The Rehabilitation Nursing Service Nursing Assistant (NA) is a key member of the nursing and rehabilitation treatment team. The role of the NA is to provide basic patient care that supports patient's activities of daily living, hygiene, and nutrition as well as those tasks that support professional nursing. In addition, the NA will also assist, as assigned, in observation of stable post-operative patients and complex medical patients requiring additional observation. This is an open an continuous announcement, names will be referred to the service every two weeks after the initial cut off date of November 5, 2021, until the position is fill or until the announcement closes. Rehabilitation Nursing Service serves the following areas; Polytrauma, Comprehensive Rehabilitation, Spinal Cord Injury/Disorder, and Western Blind Rehabilitation. Duties include, but are not limited to: - Obtaining and documenting vital signs, including temperature, pulse, respirations, and blood pressure and pain level (and notifying the professional nurse when these values are outside of established parameters) - Bathing, grooming, toileting, dressing and undressing - Feeding and assisting with fluid and nutritional intake, including following dietary and fluid guidelines and aspiration precautions - Perform oral suctioning (with Yankauer only) - Mobility assistance including ambulation, transfers, positioning, range of motion, and positioning precautions. Lifts, moves and transports clients, using proper body mechanics or lifting devices. - Performs all job responsibilities in accordance with prescribed safety and infection control procedures including thorough hand washing, use of disposable gloves where indicated, and proper disposal of soiled materials - Observing urine color and smell and documenting input and output - Observes and documents bowel movements, assist with bowel care (positioning in bed, commode, toilet, check rectal vault, perform digital stimulation or manual evacuation, assist as needed with perineal hygiene) - Applying external catheters and maintaining and cleaning urinary drainage bags, perform bladder scans (and obtain/record post void residual-PVR) - Provides orientation as indicated - Displaying behavioral management skills, including positive reinforcement and adherence to behavior management program structure - Applying prescribed orthotics, prosthetics, and other mobility devices and observing for skin breakdown - Notifying professions of any changes in clinical or functional status as appropriate - Observing patient behaviors and reporting observations to the registered nurse - Assisting in socialization activities and reporting the level of patient participation to the registered nurse - Provides care that maintains skin integrity to prevent pressure ulcers, skin tears and other damage by changing incontinent clients, turning, repositioning immobile clients, and applying moisturizers to fragile skin, etc. Observes for skin integrity for irritation, bruising, and redness and reporting observations to registered nurse - Assists in maintaining a safe, neat and clean environment; reports environmental deficiencies to the registered nurse, such as lighting or equipment problems Work Schedule: 7:30 a.m.-8:00 p.m. or 11:30 p.m.-8:00 a.m & 8:00 a.m.-4:30 p.m (include weekends and holidays) Telework: Not Available Functional Statement #: PD00000 Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized Financial Disclosure Report: Not required Polytrauma duty location: Palo Alto Spinal Cord injury and Disorders duty location: Palo Alto Western Blind Rehabilitation: Menlo Park
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.