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4B is a surgical short stay post recovery unit with 13-beds and 9 recliner chairs providing care to male and female adult patients. The short stay unit provides services for same day surgery patients; patients requiring post-operative nursing care for 23 hours or less; and admission and preparation for surgery that require inpatient care and treatment within the Durham VA Health Care System. The primary acuity category is 1 within 4B. The average length of stay is six to ten hours following post-operative recovery. RN's and LPN's provide care in collaboration with the interdisciplinary team (MD, PA, Social Work, Pharmacy, Dietary, Physical Therapy and support staff (HAS, Lab, etc.). Surgical/Medical sub-specialties include ophthalmology, general surgery, urology, plastic, neurosurgery, Psych, Cardiac Cath, Radiology, GI, and Neurology. Educational and discharge needs are initially addressed in the screening process prior to admission and continues throughout hospitalization. Therapeutic modalities include drug and parenteral therapy, respiratory therapy, and diagnostic procedures. Technology includes the use of blood pressure monitoring, Infusion pump therapy, Doppler, and PCX. A pre- op/procedure phone call is done prior to surgery/procedures the day before surgery/procedures. A telephone follow-up is provided 24 - 72 hours following the surgery/procedure to determine the patient's level of comfort with services provided. The Registered Nurse will collaborate with the nurses and other team members within the relationship centered model of nursing care to assure effective, timely discharge of patient through the following responsibilities by following the Continuation of Care: Monitors admissions for anticipated length of stay and discharges. Ensure plan identifies anticipated needs for teaching, caregiver support, and details regarding discharge prescriptions, and/or transportation on the day of discharge. Liaison for Unit and staff regarding discharge. Ensure all discharge related paperwork has been initiated. Participates daily with Interdisciplinary Team Rounds (MD, NP, etc.) and facilitates discussion of patient/family needs and anticipated discharge time. Discussion of discharge needs, and anticipated discharge time will occur with patient and team during rounds. Utilize a Discharge preparation Checklist. Work Schedule: Monday 5:00a.m.-10:30p.m. Friday (8 or 10 hour tours inclusive of days, evenings, and nights) Telework: Not Available Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized Financial Disclosure Report: Not required
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.