The incumbent will be responsible for the oversight and supervision of nursing personnel in the Behavioral Mitigation Intervention Team. You are responsible for applying the nursing process to systems and processes at the unit, team, and at work group level to improve care. They will assume accountability for the operation of designated areas of responsibility. This includes the supervision and evaluation of care delivered by nursing and other allied health care staff.

Duties

As the registered nurse, the incumbent is responsible for contributing to the establishment and implementation of evidenced-based nursing standards of quality and practice. They will serve as a role model in the delivery of comprehensive patient, family care, and the resolution of issues. The RN in this role will work primarily in conjunction with interdisciplinary teams to assist in assessment, mitigation plans, and care plan of disruptive behaviors displayed by Veterans with neurocognitive disorders and dementia who are admitted to the inpatient acute care wards. This individual works closely with the Behavioral Health LIP and unit staff in developing a nursing care plan with goals to assist in the reduction of these behaviors, provide oversight of care plan executed by BMIT team, and re-evaluation of goals. This position will require experience and knowledge of assessing for behaviors and de-escalation techniques for patients with disruptive behaviors. This position will be considered the Subject Matter Expert and assist in Code Greens in de-escalating situations and provided education/guidance to front line staff. This individual will directly report to the Workplace Violence Coordination under the direction of the Social Work Chief. The incumbent is responsible for the following duties/responsibilities: Knowledge and ability to apply principles of evidence-based practice, while using sound clinical judgment in assessing, planning, implementing, documenting, and evaluating nursing care, based on the ANA Standards of Nursing Practice and alignment with the Joint Commission Standards/VHA Directives. Develops a nursing care plan with interventions and goals to assist Veterans in curbing unwanted dangerous or disruptive behavior and providing a more therapeutic milieu based on consults received to the BMIT Team. Provides oversight and re-evaluation of the execution of BH nursing care plan by the BHIT nursing team. Collaborates with the interdisciplinary team on progress of care plan and communicates any concerns. Serves as a nursing consultant to interdisciplinary staff on acute care units on methods of mitigating problematic behaviors and creating a supportive environment for Veterans exhibiting these behaviors. Provides education and training to staff about strategies to reduce and mitigate risk. Serves part of the Code Green Team that responds to Inpatient Medical/Surgical units only. This individual assists in de-escalation techniques, assist with physical holds, provide guidance to acute care staff, and reduces risk of undue harm to patients in these scenarios. Prevention Management of Disruptive Behavior (PMDB) instructor and works towards Master Trainer within 3 years. Prepares nursing schedules and reports in a timely manner, and monitor staffing patterns with time and attendance, taking corrective action as needed. Oversee new employee orientation, monitors progress, and ensures completion of the employee competencies. Lead and delegate group activities to solve problems or accomplish a specific task. Teaches, coaches, and facilitates educational and learning opportunities to your employees. Participates in committee assignments, as deemed necessary by the service manager. Performs other related duties as assigned. 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: Monday-Friday, 08:00am-04:30pm Telework: Not Available Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized Financial Disclosure Report: Not required

