The James A. Haley Veterans' Hospital and Clinics (JAHVH) offers specialized inpatient and outpatient care to its veteran population. These services are provided with the guidance and organizational structure of the Spinal Cord Injury (SCl)/Polytrauma/Rehabilitation services. Duties include but are not limited to: Maintains positive, therapeutic relationships by displaying respect for human dignity with patient, families and/or significant others utilizing communication skills. Utilizes observation skills for data collection, reporting and recording. Provides direct care for complex patients. Makes observations of subtle changes in patient's condition, i.e. behavior shifts, mood, skin coloring, appetite, etc., and takes action accordingly within the NA's assigned role. Reports patient status to the appropriate nursing staff. Applying external urinary devices (EUDs); performing sterile intermittent/indwelling catheterizations (IC); performing routine catheter care. Performing routine nursing care tasks, including, but not limited to: collects basic patient data; obtains and records vital signs; obtains specimens; performs oral suctioning; phlebotomy; and administers oxygen. Additionally, the Nursing Assistant institutes emergency and safety measures. Performs and documents delegated medical treatment and interventions for patients, such as diabetic urine testing and blood testing, simple dressing changes. Assists with bowel care by performing digital stimulation and perinea! care. Recognizes signs and symptoms of autonomic dysreflexia to then immediately intervene within scope and report to nurse. Requires specialized training. Monitors patients who may be at risk for harming themselves and/or others according to established policies and procedures and appropriately refers issues to the charge nurse or other health care professional. Sets up patient care related equipment, such as hypothermia machines, oxygen delivery systems, portable and wall suction and assisting in monitoring proper functioning of equipment. Utilizes principles of proper body mechanics and follows procedures for use of patient care equipment to prevent injury to self or others in all settings, such as utilization of lifting equipment. Recognizes the need for emergency measures and institutes resuscitative procedures if needed, in accordance with basic cardiopulmonary resuscitation (CPR) training. Utilizes rehabilitative principles to promote patient independence and recovery, encouraging and guiding patient/family. Facilitates hand-off communications by conveying the hand-off communication sheet to the next department/unit as appropriate. Maintains accountability for the patient until others assume responsibility for the patient. Maintains a sterile field in procedural/surgical areas; able to set up or reprocess Reusable Medical Equipment (RME); knowledgeable on surgical equipment/devices. Obtains, organizes, and sets up routine supplies and/or equipment for procedures. Observes patients who are awaiting transfer to the operating room suite, procedural suite, interventional department, or ward of destination by providing comfort measures, i.e., blankets, pillow, or positioning aid and emotional support; alerts professional nurse and/or other professional personnel of changes in the patient's condition or behavior. Observes skin and reports any abnormality to registered nurse (RN). Recognizes changes in the surgical patient's condition and behavior (e.g., nausea, vomiting, confusion), and reports this to the registered nurse (RN). Ensures patient has removed dentures, glasses, jewelry, and that the patient has secured his/her belongings prior to leaving the unit. Confirms that patient is NPO (if necessary) and that the patient has voided. Performs simple diagnostic and treatment procedures, such as vital signs, EKG, bladder scan, blood glucose monitoring machine, continuous passive motion device, specimen collection, etc. Ensures the availability of oxygen tanks and that they have an adequate amount of oxygen. Work Schedule: 7:30am to 8:00pm 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.