Under the direct supervision of the RN, the NA provides clinical support for the veteran patient. The NA on Comprehensive Interdisciplinary Inpatient Rehabilitation Program (CIIRP) develops their practice and adherence to a high level of respect and knowledge of veteran patient rights and responsibilities. The NAs practice includes all activities of daily living, and general nursing duties and tasks to help the team restore the veteran patient to the highest level of independence. The Nursing Assistant has fundamental knowledge to learn and demonstrate cooperation and team work thereby promoting the highest level of independence and quality of life for veteran patients by providing physical, clinical, mental, and spiritual needs of the veteran as determined by the veteran's plan of care, unit policy and procedure, and VA policy and procedure. Collaborates and supports co-workers, nursing staff, and other disciplines to encourage a team approach. Demonstrates customer service to co-workers, veterans, their families and significant others. PROVISION OF CARE (Nursing Care) 1. Supervises patients and can mentor other NA's on personal hygiene, rest and eating. Feeds and bathes patients who require assistance. Assists patients in and out of bed, and with mobile devices. Instructs and assists patients in the skills necessary to gain independence in activities of daily living. 2. Contributes to a safe, clean, clutter-free and therapeutic environment for patients and staff. Follows Medical Center and Nursing Service policies and procedures. Provides care to patients in isolation and patients on chemotherapy precautions. Maintains privacy of patient and staff. 3. Performs and can mentor other NA's in a variety of general nursing duties including measurement and recording of vital signs, EKGs, weight, height, intake and output, simple treatments such as hot and cold packs, changes clean dressings sterile dressings, applies external catheters and gives catheter care. 4. Maintains oxygen therapy as directed by the RN, assignment or written care plan, to include management and operation of Oxygen tanks. Monitors oxygen tanks of all the patients during activity and acts to maintain oxygen therapy. Performs assistive cough and deep breathing exercises. 5. Performs and/or instructs patients in learning range of motion exercise, turning and positioning, ambulation and other routine care procedures. Can mentor other NA's on how to perform these duties. 6. Prepares patients for tests, examinations, treatments and for surgery. Collects specimens such as urine, sputum and stool. Labels specimens for laboratory examinations. Performs blood glucose and stool guaiac test. Cleans and maintains equipment with appropriate RME disinfectant. 7. Demonstrates safe body mechanics in accordance with Medical Center Policy and Procedures for Safe Patient Handling. 8. Participates in activity and actions to improve the quality of care for veteran patients to include fall and pressure sore prevention; that is learning to implement the organization's prevention guidelines on falls and pressure sores, and the veteran's specific plan of care. 9. Employee adheres to responsibility of timely maintenance of all education required, TMS, BLS, HIPPA and Privacy training. 10. Observes and reports patient's physical and mental status, reporting unusual changes to the Registered Nurse. Reports information obtained from patients and or family and participates in developing a plan of care. Assists with admission, discharge and transfer of patients. 11. Participates in activity and actions to improve the quality of care for veteran patients to include fall and pressure sore prevention; that is learning to implement the organization's prevention guidelines on falls and pressure sores, and the veteran's specific plan of care. 12. Maintains BLS Certification and is able to Initiates Cardio-Pulmonary Resuscitation in accordance with established Medical Center policy and initiates other emergency procedures as necessary, including fire and disaster. 13. Performs other assignments designated by the nurse in charge that are essential to the care of patients and appropriate to his/her level of training. This is a Temporary NTE (Not to Exceed) 9/30/2021 Appointment Work Schedule: Multiple Schedules 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.