The Nursing Assistant provides clinical support for the adult and geriatric Veteran under the direction of the RN and LPN. The Nursing Assistant on the Community Living Center practices and adheres to a high level of respect and knowledge of Veteran rights to protect the vulnerable and frail Veterans. 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. Education: One year above high school with courses related to the NA occupation OR 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. 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. 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-3: None beyond the basic requirements. GS-4: 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; TRANSCRIPTS REQUIRED AND Demonstrated Knowledge, Skills, and Abilities (KSAs). In addition, the candidate must demonstrate the following 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-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 in subparagraph (c) 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; TRANSCRIPTS REQUIRED AND Demonstrated 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. References: VHA Handbook 5005, Part II, Appendix G46 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 lbs and over), Straight pulling (6 hours), Pushing (2 hours), Use of fingers, Walking (6 hours), Standing (2 hours), Repeated bending (6 hours), Ability to distinguish basic colors, hearing (aid permitted), Mental and emotional stability, Visual acuity (20/30 corrected), working with hands in water, working closely with others. ["Duties will vary based on grade. At the GS-5 full performance level of this assignment, the incumbent maintains their education and knowledge of abuse, and other care practices specific to the debilitated and geriatric Veterans. The Nursing Assistant's practice includes all activities of daily living, and general nursing duties and tasks to help the team restore the Veteran to the highest level of independence or be remaining comfortable toward the end of life. The Nursing Assistant can be assigned clinical and nonclinical duties. The Nursing Assistant supports the unit operations and helps the Veterans according to the philosophy of Resident Centered Care and VA Cultural Transformation. Duties will include: 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. Performs, and can mentor other CNAs, in activities of daily living (ADL) by helping Veterans in their physical functioning, to include personal hygiene (bathing), eating, assisting Veterans in and out of bed/wheelchairs using proper lifting techniques and safe patient handling equipment. Demonstrates the need for minimal supervision and proficient skill in promoting independence in daily living activities by following the Veteran's Restorative Plan of Care. The Nursing Assistant's performance demonstrates the Veteran is taught and encouraged to give as much of their self-care as is possible, while respecting the Veteran's preferences. Communicates clearly, timely, and respectfully regarding Veterans'/residents' condition, understanding and acceptance of assignments, accepting feedback and directions from the RN, respect of co-workers, fellow employees, visitors, families, and Veterans/residents. Observes and reports patients' physical and mental status, reporting off to the Registered Nurse at the end of the shift, and immediately reports any and all unusual changes to the Registered Nurse. Regular and recurring ability to physically control or defend against emotionally ill, confused, disoriented Veterans and Veterans with Dementia. The Nursing Assistant maintains a professional attitude when the Veteran uses inappropriate language due to their clinical condition. Safely and timely escorts Veterans to and from the CLC for appointments and recreational therapy. Applies binders, splints, supportive devices, braces, and other simple devices to aid Veterans in positioning for therapy, applies hot and cold packs, prepares patients for tests, examinations, and treatments. The Nursing Assistant collects specimens such as urine, specimen and stool, correctly labels specimens for laboratory examinations and assures timely transportation of specimens. Applies ointments, shampoos, and creams considered medications under the Unlicensed Assistive Personnel (UAP Policy) and mentors fellow CNAs in performing medication administration per policy. Performs and can mentor other CNAs in a variety of general nursing duties competently including measurement and accurate recording of vital signs, height, weight, intake and output, smoking safety per Veteran's smoking assessment, cleansing and retention enemas, tube feeding, post-mortem care, infection control, isolation, simple treatments such as hot and cold packs, changing clean dressings, and applying external catheters. Participates in the nursing care conferences and interdisciplinary team meetings, using knowledge of the Veteran / resident and reports resident / Veteran problems, helps plan individualized care and discharge planning. He/she presents interventions based on the organization's guidelines on fall prevention and pressure sore prevention to meet specific needs of the resident / Veteran for inclusion in the IDT plan of care. Participates in CLC activity and actions to improve the quality of care for residents/Veterans to include fall l) intervention and prevention of pressure sores. The Nursing Assistant independently implements the Veteran's / resident's specific plan of care to prevent falls with injury and pressure sores. The Nursing Assistant accepts quality improvement assignments of monitoring compliance when assigned. Performs, under the supervision of a Registered Nurse, and when assigned, catheter care, oral -pharyngeal suctioning and tracheostomy suctioning and tracheostomies that are non-complicated and at least five days old. Work Schedule: 07:30AM-4:00PM, 3:30PM-12:00AM, 11:30PM-08:00AM (Manager to determine shift)\nTelework: Not Available\nVirtual: This is not a virtual position.\nRelocation/Recruitment Incentives: Not Authorized\nPermanent Change of Station (PCS): Not Authorized\nFinancial 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.