Total 6,464 Others job vacancies in San Bernardino, CA, USA

• Participates in achieving the efficient execution of the program by collecting, tracking compiling, inputting in a timely fashion and analyzing various data.
• Verifies accuracy of data, prepares reports and information and bring trends to the attention of management.
• Maintains a library of current and historical data, statistics, procedures, policies, instructions and reports used by FFSC staff in preparing for and delivering programs in accordance with Navy guidelines and policy.
• Establishes, maintains, purges, and disposes of files and records in accordance with established regulations and procedures.
• Creates, reviews, processes and expends non-appropriated fund (NAF), sponsorship and appropriated fund (APF) purchase requests, marketing requests, expenditures, and obligations for approval by supervisor.
• Serve as APF purchase cardholder, tracking purchases, communicating with vendors, and ensuring all APF purchasing requirements are met.
• Liaises with NAF Accounting and Procurement for NAF and sponsorship fund obligations.
• Reviews financial controls and reports obligations and expenditure, verifying accuracy of all financial data using the appropriate NAF or APF tracking system,
• Consolidates budget estimates and assists with the preparation of NAF and APF projected funding needs
• Reviews data submitted for consistency with previous estimates, current levels of operations and anticipated changes.
• Serves as Trusted Agent for Trusted Agent Sponsorship (TASS) to issue contractor credentials and tracks successful completion of background checks, initial and reoccurring, for government and contract personnel.
• Ensures compliance with applicable directives and instructions, regulations and generally accepted standard of the profession.
• Forwards guidance under area of responsibility to all FFSC staff.
• Tracks completion of required employee training.
• Enters and/or tracks routine reports and surveys and updates to data bases.
• Completes and/or updates web-based or database program input and reports.
• Responsible for coordination and management of APF and NAF property inventories, facility programs, facility work requests and special projects that reside under the FFSC Director,
• Supports supervisors with timekeeping services and personal actions related to NAF and APF staff, including processing mileage claims, processing leave requests, utilizing KRONOS to track time as a timekeeper and providing logistical and administrative support to arrange travel preparation and reimbursement for approved training conference.
• Schedules appointments and meetings in accordance with policies and priorities, and coordinates with the staff as necessary.
• In additional to logistical support, contacts participants and ensures all required materials and services are provided.
• Informs supervisory or conflicts, re-scheduling appointments as needed.
• May serve as representative of FFSC San Diego for certain meetings as directed by supervisor, taking notes/minutes and reporting back to supervisor.
• Independently notes and follows up on commitments made at meetings and conferences by staff members.
• Prepares a wide variety of technical recurring and non-recurring correspondence and other documents ensuring proper format, syntax structure, grammar, timely completion and distribution.
• Composes correspondence, Standard Operating Procedures and other materials of non-technical nature.
• Review and finalizes documents prepared by other for procedural and grammatical accuracy.
• Reviews and processes incoming and outgoing correspondence, materials, publications, regulations and directives.
• Receives telephone calls and visitors.
• Based upon knowledge of the organization's programs and functions and operations, directs customer to appropriate staff or organizations for assistance.
• Locates and selects appropriate references and procedures references and procedures for application to specific questions.
• Must be able to instantly assess and respond appropriately and conscientiously to crisis situations to include family violence, suicide risk and individual crisis situations, and is able to make knowledgeable and accurate judgment in providing hands-on assistance or self-help resources.
• Familiar with Privacy Act requirements and serve as Functional Privacy Act Coordinator for FFSC San Diego.
• Performs other related duties for program support as assigned.

