The VA Puget Sound Healthcare System is recruiting for one RN to perform duties in the Neuromodulation Clinic at the VA hospital in Seattle, Washington.
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/12760281. 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: Bachelor of Science in Nursing 2 years RN experience in a Mental Health setting Experience with ECT, rTMS or Es-ketamine/Ketamine therapy preferred Care Coordination experience preferred Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/. Physical Requirements: Heavy lifting, straight pulling, pushing, reaching above shoulder, use of fingers, both hands required, walking, standing, repeated bending, visual acuity 20/30 corrected.
Neuromodulation Clinic (rTMS) repetitive transcranial magnetic stimulation therapy, (ETC) electroconvulsive therapy, and Ketamine therapy) RN: The RN provides care coordination of the Neuromodulation therapy clinic treatments, including initial consultations, treatment visits for therapy, taper visits, and post-treatment follow-ups, and coordinating re-treatment series. Coordinates care with multiple providers across all levels and sites of care. Coordination also includes assuring services interface within the Veterans Affairs (VA) and community programs to provide continuity of care to patients. Administer rTMS treatments under the supervision of the rTMS Attending Provider, assists with ECT treatments under the supervision of attending provider, or assist with Es-ketamine treatment under supervision of provider. Supervise veteran during and post treatments to ensure safety of veteran. Identify any significant changes in the patient's condition prior to and during treatments; understand and accurately monitor for adverse events/side effects; provide appropriate interventions as needed. Conduct post treatment assessments for side effects of treatment and measurement-based assessments to monitor treatment progress (PHQ-9, GAD-7, PCL-5, etc.). Provide pre-treatment education and procedure instructions to Veterans and potential new patients. Verify that proper informed consent has been obtained by provider for treatment, and documents consent in the patient record. Responsibilities and duties include but are not limited to the following: Responsible for all care coordination aspects of the Neuromodulation Therapy clinic treatments, including initial consultations, treatment visits for therapy, taper visits, and post-treatment follow-ups, reminding new Veterans of upcoming start dates for their treatment and coordinating re-treatment series with requesting physicians Coordinate care between multiple service lines including Outpatient Surgery, Anesthesia, Mental Health Specialty Clinic, Acute Psychiatric Unit and Post Recovery units. Able to conduct post treatment assessments for side effects of treatment and measurement-based assessments. Examples include (PHQ-9, GAD-7, PCL-5, etc.) Provide feedback to the team in the decisions to start, cease or suspend an assessment/treatment. seek supervision/guidance and when to recommend alternative tests or to implement modifications to testing procedures to accommodate patients' physical/sensory/motor limitations provide pre-treatment education and procedure instructions to Veterans and potential new patients verify that proper informed consent has been obtained, obtains patient consent for treatment, and documents consent in the patient record Gather medical history and other required pertinent information prior to and during Neuromodulation therapy; administer mental health rating scales and other assessments as needed May be required to administer rTMS treatments under the supervision of the rTMS Attending Provider, assist with ECT treatments under the supervision of attending provider, or assist with Es-ketamine treatment under supervision of provider. Supervise veteran during and post treatments to ensure safety of veteran. identify any significant changes in the patient's condition prior to and during treatments; understand and accurately monitor for adverse events/side effects; provide appropriate interventions as needed ensure the mental health of patients throughout the course of their therapy, in collaboration of the Neuromodulation Therapy clinic team. To include suicide risk screen assessment (CSSR-S) Columbia suicide severity risk screen and taking appropriate suicide prevention interventions to ensure veteran safety. Document care appropriately related to Neuromodulation care coordination in CPRS Occasional coverage of the specialty mental health clinic may be required. Coverage may include but is not limited to administration of mental health long-acting injections and triage of patients receiving care in the mental health specialty clinic. 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: Full-time, 7:00am - 3:30pm Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not authorized Permanent Change of Station (PCS): Not authorized