Nursing Assistant - White City, United States - Department Of Veterans Affairs

Description

Summary

The position is responsible for the nursing assistant duties, including acute and close observation, taking and documenting vital signs, collecting lab specimens including phlebotomy, passing and picking up meal trays, tracking and documenting intake and output, assisting with transporting of patients/residents, and duties as assigned by the Supervisor or designee.

Duties

The incumbent will be an employee of the VA Southern Oregon Rehabilitation Center and Clinics (VA SORCC) and work within the Behavioral Health Service within the Residential Rehabilitation Treatment Program as a member of the 24/7 team. The position is responsible for the nursing assistant duties, as required in support of quality patient/resident care. Duties includes providing line of site and auditory monitoring of the RRTP, documenting interactions, keeping the team informed of concerns, and providing ICARE customer service to residents and staff.

Functions/Scope of Assigned Duties:Personal Patient Care:

• Performs a wide variety of nursing duties aimed at increasing the safety, comfort, and spirit of the patient/resident while following established policy and procedures. Provide acute and close observation of patients/residents with medical or mental health conditions requiring such observation. This includes intervening to prevent an act of self or other harm by patients/residents, assisting with prevention and management of disruptive behavior, and reporting to the charge nurse any deviation from baseline behavior or condition. Identifies and reports data relative to more complex patient/resident situations including subtle changes in patients'/residents' behavior or condition or variances related to neurological signs, vital signs, and other parameters.
• The incumbent 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. He/she 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. He/she 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.
• He/she 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. Other examples include bowel and bladder care and positioning for comfort.
• Engages in meaningful activity opportunities with resident/patient on an individual or group basis. He/she 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.