It’s been a tough year, particularly for those on the frontlines of health care. At VA, we encourage you to make your mental health a priority, just as we do for the Veterans in our care.
Federal workplaces like VA have always fully supported employees in caring for their mental wellness, and that has taken on greater importance during these challenging times.
“There are things we did to cope in the past. Remember those things and do [them]. Be hopeful. We’re going to get through this,” said Dr. Ken Jones, chief of psychology service at the Southeast Veterans Health Care System.
Providers in this health system are being evaluated on the Perceived Stress Scale, a widely used psychological tool for measuring the perception of stress. VA staff also can enroll in a six-session stress management course.
We also encourage employees to take advantage of wellness resources already in place, like employee exercise programs, yoga and tai chi. You can contact VA’s confidential Employee Assistance Program (EAP) to help you manage stress and anxiety, and the Federal Employees Health Benefits Program also offers generous mental health coverage and can help connect you with a counselor or psychiatrist.
You can’t care for others if you don’t care for yourself first. As the American Medical Association reminds us, it’s like an airline asking you to put on your own oxygen mask before helping others in an in-flight emergency. Here are some tips to consider:
- Develop and use coping strategies. Make sure you take time between shifts to focus on yourself. Use coping strategies that have worked for you before to manage stress, advises the World Health Organization. Get enough rest, exercise, eat well and practice deep breathing, Dr. Jones recommended. The VHA National Center for Organization Development recommends trying to take breaks from stressful situations if you can. Headspace, a meditation and mindfulness app, is offering free subscriptions to any U.S. health care professional with a National Provider Identifier through the end of 2020. VA also offers flexible work schedules and telework when possible to allow you time to recover and recharge.
- Talk to someone. Find a friend, family member or colleague to confide in. Even though we can’t always be together right now, there are many virtual ways to stay in touch with loved ones. Consider phone, email, text messaging and video calls, wrote Patricia Watson, a Navy Veteran and psychologist at VA’s National Center for PTSD. If you find yourself feeling sad, hopeless or unable to sleep, talk to a professional.
- Take breaks from news and social media. It seems like the bad news just keeps coming in the age of social media and the 24-hour news cycle. While technology helps keep us connected when we can’t physically be together — and even has allowed us to continue to provide health care from a distance — it’s also a good idea to put down your phone or computer and take a break.
- Remember the importance of your mission. Caring for the brave men and women who have served our nation is a noble calling, and it takes on even greater significance during challenging times. Remember that what you do makes a difference in the lives of many people and that the nation is grateful to you for your continued hard work and dedication.
If you or someone you know is having thoughts of suicide, call the National Suicide Prevention Lifeline toll-free at 800-273-TALK (8255). You will be connected to a trained crisis worker immediately.
Work at VA
We’ll make sure you feel supported as you help carry out the noble mission of caring for the nation’s Veterans.
There’s no doubt about it — VA will set an agency record for telehealth care in 2020.
Veterans attend about 25,000 telehealth video appointments each day, a 1,000% increase from 2019. VA already surpassed last year’s number of telehealth encounters by 7 million.
Because VA already had robust telehealth infrastructure in place — with nearly two-thirds of primary care and mental health providers having already used VA Video Connect to see patients — providers quickly ramped up telehealth capabilities to meet increased demand.
Making Care Connections
Telehealth can benefit Veterans, particularly those who find it difficult to travel or the one in four who live in rural areas far from care centers.
“VA is committed to offering Veterans the health care they deserve, whenever and wherever they need it,” said VA Secretary Robert Wilkie in November 2019.
Thanks to telehealth, VA providers have been able to make a difference in the lives of patients like Daryll Martin, a Veteran with high blood pressure who is unable to drive or use public transportation due to a history of narcolepsy.
Telehealth care coordinator Jasmine Pace monitored Martin’s blood pressure remotely. She then sent nurses to his home to evaluate him and help sort his medications.
“They went through every single one of his pills and as soon as he started to take his medicines his numbers came down immediately,” Pace said.
“As far as I’m concerned, telehealth saved my life,” Martin said. “Telehealth stepped up. I’m very fortunate, and very grateful for them.”
Veteran patients have been relieved to be able to maintain continuity of care and most have not had trouble adjusting to the new technology, according to Kimberly Braswell, a nurse practitioner in the cardiology unit at the James A. Haley Veterans’ Hospital in Tampa, Florida. Her oldest patient using telehealth is 99 years old.