• Participates in achieving the efficient execution of the program by collecting, tracking compiling, inputting in a timely fashion and analyzing various data.
• Verifies accuracy of data, prepares reports and information and bring trends to the attention of management.
• Maintains a library of current and historical data, statistics, procedures, policies, instructions and reports used by FFSC staff in preparing for and delivering programs in accordance with Navy guidelines and policy.
• Establishes, maintains, purges, and disposes of files and records in accordance with established regulations and procedures.
• Creates, reviews, processes and expends non-appropriated fund (NAF), sponsorship and appropriated fund (APF) purchase requests, marketing requests, expenditures, and obligations for approval by supervisor.
• Serve as APF purchase cardholder, tracking purchases, communicating with vendors, and ensuring all APF purchasing requirements are met.
• Liaises with NAF Accounting and Procurement for NAF and sponsorship fund obligations.
• Reviews financial controls and reports obligations and expenditure, verifying accuracy of all financial data using the appropriate NAF or APF tracking system,
• Consolidates budget estimates and assists with the preparation of NAF and APF projected funding needs
• Reviews data submitted for consistency with previous estimates, current levels of operations and anticipated changes.
• Serves as Trusted Agent for Trusted Agent Sponsorship (TASS) to issue contractor credentials and tracks successful completion of background checks, initial and reoccurring, for government and contract personnel.
• Ensures compliance with applicable directives and instructions, regulations and generally accepted standard of the profession.
• Forwards guidance under area of responsibility to all FFSC staff.
• Tracks completion of required employee training.
• Enters and/or tracks routine reports and surveys and updates to data bases.
• Completes and/or updates web-based or database program input and reports.
• Responsible for coordination and management of APF and NAF property inventories, facility programs, facility work requests and special projects that reside under the FFSC Director,
• Supports supervisors with timekeeping services and personal actions related to NAF and APF staff, including processing mileage claims, processing leave requests, utilizing KRONOS to track time as a timekeeper and providing logistical and administrative support to arrange travel preparation and reimbursement for approved training conference.
• Schedules appointments and meetings in accordance with policies and priorities, and coordinates with the staff as necessary.
• In additional to logistical support, contacts participants and ensures all required materials and services are provided.
• Informs supervisory or conflicts, re-scheduling appointments as needed.
• May serve as representative of FFSC San Diego for certain meetings as directed by supervisor, taking notes/minutes and reporting back to supervisor.
• Independently notes and follows up on commitments made at meetings and conferences by staff members.
• Prepares a wide variety of technical recurring and non-recurring correspondence and other documents ensuring proper format, syntax structure, grammar, timely completion and distribution.
• Composes correspondence, Standard Operating Procedures and other materials of non-technical nature.
• Review and finalizes documents prepared by other for procedural and grammatical accuracy.
• Reviews and processes incoming and outgoing correspondence, materials, publications, regulations and directives.
• Receives telephone calls and visitors.
• Based upon knowledge of the organization's programs and functions and operations, directs customer to appropriate staff or organizations for assistance.
• Locates and selects appropriate references and procedures references and procedures for application to specific questions.
• Must be able to instantly assess and respond appropriately and conscientiously to crisis situations to include family violence, suicide risk and individual crisis situations, and is able to make knowledgeable and accurate judgment in providing hands-on assistance or self-help resources.
• Familiar with Privacy Act requirements and serve as Functional Privacy Act Coordinator for FFSC San Diego.
• Performs other related duties for program support as assigned.

The Primary Care Provider (PCP) Float will provide primary care services in support of primary care operations in the San Antonio service area. As a float provider, this position will provide support to Patient Aligned Care Team (PACT) at an assigned San Antonio Clinic and may be detailed to other VA Clinics in San Antonio as staffing and workload dictate.

THE PCP Float may be asked to provide coverage for a vacant/absent PACT provider to supplement PACT services by delivering same-day care, routine scheduled care, or new patient intake for PACT panel(s).

The Primary Care Physician is responsible for providing Comprehensive Primary Care for Veterans and should, in the context of a longitudinal relationship, fulfill all primary care needs, including acute and chronic illness, gender-specific PC, mental health (Screen for conditions such as depression, substance use/abuse, military sexual trauma and PTSD, and evaluate and treat uncomplicated mental health disorders as well as substance use disorders and refer patients appropriately for further evaluation and treatment of sexual assault and military sexual trauma, mental health disorders and substance use disorders) and preventative care (age-appropriate cancer screening e.g., colon, breast and cervical cancer - as well as weight management counseling, Chlamydia screening (when indicated), smoking cessation and immunizations, etc.) along with coordination of care delivery (when specialty care is needed, the primary care provider will coordinate this care and communicate with the specialty provider regarding the evaluation and treatment plan to ensure continuity of care).

