VA NWIHCS is an integrated system that serves more than 148,000 Veterans in 101 counties in Nebraska, western Iowa, Kansas, and Missouri. It includes a tertiary medical center in Omaha, two larger clinics in Lincoln and Grand Island (which includes a Community Living Center), five community-based outpatient clinics, and one contract clinic. To qualify for this position, applicants must meet all requirements by the closing date of this announcement, 08/08/2022. BASIC REQUIREMENTS: (a) Citizenship. Citizen of the United States. (Noncitizens may be appointed when it is not possible to recruit qualified citizens in accordance with chapter 3, section A, paragraph 3g, this part.) (b) 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. (c) 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. Preferred Experience: Basic Life Support Certification (BLS). CNA certification. GRADE DETERMINATIONS: GS-3 Grade Determinations: (a) Experience and Education. None beyond the basic requirements. (b) Assignments. Individuals assigned as GS-3 NAs are considered to be at the entry level and are closely supervised. GS-4 Grade Determinations: (a) 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, (b) 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 (c) 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. 2. 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 Grade Determinations: (a) 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, (b) 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 (c) 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: VA Handbook 5005/81, 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 GS-3 through GS-5. Physical Requirements: Heavy lifting and carrying (45 pounds and over), strait pulling, pulling hand over hand, pushing, reaching above shoulder, use of fingers and both hands/legs/eyes (limb prosthesis allowed if functionally equivalent), walking and standing, crawling and kneeling, repeated bending, climbing, hearing (aid permitted), ability to perform PMDB and BLS, patient lifting (mechanical assistance available), emotional and mental stability, ability to read medication labels and equipment manuals, ability for rapid mental and muscular coordination simultaneously. ["This is an OPEN CONTINUOUS ANNOUNCEMENT and will remain open until August 8th, 2022 and may be extended until all vacancies are filled. The initial cut-off date for referral of eligible applications will be May 27th. Eligible applications received after that date will be referred at regular intervals or as additional vacancies occur on an as-needed basis until positions are filled. The Nursing Assistant provides direct patient care to patients requiring nursing care and observation on a regular and ongoing basis in a Medical, Surgical, and Rehabilitation, Mental Health or CLC inpatient/outpatient unit. Under the supervision of a Registered Nurse, Licensed Practical Nurse, or providers, the CNA is accountable for adhering to the standards of care, standards of practice and maintaining competencies with role and responsibility. Duties include but are not limited to: Personal hygiene tasks include bathing, oral and denture care, nail care, shaving/hair care, general grooming and bed-making. Responsible for positioning and movement of patients. Checking and recording intake and output, including calorie counts. Reporting to RN if tube feeding or IV fluids are running low. Observing, reporting and recording patient bowel and bladder function. Orients patients to the unit and interacts with patients and families to help them feel comfortable. Participates in the admission, transfer and discharge of patients as assigned. Recognizes emergency situations, calls for help, initiates emergency procedures until help arrives and continues to be available to the response team until the emergency is resolved. Participates in nursing care planning by providing information received by the patient/significant other to the appropriate team members. Work Schedule: Schedule includes six 12 hour (1745-0615) shifts and one 8 hour shift (2145-0615), will work every other weekend, for a total of 80 hours per two week pay period.\nTelework: Not Available.\nVirtual: This is not a virtual position.\nRelocation/Recruitment Incentives: Not Authorized.\nPosition Title/Functional Statement #:Nursing Assistant - Extended Care and Rehab/PD000000\nFinancial Disclosure Report: Not required This occupational series is eligible for the Student Loan Repayment Program (SLRP). Repayment is limited to $5,000 annually, up to $60,000 in lifetime awards. Participants must sign a service agreement and maintain an acceptable level of performance to remain eligible for this program."]
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.