The Neuromodulation Outpatient Mental Health (MH) Registered Nurse (RN) is responsible for providing competent, evidence-based care to assigned patients. The Neuromodulation clinic consist of Ketamine as well as Repetitive Transcranial Magnetic Stimulation (rTMS). The MH RN will assist in directing the provision of nursing education, orientation, competencies and providing quality improvement and outcomes utilization consultation.

Duties

The IU1 Neuromodulation (NM) Outpatient clinic Mental Health RN assumes the following major duties and responsibilities: 1) Is responsible and accountable for all elements of the nursing process when providing and/or supervising patient care. 2) Utilizes designated templates for CPRS for assigned department, and completes nursing notes in alignment with ANA Guidelines, Nursing Policy, and Nurse Competency training. 3) Serves as a liaison for warm handoffs when receiving acute MH inpatients for care in the Neuromodulation clinic. 4) Collaborates with NM Providers for needed warm hand offs for psychiatric concerns for appropriate interventions. 5) Completes Clinical Reminders when due, and actively collaborates with treating/covering provider on required follow-up. 6) May manage secure messages as designated by Supervisor. 7) Follows continuum of care agreements within Mental Health service and across services. 8) Completes a Suicide risk assessment which each mental health encounter when the patient has not already been evaluated by another clinician in the same day. Applies additional interventions in alignment with policy, and actively communicates with their team to mitigate risk and provide needed follow-up. 9) Completes a Suicide Behavior Overdose Reports [SBOR] when the patient reports a behavior that is not already documented and that could increase the risk for suicide such as but not limited to attempted suicide or preparatory behaviors (hoarding medication or purchasing a lethal weapon with the intent to harm self). Communicates risk with Provider and Suicide Prevention Counselor (SPC). 10) Completes a Suicide Safety Plan in alignment with policy and in the development of the treatment plan. 11) Assumes responsibility for the coordination of care focused on patient transition through the continuum of care, patient and family education, patient self management after completion of visit, and supporting factors that impact customer satisfaction. 12) Considers all characteristics of the individual, including age and life stages, state of health, race and culture, values, and previous experiences. 13) Demonstrates effective interpersonal skills and therapeutic interventions with patients. 14) Administers medications and procedures per established policies and guidelines. 15) Completes POC testing (Covid per VHA policy, UDS pre-treatment, all females have pregnancy test of childbearing age), notifies Provider of any abnormalities, and takes appropriate action in alignment with policy. 16) Completes designated assessments per programming for TMS/Ketamine clinics and enters data into CPRS. 17) Assists with care coordination and scheduling as directed by Nurse Supervisor, Section Chief, and Associate Nurse Executive of Mental Health. 18) Influences care outcomes by collaborating with members of the interdisciplinary team. 19) Core elements of performance include knowledge and active participation in unit/program level quality improvement processes and initiatives as well as customer service programs. 20) Conducts chart audits and takes remedial actions as designated by the Assistant Nurse Manager, Nurse Manger, Section Chief, or Associate Nurse Executive for Mental Health. 21) Completes Safe Patient Handling and Mobility training on hire and as designated by Assistant Nurse Manager, Nurse Manager, and Associate Nurse Executive of Mental Health. 22) Maintains appropriate level of PMDB & 2-day non-Code Green PROACT per Assistant Nurse Manager, Nurse Manager and Associate Nurse Executive of Mental Health. 23) Other duties as designed by the IMPACT Unit per Assistant Nurse Manager, Nurse Manager, Associate Nurse Executive of Mental Health, Section Chief. 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 - Thursday, 0730 - 1800. No holidays or weekends. Telework: Not Available Virtual: This is not a virtual position.

