Nursing Assistant ( Community Living Center A)

Summary

The Nursing Assistant functions as a member of the nursing care team and assist licensed nursing staff in the care of patients/residents receiving preventative - acute - subacute - chronic - maintenance - and hospice care.

Qualifications

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
• English Language Proficiency
• NAs must be proficient in spoken and written English in accordance with VA Handbook 5005 - part II - chapter 3 - section A - paragraph 3j
• Experience or Education or Training
• Six months of general experience
• Experience must demonstrate the ability to acquire the knowledge and skills to perform the work of a NA
• OR - One year of education above high school with courses related to the NA occupation
• OR - Completion of an intensive - specialized - occupation-related [training] course of study [or program] of less than one year as a NA may also meet in full the experience requirements for GS-3. 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)
• Grade Determinations: GS-03 Entry Level - Experience and Education
• None beyond the basic requirements
• GS-04 Developmental Level - In addition to the basic requirements - have one year of specialized experience as a NA or experience in another medical field (licensed practical nurse - health technician - hospital corpsman - etc.) - 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 - have successfully completed 2 years above high school in an accredited institution with courses related to nursing care - healthcare or in a field of study appropriate to the specialization of the position - such as education in a program for psychology - psychiatric - or operating room technicians (TRANSCRIPT REQUIRED)
• -AND- Demonstrated Knowledge - Skills - and Abilities (KSAs): Ability to provide a range of patient/resident care and contribute to the completion of the nurse care plan and recovery of patients/residents
• Ability to observe patients/residents' or resident's physical or emotional status and refer deviations and/or problems to supervisor in a timely manner
• 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
• Ability to communicate effectively with patients/residents - their families and other health professionals
• GS-05 Full Performance Level - In addition to the basic requirements - have one year of progressively responsible assignments and experience equivalent to the GS-04 level which demonstrates knowledge - skills - and abilities that are directly related to the specific assignment
• In addition - can demonstrate the professional KSAs in subparagraph (c) below
• OR -I have successfully completed 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 (TRANSCRIPT REQUIRED)
• -AND- Demonstrated Knowledge - Skills - and Abilities (KSAs): - 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
• 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
• 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: Direct Patient Care experience Long-Term Care experience Acute Care experience Reference: For more information on this qualification standard - please visit
• The full performance level of this vacancy is GS-5. The actual grade at which an applicant may be selected for this vacancy is in the range of GS-3 to GS-5. Physical Requirements: Lifting up to 35 pounds for 8-12 hours - intermittently
• moderate carrying (15-35 pounds) for 8 to 12 hours - intermittently
• lifting over 35 pounds with assistive devices in accordance with the Safe Patient Handling Policy except in emergent situations requiring prompt patient care
• pulling for 8 to 12 hours - intermittently
• pushing for 8-12 hours - intermittently
• reaching above the shoulders for 8-12 hours - intermittently - both hands required
• walking 8-12 hours - intermittently
• standing 8-12 hours intermittently
• kneeling 8 to 12 hours - intermittently
• repeated bending for 8-12 hours - intermittently
• climbing and use of both legs and arms for 8-12 hours - intermittently - both legs required
• near vision at 13 to 16" Jaeger 1 to 4 - far vision correctable in one eye to 20/20 and to 20/40 in the other eye
• ability to distinguish basic colors
• hearing aid permitted
• twisting - simply grasp and fine manipulation
• The incumbent may be exposed to infected patients and contaminated materials and may be required to don protective clothing in isolation situations or operative/invasive procedures.

Duties

• Total Rewards of a Allied Health Professional Duties include but are not limited to: Utilizes glucose monitoring machine to receive glucose readings for veterans Provides direct care for complex veterans
• Makes observations of subtle changes in resident's condition - i.e
• behavior shifts - mood - skin coloring - appetite - etc
• Documents care given - observations and responses on appropriate tools or forms
• Performs oral and nasopharyngeal suctioning
• Administers complete tracheostomy care - including suctioning
• Monitors and documents patient intake and output
• Performs nursing procedures within scope of practice and according to policies and standard procedures to care for the veteran for such procedures but not limited to: enemas - catheterization - colostomy care - skin care simple dressing - application of braces and prosthetic devices
• Works on small group activities with veterans/residents according to patients/veterans' treatment plan
• Recognizes the resident's autonomy and promotes independence by means of respect - limit setting and individualized treatment
• Actively participates in treatment planning meetings
• Utilizes equipment to promote the veteran self-care - such as lift equipment - hydro sound tubs - and veteran/resident wandering system
• Verbally provides patient information to the treatment team for inclusion in the veteran/resident's plan of care - participates in treatment team meetings for resident care planning
• Enters information about the residents' condition in the chart - utilizing appropriate formats
• Participates in maintaining a clean - safe environment for the patient/resident
• Removes defective equipment - reports hazards - observes safety regulations - contributes to infection control - and utilizes proper aseptic technique in performance of duties
• Work Schedule: 12 hour Day and Night shifts with every other weekend
• May be required to work other shifts - be on call - work weekends and/or holidays as patient care and needs of the service require
• Should operational needs dictate - candidates must be willing to work within other units (including community based outpatient clinics - for example) to assist and support continuation of the provision of care/services Recruitment Incentive (Sign-on Bonus): Not Authorized Permanent Change of Station (Relocation Assistance): Not Authorized Paid Time Off: 37-50 days of annual paid time offer per year (13-26 days of annual leave - 13 days of sick leave - 11 paid Federal holidays per year) Selected applicants may qualify for credit toward annual leave accrual - based on prior [work experience] or military service experience
• Parental Leave: After 12 months of employment - up to 12 weeks of paid parental leave in connection with the birth - adoption - or foster care placement of a child
• Child Care Subsidy: After 60 days of employment - full time employees with a total family income below $144 -000 may be eligible for a childcare subsidy up to 25% of total eligible childcare costs for eligible children up to the monthly maximum of $416.66
• 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) Telework: Not Available Virtual: This is not a virtual position
• Functional Statement #: 52795-F - 52804-F - 52871-F Permanent Change of Station (PCS): Not Authorized

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The Veterans Health Administration (VHA) is the largest integrated health care system in the United States, providing care at 1,321 health care facilities, including 172 VA Medical Centers and 1,138 outpatient sites of care of varying complexity (VHA outpatient clinics) to over 9 million Veterans enrolled in the VA health care program. VHA Medical Centers provide a wide range of services including traditional hospital-based services such as surgery, critical care, mental health, orthopedics, pharmacy, radiology and physical therapy. In addition, most of our medical centers offer additional medical and surgical specialty services including audiology & speech pathology, dermatology, dental, geriatrics, neurology, oncology, podiatry, prosthetics, urology, and vision care. Some medical centers also offer advanced services such as organ transplants and plastic surgery.

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