This RN position supplies direct nursing support to the Mental Health Residential Rehabilitation Treatment Program (MHRRTP) at the Jonathan M. Wainwright Memorial VA Medical Center, Walla Walla, WA. The staff RN serves to assist in development, implementation and evaluation of policies, procedures, and guidelines of the MHRRTP Behavioral Health Program, and is an integral part of the Core and Expanded health care team in the RRTP and is responsible for making appropriate care decisions. Duties include, but are not limited to: Promotes excellence in customer service and attempts to resolve issues at the unit level. Receives and communicates change of shift report. Delegates nursing duties appropriate to licensure, performance standards, grade level, and experience. Completes the appropriate nursing process, following nursing standards of care for every resident in the Substance Abuse Residential Rehabilitation Treatment Program (SARRTP) and Psychosocial Residential Rehabilitation Treatment Program (PRRTP). Ensures documentation is accurate, complete, and timely. Functions as Case Manager, creating individualized plans for SARRTP and PRRTP residents, coordinating nursing care, and identifying barriers to education. Identifies and prioritizes residents' problems and needs. Continues ongoing assessments, required re-assessments, and addresses any changes. Documents when resident conditions change, their response to interventions and treatments. Sets measurable goals, objectives, and outcomes with the resident, utilizing the mental health suite. Presents residents for review at expanded team meetings. Provides resident/family education based on the identified needs and problems assessed. Completes transfers and/or discharge summaries. Validates and ensures assigned residents have advance directives. Monitors the therapeutic milieu, maintain a safe respectful environment of interaction between residents of various programs. Communicates with Primary Mental Health Provider, Medical staff, Addiction Therapists, Psychosocial Education (PSE) staff, family or significant other, and VA Police as needed to facilitate care and safety. Communicates to charge nurse or appropriate other personnel potential situations in which a resident may be a danger to self or others. Ensures direct care staff provide safe and appropriate care. Follows local policies. Maintains confidentiality regarding patients in SARRTP and PRRTP. Reviews the medical record for information from other clinical staff and to guide and direct nursing care. Serves as a resource to other clinical staff. Serves as the resident's advocate, problem solves issues at the lowest level, collaborates with charge nurse and/or care coordinator. Transcribes and verifies orders accurately and timely. Administers medications and treatments according to VHA directives and local policies. Conducts group trainings and one-to-one activities as assigned. Completes assignments and unit projects accurately and timely, utilizing excellent customer service skills, both internal and external. Reviews assessments completed by others, and obtains missing information from providers, patients and medical records. Utilizes the Behavioral Health software programs for interviewing participants. This includes determining the appropriate level of care needed for patients no in treatment and the ability to understand the variety of clinical options available through the medical center and the local community. Contacts and coordinates resident care through written correspondence and telephone calls and conducts follow-up interviews. Maintains forms, surveys, instruments, and materials for proper coordination of the different treatment modules available through the Behavioral Health Program. Provides psychoeducation and direct advice regarding symptoms of depression, Post Traumatic Stress Disorder (PTSD) and alcohol misuse of residents. This includes the development of a collaborative treatment plan for residents and the ability to communicate that plan to the resident's provider. Work Schedule: Sunday - Thursday, 11:30pm-8am (Night Shift) Financial Disclosure Report: Not required Incentives/PCS: Not authorized Benefits: Pay: Competitive salary, regular salary increases. Paid Time Off: Annual leave at the rate of eight (8) hours per biweekly pay period; Sick leave at the rate of four (4) hours per biweekly pay period; 10 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.
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.