The PACT Model is a patient-driven, team-based approach that delivers efficient, comprehensive, and continuous care through active communication and coordination of health services through an interdisciplinary team that includes the PCP, RN Care Manager, LVN, clerical associate as well as other clinical services necessary to meet the health goals and needs of the Veteran patient including specialists. While the Primary Care provider's relationship with the Veteran patient will remain key, that bond will be augmented and strengthen by involving other health care staff as part of an integrated team. Together the team takes responsibility for the Veteran patient's ongoing care through a cooperative effort among all members.

Alternative or collateral duties may include management of a subsection of primary care patients, the subsection may be defined either by a disease status, or demographic status (e.g., women veterans, OIF/OEF veterans, employees, etc.). Typically these duties are designated at the time of joining but occasionally during the course of employment, participation in special projects pertinent to assigned section may be necessary as the projects become available through strategic or other initiatives.

Physicians may be assigned duty as a supervising or collaborating physician for one or more mid-level providers. Physicians are expected to provide clinical oversight and review the care provided by mid-level practitioners. Most providers will need to act as surrogates for the patients of their colleagues, when one or more of their colleagues are on leave.

Driving Requirement: Selectee will be expected to travel and must posses a valid and unrestricted driver's license.

Work Schedule: Monday to Friday (8:00 a.m. - 4:30p.m)


VA offers a comprehensive total rewards package. VHA Physician Total Rewards.

Recruitment Incentive (Sign-on Bonus): Authorized for Internal Employees.
Education Debt Reduction Program (Student Loan Repayment): Learn more.
EDRP Authorized: Former EDRP participants ineligible to apply for incentive. Contact VISN17EDRP2@va.gov, the EDRP Coordinator for questions/assistance.
Pay: Competitive salary, annual performance bonus, regular salary increases
Paid Time Off: 50-55 days of paid time off per year (26 days of annual leave, 13 days of sick leave, 11 paid Federal holidays per year and possible 5 day paid absence for CME)
Retirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA
Insurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement)
Licensure: 1 full and unrestricted license from any US State or territory
CME: Possible $1,000 per year reimbursement (must be full-time with board certification)
Malpractice: Free liability protection with tail coverage provided
Contract: No Physician Employment Contract and no significant restriction on moonlighting

• Delivers classroom instruction about Lean, Lean Six Sigma, Systems Redesign or other improvement methodologies tools and techniques to all levels of the organization.
• Expert analyst who has mastered methods to improve program effectiveness or complex management processes and systems and possesses knowledge of agency program goals and relationships with other programs within the agency.
• Defines a project scope and goals through a collaborative process with subject matter experts and leadership at the facility, service line or program, or unit level.
• Directs the team towards sustainable solutions that are mistake proof. Mistake proofing is designing processes that cannot be performed in error and thus improve the product experience for *8. Directs the team towards sustainable solutions that are mistake proof. Mistake proofing is designing processes that cannot be performed in error and thus improve the product experience for customers.
• Assist in the development of long-range program plans, goals, objectives, and milestones, and/or evaluate the effectiveness of programs conducted throughout VACH.
• Responsible for leading or coaching the team through development of control strategies, to ensure project solutions are sustained after the project lifecycle.
• The System Redesign Specialist must be aware of the organization's mission, vision, and values and critical success factors.
• Develops and refines information for comprehensive reports, addressing such elements as cost analysis, work measurements, trend analysis, efficiency, effectiveness, productivity, and tangible benefits.
• The position is responsible for delivering Performance Improvement techniques to a broad array of program and services throughout the Medical Center, including Lean, Six Sigma, Coaching, Project Management, and Training.
• Incorporates recommendations for the resolution of problems identified in studies such as eliminating, adding, changing, or rearranging specific procedures, products or services or making other changes to more efficiently and effectively utilize resources.
• Knowledge of clinical practice guidelines and guidelines designed by healthcare improvement organization to collect, analyze, and present data for performance improvement studies and projects
• Develops benchmarks and assigns a schedule or priority level to a potential project based on the needs of the organization and direct consultation with executive leadership.
• Develop collaborative relationships and funding mechanisms within the VHA with customers, stakeholders, and other members of the System Redesign Community of Practice - Veterans Integrated Service Network (VISN) offices, VA Central Office (VACO) programs.
• Ability to recognize different functions and motivations of various employees and groups in the healthcare delivery system and to communicate with each in order to gather information, present recommendations, and coordinate services.
• Communicates regularly with executive leadership, service chiefs, managers, and supervisors, medical center staff, patients, and their families, VISN and VACO leadership and staff, consultants, representatives of regulatory organizations, academic affiliates, and industry leaders and representatives and members of the general public.

