I work in the SCI unit at the LBVA, ward V1. Welcome to the team. I hope you're up for a challenge because working in SCI is hard work.
Patients are heavy - proper body mechanics is a must. You can get a back support belt from the VA for free.
Bowel and Bladder management is the main focus of SCI nursing and is the main diagnostic criteria for SCI. Be prepared for bowel care (suppository insertion, digital stiumlation, digital evacuation, tap water enemas, and bowel preps).
Wound care - patients develop pressure sores due to loss of sensation and movement and not turning frequently. You will develop great wound care skills changing dressings daily and twice per shift.
On all 3 SCI units at the VA, we do team nursing. Depending on census we can have anywhere from 2 -3 teams. Each team is headed by an RN. Each team leader is responsible for medication administration, physical assessments, and checking orders for all patients on their team. Patients per team could range anywhere from 5-10 patients. RNs not team leading, LVNs, and Patient Care Techs are delegated to patient care (caregivers) between the teams. Being assigned as a caregiver, you are responsible for bowel and bladder care, bed bath or shower, dressing changes, turning patients q2hrs, I&O charting, and care charting. You can have anywhere from 3-6 patients assigned to you for care. As an RN assigned to caregiving, you also are responsible for physical assessments for any of the patients on the floor.
Anyways, we're all a bunch of a great people. If you have any other questions, just let me know.