The position is located in the Department of Veterans Affairs (VA), Veterans Health Administration (VHA), Mid-South Healthcare Network (VISN 9), Tennessee Valley Healthcare System, Medical-Surgical Units, Psychiatric Units, Hospice Units, and Community Living Centers at the Nashville & Alvin C. York Campuses. The primary purpose of the position is patient care, supporting diagnostic procedures, technical nursing treatments, patient charting and patient teaching. Duties include, but not limited to: Assists with patient admission, transfer or discharge. In addition to obtaining basic information, the person observes skin condition for pressure areas, lesions, bruises, etc., that will indicate the need for special nursing measures. The person further assists the Team Leader/Primary Care Nurse with baseline data collections as sensorium, presence of tubes and gives the patient and family an orientation to the ward and explains hospital rules such as visiting hours and smoking regulations. Applies principles of normal range of motion, body mechanics and body alignments. This is done several times a tour for the immobilized patient and the person has a thorough understanding of this nursing measure. Performs duties in connection with personal services to patients such as bathing, oral hygiene, shampoo, shaving, giving bedpans and urinals, answering call lights, ambulating, positioning, lifting and transporting patients, feeding patients and applying condom drains. The person understands the complications and the necessity of good oral hygiene. Assists the physician or nurse in performing procedures by positioning, draping and supporting the patient and setting up equipment, such as lumbar puncture trays, aspiration trays, etc. With additional knowledge received, the person understands why they place a patient in a special position for a procedure, as for the lumbar puncture, and also knows that specimen labeling must be done immediately and taken to lab with very careful handling. Utilizes principles of asepsis in performing urological procedures, such as catheterization and irrigations. The person, monitors continuous irrigations of bladder or wounds, reporting to the. Team Leader/Primary Care Nurse the type of drainage. Changes simple non-sterile dressings. Prepares and gives tap water and soap suds enemas, irrigates mature colostomies and supports the teaching programs for patient and family care for all ostomates. Keeps constantly alert in observing patients, notes any significant changes, whether evidenced by a physical observation or by a mechanical means, takes emergency action for which he/she is trained and calls the professional nurse. Reusable Medical Equipment (RME) is any medical equipment designed by the manufacturer to be reused for multiple patients. All personnel who are involved with the reprocessing of RME are responsible for knowing what reusable instruments, equipment, medical devices or supplies are used (inventory) in their clinical area. Responsible for the reprocessing and cleaning of items on the unit. They also recognize items to be sent to sterile processing and/or SPS for reprocessing and/or sterilization. If items are to be transported for reprocessing, personnel must be aware of the initial decontamination steps that must be taken prior to transport of item and the appropriate method of transport. All personnel who are involved in reprocessing of RME are responsible for following the local Standard Operating Procedure (SOP) in accordance with the manufacturer's written recommendations. SPS and Infection Prevention and Control should be consulted when clarification of written instructions are needed. Incumbent that is in any way involved in reprocessing of RME must have documented training in the setup, reprocessing and maintenance of specific equipment. Validation of competency will be done, minimally, on an annual basis. Responsible for suspending the re-use of any RME if they suspect that the device was not properly cleaned, disinfected or sterilized according to the SOP and manufacturer's guidelines. Incumbent adheres to the single use (disposal) of medical devices will not be re-used or re-sterilized. Must have an understanding of the importance in reprocessing of RME and the significant impact on our Veteran population through the risk of infectious disease. Work Schedule: Various tours available. Will be determined by the Hiring Manager (Nurse Manager) of the position. Financial Disclosure Report: Not required Relocation/Recruitment Incentives: Not Authorized
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.