Inpatient Mental Health-Registered Nurse

The Mental Health (MH) Inpatient Psychiatric Unit Registered Nurse (RN) assumes responsibility for the coordination of care focused on patient education, self-management, and customer satisfaction throughout the continuum of care.

Duties of the position include, but are not limited to: Responsible and accountable for all elements of the nursing process when providing and/or supervising direct patient care. Administer medications and procedures per established policies and guidelines. Influence care outcomes by collaborating with members of the interdisciplinary team.

Knowledge and active participation in the unit/program level quality improvement process and initiatives as well as customer service programs.

Provide and lead the provision of competent, evidence-based care Provide patient-centered and recovery-oriented care, milieu management, and maintain self-awareness while caring for patients living with MH conditions. Facilitate shift reports, warm hand-offs, and nurse-led psychoeducational groups.

Use therapeutic communication techniques, practice de-escalation techniques, and utilize recovery-oriented language.

Participate in MH interdisciplinary treatment team, MH Environment of Care rounds, assume team lead for psychiatric emergencies, report and assist in resolving safety concerns, and document nursing assessments, nursing plan of care, and patient safety observations.

Maintain professional boundaries to protect patient vulnerabilities and act in the best interest of the patient. Oversight of licensed vocational nurses/nursing assistants, as appropriate to the setting.

Assist in directing the provision of nursing education, orientation, competencies and providing quality improvement and outcomes utilization consultation. Provide peers with informal constructive feedback for improvement. Foster a safe and supportive environment conducive to the professional development of healthcare professionals.

Contribute professional nursing perspective in discussions with the MH interdisciplinary team. Support colleagues through MH knowledge sharing to provide safe, quality nursing care. Share MH educational findings, experiences, and ideas with peers. Participate in activities and strategies to sustain evidence-based MH practice.

Other duties as 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: Full Time, 24/7 Coverage to include days, nights, weekends, holidays, and overtime.

The schedule is dependent on facility needs and could rotate or shift to ensure coverage.

Night Shift: RN's receive an extra 10% of basic hourly rate, providing 4 hours or more of your regularly scheduled shift fall within the night window (between the hours of 6:00pm and 6:00am) Weekends: RN's receive an extra 25% of basic hourly rate, between Midnight on Friday through Midnight Sunday.

Holidays: Basic pay rate plus additional holiday pay equal to basic pay for each hour worked (double time) on a legal holiday/scheduled holiday or paid day off (depending on schedule). Compressed/Flexible: Available Telework: Not Available. Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not Authorized.

EDRP Authorized: Education Debt Reduction Program (EDRP) Authorized: This position is eligible for EDRP, a student loan payment reimbursement program. You must meet specific individual eligibility requirements in accordance with VHA policy and submit your EDRP application within four months of your start date.

Program approval, award amount (up to $200,000) and eligibility period (one to five years) are determined by the VHA Education Loan Repayment Services program office after complete review of the EDRP application. Former participants are ineligible to apply for the EDRP incentive. Contact VHA.ELRSProgramSupport@va.gov for questions or assistance.

Learn more Permanent Change of Station (PCS): Not available.

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/13056409.

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.

Preferred Experience: Three years direct patient care. Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/. Physical Requirements: The employee 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 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.

May be exposed to infected patients and contaminated materials and may be required to don protective clothing in isolation situations, operative/invasive procedures. May occasionally be exposed to patients who are combative secondary to delirium, dementia, or psychiatric disorders.

Must be mature, flexible, sensible individual capable of working effectively in stressful situations, able to shift priorities, based on patient needs.