• You will coordinate Risk and Departures from Specifications program efforts with Navy Regions and personnel from other Navy activities.
• You will develop and brief customers and managers on Infrastructure long range plans.
• You will research and analyze data pertinent to your program responsibilities.
• You will identify and propose solutions for program risks, problems, issues, and concerns in the development of Facility Sustainment Repair and Modernization Policy.
• You will coordinate and recommend improvements to CNIC N4's interaction with the Navy Nuclear Deterrence Mission

As a nursing assistant, you serve as a member of the nursing team, performing a variety of nursing assignments in the outpatient clinical setting. This position requires the Nursing Assistant to perform such tasks as recording vital signs, doing EKGs, blood glucose monitoring and administering care to patients. The Nursing Assistant also provides support to providers and nurses in the performance of personal care and assisting with diagnostic examinations. The Nursing Assistant requires excellent customer service and communication skills when dealing with the veterans, their family and co-workers. Tasks include:

Maintaining unit flow in busy, high-volume environment by ensuring equipment is clean/sterile and in working order; exam/procedure rooms are clean, stocked and set-up, providing timely turnover of exam/procedure rooms to facilitate providers/clinic staying on time. The Nursing Assistant assists providers and other nursing staff with minor procedures. The Nursing Assistant will monitor for expiring medication/supplies. Assist with repeat blood pressures, patient admissions and transfers, general transporting of patients, lab and pharmacy running for clinic. The Nursing Assistant will be entering information into the patients' electronic records or charts using standard medical terminology for the human body, physical and emotional reactions, nursing care, and contraindications to medications, etc. The Nursing Assistant will foster/support a learning environment by participation in the orientation of new employees, providing feedback as appropriate and seeking opportunities for self-improvement. Must have basic computer skills to perform daily tasks. The Nursing Assistant will be required to monitor patients who are disoriented and in need of constant direction. You will be required to work as a team in improving patient care. You will be required to perform other related duties as assigned. This position reports directly to the Nurse Manager of the Surgical Specialty Clinics.

Clinical Skills
1. Completes all care assignments in a safe and timely manner
2. Actively participates in unit level quality improvement activities and attends huddles, team meetings, and assigned committees.
3. Completes applicable documentation per policy to include but not limited to Intake/Output, daily weights, vital signs, pain score, hourly rounding, blood glucose testing with accurate comment for notification.
4. Uses the appropriate equipment for safe patient handling to include but not limited to: SCDs, bladder scanner, Bucks tractions, lift equipment, CPM, glucometer to include maintenance of quality controls as applicable.

Emergency Intervention:
1. Is able to apply knowledge of effective verbal interactions and preventative tactics, such as the use of the least restrictive environment, when confronted by aggressive, potentially assaultive, disruptive, confused and elopement risk patients.
2. Is able to utilize knowledge of physical, social, and emotional factors when assisting with patient care.

