Under the direction of a Licensed Vocational Nurse (LVN) or Registered Nurse (RN) the Nursing Assistant (NA) functions as a member of the nursing team and assists the RN and the LVN in the care of patients. The incumbent functions as NA, under close supervision and refers issues/questions to supervisors, higher grade NA and other health care professionals and is directed by the RN/or LVN in the delivery of care of patients in acute, sub-acute or chronic states of illness. Applicants pending the completion of educational or certification/licensure requirements may be referred and tentatively selected but may not be hired until all requirements are met. Basic Requirements: United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. One year above high school with courses related to the [NA] occupation. Completion of an intensive, specialized, occupation-related course of study of less than one year [ ] as a nursing assistant may also meet in full the experience requirements for GS-3. Must be proficient in spoken and written English in accordance with VA Handbook 5005 Grade Determinations: GS-3 Experience. Less than one year of specialized experience as a [NA] or experience in another medical field, performing technical and nursing skills requiring knowledge of the human physical and emotional states, therapeutic communication, and technical skills required for basic and intermediate treatments; OR, Education. Successful completion of high school diploma or a GED. AND Demonstrated KSAs:1.Ability to provide a range of patient/resident care and contribute to the completion of the nurse care plan and recovery of patients/residents.2.Ability to observe patients/residents' or resident's physical or emotional status and refer deviations and/or problems to supervisor in a timely manner. 3.Ability to properly use equipment, materials and supplies in simple diagnostic and treatment procedures such as bladder scan, continuous passive motion device, blood glucose monitoring machine, specimen collection, etc.4. Ability to communicate effectively with patients/residents, their families and other health professionals. Education: One year above high school with courses related to the NA occupation. Completion of an intensive, specialized, occupation-related course of study of less than one year as a nursing assistant. GS-4: Experience. One year of specialized experience as a [NA] or experience equivalent to the GS-3 , performing technical and nursing skills requiring knowledge of the human physical and emotional states, therapeutic communication, and technical skills required for basic and intermediate treatments; OR, Education. Successful completion of high school diploma or a GED. AND Demonstrated KSAs:1. Ability to provide a range of patient/resident care and contribute to the completion of the nurse care plan and recovery of patients/residents.2.Ability to observe patients/residents' or resident's physical or emotional status and refer deviations and/or problems to supervisor in a timely manner. 3.Ability to properly use equipment, materials and supplies in simple diagnostic and treatment procedures such as bladder scan, continuous passive motion device, blood glucose monitoring machine, specimen collection, etc.4. Ability to communicate effectively with patients/residents, their families and other health professionals. Education: One year above high school with courses related to the NA occupation. Completion of an intensive, specialized, occupation-related course of study of less than one year as a nursing assistant. GS-5: Experience. One year of progressively responsible assignments and experience equivalent to the GS-4 level which demonstrates knowledge, skills, and abilities that are directly related to the specific assignment. In addition, the candidate must demonstrate the professional KSAs OR, Education. Successful completion of a 4-year course of study above high school leading to a bachelor's degree that included 24 semester hours of courses related to health care or possession of a bachelor's degree; AND Demonstrated KSAs1. Ability to assist in the full range of nursing care to patients/residents with physical and/or behavioral problems in a hospital, long term care or outpatient setting under the direction of a Registered Nurse and/or Licensed Vocational Nurse/Licensed Practical Nurse.2. Ability to communicate orally with patients/residents, families, interdisciplinary team and other personnel. This includes serving as a preceptor to new [NAs] by assisting with the coordination of their orientation and overseeing/assessing their practical experience while in a clinical setting.3. Ability to recognize and react to emergent patient/resident care situations and intervene while waiting for assistance. For example, recognizing need for basic life support, controlling bleeding and assisting with behavior crisis, etc. Preferred Experience: CNA BLS One year NA experience References: VA Handbook 5005, Part II, Appendix G46, Certified Nursing Assistant Qualification Standard, GS-621. The full performance level of this vacancy is GS-5. The actual grade at which an applicant may be selected for this vacancy is GS-5. Physical Requirements: Heavy lifting (45 lbs. and over); Moderate Carrying (15-44 pounds); Straight Pulling; Pushing; Reaching above Shoulder; Walking; Standing; Repeated bending; Ability for rapid mental and muscular coordination simultaneously; Near vision correctable at 13" to 16" to Jaeger 1 to 4; Hearing aid (permitted); Ability to distinguish basic colors; Ability to distinguish shades of colors; Depth perception; Both eyes required; Both legs required; Use of fingers and both hands required. May qualify based on being covered by the Grandfathering Provision as described in the VA Qualification Standard for this occupation (only applicable to current VHA employees who are in this occupation and meet the criteria). ["The duties and responsibilities of the Nursing Assistant include but are not limited to the following: Demonstrates the knowledge and skill necessary to provide care, based on physical, psychological, educational, safety and related criteria, appropriate to the age of the patient served in his/her assigned area. The skills and knowledge needed to provide such care might be gained through education, training or experience in NA arena. Provides input to Team Leader/Charge Nurse for making assignments prior to receiving report at the start of scheduled tour. Listens attentively to report, notes pertinent items and asks for clarification when unsure of content. Formulates work schedule based on prioritization of patient care needs. Assist patients to keep physically and socially active and to maintain peer group interactions. Assist patients to cope with loss, e.g. hearing, vision, body parts or death of significant others. Assist patients with self-care as required, and with maintaining as much independence as possible. Performs procedures and treatments according to the orientation procedures for assigned patients, or assist with delivery of procedures/treatments for a team of patients, in an organized and timely manner in accordance with established policy and procedure seeking guidance when necessary Preserves patient safety, confidentiality, respects patient/family/significant other's rights and assists the multidisciplinary team with resolving ethical issues. Recognizes medical emergencies and initiates appropriate intervention. Maintains basic life support certification and other mandatory training and educational requirements offered by the medical center. Attends interdisciplinary rounds and discharge planning meetings to assist with patient instruction/discharge planning for patients on designated team. Assist with admissions, discharges, transfers and death procedures. Provides respectful care that maintains individuality, dignity and self-esteem for residents in an environment that focuses on their care needs and quality of life. Promotes rehabilitative and restorative nursing care Practices universal precautions, infection control techniques and safe medical waste disposal Use of equipment safely and using proper body mechanics Recognizes medical/behavioral changes and initiates appropriate intervention requests as necessary Immediately reports observation and or knowledge of abuse or neglect of patients and loss or damage of government property. The Nursing assistant is alert to the possible physical acting out behavior of patients and protects self and others from physical harm. Duties require extensive periods of standing and walking, bending, lifting, stooping, stretching, pulling and /or similar activities carried out using safe patient handling techniques. Work Schedule: 12 hour shifts and One 8 hour shift (80 hours per pay period). Tour subject to change depending on the needs of facility. Telework: Not Available Virtual: This is not a virtual position. Relocation/Recruitment Incentives: 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.
