This Nursing Assistant (NA) position will be with the Community Living Center (CLC) B unit. The Sam Rayburn Memorial Veteran's Center's Community Living Center (CLC) B unit is a 60-bed long term care unit made up of 3 neighborhoods (hallways). Resident care requirements range from totally dependent to independent. The Nursing Assistant (NA) may perform these duties in a variety of healthcare settings such as outpatient, inpatient, home or community living care, acute, sub-acute. The NA will care for patients/residents with acute to chronic conditions. The Nursing Assistant (NA) GS-03 is the entry-level nursing position. The incumbent will be provided opportunities to develop basic nursing skills in order to provide care to patients/residents with acute to chronic conditions in a health care setting. Individuals assigned as GS-03 NAs are considered to be at the entry level and are monitored and closely supervised. The significant factor is that they provide care under close supervision and refer issues/questions to supervisors, higher graded NAs or other healthcare professionals. Duties include but are not limited to: Utilize glucose monitoring machine to collect and document appropriate glucose readings for assigned Veteran. Maintain positive therapeutic relationships by displaying respect for human dignity with patient, families and/or significant others utilizing learned communication skills. Begin to utilize observation skills for data collection, reporting and recording patient/resident observations. Engage in-group activities such as off-station trips, reality orientation, current events and other therapeutic groups. Utilize principles of proper body mechanics while caring for patients. Perform aspects of nursing care to meet patient's needs for the following: Personal hygiene Physical comfort Activity, exercise, rest Nutrition Elimination Prevent of skin breakdown Rehabilitative aspects of care The Nursing Assistant (NA) GS-04 is considered to be at the intermediate or developmental level and is closely supervised. The NA at this grade level performs basic nursing care and is learning to provide complex nursing care independently as a member of the nursing care team by assisting higher graded NAs, licensed nursing staff, and other members of the care team. The significant factor is that they provide care under close supervision, are learning to perform complex nursing skills, and will refer issues/questions to supervisors, higher graded NAs, licensed staff or other healthcare professionals. All duties performed will be completed under close supervision with appropriate training and competencies for assigned tasks but are not limited to: Maintain positive therapeutic relationships by displaying respect for human dignity with patient, families and/or significant others utilizing learned communication skills. Utilize observation skills for data collection, reporting and recording. Participate in patient centered conferences/shift reports and contributing information for the development and review of the nursing care plan. Maintain therapeutic environment for patients according to established procedures and policies by reporting actual or potential accidents, fire hazards and faulty equipment and taking measures to prevent injury. Perform and document prescribed medical treatment and interventions for patients, such as diabetic urine testing and blood testing, simple dressing changes. The Nursing Assistant (NA) GS-05 is considered to be the full performance level for NAs. The NA at this grade level functions as a member of the nursing care team and assist licensed nursing staff in the care of patients/residents receiving preventative, acute, sub acute, chronic, maintenance, and hospice care. The significant factor is that patient/resident assignments typically involved more complex nursing needs which can vary within a range of predictable to unpredictable requirements. NAs at this level also assume more of a peer education/mentorship role. All duties performed will be completed under close supervision with appropriate training and competencies for assigned task and not limited to: Utilize glucose monitoring machine to receive glucose readings for Veterans. Provide direct care for complex Veterans. Make observations of subtle changes in resident's condition, i.e. behavior shifts, mood, skin coloring, appetite, etc. Document care given, observations and responses on appropriate tools or forms. Perform oral and nasopharyngeal suctioning. Administer complete tracheostomy care, including suctioning. Monitor and documents patient intake and output. Perform nursing procedures within scope of practice and according to policies and standard procedures to care for the Veteran for such procedures but not limited to: enemas, catheterization, colostomy care, skin care simple dressing, application of braces and prosthetic devices. Recognize the resident's autonomy and promotes independence by means of respect, limit setting and individualized treatment. Utilize equipment to promote the Veteran self-care, such as lift equipment, hydro sound tubs, and Veteran/resident wandering system.
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.