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The U.S. Department of Veterans Affairs is looking for Nursing Assistants to provide essential patient care, focusing on safety and comfort. Responsibilities include monitoring vital signs, assisting with daily activities, and documenting care in a supportive environment that promotes Veterans' health.
The nursing assistant duties, including acute and close observation, taking, and documenting vital signs, collecting lab specimens, phlebotomy, passing, and tracking and documenting intake and output, assisting with transporting of Veterans/residents, and duties as assigned by the Supervisor or designee. The position requires the ability to work alternate schedules during evenings, nights, weekends, holidays, and may alternate schedules to ensure adequate coverage of support functions.
Duties
SCOPE OF WORK:
Personal Patient Care Performs a wide variety of nursing duties aimed at increasing the safety, comfort, and spirit of the Veteran/resident while following established policy and procedures. Provide acute and close observation of Veterans/residents with medical or mental health conditions requiring such observation. This includes intervening to prevent an act of self or other harm by Veterans/residents, assisting with prevention and management of disruptive behaviors, and reporting to the charge nurse any deviation from baseline behavior or condition. The incumbent refers issues/questions to supervisors, higher graded NAs, or other healthcare professionals for complex Veteran/resident situations including subtle changes in Veteran/resident behavior or condition or variances related to neurological signs, vital signs, and other parameters. The incumbent records intake and output, vital signs, percent ingestion of meals, and other activities of daily living and documents appropriately. Incumbent documents in Veterans/residents Electronic Health Record (EHR) a daily outline or summary of the Veteran/resident care using the approved format, including SBAR hand-off and verbally reports findings to higher graded NAs or charge nurse. Incumbent assists Veteran/resident with transfers from bed to chair, chair to bed, or bed to bedside commode using proper body mechanics and safe patient handling and mobility devices to ensure safety to self and Veteran/resident. Incumbent provides 1:1 observation for suicidal, wander risk, or high fall risk Veterans/residents as directed by the Supervisor or Charge Nurse. Provides and removes Veteran/resident meal trays as appropriate, remaining cognizant of Veterans/residents with special diets or those who are ordered to not receive anything by mouth. Incumbent assists Veterans/residents with activities of daily living to include oral hygiene, bathing, toileting, feeding, dressing, ambulating, passive or active range of motion, and other activities to promote independence and autonomy. Other examples include bowel and bladder care and positioning for comfort. Incumbent engages in meaningful activity opportunities with Veteran/resident on an individual or group basis. Incumbent performs intentional rounding according to practice, ensuring evaluation of need for Potty, Positioning, Pain, Periphery and Parting. May provide escort services to Veteran/resident in the absence of an escort. This includes escorting to other units, diagnostic test areas, other healthcare facilities, and to privately owned vehicles when discharged. Monitors environment of care and initiates corrective actions to prevent injury, reporting problem and resolution to Supervisor.
The work environment involves high risk of regular and recurring exposure to potentially dangerous situations such as infectious diseases, demented and suicidal/homicidal Veterans/residents, and construction with associated risks. There are regular and recurring situations where physical attack by Veterans/residents requires safety training, specifically prevention and management of disruptive behavior. Routine redirection, intervention, and mitigation of behaviors from Veterans/residents may be required.
Assists with Technical Nursing Treatments The incumbent assists providers and nurses in the care and treatment of the acutely and chronically ill Veterans/residents receiving medical, surgical, psychiatric, rehabilitative, palliative, hospice, or emergent treatment. Observes and reports to the Supervisor or Charge Nurse changes in Veteran/resident behavior, attitude, bodily complaints, and appearance. Incumbent may provide nursing care to Veterans/residents experiencing extreme behaviors, including the severely depressed, suicidal, or homicidal Veteran/resident, and the drug or alcohol abuse Veteran/resident. Recognizes emergency situations and intervenes while awaiting assistance including implementation of basic life support. Incumbent provides nursing treatment for acutely ill Veterans/residents whose needs require advanced skill such as placing patient on cardiac monitor, taking EKGs, and performing basic life support.
Work Schedule: Variable Shifts0600-1430,1400-2230,2200-0630
Telework: Not available
Virtual: This is not a virtual position.
Functional Statement #: 000000
Relocation/Recruitment Incentives: Not Authorized
Permanent Change of Station (PCS): Not Authorized