The VA Sierra Nevada Health Care System (VASNHCS) Nursing Assistant communicates with and observes patients during escorting procedures and ensures patient safety. Provides nursing care to chronically and/or acutely ill patients under the minimal direction of the Registered Nurse, Nurse Practitioner, and/or the physician. Duties and Support Inpatient * Collecting Specimens: sputum, urine (routine & sterile), feces, and others as directed by team lead for storage and delivery to lab according to unit standard. * Notify nurse of change in patient's condition and/or hazardous environments; including VS, physical or behavioral S&S, psychosocial, supply and/or equipment issues. * Under the guidance of the nurse or provider, prepares and positions the patient and arranges and passes medical supplies and materials to the providers or nurses for a variety of diagnostic tests. * Activities of Daily Living: bathing, feeding, oral care, hair care and other personal hygiene duties and range of motion activities. * Applies ointments, creams, shampoos, solutions, etc. per facility policy. * Sets up meals, documents consumption, and reports changes in appetite. Able to count calories. * Assists with bladder and bowel care, documents output, and reinforces patient education. * Turning patients as ordered. * Transfers and Lifts: Mobility of patients safely. Use of lift/transfer equipment and good body mechanics per safe patient handling. * Applies and removes compression, antiembolitic stockings (TEDS), and sequential sleeves as directed by nurse. * Applies simple non-sterile dressings and removes non-sterile dressings under the direction of the nurse or provider i.e. PEG, suprapubic catheters, drains. * Urinary Catheter Care per facility policy. Duties and Support Outpatient * Supports hospital wide COVID efforts, to include door monitoring, working in multiple clinic locations, working in COVID tent, inpatient, outpatient and administrative areas - Collects health history, complete clinical reminders, informs RN and PCP of information as needed, works collaboratively and effectively within PC and PACT team * Supports hospital wide influenza efforts, collects health screenings as needed, provides support to all aspects of outpatient needs both in and out of the hospital. * Collecting COVID/Influenza/Strep swabs per protocol, properly labeling/bagging specimens and delivering to lab * Performs procedures within scope of practice, to include EKG's, ear lavages, simple dressing changes, catheter changes, etc. under the direction of a provider/nurse and records and reports results. * Administers vaccinations per protocol, within scope of practice under the direction and supervision of the Nurse Manager, RN or PCP Additional Duties and Support *Accurately collects, records, and reports vital signs, height, and weight according to unit standard. * Reports behaviors and threats of patient harm to self and others; taking action to keep patient safe. * Maintains cleanliness of patient care area. * Documents patient care, data collected, and treatment provided and observed in EMR using medical terminology. * Active member of the Interdisciplinary Team. * Adheres to unit and Organizational Policies, Directives and procedures. * Obtains necessary supplies and equipment - exercising conservation in all patient areas. * Performs administrative duties as needed to include but not limited to: filing medical records, data entry, answering phones. Work Schedule: Full Time, 40 hours per week, shift work, weekends, days, evenings, nights and holidays. Financial Disclosure Report: Not required
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.