“You can see the Veterans’ relief and happiness,” she said. “They can connect to their providers and have their issues addressed without interrupting their care. It’s one thing to talk over the phone, but making that face-to-face connection and being able to see their provider on video increases Veterans’ level of confidence with their care.”
Be an Innovator
VA is always looking for ways to improve care for the nation’s Veterans, whether it’s expanding telehealth, researching a new treatment or just streamlining a process. VA encourages employees to be key players in a culture of innovation.
In addition to a supportive work environment and a rewarding mission of serving heroes, employees enjoy competitive pay and unbeatable benefits. These include 36-49 days of paid time off per year. There’s also access to a range of premium-paid health insurance plans and robust retirement plans.
Other perks that come with choosing a VA career include:
- Flexible work schedules and shifts.
- Diversity and inclusion policies and programs.
- Leadership development and mentoring programs.
- Career training and enhancement opportunities.
- A smoke/drug-free workplace.
- On-site child care centers at select facilities and child care subsidies.
Work at VA
Consider joining an organization that’s committed to high-quality care through innovation.
Jessica Crabtree knew she wanted to do work that mattered. The first step was going back to school to pursue a nursing degree at age 28. The next step was a little more up in the air.
Then, as she entered her fourth semester of nursing school, she was intrigued by the VA Learning Opportunities Residency (VALOR) program.
“The more I learned about VA hospitals and the men and women who sought VA hospital health care, the more humbled I was by these extraordinary people,” said Crabtree, now a registered nurse in a VA inpatient psychiatry unit.
Through VALOR, Crabtree was able to secure a residency at the Nashville VA Medical Center. Having resigned from a full-time job with benefits to go back to school, a paid residency and the benefits that would come with a full-time VA position were very appealing to her.
It didn’t take long for her to realize working with Veterans was her future.
“I felt the decision to do everything I could to make the lives of these amazing men and women better was not a choice. It was without a doubt what I intended to do next,” Crabtree said.
“The patient population was the single most appealing aspect of choosing a career at VA. Veterans are a tough and silent group who often do not ask for help until very late,” she added.
When her residency was done, Crabtree segued seamlessly into a full-time position on the same floor.
“I did not have new-hire anxiety,” she said. “This is a huge advantage of the VALOR program versus being hired as a new nurse from the outside.”
This continuity also enhanced the training she received in nursing school, allowing her to understand how a psychiatric inpatient unit operates even before beginning her full-time job.
Because mental health ailments are invisible, patients can be more challenging to treat than traditional medical patients, Crabtree said. During her VALOR residency, she was able to develop skills that you can’t learn in a classroom but that are essential to treating this patient population — including refined intuition, reading of nonverbal language, anticipation of needs, risk aversion and excellent interpersonal skills.
“This experience was invaluable learning for me. I recommend similar training to any new nurse,” Crabtree said.
On a typical day, Crabtree maintains the therapeutic environment for inpatients, evaluates medication and treatment. She also collaborates with the treatment team for precision delivery of complex care. She serves as a first-line patient advocate for Veterans with psychiatric and comorbid medical conditions.
As a bonus, caring for Veterans also helped her better understand her own father, a Vietnam Veteran.
In addition to her positive experience with the VALOR program, Crabtree also has enjoyed the benefits, job security, student loan assistance, and career advancement and continuing education opportunities that come with a VA career. Another perk is the ability to work anywhere in the country in any clinical setting.
But the most rewarding benefit?
“Knowing that I am doing real work that matters and contributes directly to an improvement in someone’s quality of life,” Crabtree said.
Work at VA
If you’re also inspired to make a difference in the lives of Veterans, consider a nursing career at VA.
To learn more about a nursing career in the VA, click here.
Lt. Col. Joseph Henry Ward, M.D., Dr. John A. Kenney and his son, Dr. Howard W. Kenney, are not exactly household names.
But these VA trailblazers deserve to be remembered for the great strides they made toward equality in health care leading up to and during the Civil Rights Movement.
Since these beginnings, VA has continued its commitment to hiring a diverse workforce. To be able to truly serve our Veterans, VA must cultivate an inclusive and welcoming environment for employees from all backgrounds.
“We are all on the same team, and diversity makes us all better,” said Darren Sherrard, associate director of recruitment marketing at VA.
Fighting for Equal Care
In 1924, Ward became VA’s first African American hospital director at the nation’s only segregated Veteran hospital in Alabama. He served there until his retirement in 1936. A World War I Veteran, Ward lived long enough to see the end of racial segregation in VA hospitals in 1954.