Requirements

Qualifications

Basic Requirements: English Language Proficiency. In accordance with 38 U.S.C. 7403(f), 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 the appropriate accrediting agency and accredited 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); OR Individuals attending a master's level bridge program in nursing who have completed coursework equivalent to a bachelor's level degree in Nursing may have opportunity to become registered as a nurse with a state licensing board prior to completion of the bridge program. Upon achievement of a State license, the individual may be appointed on temporary basis and later converted to a permanent appointment upon successful completion and graduation from the bridge program. (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 to warrant an appointment as a Nurse who has completed an associated degree/entry level Nursing education program. Credit for foreign nursing education higher that associate degree/entry level requires a formal degree equivalency validation from a recognized equivalency evaluation accepted by VA such as International Consultants of Delaware (ICD). 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. Graduate Nurse Technician (GNT) Exception: Candidates who otherwise meet the basic education requirements, but do not possess the required licensure, may be appointed at the entry step of the grade and level applicable to the completed nursing education as a GNT on a 120-day temporary appointment while actively pursuing licensure (may be extended up to two years on a case-by-case-basis.) NOTE: Grandfathering Provision - All persons currently employed in VHA in 0610 series and performing the duties as described in the qualification standard on the effective date of the standard (1/29/2024) are considered to have met all qualification requirements for the grade held including positive education and licensure/certification. Grade Determinations: The following Scope, Education and Dimension criteria must be met in determining the grade assignment of candidates, and if appropriate, the level within a grade. The Dimension requirements (Practice, Veteran/Patient Driven Care, Leadership, Professional Development and Evidence-Based Practice/Research) are detailed for each grade and level within the online assessment: https://apply.usastaffing.gov/ViewQuestionnaire/12574008. Grade/Level Scope Education Nurse I, Level I Delivers fundamental, knowledge-based care to assigned clients while developing technical competencies. An Associate Degree (ADN) or Diploma in Nursing, with no additional professional nursing required. Nurse I, Level II Demonstrates integration of biopsychosocial concepts, cognitive skills and technically competent practice in providing care to clients with basic or complex. An ADN or Diploma in Nursing AND 1 year of specialized nursing experience equivalent to Nurse I, Level 1 ;OR a Bachelor of Science in Nursing (BSN) with no additional professional nursing experience required. Nurse I, Level III Demonstrates proficiency in practice based on conscious and deliberate planning. Self-directed in goal setting for managing complex client situations. An ADN or Diploma in Nursing AND 2 years of professional nursing experience in which one year is equivalent to Nurse I, Level 2; OR a BSN and 1 year of professional nursing experience equivalent to the Nurse I, Level 2; OR a Master's degree in nursing (MSN) and no additional professional nursing experience; OR a Master's degree in a *related field with a BSN and no additional professional nursing experience. Nurse II Demonstrates leadership in delivering and improving holistic care through collaborative strategies with others. A BSN with 2 years of professional nursing equivalent to Nurse I, Level 3; OR an MSN with one year of specialized nursing experience equivalent to Nurse I, Level 3; OR a Master's degree in a *related field with a BSN and one year of specialized nursing experience equivalent to Nurse I, Level 3; OR a Doctoral degree in Nursing with no professional nursing experience; OR a Doctoral degree in a *related field with a BSN with no additional professional nursing experience. Nurse III Executes position responsibilities that demonstrate leadership, experience and creative approaches to management of complex client care beyond the immediate practice setting. MSN and 2 years of specialized nursing experience, one of which is equivalent to Nurse II and meets all dimension requirements for Nurse III; OR a Master's degree in *related field with BSN and two years of specialized nursing experience, one of which is equivalent to Nurse II and meets all dimension requirements for Nurse III; OR a Doctoral degree in Nursing with and one year of specialized nursing experience equivalent to Nurse II and meets all dimension requirements for Nurse III; OR a Doctoral degree in a *related field with a BSN and one year of specialized nursing experience equivalent to Nurse II and meets all dimension requirements for Nurse III. *Note: Foreign education programs/degrees are not creditable as related degrees. Preferred Experience: Bachelors in Nursing or Associates in Nursing and currently enrolled/attending an Accredited Bachelors in Nursing Program; Psychiatric Mental Health Nurse Board Certification with ANCC; 2 years Mental Health Experience; and 1 year outpatient Mental Health experience. Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/. Physical Requirements: Heavy lifting (45 lbs. and over); Moderate Carrying (15-44 pounds); Straight Pulling; Pushing; Reaching above Shoulder; Walking; Standing; Repeated bending; Ability for rapid mental and muscular coordination simultaneously; Near vision correctable at 13" to 16" to Jaeger 1 to 4; Hearing aid (permitted); Ability to distinguish basic colors; Ability to distinguish shades of colors; Depth perception; Both eyes required; Both legs required; Use of fingers and both hands required.

Education

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

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

Contacts

• Address San Diego VA Medical Center 3350 La Jolla Village Drive San Diego, CA 92161 US
• Name: Ruben Cabral
• Phone: (858) 642-3553
• Email: [email protected]