Registered Nurse (Transcranial Magnetic Stimulation)

Summary

The Transcranial Magnetic Stimulation Registered Nurse executes their position duties by providing patient-centered and recovery-oriented care and maintaining self-awareness while caring for patients living with Mental Health conditions.

Duties

https://www.youtube.com/watch?v=NpaTtyybXFQ Major Duties: Duties and responsibilities include, but are not limited to, the following: Ensure completion of the initial screening, which consists of verifying the Veteran's identity and assess for changes in medications, side effects, medical conditions, psychiatric conditions, and suicidal or homicidal thoughts. Provide daily screenings of neuromodulation patients. This screening includes: inquiries regarding changes in medication, sleep status, mood or anxiety related to neuromodulation therapy; assess for use of substances and knowledge of medication/substance use relevant to neuromodulation therapy; and evaluate the veteran for any worn metal that needs removal. Provide pre-treatment education for all interested Veterans and potential new patients. After the rTMS Psychiatrist/Psychiatric Nurse Practitioner determines a patient is clinically appropriate, has no contraindications, would benefit from rTMS therapy, and has written the order for rTMS therapy in the Computerized Patient Record System, the rTMS Clinical Nurse Treatment Operator will provide procedure instructions to the patient. Identify patients, verify that proper informed consent has been obtained, obtain patient consent for treatment, and document consent in the patient record. Provide support to the rTMS Psychiatrist/Psychiatric Nurse Practitioner or their designee during motor threshold (MT) determination. This requires familiarity with MT procedures, including careful clinical observation and assistance with identification of rTMS-induced movement. It also requires ability to consider changes in clinical status that might impact MT and alerting the rTMS Psychiatrist/Psychiatric Nurse Practitioner. Gather medical history and other required pertinent information prior to and during rTMS therapy; administer mental health rating scales and other assessments as needed for clinic patients. Conduct, coordinate, or order various medical tests and labs according to protocol. Administer rTMS treatments under the supervision of the rTMS Psychiatrist/Psychiatric Nurse Practitioner; provide supervised daily operations of rTMS Clinic devices. Identify any significant changes prior to and during treatments. Ensure the mental health safety of patients throughout the course of their rTMS therapy until such time the patient's care returns solely to the care of their Mental Health Attending Psychiatrist. File electronic medical record treatment notes daily in CPRS, document the procedures performed under the appropriate note title following established forms filled with relevant data from the day's treatment. Demonstrate abilities to deliver basic emergency care in the rTMS Clinic, including use of the emergency button on the rTMS therapy device and implementation of facility emergency procedures. Serve as a primary contact for patients and family members throughout their evaluations and courses of treatment. Provide operational support for the rTMS Clinic, including monitoring clinic supplies, ensure quarterly reviews of available supplies, and coordinate with inventory management, and respond to voicemails and e-mails in a timely manner. Contribute to approved neuropsychology and neuromodulation research protocols and program evaluation projects. Maintain annual competencies required by the Mental Health Service in the rTMS RN education and training folder and the vendor's rTMS System training records. May include driving mobile unit to various locations to support and provide rTMS treatment throughout VAMT. 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; 7:30 AM-4:00 PM Telework: Available (NOTE: The Veterans Health Administration, including Montana VA Health Care System, will fully comply with the intention and instructions contained in the "Return to Office" Executive Order. This position will likely be eligible to telework on a limited Ad-Hoc basis only) Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized

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/13068173. Grade/Level Scope Education Nurse I, Level I Delivers fundame