This Physician Assistant (PA) or Nurse Practitioner (NP) will be an advanced practice provider for the Cardiac and Thoracic Surgery Subspecialties under the Surgical Service. The NP/PA will report jointly to the Chief of Cardiac Surgery and the Chief of Thoracic Surgery. The midlevel provider will be fully qualified and certified to function in both a clinical and administrative role and in accordance with the guidelines and policies of the Durham Veterans Affairs Medical Center. This individual is delegated the authority and responsibility to assume clinical, consultation, educational, research, and administrative duties and responsibilities related to the patients and staff of the Cardiothoracic Surgery Service.
The following items cover the most significant duties performed but do not exclude other responsibilities which may be assigned.
Clinical Cardiac Surgery:
1.The advanced practice provider assists with clinical aspects of care to the patients of the sub-specialty departments assigned to the Cardiac Surgery Service. This includes performing evaluations, consultations, and the writing of orders in Cardiac Surgery clinic. The mid-level provider has the authority to order all tests and procedures necessary to evaluate and care for Cardiac Surgery patients. For services that are not available in-house the advanced practice provider will collaborate with Cardiac Surgery attendings and residents to initiate and coordinate fee-basis requests so that care/studies can be provided. All Cardiac Surgery evaluations and orders written by the advanced practice provider will fall within the guidelines of the N.C. Board of Medical Examiners as well as the bylaws of the Durham VAMC.
2.The advanced practice provider will assist in the Operating Room at the direction of the Chief of Cardiac Surgery. Endoscopic saphenous vein harvesting experience is preferred, and its satisfactory performance is a primary expectation for the clinical activities of this provider.
3.Performs minor procedures within their realm of expertise and under the direction of the Chief of Cardiac Surgery and in accordance with the individual's Scope of Practice.
4.Other clinical duties as assigned by the Chief of Surgery.
Clinical Thoracic Surgery:
1.Primary overall focus of practice is on the clinical management of health care to veterans assigned to the Thoracic Surgery service. Facilitates care of Thoracic patients as well as their entry and exit from various health care systems by establishing and maintaining liaison with a variety of surgical/medical specialists and associated staff.
2.Ensures that all inpatient Thoracic Surgical consult requests are reviewed, examined, and completed within 24-48 hours. The incumbent will have a primary duty for managing Thoracic Surgery Clinic patients for initial clinic evaluations and for continuity of care from their surgical procedure. The incumbent will also have responsibilities for daily organization of surgical patients on the ward; assists the Thoracic Attending/Resident and Charge Nurse in the daily management for incoming and exiting patients. Obtains required imaging studies from outside facilities as needed and is the point of contact to Radiology Service regarding all absent imaging orders, incomplete/inaccurate imaging requests, and inappropriate requests. Provides assistance in the coordination of fee-basis requests when Thoracic cases require outside community services.
3.Enhanced patient referral activities, such as bi-monthly communication with Pulmonary Medicine and Medical Oncology Services at the surrounding VISN 6 VA clinics and hospitals for expedited care of lung cancer patients.
4.Selection of weekly Multidisciplinary Thoracic Oncology Conference patients from Thoracic Surgery and Medical Oncology and assure timely follow-up on all recommendations for those patients presented.
5.Assist with clinical aspects of care to the patients of the sub-specialty departments assigned to the Thoracic Surgery Service. This includes performing evaluations, consultations, and the writing of orders. The mid-level provider has the authority to order all tests and procedures necessary to evaluate and care for Thoracic Surgery patients. These evaluations and orders will fall within the guidelines of the N.C. Board of Medical Examiners as well as the bylaws of the Durham VAMC. Initiates and accepts referrals to clinics and/or community agencies. Collaborates with other health care resources to insure timely and appropriate care of patients.
Work Schedule: Monday-Friday 630-1500, may require alternate duty hours at the discretion of the service
Functional Statement Title: Nurse Practitioner or Physician Assistant
Nurse Practitioner Qualifications:
1. Citizen of the United States. Non-citizens may be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy.
2.Nurse Practitioners appointed to direct patient care positions must be proficient in spoken and written English as required by 38 U.S.C. 7402(d) and 7407(d).
3. Graduate of a school of professional nursing approved by the appropriate State agency, and accredited by one of the following accrediting bodies at the time the program was completed by the applicant. 1) The Accreditation Commission for Education in Nursing (ACEN), 2) The Commission on Collegiate Nursing Education (CCNE), an accrediting arm of the American Association of College of Nursing (AACN). The CCNE accredits bachelors and masters degree programs. (b) [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. In these programs, students are given a certificate of professional nursing to sit for the NCLEX and should submit this certification to VA prior to appointment.
4.Licensed or otherwise recognized as a nurse practitioner in a State, possess a master's degree from a program accredited by the ACEN or CCNE, and maintain full and current certification as a nurse practitioner from the American Nurses Association or another nationally recognized certifying body. The certification must be in the specialty to which the individual is being appointed or selected.
