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Quality Care Our Heroes DeserveNow is the time to take your career to the next level and become part of the high-caliber talent that is VA. Experience what 250,000 current VA employees already have â“state-of-the art practice settings, access to the latest technology, a multi-disciplinary team environment and the opportunity to provide the men and women who have bravely served this country with the finest patient care, benefits and customer satisfaction. And with VA Patient Satisfaction Scores leading the healthcare industry, youâ&tm;ll be joining one of the most respected facilities in the Nation. JOB SUMMARY:Vacancy Identification Number (VIN): 596544Â(Include #Âon all documents)Duties/Responsibilities:There is an exceptional opportunity for a Nurse Practitioner with expertise in Hospice and Palliative Care to join our team of professionals caring for veterans at the end of life. VA Maine opened a beautiful 12 bed hospice unit in June of 2011 and is now seeking a mid-level provider to compliment our team in providing end of life care to veterans in the inpatient hospice unit. In addition the provider will follow veterans on community hospice and serve as a member of the palliative care consult team intervening with veterans and their families in all settings within the VA Maine Health Care System.Disabled persons and/or veterans are encouraged to apply.The vacancy requires well organized Nurse Practitioner with the ability to work autonomously and collaborate with in-clinic, in-Medical Center, community and the New England VHA Network services to best-serve theÂpatient’s needs.Competitive salary, generous leave package, health & life insurance benefits, and retirement benefits. Additionally, the right candidate will experience the sense of patriotism and pride associated with working with veterans.TheÂincumbent is eligible to participate in a pension program as well as a matching Thrift Savings Plan which is similar to a 401K. A candidate with prior military experience may be able to combine their accrued military retirement credit with VA pension benefits.Live in Augusta, or within easy commuting distance,Âon the ocean, in the mountains, or lakeside. Safe communities with highly rated school systems. Variety of outdoors recreational destinations, near-by college and university campuses, and other cultural events are some examples of what the Augusta area has to offer.VA Maine Healthcare System (formerly Togus VA Medical Center) proudly serves Maine’s veterans at a main campus in Augusta or any of nine outpatient clinics. It’s a modern 67-operational bed facility with general medical, surgical, intermediate and mental health beds, as well as 45 Skilled-Longer Stay beds, a 25-bed Dementia Unit, and a 12 bed Hospice Care Unit. The oldest veterans’ facility in the country (est. 1866), much of its 500+ acres is natural woodland habitat for wildlife. Living in Maine offers excellent quality of life and access to many cultural and recreational activities.DUTIES:Duties/Responsibilities:PRACTICE: Provides leadership in the application of the nursing process to patient care.1. Facilitates and promotes the delivery of high quality care to patients at the end of life and their significant others.2. Provides leadership in the implementation of current palliative care standards for nursing and allied healthcare staff.3. Participates in the development of a comprehensive, individualized plan of care based on assessment of the patients palliative care needs.4. Recommends change in practices based on analysis and evaluation of research findings, current regulatory standards and applicable laws and regulations in coordination with VHA National Hospice and Palliative Care Programs and directives.5. ÂSafely and effectively uses equipment required for patient care using hospital policies and procedures, including appropriate cleaning and disinfection of reusable medical equipment.ÂETHICS: Provides leadership in addressing ethical issues in end of life care that impacts veterans, families, caregivers, and clinicians.a. Assures competent and consistent delivery of palliative care to eligible veterans.b. Serves as a resource and advocate for veterans in need of palliative care services.ÂRESOURCE UTILIZATION: Manages program resources (financial, human, material and informational) to facilitate safe, effective and efficient care.Âa. Promotes and implements cost-effective use of resources.b. Promotes and utilizes information systems in place to facilitate planning and management of palliative care program.c. Explores alternative solutions to problems and selects the most appropriate, efficient and effective approach.Âd. Demonstrates knowledge of fire/emergency plans.ÂHPDM:Technical, Personal Mastery, Flexibility/Adaptability, Creative ThinkingÂ1. Demonstrates expertise for a patient/population, and/or a change in practice that improved outcomes and communication of changes to other providers in the facility.2. Displays leadership for patient care rounds/chart review and/or discussion of practice issues to improve patient outcomes for a specific population.3. Describes review of patient care plan with less experienced staff to address ethical issues for client and/or staff, e.g. a patient with advanced illness who wants to elect hospice care but a family who is still encouraging acute care â” how can the staff support and respect all involved4. Serves as a resource and advocate for protection of patient/family rights such as confidentiality, self-determination, and alternative treatments.5. Demonstrates care in coordination to use resources judiciously and achieve optimal outcomes for patients/families.6. Serves as a consultant/resource to other advance practice nurses related to application of evidence-based information to the design, implementation and evaluation of a treatment plan7. Provides an example of the design, implementation and evaluation of an education program for a group of patients/families or specific target population including outcomes achieved.8. Synthesizes data and information to prescribe necessary system and community support measures including environmental modifications.9. Develops solutions for patient problems that address effective resource utilization and maintenance of quality care, such as description of program to reduce visits through prompt telephone hot-line access with demonstrated improved outcomes.ÂEDUCATION: Assists palliative care staff to maintain and improve palliative care expertise.Âa.  Maintains professional knowledge and skills based on currently publications or communicated information.b. Identifies current trends in clinical practice and palliative care modalities.c.  