OUR MISSION: To fulfill President Lincoln's promise - "To care for him who shall have borne the battle and for his widow, and his orphan" - by serving and honoring the men and women who are America's Veterans. How would you like to become a part of a team providing compassionate care to Veterans. The Nursing Home Nursing Assistant is responsible for the evidence-based care of a group of patients as follows: Assists the RN, licensed practical nurse (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 MDS assessment at required and various time points. Attends IDT 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 (CLC). Actively seeks Veteran choice in care plan participation and goal development. Offer suggestions to improve the Veterans activity 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 I&O and hydration. 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, the NA 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. 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 use and maintenance of equipment. Monitors Veteran's risk for behaviors including, but not limited to: elopement; wandering; suicide; fall; behavior; and 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 promotes a safe workplace. Encourages other staff compliance with safety policies. Actively seeks educational opportunities to enhance nursing knowledge and skills. Completes mandatory education requirements. Additional duties as assigned. Work Schedule: Nights: 10:00 p.m. - 6:00 a.m. / Weekend and holiday rotations included. Financial Disclosure Report: Not required. Physical Requirements: The population of male and female Veterans served ranges from the adult, age 18 to the elderly adult, age 65 and over. Lebanon VA Medical Center is a major interdisciplinary teaching facility, serving medical and surgical inpatients and outpatients. The incumbent must be physically and mentally able to perform the essential functions of the position without hazard to themselves or others. This position requires visual acuity, keen hearing, clear distinctive speech, and manual dexterity. This position requires potentially long periods of continued walking, standing, stooping, sitting, bending, pulling, and pushing, lifting 45 pounds or more, reaching, stretching, and similar activities supporting various weights. Transferring patients and objects may be required. The incumbent may be exposed to infected patients and contaminated materials and may be required to don protective clothing in isolation situations or operative/invasive procedures. The incumbent may occasionally be exposed to patients who are combative secondary to delirium, dementia, or psychiatric disorders. The incumbent must be a mature, flexible, sensible individual capable of working effectively in stressful situations, able to shift priorities based on patient needs. The incumbent must be able to navigate all areas of the facility, use a keyboard, perform cardiopulmonary resuscitation (CPR) when necessary, as well as direct others to perform it, and perform other activities of the position without any restrictions.
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.