Nurse Practitioner

  • Veterans Affairs, Veterans Health Administration
  • Fresno, California
  • Full Time
Summary

The Surgical Nurse Practitioner - as a Title 38 advanced practice nurse is responsible for surgical care for any of the subspecialty surgical sections to include call coverage - General Surgery - Vascular - Thoracic - Urology - Orthopedics - Plastics Otolaryngology (Ear - Nose and Throat (ENT) - Interventional Radiology - Podiatry - Ophthalmology - and Anesthesia. Care is provided in the following settings; outpatient - inpatient - operating Room (first assist) - telehealth - video visits - and telephone care.

Duties
  • The Registered Nurse I/Level 2 is an ADVANCED BEGINNER nurse - \"who can demonstrate marginally acceptable performance - have coped with enough real situations to note (or have pointed out to them by a mentor) the recurring meaningful situational components that are termed 'aspects' of the situation
  • Aspects require prior experience in actual situations for recognition\" (Benner)
  • - In conjunction with the staff surgeon- prioritize - collaborate - and engages in facility performance measures in an effort to provide excellent care delivery processes in an efficient and safe manner
  • - Collaborates with Attending Surgeons to review and act on routine consults
  • - Acquires knowledge and applies the nursing process to systems or processes at the unit/team/work group level to improve patient care
  • - Acquires knowledge and strives to apply leadership by collaborating with others in process improvement activities
  • - Supports and enhances patient self-determination
  • Utilizes and applies available resource for patient and staff in addressing ethical issues
  • - Identifies and assesses resource utilization and safety issues - appropriately reports issues to managements
  • - Acquires knowledge and skills to continue to gain expertise in area of practice
  • Participates in educational activities to improve clinical knowledge - skills and enhance role performance
  • - Evaluates practice of self using professional standards
  • - Uses group process to identify - analyze and resolve care problems
  • - Seeks out and participates in quality improvement activities that result in improved outcomes
  • - Reviews and applies research to validate and or change self practice to improve patient outcomes The Registered Nurse I/Level 3 is a COMPETENT nurse
  • \"competence develops when the nurse begins to see his or her actions in terms of long-range goals or plans of which he or she is consciously aware
  • The plan dictates which attributes and aspect of the current and contemplated future situation are to be considered most important and those which can be ignored
  • A plan establishes a perspective - and the plan is based on considerable conscious - abstract - analytic contemplation of the problem
  • The competent nurse lacks the speed and flexibility of the proficient nurse but does have a feeling of mastery and the ability to cope with and manage the many contingencies of clinical nursing
  • The conscious - deliberate planning that is characteristic of this skill level helps achieve efficiency and organization\" (Benner)
  • - In conjunction with the staff surgeon- prioritizes - collaborate and engages in facility performance measures in an effort to provide excellent care delivery processes in an efficient and safe manner
  • - Assumes responsibility for review of routine consults and communicates with Attending Surgeon and requesting providers regarding additional care needs
  • - Applies the nursing process to systems or processes at the unit/team/work group level to improve patient care
  • - Develops leadership by involving others in process improvement activities
  • - Supports and enhances patient self-determination
  • Provides resources for patient and staff in addressing ethical issues
  • - Identifies and assesses resource utilization and safety issues - taking appropriate action
  • - Acquires knowledge and skills to expand expertise in area of practice
  • Participates in educational activities to improve clinical knowledge - skills and enhance role performance
  • - Evaluates practice of self and others using professional standards
  • - Uses group process to identify - analyze and resolve care problems
  • VA offers a comprehensive total rewards package: VA Nurse Total Rewards Pay: Competitive salary - regular salary increases - potential for performance awards Paid Time Off: 50 days of paid time off per year (26 days of annual leave - 13 days of sick leave - 11 paid Federal holidays per year) Retirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA Insurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement) Licensure: 1 full and unrestricted license from any US State or territory Work Schedule: 7:30am - 4:00pm Telework: Not Available Virtual: This is not a virtual position
  • Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized

Job ID: 521443081
Originally Posted on: 5/16/2026

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