Veterans Affairs, Veterans Health Administration Physician Assistant (Anesthesiology) in Denver, Colorado
Veterans Affairs, Veterans Health Administration
1 vacancy in the following location:
- Denver, CO
Work Schedule is Full Time - Excepted Service Permanent
Opened Friday 7/22/2016 (92 day(s) ago)
** Closes Friday 12/30/2016 (69 day(s) away)
Vacancy Identification Number (VIN): 1759326 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. How would you like to become a part of a team providing compassionate care to Veterans?
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 http://www.vacareers.va.gov
*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-1712854-BU . Only one selection will be made between both announcements.
Position Summary: The primary role of the Physician Assistant 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 Physician Assistant 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: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.
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.
Tour of Duty - 8:00am - 6:30pm*with coverage of nights, weekends, and needs of service.*
This is a bargaining unit covered position.
- Not Required
- Must pass pre-employment examination.
- Designated and/or Random Drug Testing required.
- Background and/or Security Investigation required.
- Selective Service Registration is required for males born after 12/31/1959.
- Must be proficient in written and spoken English.
- ### Qualifications
a. Citizenship.Citizen of the United States. (Non-citizens may be appointed when it is not possible to recruit qualified citizens in accordance with chapter 3, section A, paragraph 3, g, of this part.)
b. Education.The candidate must meet the following:
(1) Graduate of a PA training program, or of a surgical assistant program which is accredited by the Accreditation Review Commission on Education for the Physician Assistant (ARC-PA) or one of its predecessor organizations; and
(2) A Bachelor's degree from an accredited PA training program or in another health sciences related field from an accredited college or university recognized by the U.S. Department of Education.
(1) Current and continuous certification by the National Commission on Certification of Physician Assistants (NCCPA) is required for employment in VHA.
(2) Recent PA graduates who are eligible to take the Physician Assistant National Certifying Examination (PANCE) may be employed by VA on a temporary basis (38 U.S.C. 7405), for a period not to exceed two years, as provided in VA Handbook 5005, Part II, Chapter 3, Section G, Paragraph 5.
(3) If a PA's NCCPA certification is suspended, revoked or expires, the PA must be removed from the occupation which may result in termination of employment.
d. Physical Standards.See VA Directive and Handbook 5019, Part II, Appendix A.
e. English Language Proficiency.PAs appointed to direct patient-care positions must be proficient in spoken and written English as required by 38 U.S.C. 7402(d).
f. Restriction.Under no circumstances may this occupation be used to employ physicians or other health care providers who do not meet the applicable qualification standards for their occupation. All PAs must meet the requirements in paragraphs 2a through f above.
GRADE REQUIREMENTS.In addition to the basic requirements stated in paragraph 2 above, the following qualifications criteria must be met in determining the appropriate grade for appointment or promotion eligibility. Requirements for appointment or promotion to a specific grade are based on the candidate's ability to demonstrate the elements described.
Senior Grade.In addition to meeting the basic requirements under paragraph 2 above, candidates must meet all requirements described in this standard for Intermediate Grade through VA employment or non-VA PA positions with equivalent scope and complexity. Individuals appointed or advanced to Senior Grade will have demonstrated the behaviors or responsibilities listed in one or more of the following categories: Clinical Proficiency, Education, Professional Development, Management/Administrative, and Research, as applicable to the assignment
(1) Experience / Education
(a) 3 years of professional practice as a PA; or
(b) 2 years of professional practice as a PA and successful completion of a PA post-graduate residency program accredited by ARC-PA or by the U.S. Armed Forces; or
(c) 2 years of professional practice as a PA and a Master's degree from a PA training program certified by ARC-PA or in another health-related field from an accredited college or university recognized by the U.S. Department of Education; or
(d) A Doctoral degree in a health-related field from an accredited college or university recognized by the U. S. Department of Education.