Requirements

Qualifications

Applicants pending the completion of educational or certification/licensure requirements may be referred and tentatively selected but may not be hired until all requirements are met. HPTs who are on track to graduate/complete the requirements should respond as if they have met the requirements. Provide details in the narrative sections of the assessment. Basic Requirements: United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. English Language Proficiency. In accordance with 38 U.S.C. 7402(d), no person shall serve in direct patient care positions unless they are proficient in basic written and spoken English. Graduate of a school of professional nursing approved by one of the following accrediting bodies at the time the program was completed by the applicant: The Accreditation Commission for Education in Nursing (ACEN) or The Commission on Collegiate Nursing Education (CCNE). The approving official may authorize a waiver of the requirement for ACEN or CCNE accreditation of any degree in nursing provided the college or university has regional accreditation from an accrediting body recognized by the Department of Education at the time of the candidate's graduation and the composite qualifications of the applicant warrant such consideration. 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. OR 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) OR In cases of graduates of foreign schools of professional nursing, possession of a current, full, active and unrestricted registration will meet the requirement for graduation from an approved school of professional nursing. 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. Preferred Experience: MSN prepared or higher Minimum of 3 years experience in Acute Care with adult population Minimum of 1-year experience in inpatient Long-Term care leadership and management Prevention & Management of Disruptive Behavior Certification Grade Determinations: The following criteria must be met in determining the grade assignment of candidates, and if appropriate, the level within a grade: Nurse I Level I - An Associate Degree (ADN) or Diploma in Nursing, with no additional nursing practice/experience required. Nurse I Level II - An ADN or Diploma in Nursing and approximately 1 year of nursing practice/experience; OR an ADN or Diploma in Nursing and a bachelor's degree in a related field with no additional nursing practice/experience; OR a Bachelor's of Science in Nursing (BSN) with no additional nursing practice/experience. Nurse I Level III - An ADN or Diploma in Nursing and approximately 2-3 years of nursing practice/experience; OR an ADN or Diploma in Nursing and a Bachelor's degree in a related field and approximately 1-2 years of nursing practice/experience; OR a BSN with approximately 1-2 years of nursing practice/experience; OR a Master's degree in nursing (MSN) or related field with a BSN and no additional nursing practice/experience. Nurse II - A BSN with approximately 2-3 years of nursing practice/experience; OR ADN or Diploma in Nursing and a Bachelor's degree in a related field and approximately 2-3 years of nursing practice/experience; OR a Master's degree in nursing or related field with a BSN and approximately 1-2 years of nursing practice/experience; OR a Doctoral degree in nursing or meets basic requirements for appointment and has doctoral degree in a related field with no additional nursing practice/experience required. Nurse III - Master's degree in nursing or related field with BSN and approximately 2-3 years of nursing practice/experience; OR a Doctoral degree and approximately 2-3 years of nursing practice/experience. Note regarding MSN degrees: If your MSN was obtained via a Bridge Program that qualifies for professional nursing registration, a BSN is not required. Reference: VA Regulations, specifically VA Handbook 5005, Part II, Appendix G-6 Nurse Qualification Standard. This can be found in the local Human Resources Office. Physical Requirements: Lifting up to 35?pounds for 8-12 hours, intermittently, moderate carrying (15-35 pounds) for 8 to 12 hours, intermittently, lifting over 35 pounds with assistive devices in accordance with the Safe Patient Handling Policy except in emergent situations requiring prompt patient care, pulling for 8 to 12 hours intermittently, pushing for 8-12 hours, intermittently, reaching above the shoulders for 8-12 hours, intermittently, both hands required, walking 8-12 hours, intermittently, standing 8-12 hours intermittently, kneeling 8 to 12 hours, intermittently, repeated bending for 8-12 hours, intermittently, climbing and use of both legs and arms for 8-12 hours, intermittently, both legs required, near vision at 13 to 16" Jaeger 1 to 4, far vision correctable in one eye to 20/20 and to 20/40 in the other eye, ability to distinguish basic colors, hearing aid permitted, twisting, simple grasp and fine manipulation.

Education

The Associate Degree Nursing (ADN), Bachelor of Science degree in Nursing (BSN), or Master of Science degree in Nursing (MSN) must be fully accredited by the Accreditation Commission for Education in Nursing (ACEN) or the Commission On Collegiate Nursing Education (CCNE). Verification of accreditation may be obtained from http://www.acenursing.us/accreditedprograms/programsearch.htm or https://directory.ccnecommunity.org/reports/accprog.asp

• If your school has changed names, or is no longer in existence, you must provide this information in your application.
• If your school was accredited by ACEN or CCNE at the time of graduation, but is no longer listed on the websites, you must provide documentation of accreditation with your application packet.

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. For further information, visit: http://www.ed.gov/about/offices/list/ous/international/usnei/us/edlite-visitus-forrecog.html.

IMPORTANT: A transcript must be submitted with your application if you are basing all or part of your qualifications on education.

Contacts

• Address Audie L Murphy Memorial Veterans Hospital 7400 Merton Minter Boulevard San Antonio, TX 78229 US
• Name: VISN 17 SSU USAS Group
• Email: [email protected]