TRD Registered Nurse - Outpatient Behavioral Health

Summary

This position is eligible for the Education Debt Reduction Program (EDRP) - a student loan payment reimbursement program. You must meet specific eligibility requirements per VHA policy and submit your EDRP application within four months of appointment. Program Approval - award amount (up to $200 -000) & eligibility period (1 - 5 years) are determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply.

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:
• 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
• Reference: For more information on this qualification standard - please visit
• Physical Requirements: Heavy lifting up to (35 pounds)
• heavy carrying up to (35 pounds)
• straight pulling (2-4 hours)
• pushing (2-4 hours)
• reaching above shoulders (1-2 hours)
• use of fingers
• both hands required
• walking (4-6 hours)
• standing (4-6 hours)
• repeated bending (2-4 hours)
• both legs required
• ability for rapid mental and muscular coordination simultaneously
• near vision correctable at 13" to 16" to Jaeger 1 to 4
• far vision correctable in one eye to 20/20 and 20/40 in the other
• both eyes required
• ability to distinguish basic colors and shades of color
• hearing (aids permitted)
• mental and emotional stability.

Duties

• The Treatment Resistant Depression RN is an integral part of the neuromodulation team and located at University Drive
• This position's clinical TRD practice is overseen by the Section Chief and Outpatient Nurse Manager to ensure competent practice
• The TRD RN demonstrates the experience - skills - knowledge - and ability to safely monitor and manage Veterans receiving any of the various modalities of treatment offered at VA Pittsburgh such as intranasal Esketamine - IV Ketamine and rTMS etc
• Major duties and responsibilities of the position include but are not limited to the following: Registered Nurses (RN) assisting with Esketamine/Ketamine treatments for mental health disorders shall do so under the supervision of an appropriately trained and licensed healthcare provider
• The Registered Nurse will meet the following practice requirements: previous psychiatric-mental health experience
• certificate of Esketamine/Ketamine specialized training or documentation of completion of a preceptorship with a fully privileged Esketamine/Ketamine and licensed healthcare provider and demonstrated competency in Esketamine/Ketamine treatment used for clinical care
• TMS therapy is a treatment administering alternating magnetic fields through the scalp to induce small electrical currents in the brain
• It is primarily used for the treatment of adult patients diagnosed with major depressive disorder
• The primary responsibility of the Clinical TMS Nurse Treater is to provide transcranial magnetic stimulation (TMS) treatment and coordination of the mental health patient's care during therapy
• This position is essential to Mental Health Services at the VA Pittsburgh Health Care - University Drive Behavioral Health Outpatient Clinic and all activities of the Clinical TMS Nurse Treater are dedicated to patients with mental health problems and the mental health care team
• Nurses performing TMS for the treatment of mental health disorders shall do so under the supervision of an appropriately trained and licensed psychiatrist
• The TMS treater will meet the following practice requirements: previous psychiatric-mental health experience
• certificate of TMS specialized training or documentation of completion of a preceptorship with a fully privileged TMS psychiatrist
• and demonstrated competency in the TMS therapy system(s) used for clinical care
• Outpatient Behavioral Health cares for patients with a variety of mental health issues including but not limited to thought - mood - PTSD - self-harm and addiction
• Practicing within the recovery model the outpatient Registered Nurse provides supportive care to veterans at various stages of their mental illness
• The RN provides initial and ongoing assessments for a panel of veterans requiring case management
• The outpatient Behavioral Health Registered Nurse will function in a patient centered program and must have the ability to establish effective communication with patients - family members and the interdisciplinary team
• The Registered Nurse must be able to identify problems and use sound judgement to prioritize patient care needs
• The Registered Nurse assist to coordinate patient care between primary care clinics - mental health specialty clinics - the emergency room
• The Registered Nurse will be able to recognize deviations from baseline assessment and initiate corrective actions
• The nurse executes position responsibilities that demonstrates leadership - experience - and creative approaches to management of complex patient care
• The Behavioral Health Outpatient Clinics provide a wide range of services Monday through Friday
• 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 Preferred Experience: Two years of experience in mental health
• One year of medical experience
• Current ACLS certification
• Work Schedule: 7:30 a.m
• to 4:00 p.m
• Compressed/Flexible: Not Authorized
• Telework: Not Authorized
• Virtual: This is not a virtual position
• Relocation/Recruitment Incentives: Not Authorized EDRP Authorized: Former EDRP participants ineligible to apply for incentive
• Contact View email address on careers.biausa.org - the EDRP Coordinator for questions/assistance
• Learn more Permanent Change of Station (PCS): Not Authorized

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. VHA Medical Centers provide a wide range of services including traditional hospital-based services such as surgery, critical care, mental health, orthopedics, pharmacy, radiology and physical therapy. In addition, most of our medical centers offer additional medical and surgical specialty services including audiology & speech pathology, dermatology, dental, geriatrics, neurology, oncology, podiatry, prosthetics, urology, and vision care. Some medical centers also offer advanced services such as organ transplants and plastic surgery.