John Kenney was one of the hospital’s first physicians. He fought to have it staffed with African American medical professionals. Later forced to move to New Jersey due to threats to his life and family, Kenney went on to use his own money to build a hospital for African American patients.
But his son, Howard, would return to Alabama and continue his father’s legacy. He served as medical director at the same VA hospital where his father worked. Later, he became the first African American to integrate a formerly all-white VA hospital and VA’s first African American regional director.
VA celebrates these heroes who not only served other American heroes at VA but worked to break down barriers.
Continuing a Culture of Community
VA embraces inclusion and empowers employees to perform to their highest potential. Maintaining this culture of support and community allows employees to feel appreciated and respected. Only then can they provide exceptional care for the nation’s Veterans.
“There is strength in diversity,” said Cathy Mattox, a VA utilization management review registered nurse. “Every nurse brings something to the table; each one of their skillsets and individual experiences are valuable.”
Through VA’s Office of Resolution Management, Diversity and Inclusion, several special-emphasis programs focus on recruiting specific populations, including black/African American, Hispanic, LGBT and individuals with disabilities. The Diversity and Inclusion in VA Council, an independent, executive-level body, advises the VA Secretary about issues related to diversity and inclusion.
Work at VA
If you’re interested in being part of a diverse organization that gives back to America’s Veterans, consider joining our team.
Nurse of the Week Ben Busey is no stranger to crises. In addition to working as an Urgent Care Nurse Manager at the Roseburg VA Medical Center in Oregon, Busey is also a part of the VA’s Disaster Emergency Medical Personnel System (DEMPS), which deployed him in Puerto Rico after Hurricane Maria struck. So, he was ready to serve when COVID-19 started to spread in beleaguered New Orleans.
The 34-year-old Busey spent two weeks at the VA in New Orleans at the height of the pandemic, and says, “The first day I walked in there, two people died within the first two hours of me arriving. They had just run out of body bags, the ICU.” In addition to coping with the strained hospital resources, like most frontline nurses he did all he could to maintain connections between isolated patients and their loved ones: “I would end up calling them in the middle of the night to give them updates on a small improvement on my patient, just because I knew that they couldn’t see their family member and they weren’t allowed to be on the unit with them, and they were probably just worrying all the time about how their family member was doing.”
Warned of the PPE shortage in advance, he packed N95 masks for his trip, and used his small supply sparingly, often wearing the same mask for as many as five shifts in a row. Upon his arrival, he quickly learned that it is unwise to make assumptions merely because your age and health place you in a fairly low-risk group. As Busey recalls, “The person who oriented me for a couple of hours that first day when I arrived, he had just come back from being ill with COVID and he was 31. The way he described it, he said every day he sat in his room and he wondered am I dying, because he felt so sick and short of breath…” Fortunately, Busey himself returned unscathed; his test results after his return to Oregon proved negative.
Busey worked night shifts, and provided strong, capable support during his two weeks in New Orleans. When he came back to the Roseburg VA Medical Center, the Center presented him with official recognition for his work during the crisis.
For more on Dan Busey’s experience in New Orleans, visit here.
The George Washington University School of Nursing has just received the largest philanthropic gift in the school’s history. Through the William and Joanne Conway Transitioning Warriors Nursing Scholars Initiative, $2.5 million in financial aid is being made available to help eligible military veterans working toward a BSN degree. The gift is expected to support more than 65 students over the next five years.
Donors William Conway, co-founder of The Carlyle Group, and his wife Joanne are long-time supporters of nursing education. School of Nursing Dean Pamela Jeffries commented, “The Conways’ commitment to our military veterans is unwavering, and so is ours at the GW School of Nursing. As we celebrate our 10th anniversary, it’s gifts like these that enable us to grow our veteran student population and provide the resources they need to succeed.”
The aid program will be welcomed by veterans. Despite the assistance available through military benefits such as the GI Bill, many vets still find it a challenge to support themselves and their families when they re-enter the civilian world and attempt to pursue a degree. The Conways are happy to offer a helping hand. “The Transitioning Warriors Nursing Scholars Initiative is designed to reward the brave men and women of our armed forces who seek to continue their service to our country as civilian nurses,” Mr. Conway stated. GWU President Thomas LeBlanc responded, “We are grateful to the Conways for enabling this investment when our nation’s nursing workforce and veterans need it most.”
Founded 10 years ago, the George Washington University School of Nursing is currently the sixth ranked school in the US News and World Report assessment of online graduate nursing programs. The gift was presented in May, while the school was celebrating its 10th anniversary.
For further details on this story, visit GWToday at the University website.