Patient Education and Planned Activities:1
1. Applies knowledge of human behavior and the various degrees of physical and mental impairment, is able to reinforce patient/family teaching provided by the registered nurse.

Assessment and Communication:
1. Is able to recognize patient care management difficulties or problems and brings their finding to the attention of the registered nurse.
2. Is able to communicate with patients and families in a calming, reassuring, and supportive manner.

Interpersonal Relationships:
1. Establishes therapeutic relationships with patients and all members of the Interdisciplinary Team.
2. Maintains courtesy during telephone and direct verbal interactions with patients, families, visitors, coworkers, and supervisors.

Fire and Safety/Infection Control:
1. Maintains a safe work environment and has knowledge of Safety and Infection Control Guidelines.
2. Utilizes proper body mechanics, encourages others to do so, and includes participates during unit In-service and Patient Care Conferences.

Nursing Assistant - vacareers.va.gov/wp-content/uploads/sites/5/Total-Rewards-of-a-Nursing-Assistant-Career-Flyer.pdf

Work Schedule: Monday-Friday 0730-1600
Telework: Not Available
Virtual: This is not a virtual position.
Functional Statement #: 00000
Relocation/Recruitment Incentives: Not Authorized
Permanent Change of Station (PCS): Not Authorized
PCS Appraised Value Offer (AVO): Not Authorized
Financial Disclosure Report: Not required

Responsible and accountable for all elements of the nursing process when providing and/or supervising direct patient care. Assesses, plans, implements and evaluates care based on age-specific components. Assumes responsibility for the coordination of care focused on patient transition through the continuum of care, patient and family education, patient self-management after discharge, and supporting factors that impact customer satisfaction. Considers all characteristics of the individual, including age and life stages, state of health, race and culture, values, and previous experiences. Administers medications and procedures per established policies and guidelines. Influences care outcomes by collaborating with members of the interdisciplinary team. Core elements of performance include knowledge and active participation in unit/program level quality improvement processes and initiatives as well as customer service programs.

Duties include but not limited to:

• Organize and participate in an urban human immunodeficiency virus (HIV) clinic.
• Assist clinical staff to organize patient care visits.
• Provide orientation visit for new patients to clinic.
• Track patients who are high-risk for noncompliance with medical follow up due to medical and psychosocial reasons such as substance abuse and homelessness, older age and geriatric comorbidities.
• Coordinate with infectious disease physicians, medical trainees, social workers, nurse practitioners, clinical nurses, pharmacists, clinical psychologists, dieticians, psychiatrist and community case management organizations who provide multidisciplinary care to HIV infected patients.
• Responsible with coordination of patient for general infectious disease and travel consults.
• Review antibiotic consults for Medical Center.
• Conduct chart reviews and telephone calls to patients for pre-visit preparation or post visit follow up.
• Coordinate HIV registry if applicable, collaborate with public health department, order test under RN policy, oversight of clinic flow and administrative and clinic assignments to ensure smooth clinic operation and maintain compliance with standards.

Duties and responsibilities of the Intermittent LVN/Primary Health Units include:

