Veterans Affairs, Veterans Health Administration Nurse Practitioner (Critical Care Adult Nurse Practitioner ACNP) in Denver, Colorado

Veterans Affairs, Veterans Health Administration
Few vacancies in the following location:
  • Denver, CO
Work Schedule is Full Time - Excepted Service Permanent

Opened Friday 7/22/2016 (90 day(s) ago)

** Closes Friday 12/30/2016 (71 day(s) away)

Job Overview

OUR MISSION: To fulfill President Lincoln's promise – "To care for him who shall have borne the battle, and for his widow, and his orphan" – by serving and honoring the men and women who are America's Veterans.

ECHCS vision for 2015. VA Eastern Colorado HealthCare System (ECHCS) is complexity level 1a and provides a full range of state-of-the-art patient care services. ECHCS provides tertiary care and services to over 72,000 patients and is a major referral center for veterans living in Wyoming, Montana, Kansas, and New Mexico. ECHCS serves as an educational and research center, it is highly affiliated with medical and educational institutions. Health Care Services are provided at 15 different geographically dispersed locations incorporating nine Community Based Outpatient Clinics, two Primary Care Telehealth Outpatient Clinics, one local and one remote Community Living Center, Homeless Veteran's Domiciliary, a Community Referral and Resource Center, a Polytrauma and Blind Rehabilitation Center and VA presence on two DOD bases; Fort Carson and U.S. Air Force Academy covering a geographical area of over 10,000 square miles. ECHCS employs over 2,500 personnel in 150 occupations. For more information on the Department of Veterans Affairs, go to

*NOTE: * Please submit all required documents. Failure to submit required documents may result in loss of further consideration.

The grade and step of this position which determines the salary will be recommended by the Professional Standards Board (PSB). The PSB is a peer review process who will review the selectee's qualifications, education, professional training/internship(s) and professional experience to determine the most appropriate salary and grade based upon the individual accomplishments.

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.

Please refer to announcement EC-112A-16-AWM-1714593-BU . Only one selection will be made between both announcements.


Position Summary: The primary role of the Critical Care Adult Nurse Practitioner (ACNP) is to provide direct care management of complex medical and surgical patients in consultation with critical care medical and surgery physicians. The ICU Director will serve as the supervising physician. The ACNP will also work in collaboration with ICU Attending Physicians, the Anesthesia Service Chief, ICU nursing staff,respiratory therapy, pharmacy and other clinical services in the management of critically ill patients admitted to the SICU. The incumbent will ensure that the clinical care of all medical and surgical patients in the SICU is consistent with existing ICU best practices and performance measures.

General Areas of Responsibilities:Registered Nurse and certified Acute Care Nurse Practitioner with advanced education, knowledge, clinical skills, and experience necessary to provide expert care to critically ill patients. Works collaboratively in the SICU with ICU Attendings, Fellows, Residents, Surgeons, ICU Nurses, Respiratory Therapists, Pharmacists, Registered Nurse staff, Case Managers, and other medical specialists to ensure compliance with all existing ICU best practices and performance measures. Develops new clinical initiatives to improve overall patient care and flow in the SICU.

Routine Professional Duties

Facilitates ICU patient care by working closely with ICU Case Managers,Physicians, Nurses, Respiratory Therapists, and other ICU clinical specialists to identify strategies for expediting patient care and facilitating patient flow in the SICU. Specifically, the ACNP will:

a. Participate in daily interdisciplinary ICU rounds on all patients in the SICU to identify specific clinical objectives for each patient.

b. Ensure ICU best practices are being applied and adhered to appropriately for all ICU


c. Write orders for ICU admissions and transfers, labs, medications, procedures,

respiratory and rehabilitative therapy psychological and radiological studies and consults.

d. Perform approved standardized procedures in the SICU in accordance with their

Procedural privileges, skill and proficiency. Procedures will include but not limited to : endotracheal intubation, placement of central venous catheter (to include dialysis catheters) pulmonary artery catheter, P1CC line, arterial line, feeding tube and nasogastric tubes, foley catheter, performing arterial and venipuncture, and conscious sedation.

e. Ensure continuity of care between ICU staff, patients, and their families.

f. Perform clinical follow-up review on all patients within 48 hours of being transferred out of the SICU to another ward within the facility, to ensure that patients continue to be appropriate for a lower level of care once they leave the MSICU.

g. Evaluate and monitor potential ICU admissions from within the facility.

h. Follow Surgical Ward patients during times of shortage of other midlevel providers.

Emergency Duties:

Must be ACLS certified, and be able to identify and independently manage the treatment of life-threatening situations where a physician is not immediately available. In such instances, the incumbent will initiate emergency care and summon an ICU physician as soon as possible. The level of emergency treatment administered will be directed by either the patient’s request, as noted in the advanced directives, or by the patient’s health care surrogate decision maker.

Prescriptive Authority (Furnishing Privileges):

Prescribing approval for the incumbent who must possess a valid Colorado furnishing license includes those agents officially designated as formulary items for use at the ECHCS with the following exceptions:

a. Other agents that are specifically limited or restricted for all prescribers by the Pharmacy and Therapeutics Committee’s special policies and procedures.

b. Investigational Drugs (unless approved by the principal investigator and guidance for isstipulated in an approved protocol for non-physician use of the drugs).

c. Antibiotics without specific phone or personal consultation with a physician.

