The incumbent will serve as a member of Patient Business Services as a Nursing Assistant on the rotating, day, evening and/or night tour. Incumbent gives direct patient care to patients who may require medical and/or psychiatric nursing care under the indirect supervision of the registered nurse. -Knowledgeable about patients' plans of care and follows them -Understands call light system, using phones and lights -Receives and utilizes the Patient Care Assignment for their respective areas -Uses written documentation worksheet to record observations / findings to report to supervision -Starts assignments promptly and works steadily in an organized manner -Performs or assists the patient to complete activities of Daily Living -Makes rounds at beginning and end of shift (as needed during shift) -Obtains vital signs: temperature, pulse, respiration, blood pressure, weights, and pain level -Documents care given and observations -Checks patients at a minimum of every two hours or more frequently as appropriate -Repositions bedfast or wheelchair/Geri chair dependent patients every two hours -Keeps bedside and all nursing areas clean -Makes beds (occupied and unoccupied) -Verbally reports observations / findings to the registered nurse / team leader -Reports to charge nurse / team leader and caregiver who are covering their patients when leaving the patient care area -Performs gastrostomy and nasogastric tube feedings -Provides pouching of stomas/ostomy care -Provides urinary catheter care -Applies external urinary catheter/attends -Measures and records intake and output of patient -Applies heat and cold treatments as prescribed and assigned -Applies and removes simple non-sterile dressings -Performs simple sterile dressing changes, i.e. saline wet to dry -Completes tracheostomy care of established tracheotomies, including suctioning -Performs oral and nasopharyngeal suctioning -Uses appropriate equipment to provide care as directed -Obtains Accu-checks and reports results to nurse assigned to patient -Competently performs unit specific patient care functions -Provides comfort pain management with RN direction -Provides simple treatment modalities for skin care problems, such as heel protectors, positioning devices -Observes and reports patients' response to plan of care -Applies braces, splints, prostheses, slings, elastic stockings, and binders -Assists patients with range of motion exercise -Performs routine care for artificial eyes, limbs, and hearing aids -Sets up portable oxygen tanks -Instructs patients in specimen collection techniques and obtains specimens from Foley catheters following prescribed procedures -Participates in patient-family teaching programs -Under the direction of professional staff, assists in the application and maintenance of appropriate protective devices -Participates in planned, goal-directed groups -Recognizes signs which indicate patient is losing control and takes immediate appropriate action to prevent injury to patients or staff while adhering to prescribed safety measures -Assists in the care of the hyperactive, assaultive, suicidal, or depressed patient by adhering to specific safety measures and using prescribed procedures -Enters pertinent information in the medical record about changes in the patient's condition by following prescribed documentation procedures -Accepts deviant behavior without becoming upset and assists patient to develop more acceptable behavior patterns -Transports patients throughout the Medical Center -Obtains and labels specimens and transports them to the appropriate laboratories -Recognizes a cardiac or respiratory arrest and initiates CPR protocol -Follows infection control policies, blood borne pathogen standards, and utilizes universal precautions while providing care -Provides support to patients by allowing them time to discuss their concerns -Assists in reality orientation, re-motivation, and sensory stimulation programs -Reinforces patient teaching or rehabilitation measures initiated by the nurse / interdisciplinary team -Participates in the milieu promoting patient family interactions, patient-patient interactions and encouraging patient and significant other to participate in the treatment plan -Recognizes patient's strengths and the influence of his environment on his progress and utilizes this knowledge to help set realistic goals for the patient -Makes decisions and displays judgment which positively affects the patients, their attitude, and the attitudes of the families toward the institution -Listens and talks to patients using effective communication skills. Uses positive measures to calm disturbed patients in order to avoid the use of restraints -Provides postmortem care -Participates in mandatory and other in-services, unit conferences, and other self-development activities -Completes other duties as assigned. Work Schedule: Monday through Friday 8:00 a.m. to 4:30 p.m. Telework: Not Available Virtual: This is not a virtual position. Position Title/Functional Statement #:Nursing Assistant/PD91344A Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized
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.