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Registered Nurse (Transcranial Magnetic Stimulation)

Posted Sep 17

Unit and setting
Psych · Long Term Care
License
RN license The Registered Nurse (RN) must be able to perform all activities of the position without restriction.The Registered Nurse (RN) must be able to perform all activities of the position without restriction.
Term
Permanent

Do you qualify?

New grads
Welcomed
License
The Registered Nurse (RN) must be able to perform all activities of the position without restriction.
Also asks
It requires repositioning patients and assisting with transferring patients to wheelchairs/stretchers.
Also asks
Mechanical devices when available are required to be used for heavy or difficult to lift patients.
Also asks
The position requires visual and auditory acuity at a level to provide safe and effective nursing care.
Also asks
The position requires the nurse to work for periods of time with arms above shoulder level or with the neck in a fully flexed or extended position and the ability to physically control or protect him/herself from physically abusive patients.
Also asks
The RN may be exposed to infected patients and contaminated materials and may be required to don protective clothing in isolation situations, operative/invasive procedures.
Also asks
The RN must be mature, flexible, sensible…
Also asks
This position involves considerable standing, walking, stooping, bending, reaching, lifting and turning.
Also asks
The work may involve pushing or lifting in excess of 50 pounds and going up and down flights of stairs.
Also asks
The RN may occasionally be exposed to patients who are combative secondary to delirium, dementia, or psychiatric disorders.

What it pays

Benefits

  • 401k/Retirement
  • PTO

The workplace

Veterans Health Administration
Health system employer
Nationally the VA describes itself as the largest U.S. nurse employer, with more than 120,000 RNs, APNs, LPNs, and nursing assistants. The VA has said it is on pace to reduce staff by nearly 30,000 by the end of FY2025…
Veterans Health Administration, in its own words

Worth asking

  • Can you walk me through differentials?
  • What should I expect for shifts, weekly hours, weekend, holiday, call, and rotation?
More questions to ask
  • What orientation, preceptor time, and ongoing unit support are included?
  • How are patient load, floating, and staffing support handled day to day?
Build questions for this role

Your fit

On your path

Psychiatric is open from year one. Behavioral health spans inpatient, emergency, and community settings.

About this role

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.

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.

Read the rest of this section

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)

The posting’s own wording (3)

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

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 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 https://www.va.gov/ohrm/QualificationStandards/.

Physical

Requirements

The Registered Nurse (RN) must be able to perform all activities of the position without restriction. This position involves considerable standing, walking, stooping, bending, reaching, lifting and turning. It requires repositioning patients and assisting with transferring patients to wheelchairs/stretchers.

Mechanical devices when available are required to be used for heavy or difficult to lift patients. The work may involve pushing or lifting in excess of 50 pounds and going up and down flights of stairs. The position requires visual and auditory acuity at a level to provide safe and effective nursing care.

The position requires the nurse to work for periods of time with arms above shoulder level or with the neck in a fully flexed or extended position and the ability to physically control or protect him/herself from physically abusive patients. The RN may be exposed to infected patients and contaminated materials and may be required to don protective clothing in isolation situations, operative/invasive procedures. The RN may occasionally be exposed to patients who are combative secondary to delirium, dementia, or psychiatric disorders.

The RN must be mature, flexible, sensible…

Sourced from Veterans Health Administration’s careers page.

What's around it?

In Billings, MT

Billings, MTFrom Census ACS 2024.

Living costs about 7% below the US average

Median rent
$1,138/mo
Household income
$73,712/yr, all local households, not nurse pay

See Billings, MT

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