The VA Sierra Nevada Health Care System Nursing Assistant escorts patients (ambulatory, wheelchair or gurney) within the health care system. Communicates with and observes patients during escorting procedures and takes appropriate action to ensure patient safety. Provides nursing care to chronically and/or acutely ill patients under the minimal direction of the Registered Nurse, Nurse Practitioner, and/or the physician. This position is authorized for a Recruitment and Relocation Incentive 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 Nursing Assistant 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. Nursing Assistants 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 Nursing Assistant (Entry Level). Experience and Education. None beyond the basic requirements. 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). 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 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 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. References: VA Handbook 5005/81, Part II, Appendix G46, Nursing Assistant Qualifications Standard, GS-621 The full performance level of this vacancy is GS-05. The actual grade at which an applicant may be selected for this vacancy is in the range of GS-03 to GS-05. Physical Requirements: Duties require extensive period of standing, sitting and walking. Working with patients requires regular and recurring bending, lifting, stooping, stretching and similar activities. The employee provides physical restraints for confused or combative patients as necessary. The nursing assistant must be physically able to lift to meet the physical standards of the position as evaluated by Employee Health. ["Duties include but are not limited to: Accurately collects, records, and reports vital signs, height, and weight according to unit standard. Collecting Specimens: sputum, urine (routine & sterile), feces, and others as directed by team lead for storage and delivery to lab according to unit standard. Notifies nurse of change in patient's condition and/or hazardous environments; including VS, physical or behavioral S&S, psychosocial, supply and/or equipment issues. Under the guidance of the nurse or provider, prepares and positions the patient and arranges and passes medical supplies and materials to the providers or nurses for a variety of diagnostic tests. Guides and motivates patient toward achievement of goals. Performs non-invasive procedures under the direction of a provider/nurse and records and reports results. Performs a variety of personal nursing care which includes feeding, bathing, lifting, turning, oral care, nail care, hair care, and related personal hygiene duties. Applies ointments, creams, shampoos, solutions, etc. per facility policy. Sets up meals, documents consumption, and reports changes in appetite. Able to count calories. Reports behaviors and threats of patient harm to self and others; taking action to keep patient safe. Prevents patient from harm of self and others. Sets up room appropriately for protective precautions; i.e. isolation. Provides post-mortem care and transportation. BLS Required PMDB (Prevention and Management of Disruptive Behavior) Utilizing disruptive behavior techniques when needed and follows PMDB algorithm Documents patient care, data collected, and treatment provided and observed in EMR using medical terminology. Performing Oropharyngeal Suctioning. Work Schedule: Full Time, 40 hours per week, shift work, weekends, days, evenings, nights and holidays.\nTelework: Not Available\nVirtual: This is not a virtual position.\nPosition Title/Functional Statement #:Nursing Assistant- Community Living Center/PD000000 and PD40559A\nRelocation/Recruitment Incentives: Authorized\nPermanent Change of Station (PCS): Not Authorized\nFinancial Disclosure Report: Not required"]