• Uses sound clinical judgment, has ability to vary the order and sequence of assignments based on patients' conditions.
• Utilizes knowledge of physical, social, and emotional factors when planning patient care, and uses this knowledge effectively in day-to-day interactions with patients and families.
• Recognizes deviations from patient's baseline. Demonstrates ability to respond to patient's immediate and long-term needs.
• Prepares and administers medications correctly and understands the action and side effects of all medications administered. Observes for physical and/or emotional changes in patient's condition from prescribed medications/treatments, promptly and accurately documenting noted changes, and reporting any deviations from normal to RN or MD/DO.
• Performs complex treatments and procedures with exceptional skill and knowledge.
• Applies knowledge of Medical Center Policies and Procedures to his/her daily clinical functions and responsibilities.
• Age differences - delivers nursing care that reflects the various phases of the life cycle from 18 to 85 years and over. Distinguishes individual age need differences, considers maturation changes, promotes health in all phases, differentiates the need for special equipment, and considers the young adults and abuse problems.
• Applies knowledge of effective verbal interactions and preventative tactics, such as the use of the least restrictive environment, when confronted by aggressive or potentially assaultive patients.
• Knowledge of physical, social, and emotional factors when planning patient care, and uses this knowledge appropriately to respond to Code Blue emergencies.
• Recognizes and initiates life saving measures appropriately in the absence of other members of the Healthcare Team.
• Participates in the planning and/or implementation of various codes and emergency management procedures.
• Uses safe techniques when giving patient care and handling equipment, using standard precautions and personal/patient protective equipment.
• Recognizes and reports unsafe situations. Initiates appropriate emergency interventions.
• Assesses acute and subtle changes and consistency in patients' mental and physical condition and intervenes appropriately.
• Conducts group meetings to help patients share feelings, improve socialization skills and enhance their self-esteem.
• Applies knowledge of human behavior and the various degrees of physical and mental impairment, is able to modify patient/family teaching methods.
• Assists the professional nurse in planning and implementation of patient educational or recreational activities.
• Motivates patients to participate in learning and recreational activities to improve their quality of life.
• Recognizes patient care management difficulties or problems and makes suggestions for change.
• Communicates with patients and families in a calming, reassuring, and supportive manner.
• Assesses the need for and provides emotional support to the dying patient and family.
• Observes patient while on the unit and more frequently as directed in accordance with facility policies.
• Maintains courtesy during telephone and direct verbal interactions with patients, families, and visitors.
• Establishes therapeutic relationships with patients and all members of the Interdisciplinary Team.
• Has ability to elicit feelings, attitudes, and promote positive communication and socialization skills with patients.
• Motivates others to support Medical Center policies and procedures.
• Maintains a safe work environment and adheres to Safety and Infection Control Guidelines.
• Utilizes proper body mechanics, encourages others to do so, and includes information regarding prevention of injury during unit In-service and Patient Care Conferences.
• Responds promptly and effectively to Fire and Disaster Drills and alarms, actively assisting others as needed.
• Reusable Medical Equipment (RME) is any medical equipment designed by the manufacturer to be reused for multiple patients.
• All personnel must understand that improper use and reprocessing of medical devices poses significant negative impact on our Veteran population through the risk of infectious disease
• Complies with established policies and procedures based on Directive 1116(2) Sterile Processing Services.

• Plans/executes engineering and technical functions related to engineering, manufacturing, and quality assurance.
• Develops and/or implements agency engineering and quality assurance policies, tools, and training program.
• Provides authoritative guidance and advice to management, customers, and Quality Assurance Specialists in functional area of expertise.
• Resolves complex technical problems associated with surveillance of major, critical contracts for program life cycle stages, next generation equipment, or DoD Weapon Systems

The duties and responsibilities of the CY Program Assistant have been grouped into categories, including curriculum, indoor and outdoor environment, interactions and relationships, supervision of children and youth, parent and employee communication, assessment, compliance, and additional responsibilities. Each is described below.

Curriculum

Develops schedules and activity plans. This may include reviewing and providing input into schedules and activity plans developed by the entry level and intermediate level Educational Aids (CY Program Assistants), CY-1702-I. Ensures that program plans and activities incorporate the observed needs of individual children and youth.

Implements activities and special events that meet the physical, social, emotional, and cognitive needs of children and youth. Incorporates special instructions provided by parents such as special dietary needs, physical needs, or other information that may affect the child or youth's experience in the program.

Prepares and implements program options for children and youth with special requirements. Cares for children and youth with special needs as directed by the supervisor.

Demonstrates, instructs, leads, and facilitates planned and spontaneous program activities.

Role models developmentally appropriate practice and classroom or activity area management techniques.

Promotes and models safety, fitness, health, and nutrition practices.

Helps arrange for and/or serve appropriate snacks or meals where applicable.

Indoor and Outdoor Environment

Helps prepare, arrange and maintain indoor and outdoor activity areas and materials to accommodate daily schedules.

