Registered Nurse (Transcranial Magnetic Stimulation)

<p>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 (one to five years) are determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply.</p><h3>Major Duties</h3><p>The TMS Nurse demonstrates 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/or Psychiatric Nurse Practitioner; and demonstrated competency in the TMS therapy system(s) used for clinical care. The incumbent demonstrates competencies in providing care for Veterans presenting with behavioral health disorders including depression, anxiety, schizophrenia, substance dependence, and related medical conditions. Major Duties includes but not limited too: Ensures completion of the initial screening, which consists of verifying the Veteran's identity and assessing for changes in medications, side effects, medical conditions, psychiatric conditions, and suicidal or homicidal thoughts. TMS is recommended for specific patients with depression, and a comprehensive initial assessment is conducted by the TMS Attending Provider prior to starting TMS to screen for the appropriateness of the treatment. Provides daily screenings of neuromodulation patients. This screening includes inquiries regarding changes in medication, sleep status, mood or anxiety related to neuromodulation therapy; assessing for use of substances and knowledge of medication/substance use relevant to neuromodulation therapy; and evaluating the veteran for any worn metal that needs removal. Provides pre-treatment education for all interested Veterans and potential new patients. After the TMS Attending Provider has determined that a patient is clinically appropriate, has no contraindications, would benefit from TMS therapy, and has written the order for TMS therapy in the Computerized Patient Record System (CPRS), the TMS Nurse will provide procedure instructions to the patient. Identifies patients, verifies that proper informed consent has been obtained, obtains patient consent for treatment, and documents consent in the patient record. Provides support to the TMS Clinic Attending or their designee during motor threshold (MT) determination. This requires familiarity with MT procedures, including careful clinical observation and assistance with identification of TMS-induced movement. It also requires ability to consider changes in clinical status that might impact MT and alerting the TMS Attending Provider. Gathers medical history and other required pertinent information prior to and during TMS therapy; administers mental health rating scales and other assessments as needed for clinic patients. This includes maintaining sufficient rating scale packets, administering them, collecting scores and reviewing results for immediate clinical needs (i.e., report of active suicidal or homicidal ideation with a plan), and contacting the TMS Attending Provider if this occurs. Conducts, coordinates, or orders various medical tests (such as audiometry), labs (such as urine drug screens and alcohol tests) according to protocol.. Administers TMS treatments under the supervision of the TMS Attending Provider; provides supervised daily operation of TMS Clinic devices. These operations include: starting the device; pre-setting head rest positions; placing the coil in the machine; attaching barrier protective covers as needed; observing equipment alarms during treatments; maintaining contact between the coil and patient's scalp to ensure effective treatment; correctly positioning the patient; safely assisting Veterans out of the TMS device following treatment; troubleshooting other common treatment delivery issues; and following and monitoring treatment doses as ordered, based on specific doses as prescribed by the TMS Attending Providers. Other duties assigned. 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, 8:00am--4:30pm Telework: Not Available Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not Authorized Relocation/Recruitment Incentives: Not Authorized EDRP Authorized: Former EDRP participants ineligible to apply for incentive. Contact vhaedrpprogramsupport@va.gov, the EDRP Coordinator for questions/assistance. Learn more Permanent Change of Station (PCS): Not Authorized</p><h3>Requirements</h3>U.S. Citizenship; non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. All applicants tentatively selected for VA employment in a testing designated position are subject to urinalysis to screen for illegal drug use prior to appointment. Applicants who refuse to be tested will be denied employment with VA. Selective Service Registration is required for males born after 12/31/1959. Subject to background/security investigation. Selected applicants will be required to complete an online onboarding process. Acceptable form(s) of identification will be required to complete pre-employment requirements (https://www.uscis.gov/i-9-central/form-i-9-acceptable-documents). Effective May 7, 2025, driver's licenses or state-issued identification cards that are not REAL ID compliant cannot be utilized as an acceptable form of identification for employment. Must pass pre-employment physical examination. Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP). You may be required to serve a probationary period. Complete all application requirements detailed in the "Required Documents" section of this announcement.