Assesses needs of diverse groups of staff, patients and families to maximize learning and compliance with program objectives.d. Implements an educational plan to meet changing program needs for self and others.ÂPERFORMANCE: Â Uses professional standards of care and practice to evaluate programs and/or service activities.a.  Serve as a consultant within the organization and the community in regards to hospice and palliative care.b. Utilizes clinical expertise in promoting achievement of applicable performance measures.ÂHPDM:Technical, Personal Mastery, Interpersonal Effectiveness, Flexibility/AdaptabilityÂ1. Evaluates & revises educational content for specific patient content for specific patient care issues to meet the needs of nursing personnel.2. Provides leadership for application of new knowledge to patient population.3. Provides evidence of professional achievements and lifelong learning.4. Provides expert consultation to other professionals.ÂÂCOLLABORATION: Demonstrates leadership in developing productive working relationships with the staff on the CLC and the interdisciplinary PCCT as well as at the facility level.Âa. Participates in weekly interdisciplinary team meetings for veterans currently receiving palliative care.b. Conducts in-services to ensure ongoing program performance improvement.ÂCOLLEGIALITY: Maintains sustained contributions to health care by sharing expertise in and/or external to the medical center.Âa. Shares clinical expertise with others within the facility or beyond through consultation, presentations, and/or participation in professional organizations.b. Establishes and maintains effective collegial relations within the medical center and in the larger health care community.c. Attends membership in professional palliative care organizations.Â1.ÂÂÂDevelops effective relationships within the specialty area, interdisciplinary team, nursing leadership and organizational management to enhance the quality of patient/client care.2. Initiates and revises protocol or guidelines to reflect EBP, accepted changes in care management, or emerging problems.3. Demonstrates use of effective communication, negotiation skills, and group process to identify and resolve a complex patient care problem.4.ÂÂÂDemonstrates interpersonal effectiveness when communicating and working with both internal and external customers.5. Promotes cooperative working relationships among the health care team by maintaining a positive approach to problem resolution6.ÂÂÂFunctions as an effective change agent, assisting colleagues/peers in moving through the change process.7.ÂÂÂMember of interdisciplinary committee, task force, or root cause analysis at the facility or national level.8.ÂÂÂÂPublishes in a peer reviewed professional journal.9. Participates in designing, implementing and/or evaluating specialty area workshops and conferences.10.ÂSustains formal and informal relationships with the specialty community on local, regional and national levels; may hold an office in a professional organization11.  Serves as VA liaison to appropriate organizations.12. ÂInitiates interdisciplinary projects to improve organizational performance.ÂÂÂQUALITY OF CARE: Uses quality improvement techniques to systematically evaluate and improve quality of care.a. Provides leadership in improving and sustaining the quality and effectiveness of palliative care in diverse and complex patient care situations.b. Participates in the development of policies and procedures specific to hospice and palliative care.ÂRESEARCH: Collaborates with others regarding research activities to improve care.a. Applies current concepts and accepted findings from research studies to practice and when making recommendations for change in practice.b. Collaborates with others within or across work groups to assess, validate, and/or improve practice.Â1. Evaluates and applies appropriate research-based interventions/changes into assigned practice area to improve or validate current practice, when appropriate.2. Publishes results in peer-reviewed professional journals.3. Formally disseminates research findings through activities such as presentations, publications, consultations, and journal club.ÂÂKEY REQUIREMENTSBy law, U. S. Citizens given preference, non-citizens may be consideredMust pass pre-employment examinationEnglish Language Proficiency requiredThis position is designated for Random Drug TestingBackground and-or Security Investigation required Required Skills: QUALIFICATIONS REQUIRED:Candidates must meet all the requirements identified in the VA Qualification Standard for Licensed Nurse Practitioner, VN-0610 as set forth in VA Handbook 5005/27 dated March 17, 2009.1. Citizenship: Citizen of the United States. (Noncitizens may be appointed when it is not possible to recruit qualified citizens in accordance with VA Handbook 5005/27, chapter 3, section A, paragraph 3g.).2. Education: A Nurse Practitioner must possess a masterâ&tm;s degree from a program accredited by the NLNAC or CCNE; with 5 years of successful nursing practice.3. Licensure and Registration: A Nurse Practitioner must be licensed or otherwise recognized as a nurse practitioner in a State in a State, Territory, or Commonwealth (i.e., Puerto Rico) of the U.S. or in the District of Columbia. 3. a. Impaired Licensure: A physician who has, or has ever had, any license(s) revoked, suspended, denied, restricted, limited, or issued/placed in a probationary status may be appointed only in accordance with the provisions of VA Handbook 5005, Part II, Appendix G2, chapter 3, section B, paragraph 14.4. Certification: A Nurse Practitioner must maintain full and current certification as a nurse practitioner from the American Nurses Association or another nationally recognized certifying body.5. English Language Proficiency: Physicians 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).6. NBCHPN Board Certification in Advance Hospice and Palliative CareREQUIRED.**HOW YOU WILL BE EVALUATED:Once the application process is complete, a review of your application will be made to ensure you meet the job requirements. To determine if you areÂqualified for this job,Âyour resume and supporting documentation will be compared against your responses to the occupational questionnaire. Please follow all instructions carefully. Errors or omissions may affect your eligibility. Bring your expertise to VA and be valued as part of a team that is recognized and respected for significant contributions to medicine. Youâ&tm;ll enjoy a patient-focused environment, terrific benefits and incentives, and the ability to practice at any VA facility in the country.APPLY TODAYwww.VAcareers.va.govEqual Opportunity Employer Location: Augusta and Togus
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