well as hand trauma and other pathology. The Orthopedic APRN also demonstrates knowledge of imaging and abnormal findings in the evaluation of orthopedic problems. The APRN provides ongoing assessment, diagnosis, education and medication management for patients. The APRN works collaboratively with attending Orthopedic Surgeons.

      Work Schedule: The APRN will provide on-call services during nights, weekends and holidays, as required.
      Financial Disclosure Report: Not required.

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To care for him who shall have borne the battle and for his widow and his orphan." These words, spoken by Abraham Lincoln during his Second Inaugural Address, reflect the philosophy and principles that guide VA in everything we do, and are the focus of our endeavors to serve our Nation's veterans and their families.

 The Department of Veterans Affairs (VA) has one of the most diverse, challenging, and rewarding missions in the United States Government. We strive to meet the needs of the Nation's veterans and their families today and in the future.

VA manages one of the largest health care systems in the world and the nation's leading employer of registered nurses. Nurses in Veterans Health Administration (VHA) are engaged in a variety of roles and have multiple opportunities for career and professional development. The VHA provides veterans and their dependents with many other services such as benefits and education, and also provides burial benefits.

Our goal is to provide excellence in patient care, veterans' benefits and customer satisfaction. We can provide you with challenging, interesting, meaningful work to care for the veterans who have risked their lives to protect our freedom.

 As the Department of Veterans Affairs heads into the 21st century, we will strive to meet the needs of the Nation's veterans today and tomorrow. We are a more customer-focused organization, functioning as "One-VA" and delivering seamless service to our customers.

We benchmark our service with the best in business. We use innovative means and high technology to deliver "World-Class Customer Service". We foster partnerships with our customers and stakeholders, making them part of the decision-making process.

Department of Veterans Affairs is an Equal Opportunity Employer.

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Nurse Practitioner - Orthopedic

VA Medical Center
Johnson City, TN

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Nurse Practitioner
74th2018 - Nurse Practitioner
Overall Rating: 74/220
Median Salary: $110,930

Work Environment
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