Writing of Orders:

The ACNP will write orders specified in their scope of practice and in accordance with the individual’s skill and proficiency and as appropriate for the care of the patients.

Tour of Duty - 8:00am - 6:30pm with coverage of nights, weekends, and needs of the service.

Travel Required
  • Not Required
Relocation Authorized
  • No
Job Requirements
Key Requirements
  • Must pass pre-employment examination.
  • Designated and/or Random Drug Testing required.
  • Background and/or Security Investigation required.
  • Must be proficient in written and spoken English


  • U.S. citizenship. Non-citizens may be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy.
  • Full unrestricted Licensure, Certification, or Registration required
  • 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 National League for Nursing Accrediting Commission (NLNAC) 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. 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)
  • 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.

EDUCATION/EXPERIENCE REQUIREMENTS: Master's of Science in Nursing with a major as a Nurse Practitioner from a program accredited by the NLNAC or CCNE at time of graduation.

Preferred Experience:

  • At least 1 year of relevant experience,
  • Experience with pulmonary diagnoses preferred

GRADE DETERMINATIONS: Experience as a RN will be evaluated to determine if the experience is of an acceptable level of quality with regard to the following four dimensions of nursing: Practice, Professional Development, Collaboration and Scientific Inquiry. Each dimension of practice has criteria that demonstrate essential core competencies for VHA Nursing Personnel.

The criteria are as follows:

  • Practice: practice, ethics and resource utilization;
  • Professional Development: performance, education/career development;
  • Collaboration; collaboration, collegiality;
  • Scientific Inquiry: quality of care, research. *Reference: * VA Handbook 5005, Part II, Appendix G6 Nurse Qualification Standard.


PLEASE NOTE: Education must be accredited by an accrediting institution recognized by the U.S. Department of Education in order for it to be credited towards qualifications (particularly positions with a positive education requirement.) Therefore, applicants must report only attendance and/or degrees from schools accredited by accrediting institutions recognized by the U.S. Department of Education. Applicants can verify accreditation at the following website: All education claimed by applicants will be verified by the appointing agency accordingly. If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education.

Physical Requirements:


  • Heavy Lifting, 45 pounds and over

  • Heavy Carrying 54 pounds and over

  • Straight pulling (2-6 hours)

  • Pushing (2-6 hours)

  • Reaching above shoulder

  • Use of fingers

  • Both hands required

  • Walking (5-9 hours)

  • Standing (4-8 hours)

  • Kneeling (1-2 hours

  • Repeated bending (2-4 hours)

  • Climbing, legs only (1-2 hours)

  • Twisting (2-4 hours)


  • Excessive noise, intermittent

  • Constant noise

  • Radiant energy

  • Electrical energy

  • Slippery or uneven surfaces

  • Working around moving objects and vehicles

  • Unusual fatigue factors

  • Working with hands in water

  • Working closely with others

  • Working alone

  • Heavy patient care

  • Rotating/Multiple shifts


  • Applicants must meet any physical, language, certification, or degree requirements.

  • Applicants tentatively selected for certain designated positions may be subject to a random drug screening for illegal drug use. Applicants who refuse to be tested will be denied employment.

  • New appointees will be subject to a background investigation to determine suitability.

  • An OF-306, Declaration for Federal Employment, must be submitted prior to appointment. This form is available at

Veterans' Preference:

When applying for Federal Jobs, eligible Veterans should claim preference on their application or résumé. Applicants claiming preference based on service-connected disability, or based on being the spouse or mother of a disabled or deceased Veteran, must complete an SF 15, Application for 10-Point Veteran Preference. Veterans who are still in the service may be granted tentative preference on the basis of information contained in their applications, but they must produce a DD Form 214 or other proof prior to appointment to document entitlement to preference. For more information on Veterans' Preference, please visit

Conditions of Employment: Within 30 days after hire, you are required to obtain Basic Life Support (BLS) Certification from the American Heart Association. It is highly desirable that this certification is obtained prior to employment.

Security Clearance

Not Applicable

Additional Information
What To Expect Next

After the vacancy announcement closes and a referral certificate is issued, an electronic notification letter - or e-mail - will be sent to applicants who provide an e-mail address. Otherwise, you will receive a notification letter via the U.S. Postal Service within 2 to 4 weeks.


Working for the Department of Veterans Affairs offers a comprehensive benefits package that includes, in part, paid vacation, sick leave, holidays, life insurance, health benefits, thrift savings plan, and participation in the Federal Employees Retirement System. In addition to traditional "dollars and cents" benefits, we offer a range of benefits to help balance work and life. For more information please visit us at

Health Benefit:

Life insurance Benefit:

Retirement Benefit:

Thrift Savings Plan:

Dental and Vision Insurance:

Flexible Spending Accounts (FSA):

Long Term Care Insurance Program:

Other Information

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

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

Salary Range: $74,142.00 to $118,329.00 / Per Year

Series & Grade: VN-0610-00/00

Supervisory Status: No

Who May Apply: United States Citizens

Control Number: 445492000

Job Announcement Number: EC-112A-16-AWM-1759319-BU