The primary purpose of the Nursing Assistant (NA) position is to assist licensed nursing staff in the care of residents/Veterans as a member of the nursing care team by providing Cultural Transformation and holistic resident-center care in a manner conducive to comfort and safety in the Community Living Center (CLC) at the Mann-Grandstaff VA Medical Center. To qualify for this position, applicants must meet all requirements within 30 days of the closing date of this announcement. 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. Experience or Education or Training. 1) Six months of general experience. Experience must demonstrate the ability to acquire the knowledge and skills to perform the work of a NA. OR 2) One year of education above high school with courses related to the NA occupation. OR 3) 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. 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. GRADE REQUIREMENTS. Creditable Experience. 1) Knowledge of Current Practice. To be creditable, the experience must have required the use of knowledge, skills, and abilities associated with the current practice. 2) Quality of Experience. To be creditable, NA experience must be documented on the application or resume and verified in an employment reference, or through other independent means. 3) Part-Time Experience. Part-time experience as a NA is creditable according to its relationship to the full-time workweek. For example, a NA employed 20 hours a week, or on a 1/2-time basis, would receive 1 full-time workweek of credit for each 2 weeks of service. GRADE DETERMINATIONS: In addition to the basic requirements for employment, the following criteria must be met when determining the grade of candidates. GS-3 NA (Entry Level). Experience and Education. None beyond the basic requirements. GS-4 NA. Experience. 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 Education. Successful completion of 2 years above high school in an accredited institution with courses related to nursing care, health care 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. AND Demonstrated Knowledge, Skills, and Abilities (KSAs). In addition, the candidate must demonstrate the following 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. GS-5 NA (Full Performance Level). 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 below. 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 KSAs. 1. 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. REFERENCE: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/. 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: Heavy lifting (45 pounds and over), heavy carrying (45 pounds and over), straight pulling (3 hours), pulling hand over hand (3 hours), pushing (3 hours), reaching above shoulder, use of fingers, both hands required, walking (12 hours), standing (12 hours), crawling (3 hours), kneeling (3 hours), repeated bending (3 hours), climbing (legs only, 3 hours), both legs required, ability for rapid mental and muscular coordination simultaneously, both eyes required, depth perception, ability to distinguish basic colors, ability to distinguish shades of colors, hearing (aid may be permitted). Environmental factors include outside and inside, excessive noise (intermittent), slippery or uneven walking surfaces, and working closely with others. ["Duties include, but are not limited to: Assist in the full range of nursing care for residents with physical, mental health, dementia, and/or behavioral problems in a rehabilitation, long term care, and hospice setting. Provide daily living activities such as assisting residents with daily oral care, hair grooming, bathing, peri-care, dressing, nail, and other related hygiene care. Assist residents with eating and maintain a home like environment for dining. Turn, move, and transfer residents with appropriate technique and lifting assistance devices. Prepare and transport residents as needed for tests or discharge. Assist with restorative, rehabilitation, and activity programs that increase quality of life for each resident. Notify nursing of any physical or behavior changes. Document these changes using proper documentation forums. Use computer, computer programs, phone, photocopy, and fax machines. Conduct other duties as required to provide resident with quality care outcomes. Assist with a complete range of treatment and procedures. Perform a range of diagnostic support duties which includes taking, recording, and reporting deviations in vital signs, taking specimens, labeling specimens for the laboratory, and assisting the doctor in a variety of diagnostic exams. Identify and report to nursing, the resident's physical and emotional reactions to medical treatment and nursing care. Verbally provide resident information to the licensed staff for inclusion in the nursing care plan. Communicate tactfully and effectively, both orally and in writing, in order to meet CLC objectives. This may include preparing reports in various formats and presenting data to the supervisor. Ability to complete tasks thoroughly and independently with little direct supervision. Instruct residents on the resident's role in various tests, such as x-rays, covering information previously supplied by the doctor or nurse. Instruct resident on the set up and purpose of treatment supported by auxiliary equipment such as oxygen and suction. Utilize resident teaching opportunities with awareness of medical treatment goals. Identify teaching needs and institute approaches to meet these. Recognize and react to emergent resident care situations and intervene while waiting for assistance. Provide restorative care and therapeutic activities based on the Community Living Center's Restorative Care Program. Conduct therapeutic activities as identified by the Restorative RN, PT/OT, and interdisciplinary team. Document completion of activities in an appropriate manner. Conduct work as assigned for the improvement of Resident Centered Care. Provide recreational activity assistant duties that enhance the ability of the CLC to provide quality resident centered care. Assist in planning, coordinating, and implementing recreational activities for residents in the CLC. Engage in the various activities that are consistent with the rehabilitation plan of care determined by the interdisciplinary care planning committee and recreational therapist. Conduct outings with residents weekly (i.e., lunches, dinners, sports activities, etc.) as appropriate. Coordinate with volunteers for services that augment Veteran interaction with activities such as gardening. Conduct job duties as outlined by the Nurse Manager to facilitate opportunities for CLC residents to facilitate engagement in normal pursuits, such as music and exercise programs, games, and arts and crafts, as well as promoting a successful and well-balanced leisure lifestyle. Nursing Assistant - vacareers.va.gov/wp-content/uploads/sites/5/Total-Rewards-of-a-Nursing-Assistant-Career-Flyer.pdf Work Schedule: 12 hour shifts - Sunday-Tuesday & every other Wednesday Recruitment Incentive: Not Authorized Pay: Competitive salary and regular salary increases. When setting pay, a higher step rate of the appropriate grade may be determined after consideration of existing pay, higher or unique qualifications, or special needs of the VA (Above Minimum Rate of the Grade) 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) 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 #: 000000 Permanent Change of Station (PCS): Not Authorized"]
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.