Summary

The Nursing Assistant functions as a member of the nursing care team and assist licensed nursing staff in the care of patients/residents receiving preventive - acute - sub-acute chronic - maintenance - and hospice care. 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.

Qualifications

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
• 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
• Experience or Education or Training
• Six months of general experience
• Experience must demonstrate the ability to acquire the knowledge and skills to perform the work of a NA
• OR - One year of education above high school with courses related to the NA occupation
• OR - 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. 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-3Experience and Education
• None beyond the basic requirements
• GS-4Experience
• 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
• GS-5Experience
• 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 listed below
• 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
• 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-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: 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 don 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.

Duties

• The Nursing Assistant functions as a member of the nursing care team and assist licensed nursing staff in the care of patients/residents receiving preventive - acute - sub-acute chronic - maintenance - and hospice care
• 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
• The NA at this level also assumes a peer education/mentorship
• Utilizes glucose monitoring machine to receive glucose readings for veterans refers deviation to appropriate health care staff Provides direct care for complex veterans Makes observations of subtle changes in resident's condition - i.e
• behavior shifts - mood - skin coloring - appetite - etc
• and takes action accordingly within the NA's assigned role
• Documents care given - observations and responses on appropriate tools or forms
• Appropriately initiates basic life support - takes actions appropriate action
• Responds appropriately to subtle patient changes by contacting the appropriate nursing personal Monitor and documents patient intake and output reports deviations timely and accurately Performs nursing procedures within scope of practice and according to policies and standard procedures to care for the veteran for such procedures but not limited to: catheter care - colostomy care - skin care - simp le dressing changes while assisting the registered nurse - application of braces and prosthetic devices
• Works on small group activities with veterans/residents according to the patients/resident treatment plan
• Recognizes the residents' autonomy and promotes independence by means of respect - limit setting and individualized treatment
• Participates in Treatment Planning Meetings
• Utilizes equipment to promote the veteran self-care - such as
• lift equipment - Hydro sound Tubs - and Veteran/Resident Wandering System
• Verbally provides patient information to the treatment team for inclusion in the veteran/residents' plan of care - participates in treatment team meetings for resident care planning
• Enters information about the residents' condition in the chart - utilizing appropriate formats
• Participates in maintaining a clean - safe environment for the patient/resident Removes defective equipment - reports hazards - observes safety regulations - contributes to infection control - and utilize s proper aseptic technique in performance of duties
• Serves as preceptor and mentor to other NA's - Orients members of the health care team to the units as appropriate Functions as a member of the unit base counsel Manages distributed patient behavior and by appropriately intervenes and request assistant from other health care members
• Appropriately initiates basic life support - takes actions appropriate action
• Work Schedule: Various schedules available
• Days - Evening and Nights / Rotating shifts with rotating weekends and holidays Telework: Not Available Virtual: This is not a virtual position
• Functional Statement #: 613-25058-F Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized Whole Health is an approach to health care that empowers and equips people to take charge of their health and well-being and live their life to the fullest
• The VA is committed to Whole Health and values Veteran and Employee health and wellbeing
• As a VA employee - you will practice Whole Health in an environment that supports personalized and proactive care.