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The Nurse Practitioner provides care and counseling of persons or in the promotion and maintenance of health and prevention of illness and injury based upon the nursing process which includes systematic data gathering, assessment, appropriate nursing judgment, and evaluation of human responses to actual or potential health problems through such services as case finding. GENERAL DESCRIPTION: The primary focus of practice is coordination of care for patients in the Hematology/Oncology Section including patients needing chemoradiotherapy, stem cell transplantation, chemotherapy, telehealth visits and other care at Durham VAMC, other VA facilities or in the community. The incumbent also facilitates and participates in implementation of systematic care to ensure all patients are being considered for recommended clinical care. Scope of Nurse Ill: Executes position responsibilities that demonstrates leadership, experience, and creative approaches to management of complex patient care. The Nurse Ill registered nurse demonstrates (a) Leading and organizing delivery of care to assure continuity of care and peer accountability for practice, including access to care and discharge planning; (b) Using advanced clinical knowledge/judgment to promote staff involvement in planning, decision-making, and evaluating outcomes, (c) Functioning as an expert in clinical practice and/or areas related to the assigned roles and responsibilities, (d) Systematically evaluating current practice, and formulating outcomes for groups of patients and/or organizational processes within an area of expertise, (e) Guiding, developing, and supporting staff from a leadership perspective, and (f) Using professional standards of care, scientific evidence, and practice to evaluate programs and/or service activities (VA Handbook 5005, Part II, Appendix G6). The Nurse Ill registered nurse is an expert nurse who demonstrates expertise in leadership at the systems level that is sustainable, experience, and creative approaches to management of complex situations. Roles may include, but are not limited to clinical nurse leader, clinical nurse specialist, nurse coordinator, nurse educator, expert clinician, nurse manager, nurse practitioner, nurse recruiter, or researcher. Program or service level outcomes must be broad and complex and can be demonstrated at any organizational level within a program, service, facility level, VISN, or VACO. The focus must be broad and complex and must be demonstrated at the macrosystem level. The expert nurse incorporates professional standards and implements broad-reaching evidence-based change. Leads and organizes delivery of services at the to assure continuity and peer accountability for practice. Ill. CAREER PATHS Clinical Direct Care Nurse/Staff Nurse: Responsible and accountable for all elements of the nursing process when providing and/or supervising direct patient care. Assesses, plans, implements and evaluates care based on age-specific components. Assumes responsibility for the coordination of care focused on patient transition through the continuum of care, patient and family education, patient self-management after discharge, and supporting factors that impact customer satisfaction. Considers all characteristics of the individual, including age and life stages, state of health, race and per culture, established values, and policies previous and guidelines. experiences. Influences Administers care outcomes medications by and collaborating procedures with members of the interdisciplinary team. Core elements of performance include knowledge and active participation in unit/program level quality improvement processes, and initiatives as well as customer service programs. Advanced Practice Nurse Practitioner (NP): Must have a minimum of a master's degree in nursing/nurse practitioner major, and board certification as an NP from a VA-approved certifying body required. A Scope of Practice will guide advanced practice beyond basic education and is renewed every two years. As an advanced practice registered nurse (APRN), has prescriptive authority with a panel of patients. Core functions include diagnosing and treating acute and chronic health care problems, performing adult care check-ups, and prescribing medication and treatment. Work Schedule: hours are based on the needs of the service, Monday thru Friday Financial Disclosure Report: Not required