Sets up displays and bulletin boards.

Inventories equipment on a recurring basis and recommends replenishing damaged, missing, and depleted supplies.

Secures supplies, equipment, and facilities.

Interactions and Relationships

Establishes a program environment that sustains participant interest and promotes positive interactions with other children, youth and adults.

Interacts with children and youth using approved child guidance and youth development techniques.

Supervision of Children and Youth

Provides care and supervision, oversight, and accountability for program participants in compliance with the Department of Defense (DoD), NAF Component, and local installation policies, guidance, and standards.

Maintains control of and accounts for whereabouts and safety of children and youth.

Supervises children and youth during daily schedule of indoor and outdoor activities and on field trips, outings, and special events.

Ensures children and youth (as applicable) depart with authorized person according to written parental instructions.

Observes program participants for signs that may indicate illness, abuse, or neglect and reports as directed. Incumbent is a mandatory reporter to Family Advocacy and Child Protective Services as prescribed by local policy in the case of suspected incidences of child abuse and neglect.

Parent and Employee Communication

Interacts professionally with employees, parents, and local installation command personnel.

Provides parents with daily verbal or written feedback about their child/youth or program activities.

Participates in conferences with parents and employees.

Assessment

Observes children and youth and documents developmental progression and/or concerns. Uses the information in planning.

Participates in program evaluation using designated instruments such as programmatic rating scales, risk assessment tools (as required), self-inspection materials, and national accreditation tools.

Compliance

Assists in achieving and maintaining DoD certification and national accreditation or equivalent.

Ensures compliance with law, policies, and regulations applicable to DoD CY programs Notifies supervisor of health, fire, and safety compliance concerns.

Additional Responsibilities

Collects, maintains, and reports program participation data.

Performs other related duties as assigned.

Major duties include but are not limited to:

1. Incumbent is responsible for set up of endoscopy equipment according with hospital established SOP's regarding reusable medical equipment (RME) and manufacturer's guidelines, ensuring endoscopes and ancillary equipment functions properly. In case of mal function notifies the supervisor or alternate.

2. Incumbent ensures that all scopes/reusable medical equipment, supplies and accessories are available and prepare prior to all procedure according to hospital established SOP's and manufacturer's guidelines.
3. Incumbent is proficient in endoscopic equipment/accessories used in basic and complex endoscopic procedures such as ERCP and EUS.
4. Incumbent has knowledge of anatomy and physiology related to the GI system, with ability to recognize and report obvious abnormalities during procedures.
5. Incumbent assists physician with routine endoscopic procedures such diagnostic and therapeutic upper endoscopies and colonoscopies as well as and specialized, complex endoscopic procedures such as ERCP and EUS.
6. Incumbent attends gastroenterology section ambulatory clinics to assists physician with vital signs documentation, patient examination and pre procedure orientation to patients and relatives. Participates in the section's telephone triage program for pre/post procedure calls.
7. Incumbent interacts with patients explaining procedures and positioning the patient for the procedure, recognizing disabilities or impaired mobility, and assisting the patient as necessary.
8. Incumbent coordinates endoscopic procedure scheduling for those to be done at other hospital areas such as Radiology, Intensive care units, Emergency department, Operating room.
9. Incumbent transport pre and post procedure patients from and to inpatient area as well as to other areas of the medical center. Incumbent transport post procedure patients to hospital entrance to be picked up by relative.
10. Incumbent is responsible for the pre-cleaning of endoscopic equipment and reprocessing gastroenterology specialty critical reusable medical equipment (RME), following approved Standard Operating Procedures (SOPs) and universal precautions.
11. Incumbent uses basic computer systems and programs to record patient and endoscopic data, adhering to patient privacy and information security policies. Incumbent is responsible for assuring that all biopsies and /or fluids taken from the patient are properly identified, charted in the section's electronic logbook, and delivered in a timely manner to the Pathology Department or Laboratory. Keeps other section's quality logbooks as assigned by supervisor.
12. Incumbent is responsible to pre clean and disinfect non-critical reusable equipment and surfaces, dispose of one-time-use equipment and trash per facility policy, and restock supplies such as linens, suction equipment, and cleaning products. Prepares for high level disinfection/sterilization all reusable medical equipment and makes the necessary arrangements to have them reprocessed by SPS. Regularly cleans scopes storage cabinets.
13. Incumbent collaborates, communicates, and demonstrates customer service skills and interpersonal skills with all healthcare professionals to ensure quality and continuity of care.
14. Incumbent is able to deliver patient care, including vital sign measurements and placement of intravenous line to patient to be done endoscopic procedures.
15. Ability to assist physician with specialized, complex procedures such as ERCP ,EUS among others..

