The Registered Nurse for Outpatient Mental Health Domiciliary are a dynamic role that requires the incumbent to be flexible and able to support a dynamic and diverse environment of the rehabilitation of patients in the Domiciliary programs. This is an Open Continuous Announcement. We accept applications on an ongoing basis; qualified applicants will be considered as vacancies become available. 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. 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: BSN National certification in psychiatric nursing Minimum of 1-2 years of mental health and substance abuse experience Excellent interpersonal skills Works well with interdisciplinary team Demonstrated leadership, self-directed with rational problem-solving skills Strong communication skills written and oral Basic computer skills 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: This position requires visual acuity, keen hearing, clear distinctive speech, and manual dexterity. This position requires potentially long periods of continued walking, standing, stooping, sitting, bending, pulling, pushing, and some lifting in the direct care of patients (35 pounds). Transferring patients and objects may be required. Mechanical inpatient lifts are provided. The incumbent may be exposed to infected patients and contaminated materials and may be required to don protective clothing in isolation situations, operative or invasive procedures, or home settings. The incumbent may occasionally be exposed to patients who are combative secondary to delirium, dementia, or psychiatric disorders. The incumbent must be a mature, flexible, sensible individual capable of working effectively in stressful situations, able to shift priorities based on patient needs. Must complete annual Employee Health requirements, such as annual TB screening or testing, as a condition of employment. The incumbent who provides care in home settings or other off-site locations may be required to drive and/or ride in GSA-vehicles. ["The RN works in collaboration with the interdisciplinary team to provide mental health care for patients on the SARRTP units. The RN assists the Veteran in adapting to an altered lifestyle while providing a therapeutic environment for the veterans and their family's development. The RN designs and implements treatment strategies that are based on scientific nursing theory related to self-care and that promote physical, psychosocial, and spiritual health. Per local facility policy, the RN is responsible for maintaining Basic Life Support (BLS) certification. Major duties and responsibilities include, but are not limited to: Assume delegated responsibility for the care of a particular group of clients at the Domiciliary Assume delegated responsibility to oversee domiciliary nursing assistants Support policies and procedures of the MHRRTP, Mental Health Services (MHS), Patient Care Services (PCS), and the James A. Haley VAMC. Maintain responsibility for quality patient care; demonstrate a willingness to support change for the improvement of patient care and unit operation. Provide skilled nursing care and give guidance to clients in the management of their physical and psychosocial needs. Provide a safe, therapeutic environment that protects patient rights. Perform clinical assessment and treatment procedures identified in the clinical reminders posted in the Computerized Patient Record System (CPRS), and other assessment and treatment procedures (e.g. immunizations, injections, PPDs). Assess client's health status by gathering information and identify client's actual and potential problems; maintain ongoing assessment of client's status based on information gathered by interviewing and observation. Develop a therapeutic relationship with assigned clients to coordinate psychosocial treatment with standardized physical nursing care and guidance. Develop care plans using assessment data that integrates medical and nursing therapies including input from the client's family and other health care team members. Provide case management of assigned residents in the program. Collaborate with other healthcare team members in the delivery of healthcare services according to established standards and patient care principles. Involve the client's family and other healthcare team members in discharge planning. Organize and conduct, as appropriate, various treatment modalities such as individual and group counseling, milieu therapy, etc. Evaluate the response of the client to plan of care and nursing interventions and revise patient care to meet changing needs. Monitor client behavior to intervene when appropriate; monitor clients for critical changes and initiate appropriate emergency procedures. Demonstrate competency in performance of technical skills. Conducts medication independence reviews and safety inspections Educates patients about medications and helps to promote adherence Provides monitoring and education on Safe Medication Management Performs breathalyzers and collects urine samples Provides opioid overdose prevention information and naloxone training Conducts medication, and hazardous item inspections, and safety rounds Conducts safety drills and environment of care inspections Provide effective management of crisis in disturbed clients in emergency situations. Monitor client behavior to intervene when appropriate. Incorporate results on quality assurance programs in daily patient care activities. Promote, participate, and evaluate patient/family health education. Participate in the education and direction of nursing personnel. Educate clients in a variety of prevention, health promotion, and maintenance interventions. Assist medical providers and pharmacists with evaluating medication compliance and knowledge of the clients' prescribed medications. Conduct other group therapy and/or education sessions as assigned. Participate as a member of the interdisciplinary team in assessment, planning, providing, and evaluating care for MHRRTP clients. Maintain a valid driver's license and DOT status for driving government vehicles. 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: Shift varies, 24/7 unit Days, evenings, nights Compressed/Flexible: Available Telework: Not Available Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not Authorized Financial Disclosure Report: Not required"]
The Veterans Health Administration (VHA) is the largest integrated health care system in the United States, providing care at 1,321 health care facilities, including 172 VA Medical Centers and 1,138 outpatient sites of care of varying complexity (VHA outpatient clinics) to over 9 million Veterans enrolled in the VA health care program. At VA Long Beach Healthcare System, our health care teams are deeply experienced and guided by the needs of Veterans, their families, and caregivers. Our medical center provides primary care and specialty health services, including cardiology, mental health care, treatment for spinal cord injuries and disorders, suicide prevention, women’s health services, and more.