Provides basic personal care, including oral hygiene, denture care, shaving and grooming, cleaning and clipping fingernails, bathing (shower, bed or tub), according to nursing procedures and guidelines; Provides a safe, comfortable, pleasant environment, including clean bed, bedside stand, over-bed table, and a safe ward in general; Provides safety for patients by proper application of protective device, as indicated; Identifies hazards that relate to patient care management and reports condition that needs correction to appropriate persons; Positions patients and over-bed table and assists patients with meals and nourishments; Feeds patients as indicated, and encourages fluids prn; Measures and records intake and output and disposes of body waste, as assigned; Reinforces or changes simple dressings, using aseptic technique; Applies and removes non-sterile bandages, slings, elastic bandages and stockings, as assigned; Applies non-sterile hot or cold compresses, packs and soaks, as assigned; Applies sterile dressings, such as decubitus dressings; Takes and records vital signs and measurements, which include temperature, pulse, respiration, blood pressure, height, and weight; In outpatient area records patients chief complaint and status since last clinic visit; Transcribes doctors orders, when necessary, under the supervision of an RN, and administers medications, including immunizations, following VA Medical Center policy and procedure; Positions, turns, holds, ambulates, and transfers patients in and out of bed, wheelchair, on and off litters and scales, using good body mechanics for safety of patient and self; Provides nursing care to patients in isolation. Sets up room for isolation and prepares room for terminal cleaning after isolation is discontinued; Sets up and administers oxygen;
Records pertinent observations and care given on appropriate forms; Reports patient care activities to the team leader; Assists with the instruction of patients regarding self-care activities and patient education assigned by the RN for reinforcement; Performs catherization when assigned; Initiates foley catheter care, according to procedure, and applies external catheter, as directed; Participates in the disposition of the patient and provides care of the body after death; Provides support to the family; Assists in the accomplishment of unit goals and activities; Communicates effectively with co-workers, other professionals, supportive personnel, and members of other services; Works as a cooperative and courteous member of the nursing team to consistently promote harmonious relationships among patients, their significant others, and staff; Identifies own strengths and weaknesses, and seeks assistance as needed for improving performance from an RN; Administers tube feedings after auscultating and aspirating for residual; irrigates gastric tubes, as assigned; administers gastrostomy feedings and cares for site of insertion by cleaning and dressing change; Gives cleansing and retention enemas, as ordered; demonstrates skill in caring for ostomies; Sets up suction equipment. Performs nasopharyngeal and tracheostomy suctioning and care, as indicated; suctions ET and nasotracheal tubes, maintaining mechanical ventilation; Recognizes medical emergency situations and initiates appropriate action; Performs finger stick blood sugar testing, using the glucometer; Consistently communicates with customers in a courteous, tactful, and helpful manner; Participates in unit QI and assists with data collection; Assists with diagnostic and therapeutic procedures; Reinforces patient teaching, as directed; Contributes to the development of patient care plan through participation in patient care conferences, rounds, and reports; May administer IV therapy and perform phlebotomy and EKGs, as ordered, after successful completion of course and supervised practice; Assists in teaching the patient ADL and rehabilitation principles, motivating him/her toward independence; Reinforces and reiterates instructions previously presented by the RN and/or physician that provides the patient/family with information for self-care and/or follow-up outpatient care; Participates with RN in assessing patients support system and resources, which influence need for nursing intervention and care; Discusses with, and recommends, interventions to RN; Monitors patients conditions with response to interventions, and reports significant changes to RN; Utilizes educational resources to maintain clinical competency in areas described in functional description, which may include IV therapy, EKG, and phlebotomy; Collaborates with RN to establish priorities for patient care; Performs wellness checks and clinical reminders; Schedule special tests and follow-up appointments as needed, and update demographics. Retrieves and re-files medical records, and secures release of information, as necessary.