The 4B infusion unit is an 8 chair and 3 bed treatment/recovery area within the South Texas Veterans Health Care System, San Antonio, TX at Audie L. Murphy Hospital. 4B Outpatient is a fast- paced unit with a focus of pre/post care of the procedural patient and recovery of outpatient procedural patients.

The 4B Infusion Unit Registered Nurse will primarily work within the outpatient clinic and trained in observation unit care. In this capacity, the RN will administer a variety of intravenous agents to include blood products. The RN will be responsible for routine maintenance of short and long-term intravenous catheters. The Candidates must have the drive and be committed to provide the veterans with efficient, high quality, and safe care in alignment with STVHCS ICARE values. The RN must demonstrate the ability to work effectively as a team member and a leader.

The RN must demonstrate the ability to work effectively as a team member and a leader. Highly effective interpersonal, organizational, verbal, and written communication skills are required. The incumbent will also be the back-up coordinator for the 4B infusion clinic.

Duties include, but are not limited to:

• Assumes care for veteran patients and their families by providing direct and indirect nursing care, within the scope of RN practice, utilizing the components of nursing process to optimize patient health care outcomes.
• Primary duties for this position will include infusion therapy, cardiac Cath lab recovery, and infusion coordinator coverage.
• Documents patient education, interventions, and other encounters, in appropriately titled medical note(s) through the appropriate computerized program.
• Collaborates with the Interdisciplinary Team to ensure delivery of appropriate and timely care, provision of patient/family education, and facilitate discharge within 24 hours for each patient.
• Supports medical staff in managing consults to the service, assisting in prioritizing, and facilitating access for urgent needs; as requested, reports data to Medical Service; tracking follow-up labs, diagnostic studies, and future appointments.
• Ensures regulatory standards are met, which includes medication management; clinical procedural requirements; established safety, infection control, and environment of care standards.
• Maintains mandatory certification as dictated by the work setting.
• Participates in performance improvement initiatives, as applicable, to clinical practice in support improvement of the overall quality of care delivery.

The Electrician performs journeyman responsibilities in the electrician trades. Determines the methods and techniques, devices, and material necessary to do the complete jobs. Installs, modifies, repairs, troubleshoots, loads, and tests new and existing electrical lines, circuits, system, fixtures, controls, and equipment such as secondary distribution lines and circuits; distribution panels; switchgear, power and control circuits; electrical warning/detection/fire alarm systems; high intensity lighting etc.

Major duties include but are not limited to:

• Plans and lays out proposed installation of circuits from written and verbal instructions.
• Performs general maintenance, diagnostic tests, repair, modification, and overhaul involving a variety of commercial and industrial type electrical devices and equipment including power control panels, transformers, generators, relays, and alternators.
• Tests, repairs, modifies, and overhauls a variety of equipment such as AC/DC monitors, alternators, transformers, generators, remote controls, relays, power control panels, and electrically powered equipment.
• Identifies mechanisms, materials, and component parts from a knowledge of descriptions, color codes, symbols, schematics, and manufacturers codes number.
• Maintain security of all assigned tools, equipment, and materials.
• Report missing items to the supervisor.
• Maintain a safe work area, utilizing all assigned or provided safety equipment and clothing.
• Performs other duties as assigned.