Registered Nurse – Geriatric

Overview

CVP seeks a Registered Nurse to join our team. The RN will utilize their broad based clinical knowledge to effectively assess, implement health promotion and prevention interventions, manage acute and chronic illness states, assist patient/residents in the attainment of optimal levels of functioning rehabilitation, evaluate patient/resident response to actual or potential health problems, and provide supportive measures for the dying patient/resident and their significant others.

Responsibilities

• Maintain patient/resident confidentiality and a safe patient/resident care environment, including familiarity with requirements such as medication administration, patient/resident/family education, discharge process, restraint usage, hazardous waste disposal, etc., as defined by The Joint Commission and all other VA regulatory bodies (i.e. Long Term Care Institute and Office of Inspector General).
• Provide patient/resident-centered care by performing the following tasks:
• Assess the health care needs of the patient/resident and maintain or develop a plan of care to meet interdisciplinary goals.
• Assess and act on significant changes in the patient’s/resident’s health condition.
• Carry out the plan of care by performing/assigning delegated tasks.
• Collect and document pertinent data into the electronic patient/resident medical record using designated temp plates with no personalized or customized documentation.
• Complete nursing assessments within required time frames, and in accordance with policy and procedure.
• Identify and act on predictable needs of the patient/resident.
• Meet the health care needs of patient/resident by assessing and assisting the patient/resident to meet expressed needs.
• Meet the emotional and spiritual needs of patients/residents and/or families.
• Prioritize and complete tasks within the RN’s assigned shift.
• Update patient/resident care plans.
• Notify assigned physician of any changes in condition.
• Practice the VA core values Integrity, Commitment, Advocacy, Respect, and excellence ( ICARE ).
• Report incidents of verbal or physical abuse immediately to the Nurse Manager of the unit they are assigned; or designated off-shift nursing leadership.
• Perform the following tasks:
• Head-to-toe assessment.
• Insert IV lines.
• Care and management of peripheral and central lines, including PICC lines.
• Administer medication including IV.
• Coordinate and participate in admission and discharge of patient.
• Measure vital signs/hemodynamic monitoring including Pain (the 5th Vital Sign), pulse oximetry, etc.
• Perform wound care including dressing changes (sterile and non-sterile), and obtaining wound cultures as necessary.
• Obtain and deliver specimens to lab.
• Perform tracheostomy care.
• Perform non-acute and/or acute ventilator care, if needed.
• Perform suctioning including oral, nasogastric, and tracheostomy.
• Perform deep suctioning, which may include obtaining specimens.
• Assess for and administer tube feedings.
• Assist with routine urinary and bowel elimination including catheters, colostomies, and digital stimulation educate patients/residents and/or families regarding health and diagnoses and medication administration including indications for the medication.
• Respond and assist in an emergency situation.
• Provide clinical oversight to Licensed Practical Nurses, Nursing Assistants, Health Technicians and Intermediate Care Technicians.
• Bar Code Medication Administration (BCMA) with a 100% accuracy rate shall be used in the applicable areas for medication administration. BCMA is designed to provide electronic validation and documentation of medication administration, reduce medication misadventures, provide an online patient/resident medication record, and promote a safer inpatient/resident care environment. Spot check (use random review) of patient/resident charts or review of incident reports will be conducted. If issues are found, remedial training of contractor employee will be given. If remedial training is unsuccessful, the contractor employee may be removed from providing services under the Contract.
• PRN medication effectiveness.
• PPE and Hand Hygiene Compliance.
• Administration of Blood Products.
• Perform Braden Scale to measure the risk for skin injuries and provide recommendations and interventions to prevent skin injuries.
• Perform Fall Risk Assessment to decrease the risk of falls and falls with injuries and provide recommendations and interventions to decrease the risk of falls and falls with injuries.
• Provide Joint Patient Reporting System (JPRS) for patient incidents.
• Clear all CPRS clinical alerts daily.
• Perform skin asse