(2) Management/Administrative.One of the following responsibilities must be demonstrated:
(a) Evaluates service level patient care delivery systems and validates or identifies barriers to safe, effective care. Presents findings and recommendations to appropriate management officials and participates in implementation of changes.
(b) Manages patient quality management data bases such as the National Surgical Quality Improvement Program (NSQIP) if assigned.
(c) Serves on service or facility committees/task forces if applicable to the assignment.
(d) Coordinates consult referrals within the service assigned.
(e) Coordinates and facilitates inter-service agreements.
(3) Clinical Competencies
(a) Clinical Proficiency
Manages patients with complex or multi-system medical problems.
Practices with a significant degree of autonomy and seeks guidance from assigned physicians with less frequency than expected at the previous grade.
Performs more complex diagnostic and therapeutic procedures beyond what is expected at the previous grade.
First or second assists in surgical procedures.
(b) Professional Development
Acts as a consultant/mentor to PAs in lower grades and other clinical and support staff.
Serves as a clinical preceptor for students or organizes and participates in facility clinical educational programs.
Makes sustained contribution to health care by sharing expertise within and/or outside the medical facility.
(c) Ethics.Identifies and addresses ethical issues that impact patients and staff including participation in ethics consultations if appropriate to the area of assignment
(d) Interpersonal Skills
Communicates and collaborates effectively with other facility staff and outside institutions when applicable to the area of assignment.
Effectively promotes the physician assistant profession to health care staff, patients and other stakeholders at the local level.
Makes significant contributions which serve to enhance the distinctive role of PAs within the local institution and the health care system.
Collaborates with others in research activities to improve patient care, or;
Authors, or collaborates with others, on a paper or study for publication.
Authority: 38 U.S.C. 7304, 7402.]
Physical Requirements: PA must be physically and mentally and emotionally capable of performing the job duties under normal and emergency conditions.
Reference:VA Regulations, specifically VA Handbook 5005, Part II, Appendix G-8 Physician Assistant Qualification Standard.**
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 5005/78, Part II, Appendix G8. This can be found in the local Human Resources Office.
Note: Only education or degrees recognized by the U.S. Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment. You can verify your education here: http://ope.ed.gov/accreditation/. 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: PA must be physically, mentally and emotionally capable of performing the job duties under normal and emergency conditions.
What To Expect Next
After we receive application packages (including all required documents) and the vacancy announcement closes, we will review applications to ensure qualification and eligibility requirements are met. During our review, if your résumé and application package do not support your questionnaire answers, we will adjust your rating accordingly. After the review is complete, a referral certificate(s) is issued and applicants will be notified of their status by email (if provided); otherwise, applicants will receive a notification letter via the U.S. Postal Service. Referred applicants will be notified as such and may be contacted directly by the hiring office for an interview. All referred applicants receive a final notification once a selection decision has been made.
You may check the status of your application at any time by logging into your USAJOBS account and clicking on "Application Status." For a more detailed update of your status, click on "more information." Information regarding applicant notification points can be found in the USAJobs Resource Center.
VA offers a comprehensive benefits package. This link provides an overview of the benefits currently offered: http://www.vacareers.va.gov/why-choose-va/benefits/index.asp.
Receiving Service Credit for Earning Annual (Vacation) Leave: Federal Employees earn annual leave at a rate (4, 6 or 8 hours per pay period) which is based on the number of years they have served as a Federal employee. VA may offer newly-appointed Federal employees credit for their job-related non-federal experience or active duty uniformed military service. This credited service can be used in determining the rate at which they earn annual leave.
It is the policy of the VA to not deny employment to those that have faced financial hardships or periods of unemployment.
This position is in the Excepted Service and does not confer competitive status.
This job opportunity announcement may be used to fill additional vacancies.
Salary Range: $76,341.00 to $99,243.00 / Per Year
Series & Grade: VN-0603-00/00
Supervisory Status: No
Who May Apply: United States Citizens
Control Number: 445492400
Job Announcement Number: EC-112A-16-AWM-1759326-BU