Registered Nurse (repetitive Transcranial Magnetic Stimulation) Outpatient
Veterans Affairs, Veterans Health Administration
Location: Miami, Florida
Internal Number: 616872100
The Bruce W Carter Department of Veterans Affairs Medical Center is looking for a Registered Nurse to work in Mental Health to perform repetitive Transcranial Magnetic Stimulation (rTMS) therapy in the mental health setting. Registered Nurses performing rTMS for the treatment of mental health disorders shall do so under the supervision of an appropriately trained and licensed psychiatrist. The Registered Nurse provides care and counseling of persons or in the promotion and maintenance of health and prevention of illness and injury based upon the nursing process which includes systematic data gathering, assessment, appropriate nursing judgment, and evaluation of human responses to actual or potential health problems through such services as case finding, health teaching, health counseling; provision of care supportive to or restorative of life and well-being; and executing medical regimens including administering medications and treatments prescribed by a licensed or otherwise legally authorized provider. The nurse's primary commitment is to the patient, whether an individual, family, group, or community. The Registered Nurse demonstrates leadership in delivering and improving holistic care through collaborative strategies with others. S/he demonstrates proficiency in decision-making and using the nursing process for complex situations that affects performance outcomes at the point of care. The RN utilizes nursing skills and knowledge in an independent manner in areas of patient assessment and planning. The RN collaborates with the interdisciplinary health care team, community agencies/facilities, and patient/families/significant others to ensure continuity of care across all levels of care as well as ensuring timely placement of VA patients into the appropriate level of care. Practice is enhanced through development of collegial relationships. S/he demonstrates collaboration by using the group process to solve problems. The focus is on leadership in strategically planning long-term goals for the microsystem (unit, team, or workgroup) that impacts operations or resources. rTMS therapy is an outpatient 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. A comprehensive initial assessment is conducted by the attending psychiatrist prior to starting rTMS to screen for the appropriateness of the treatment. The nurse's initial role is to identify any significant changes prior to treatment. Other duties include, but are not limited to: Complete applicable paperwork with the patient. Explain procedures and answer questions. Be cognizant of changes and notify physicians when warranted. Prepare equipment. Ensure patient, and all other people present in the rTMS room wear applicable protection. Place equipment based on the physician determinations and administer treatment. Maintain direct visual contact with the patient during the entire treatment. Observe rTMS monitor and patient as applicable throughout the treatment. Applies the nursing process to systems or processes at the unit/team/work group level to improve care. Demonstrates leadership by involving others in improving care. Supports and enhances patient self-determination. Serves as a resource for patients and staff in addressing ethical issues. Identifies and assesses resource utilization and safety issues, taking appropriate actions Acquires knowledge and skills to maintain expertise in area of practice. Participates in educational activities to improve clinical knowledge and enhance role performance. Evaluates practice of self and others using professional standards, relevant statutes, and regulations. Takes action to improve performance. Uses group process to identify, analyze, and resolve care problems. Educates colleagues and/or students and serves as a preceptor or mentor. Initiates/participates in quality improvement activities that result in approved outcomes. Uses body of research to validate and/or change workgroup practices. Work Schedule: Monday- Friday; 7:30am- 4:00pm, no weekends or holidays, flexibility and floating may be required to ensure proper operations of the facility. Telework: Not Available Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized Financial Disclosure Report: Not required
Providing Health Care for Veterans: The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,255 health care facilities, including 170 medical centers and 1,074 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.