The primary purpose of the position is to provide multi-skilled direct patient care, provider and nursing support in the Urgent Care Center. The position is located in the Urgent Care Center, Outpatient Nursing Service, at Mann-Grandstaff VA Medical Center located in Spokane, Washington. This is the full performance level of the position. Duties include but are not limited to: - Provide the Urgent Care with technical support for providers and nurses to optimize patient care. - Assist in providing technical care to the patients by performing phlebotomy, 12 lead EKGs, implementation of cardiac monitoring, performs vital sign monitoring, performs point of care testing, performs wound care, removes simple sutures or staples, conducts Snellen Eye tests, obtains lab specimens, patient transport to other departments, and documents all care and procedures provided. - Communicates well with the care team both provider and nursing staff. Reporting patient observations and patient objective information and data. Recognizes patient deterioration from baseline and alerts the care team immediately. - Perform chest compressions and is competent in Basic Life Support. - Assist the Urgent Care staff with technical support by assisting the Provider during patient exams by holding positioning or preparing the patient for exam. Sets up rooms with necessary equipment required for diagnostic and therapeutic procedures i.e. paracentesis and sterile field. - Apply a variety of orthopedic devices such as prefabricated cervical collars, shoulder immobilizers, rib belt, clavicle brace, wrist, knee, elbow, and ankle braces. Fits patients for crutches and provides crutch training. - Make fiberglass splints for injuries involving long bones such as the tibia, malleolus, radius, ulna, humerus and femur. Bi-valves, windows casts as ordered by the provider, able to use the cast cutter. Duties are required when Specialty Clinic is closed or busy and Ortho Techs are unavailable to assist. - Assist with the management of patients in psychiatric crisis. Maintains certification in PMDB Level IV. Provides 1:1 close observation and documents appropriately on flow sheet. - Observe for and reports to the care team any patient for signs of distress, such as worsening respiratory status potentially leading to respiratory arrest, hypotension/hypertension, cramps, nausea, vomiting, cyanosis. - Provide direct personal patient care and assists patients' transfers and assistance as needed. - Cleans equipment and workspace. Recognizes equipment malfunctions and refers for repair. Stocks supplies. Maintains inventory, ensuring all items are current and intact. - Document pertinent patient observations, nursing care provided and other data in the Electronic Health Record and on emergency room flow sheet records during downtime. - Demonstrate respect for the diversity of cultures, religious and gender orientations, and other age range of patients and family served. - Train staff on various patient care processes, and orients health technicians to the department and equipment. - Answer the phones promptly and in a courteous manner identifying the unit and the Health techs name. - Coordinate with Urgent Care staff to ensure that orders and procedures are communicated to the care team in a timely manner. - Coordinate with ancillary services ensuring smooth trouble-free movement between departments providing services and the Urgent Care. - Maintain files and records. Assists with the administrative processing of patient care and flow. - Perform other duties as assigned Work Schedule: Variable Day Tours 10 & 12 shifts 0800-1830/2030 (may include weekends & holidays) Position Description Title/PD#: Health Technician (Urgent Care)/PD705660 Physical Requirements: Physical and mental stamina are required. The duties involve working under stress, tense situations, and with patients who are stressed and worried about their medical condition. Work involves hours of standing, stooping, bending and stretching without a break during procedures which require concentration. Manual dexterity and agility are required to correctly assemble instruments. Strain is incurred intermittently in staying alert on long procedures and under difficult situations. The work requires lifting and carrying of items/objects weighing up to 45 pounds. Work Environment: Work is performed in a hospital Urgent Care Emergency Department setting requiring acceptable patient and employee safety precautions. The incumbent may work in a setting involving exposure to body fluids, infectious and contagious diseases, odors and other risks which require special health and safety precautions such as wearing protective clothing, gowns, masks, face shields, and goggles. Frequently work must be performed in an uncomfortable positioned for an extended period of time. Work involves a high risk of regular and recurring exposure to blood and other body fluids as well as airborne, and droplet contaminants. There is a risk of needle sticks or other puncture injuries by contaminated sharps. There is a risk of falls from slick floors and cords, lines and tubes. Universal precautions, sterile technique and personal protective equipment must be utilized vigilantly. May be expected to stay beyond scheduled end of shift if the department is busy.
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.