The Nursing Assistant (NA) will work within the Patient Care Service Line (PCSL) within the Community Living Center (CLC) and is an integral part of a team of nurses that provide care to long term care residents, end of life hospice veterans, and veterans with specific rehabilitation or skilled needs for a limited time frame. The CLC nurse aide is responsible for maintaining unit specific competencies to ensure safety and quality of care is provided to residents. 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. Education or Training: 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. 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 Determinations: In addition to the basic requirements for employment, the following criteria must be met when determining the grade of candidates. GS-3 Nursing Assistant (Entry Level) Experience and Education: None beyond the basic requirements. Assignments: Individuals assigned as GS-3 Nursing Assistants are considered to be at the entry level and are closely supervised. GS-4 Nursing Assistant: 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: 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. (d) Assignment: Individuals assigned as GS-4 [NAs] are considered to be at the intermediate or developmental level and are closely supervised. [NAs] at this grade level function as a member of the nursing care team and assist higher graded [NAs], licensed nursing staff, and other members of the care team in the care of patients/residents receiving outpatient care, home or community living care or other patients/residents who are in acute, sub-acute, or chronic states of illness. The significant factor is that they provide care under close supervision and refer issues/questions to supervisors, higher graded [NAs] or other healthcare professionals. In this role, the Nursing Assistant functions as a member of the nursing care team and assists higher graded [NAs], licensed nursing staff, and other members of the care team in the care of patients/residents receiving outpatient care, home or community living care, or other patients who are in acute, sub-acute, or chronic states of illness. The Nursing Assistant in this role provides care under close supervision and refers issues/questions to supervisors, higher graded [NAs], or other healthcare professionals. GS-5 Nursing Assistant(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 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; 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. (d) Assignment: This is the full performance level for [NAs]. [NAs] at this grade level function as a member of the nursing care team and assist licensed nursing staff in the care of patients/residents receiving outpatient care, home or community living care or other patients/residents who are in acute, sub acute or chronic states of illness. The distinguishing factor is that patient/resident assignments typically involve more complex nursing needs which can vary within a range of predictable to unpredictable requirements. [NAs] at this level also assume more of a peer education/mentorship role. References: A Handbook 5005/81, March 12, 2015, Appendix G46, Nursing Assistant Qualification Standard, GS 0621. 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: The population of male and female veterans served ranges from the adult, age 18, to the elderly adult, age 65 and over. There is a large outpatient psychiatric population, with visits to the Emergency Department and admissions for medical co-morbidities. This position requires visual acuity, keen hearing, clear distinctive speech, and manual dexterity. This position requires potentially long periods of continued walking, standing, stooping, sitting, bending, pulling, and pushing. Transferring patients and objects may be required. The incumbent may be exposed to infected patients and contaminated materials and may be required to wear protective clothing in isolation situations or operative/invasive procedures. The incumbent may occasionally be exposed to patients who are combative secondary to delirium, dementia, or psychiatric disorders. The incumbent must be a mature, flexible, sensible individual capable of working effectively in stressful situations, able to shift priorities based on patient needs. ["***This is an OPEN CONTINUOUS ANNOUNCEMENT and will remain open until March 8, 2022. Applications will be accepted on an ongoing basis and qualified candidates will be considered on an ongoing basis as applications are received. Applications will remain on file until March 8, 2022.*** The Nursing Assistant (NA) will work within the Patient Care Service Line (PCSL) within the Community Living Center (CLC) and is an integral part of a team of nurses that provide care to long term care residents, end of life hospice veterans, and veterans with specific rehabilitation or skilled needs for a limited time frame. The CLC nurse aide is responsible for maintaining unit specific competencies to ensure safety and quality of care is provided to residents. The CLC promotes resident centered care and artifacts of cultural change to create a home like environment. Restorative nursing care is an essential part of the nurse aides role to promote the residents highest functioning level of abilities. These are provider ordered and established programs such as walk to dine. The NA is also involved with recreation therapy activities to promote socialization, and physical activities through planned outings and events. Identifies environmental safety hazards and takes immediate action to resolve issues within a specific scope. Adheres to the Cheyenne VAMC Time and Leave Policy and assists others with entering leave requests. Completes required documentation timely and accurately with minimal or no guidance; able to assist other staff members with required documentation. Safely and effectively uses equipment required for patient care. Reports equipment in need of repair and enters work orders independently. Uses supplies and additional resources appropriately; makes suggestions to improve resource utilization. Adheres to VA policies and procedures. Able to provide education to other staff member(s) when they have questions about procedures. Provides 1 :1 observation for veterans who are safety risks (within one arm's length of the patient), to include but not limited to: (1) Having Suicidal/Homicidal ldeations (2) High Fall Risk (3) Veteran pulling on or trying to remove essential medical equipment (4) Impulsive behavior that may lead to injury Performs specific patient related tasks independently and provides assistance to co-workers. Assists patient with Activities of Daily Living (ADLs) such as personal hygiene and daily nourishment independently and provides assistance to co-workers. Implements infection control guidelines in efforts to reduce and prevent infectious disease from spreading. Implements appropriate PPE as indicated/required. Actively participates interdisciplinary care plan meetings and makes suggestions to enhance the patient specific care plan. Work Schedule: 6:00 am to 6:30 pm/6:00 pm to 6:30 am\nCompressed/Flexible: Available\nTelework: Not Available\nVirtual: This is not a virtual position.\nPosition Title/Functional Statement #:Certified Nursing Assistant/PD000000 and PD000000\nRelocation/Recruitment Incentives: 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.