U.S. Department of Veterans Affairs - Agency Wide
The Nurse Physician Liaison (NPL) is a registered nurse with at least 5 years of clinical med/surg experience. He/she utilizes clinical expertise and program management skills to address the needs of acutely ill patients with complex medical, oncology, rehab, and mental health issues. The NPL functions as an integral part of the healthcare team, working in collaboration with doctors, nurses, social workers, and staff from other VA's and community services to facilitate patient care and discharge planning. He/she must demonstrate the ability to work effectively as a team member and must be able to gather and communicate crucial data in a manner that enhances patient outcomes within a dynamic, acute care environment. The NPL is assigned to inpatient Medicine and is accountable for the care and disposition of patients on the Acute Medicine and Telemetry Units. The duties of the NPL include the following: (1) using the nursing process to assess, plan, implement and evaluate the inpatient and discharge needs of complex patients, (2) documenting progress toward care goals for these patients, (3) educating the patients and family/significant others, (4) providing discharge planning and initiating referrals and/or consultations to achieve a multidisciplinary plan of care, (5) serving as a staff resource for patient care issues, (6) participating in hospital committees including the Skin Team, Bed Team and unit quality improvement efforts to meet regulatory standards and performance measures, (7) supporting administrative issues such as training and monitoring encounter completion by residents and inpatient attending physicians. Duties include but not limited to: Acts as a liaison between physicians and nursing/ancillary staff. Documents tentative plan of care and disposition for patients. Documents discharge planning for in-patients on assigned medicine teams. Documents Home Nursing/Hospice plans and referrals. Plans for discharge/transfer of patients and completes discharge note in CPRS. Disseminates a list of daily discharges with disposition plans to multidisciplinary discharge team. Oversees the Discharge Expediter and communicates updates throughout day as to patient discharge needs. Serves as a nurse/physician advocate. Serves as an educator to inpatient physicians regarding CPRS and hospital policies and procedures. Provides individualized patient care consistent with identified knowledge of patient's strengths and limitations. Is proactive in identifying potential crisis situations and responds appropriately. Initiates referrals and/or consultations as appropriate to achieve the multidisciplinary plan of care Functions independently in performing more complex treatments, procedures and advanced technology specific to the scope of care on Acute Medicine and Telemetry. Functions as a consult person to physicians, nursing and other personal for complex patient care issues. Provides health care teaching to patient and significant others. Functions as an inpatient case manager, insures that post hospitalization follow-up and discharge needs are completed prior to patient discharge. Arranges for procedures, scheduling of diagnostic tests, and transportation home.Completes consults and forms for home oxygen and O2 flight orders. Works closely with assigned physicians to determine best plan of care for patient. Orders supplies for assigned patients (i.e. Wound care, PICC line, home infusion, and enteral feedings). Collaborates with assigned Pharm D for Coumadin/Enoxaparin therapy follow-up. Works closely with IT to coordinate the computer needs for the Medicine Service. Assists with training and administrative orientation for house staff and faculty. Serves as member of the Skin Team.Attends monthly meetings and functions as a Skin/Wound Champion for Acute Medicine and Telemetry.Provides bedside wound consultation and serves as a second verifier for suspected pressure ulcers. Serves as member of the Bed Committee Work Schedule: Monday through Friday, 6:00 AM to 2:30 PM Financial Disclosure Report: Not RequiredTo qualify for this position, applicants must meet all requirements within 30 days of the closing date of this announcement. 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. Preferred Experience: Bachelor's Degree in Nursing (BSN) and Five (5) years RN nursing experience in case management or acute care setting. 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.Physical Requirements: The incumbent must be able to perform all activities of the position without restriction. This position involves considerable standing, walking, stooping, bending, reaching, lifting and turning. It requires repositioning patients and assisting with patient transfers to wheelchairs/stretchers. Mechanical devices when available are required to be used for heavy or difficult to lift patients. The work may involve pushing or lifting weight in excess of 50 pounds and going up and down flights of stairs. The position requires visual and auditory acuity at a level to provide safe and effective nursing care. The positions requires the nurse to work for periods of time with arms above shoulder level or with the neck in a fully flexed or extended position and the ability to physically control or protect him/herself from physically abusive patients. Selected applicants will be required to complete an online onboarding process.To apply for this position, you must provide a complete Application Package which includes: Resume VA Form 10-2850a - Application for Nurses and Nurse Anesthetists can be found at: http://www.va.gov/vaforms/search_action.asp?FormNo=2850&tkey=&Action=Search. The following documents are accepted, and may be required if applicable to your eligibility and/or qualifications for this position. Please use this checklist to ensure you have included all documents required for your application, such as a copy of your transcript (if using education to qualify), SF-50's, etc. Cover LetterDD-214OF-306OtherOther Veterans DocumentResumeSF-15SF-50Transcript
U.S. Department of Veterans Affairs - Agency Wide
Website : http://www.va.gov/
The Veterans Health Administration is home to the United States’ largest integrated health care system consisting of 152 medical centers, nearly 1,400 community-based outpatient clinics, community living centers, Vet Centers and Domiciliaries. Together these health care facilities and the more than 53,000 independent licensed health care practitioners who work within them provide comprehensive care to more than 8.3 million* Veterans each year.