This position is located in the Hospice Unit at the Lebanon VA Medical Center. The Hospice NA is responsible for the evidence-based care of a group of patients as follows: Assists the RN, LPN, and other members of the interdisciplinary team (IDT) with providing input in the development of care plan based on the Veterans care needs. This includes input into completion of the minimum data sets (MDS) assessment at required and various time points. Attends interdisciplinary team meetings and contributes to the IDT. Performs support duties for diagnostic procedures, which include preparing the Veteran and monitoring the Veteran's condition. Promotes the value of cultural transformation and Veteran-centered care to nursing staff in the community living center. Actively seeks Veteran choice in care plan participation and goal development. Offer suggestions to improve the Veterans activities of daily living (ADL) functions and quality of life. This would include suggestions for restorative or rehabilitative care. Performs nursing care, as applicable to the Veteran, including all aspects of personal care and grooming. Under the direction of the RN or LPN, monitor bladder and bowel functioning, tracking of input and output (I&O), and hydration. Consistently follows policies, standard operating procedures (SOPs), and procedures as applicable to reusable medical equipment and infection control. Observes Veterans and reports changes in Veteran behavior and condition to the unit charge nurse. Reports required information for hand-off communication to charge nurse and co-workers including to other members of the IDT and other applicable staff and departments. Completes the necessary documentation for these duties. Under the direction of the RN or LPN, educates the Veterans on their care needs as appropriate to NA skill level. Communicates with families and significant others as appropriate. Under the direction of the RN or LPN, provides health care services to the Veteran, to include but not limited to: Foley Catheter insertion/discontinuation/care; obtaining the Veterans vital signs, blood glucose, or electrocardiogram ( EKG); activities of daily living; and post-mortem care. Nursing Assistant (NA) GS-0621-5 - Functional Statement - Hospice, Page 2 April 2017 Promptly reports any deviations from normal practice patterns to the charge nurse, nurse manager (NM), or the nursing supervisor. Completes all assigned routine documentation. Takes appropriate action when indicated regarding equipment safety (Wanderguard unit, crash cart, refrigerators, etc.). Communicates to appropriate staff, when immediate intervention is needed for safe care. Initiates and maintains standards of cleanliness and safety in Veteran environment and exercises proper us and maintenance of equipment. Monitors Veterans risk for behaviors, including but not limited to: Elopement; wandering; suicide; fall; behavior; pressure ulcer; and taking action, when indicated, to include communicating to appropriate personnel when further intervention is needed and completing necessary documentation. Responds during emergencies, assisting during fire drills and responding to any safety issues as they arise. Demonstrates self-direction in applying knowledge of fire, safety and disaster regulations, practices, and procedures and communicates expectations to staff. Uses proper body mechanics and safe lifting equipment including personal protective equipment (PPE) that promote a safe workplace. Encourages other staff compliance with safety policies. Participates on committees or other workgroups as requested. Participates in quality improvement activities. Actively seeks educational opportunities to enhance nursing knowledge and skills. Completes mandatory education requirements. Assumes patient care assignments involving more complex nursing needs which can vary within a range of predictable to unpredictable requirements. Assumes a peer education/mentorship role Work Schedule: Six-12 hour shifts 1800-0600 and one- 8 hour shift 1800-0200 every two weeks Telework: Not Available Virtual: This is not a virtual position. Position Title/Functional Statement #:Nursing Assistant - Hospice/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.