Nursing Assistant

Nursing Assistant Position

This Nursing Assistant position is located within the Nursing, Acute Care (G4W / Medical-Surgical Unit) Service at the West Haven, CT VA Medical Center. The incumbent in this position functions as a Nursing Assistant (NA) and is directed by the Registered Nurse (RN). Individuals assigned as GS-5 NA are at the expert developmental level. This NA provides nursing care, performs clinical procedures, technical procedures and ancillary services. The NA helps each patient attain optimal physical, physiological, emotional and social well-being. Under the direction of the RN the NA provides care to acutely ill patients including baths, personal hygiene, nutrition / feeding, elimination, intake and output. Including assisting with all activities of daily living (ADL). Under the direction of the RN the NA may initiate and assist with CPR per hospital policy. Practices under the model of Patient Centered Care while exhibiting the ICARE values. Maintains full patient confidentiality. Participates in the admission, transfer and discharge of patients. Prepares patient care rooms for admissions or transfers. Assists with removing patient specific items from the room at discharge. Performs active and passive range of motion exercises. Supports and assists patient with turning, moving, or transferring from bed to chair, commode etc. The NA will maintain competency and utilize lift equipment to practice safe patient handling. Assists with postmortem care of the body after death and transport of the body to the morgue. Performs assigned clinical procedures, such as; application of External Urinary Device's (EUD) and colostomy bags, unsterile soaks and compresses, hot and cold applications, elastic hose, binders, bladder scanning, and oral suctioning. Performs assigned technical procedures, such as blood glucose monitoring and quality controls, EKG's, taking and recording blood pressure, temperature, pulse, respiration, height, weight, incentive spirometer, collecting specimens, such as expectorated sputum, feces, urine-voided midstream and drainage collection bag. Documents vital signs, nursing care and belongings inventory list in the electronic medical record and on appropriate flow sheet. Practices techniques and principles of medical asepsis and infection control, (e.g., hand hygiene), care of linen, transmission precautions, etc. Must be aware of and actively practice principles of universal precautions. Assists the physician or nurse with diagnostic and therapeutic procedures. As directed provides assistance with transporting patients that are not critically ill independently from tests, procedures and appointments. Provides care for behavioral ill or restrained patients, to include but not limited to, those who are : suicidal, homicidal, interfere with medical devices, confused, have poor judgment or require 1 : 1 monitoring. Assignments may include restraint monitoring, safety monitoring and / or require physical checks every 15 minutes. Performs duties required of video monitoring patients; including management of the call system and role of the rounding NA. Observes patient receiving I.V. fluids and reports swelling, pain and or wetness at the needle site. Observes patient and reports changes in appearance, including physical and emotional reactions. Reports patient complaint of pain to RN / LPN. Observes and reports evidence of physical and / or verbal abuse of patient. Functions as a "Safety Monitor" for patients who need close observation. Safety Monitor assignment includes providing care (baths, personal hygiene, feeding, elimination and intake and output) for patient and preventing patient from injury or interfering with the treatment by pulling out lines / IVs. Maintains constant supervision.