Physician Assistant Qualifications:
1. Must be a citizen of the United States.
2. Must have a bachelor's degree from a Physician Assistant Training Program which is certified by the Accreditation Review Commission on Education for the Physician Assistant (ARC-PA) OR graduation from a PA training program of at least 12 months duration which is certified by ARC-PA and a bachelor's degree in a health care occupation or a health related science OR graduation from a PA training program of at least 12 months duration which is certified by ARC-PA and a period of progressively responsible health care experience such as an independent duty medical corpsmen, licensed practical nurse, registered nurse, medical technologist or medical technician. The duration of approved academic training and health care experience must total at least 5 years.
3. Must be certified by the National Commission on Certification of Physician Assistants (NCCPA).
4. Must be proficient in spoken and written English as required by 38 USC 7402(d), 7407(d).
1.Minimum of 2-3 years of experience in cardiac and thoracic surgery.
2.Demonstrated experience with surgical assistance in cardiac surgery with emphasis on harvesting saphenous vein for using in coronary artery bypass grafting
3.Experience providing medical care to patients with multiple co-morbid chronic medical and surgical conditions
4.Prior experience working with Veteran patients in Hospital Acute Care Setting
5.Demonstrated evidence of leadership potential with an emphasis on skills in interpersonal relationships, program development, critical thinking, and problem solving
6.Documented evidence of successful professional practice with progressively complex positions/assignments.
7. Demonstrated ability to use computer systems in support of patient care delivery
8.Demonstrated excellence in written/verbal communication, time management and working with an interdisciplinary team.
9. Evidence of superior patient relations and customer service skills
Preferred Education and Certification:
Physician Assistant -
1. Masters in Physician Assistant
Nurse Practitioner -
1. MSN with Adult, Family or Geriatric NP or DNP,
Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religions; spiritual; community; student; social). Volunteer work helps build critical competencies, knowledge, and skills and can provide valuable training and experience that translates directly to paid employment. You will receive credit for all qualifying experience, including volunteer experience.
Reference:VA Handbook 5005, Part II, Appendices G6 Nurse Qualification Standard and G8 Physician Assistant Qualification Standard. These can be found in the local Human Resources Office.Physical Requirements:The position requires visual acuity, keen hearing, clear distinctive speech, and manual dexterity. This position requires potentially long periods of continued walking, standing, stooping, sitting, bending, pulling, and pushing. Transferring Veterans and objects may be required.May be required to don protective equipment in isolation situations or operative/invasive procedures. Responsible for the reprocessing of reusable medical equipment, according to the medical center policies.Required to use available safe patient handling lifting devices in all clinical areas. May also be exposed to Veterans who are combative, secondary to delirium, dementia, or psychiatric disorders.
All applicants are required to submit the following supporting document type(s):
Applicants may also submit the following supporting document type(s),which may not be required for all applicants:
*Other(VA Form 10-2850a Application for Nurses and Nurse Anesthetists or VA Form 10-2850c Application for Associated Health Occupations)
*Other Veterans Document
Please use this checklist to ensure you have included other documents required for your application, such as a copy of your transcript (if using education to qualify), documentation to support Veterans Preference claims, or ICTAP/CTAP documentation (for displaced Federal employees). You will not be contacted for additional information.
VA Form 10-2850a - Application for Nurses and Nurse Anesthetists (Available at http://www.va.gov/vaforms/medical/pdf/vha-10-2850a-091998-fill.pdf)
VA Form 10-2850c - Application forAssociated Health Occupations(Available at http://www.va.gov/vaforms/medical/pdf/vha-10-2850c-fill.pdf)
Form OF 306 can be obtained at http://www.opm.gov/forms/pdf_fill/of0306.PDF.
Veterans' Preference: When applying for Federal Jobs, eligible Veterans should claim preference on the Occupational Questionnaire in the section provided and provide a legible copy of your DD214(s) and/or documentation related to your active duty service which shows dates of service, character of service (honorable, general, etc.), or dates of impending separation. Additionally, disabled veterans and others eligible for 10-point preference (such as widows or mothers of eligible Veterans) must also submit an SF-15 "Application for 10 Point Veterans Preference" with required proof as stated on the form. For more information, please visit http://www.fedshirevets.gov/job/vetpref/index.aspx.
Faxing Applications or Supporting Documents: You are encouraged to apply online. Applying online will allow you to review and track the status of your application. If you are unable to apply online or unable to upload your supporting documents to your online application, follow the directions located at the following site: Fax Options. The Vacancy ID of the job opportunity announcement is 1956066.
NOTE: If you applied online and your application is complete, do not fax the paper application (1203-FX) as this will overwrite your prior online responses and may result in you being found ineligible.