The Community Living Center (CLC) Nursing Assistant is an employee of the VA Roseburg Healthcare System (VARHCS) Office of Patient Care Services. The Nursing Assistant is responsible for nursing assistant duties, including acute and close observation, taking and documenting vital signs, collecting lab specimens including phlebotomy, passing and picking up meal trays etc. The Nursing Assistant performs assigned duties in a manner that promotes quality health care, outstanding customer service, and the maintenance of an environment committed to serving the Veterans, their families, and internal and external stakeholders. The Nursing Assistant actively supports the team concept and functions as a team player, working collaboratively across service and care lines to accomplish the mission of the facility and service; contributes to team initiatives and continuously strives to improve the effectiveness of the team. Works effectively with others, recognizing emergency situations, and acts appropriately. The Nursing Assistant will provide coverage of medical support assistant (MSA) duties in the absence of the MSA or during times of high need as determined by the Supervisor or designee and my include temporary assignments (floating) during one's scheduled tour of duty in other clinical areas such as Mental Health, Residential Treatment Program, Operative Care, Emergency Department, and the Medical /Telemetry, during the times of high need as determined by the Supervisor or designee and may be reassigned as necessary to meet the operational needs and mission of the healthcare system. Other duties include but are not limited to the following: Provide acute and close observation of patients/residents with medical or mental health conditions requiring such observation. Monitors intake and output, vital signs, percent ingestion of meals, and other activities of daily living and documents appropriately. Documents in the patients'/residents' medical record a daily outline or summary of the patient's/resident's care using the approved format, including situation-background-actions-response (SBAR) hand-off. Assists patients/residents 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 patient/resident. Provides 1:1 observation for suicidal, wander risk, or high fall risk patients/residents as directed by the Supervisor or Charge Nurse. Provides and removes patient/resident meal trays as appropriate, remaining cognizant of patients/residents with special diets or who are ordered to not receive anything by mouth. Assists patients/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. Performs intentional rounding according to practice, ensuring evaluation of need for Potty, Positioning, Pain, Periphery and Parting. May provide escort services to patient/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 patient injury, reporting problem and resolution to Supervisor. May provide nursing care to patients/residents experiencing extremes of behavior, including the severely depressed, suicidal, or homicidal patient/resident, and the drug or alcohol abuse patient/resident. Recognizes emergency situations and intervenes while awaiting assistance including implementation of basic life support. Provides nursing treatment for acutely ill patients/residents whose needs require advance skill such as placing patient on cardiac monitor, taking EKG's, and performing basic life support. The care provided frequently involves use of medical equipment such as vital sign monitors and EKG machines. Performs phlebotomy, obtaining glucometer readings, obtaining cultures, empties and records output from indwelling urinary catheters, and empties colostomy bags. Takes and records measurements and vital signs, emptying drainage bags and documenting output, and passing instruments used for biopsies or other tests. Records appropriate information about patients'/residents' progress, supplies accurate information to patient/resident, family, and other staff members. Work Schedule: 0600-1430,1400-2230,2200-0630 Compressed/Flexible: Available Telework: Not Available Virtual: This is not a virtual position. Functional Statement #: PD000000 Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized 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.