The incumbent is an employee of the RVAHCS's Patient Care Services.The position is responsible for the nursing assistant duties, includes acute and close observation, taking and documenting vital signs, tracking and documenting intake and output, assisting with transporting of patients/residents, and duties as assigned by the Supervisor or designee. The position includes assignments in clinical areas including Mental Health, Urgent Care, Skilled Nursing and Rehabilitation. To qualify for this position, applicants must meet all requirements within 30 days of the closing date of this announcement. 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-3 (Entry Level) Experience and Education: None beyond the basic requirements. Assignment: Individuals assigned as GS-3 NAs are considered to be at the entry level and are closely supervised. 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. **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. 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 health care professionals. In this role, the NA 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 NA in this role provides care under close supervision and refers issues/questions to supervisors, higher graded NAs, or other health care professionals. GS-5 (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. **In addition, the candidate must demonstrate the following 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. 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. 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-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: This work requires heavy lifting (45lbs and over), straight pulling, pushing, reaching above shoulder, use of fingers, both hands required, walking, standing, repeated bending, ability to distinguish basic colors, hearing (aid may be permitted), visual acuity 20/30 corrected, and mental and emotional stability. ["SCOPE of WORK: The nursing assistant will provide care that covers personal care, diagnostic support procedures, treatment procedures, patient/resident charting, and limited patient/resident teaching. The work contributes to a base of standard nursing care upon which further nursing care may be planned and/or provided by nurses. A secondary purpose is to communicate with internal and external customers and assist patients/residents with a variety of concerns. Timely and accurate performance of these duties relieves the clinical staff from routine administrative tasks and contributes to the effective functioning of the unit and the overall quality of patient/resident care. FUNCTIONS OF ASSIGNED DUTIES: 1. Performs a wide variety of nursing duties aimed at increasing the safety, comfort, and spirit of the Veteran while following established policy and procedures. 2. Identifies and reports data relative to more complex Veteran situations including subtle changes in Veteran's behavior or condition or variances related to neurological signs, vital signs, and other parameters. 3. The incumbent monitors vital signs, completes clinical reminders, and documents appropriately. 4. Documents in the Veteran medical record a daily outline or summary of the Veterans care using the approved format, including situation-background-actions-response (SBAR) hand-off, and appropriate templates. 5. Must be proficient in phlebotomy, being able to draw all but the most difficult patients and follow laboratory procedures for drawing blood. In addition, develops and maintains the essential speed required to complete blood drawing duties in a timely manner. 6. He/she provides nursing treatment for acutely ill Veterans whose needs require advance skill such as taking EKG's and performing basic life support. 7. Performs obtaining glucometer readings, obtaining cultures, empties and records output from indwelling urinary catheters, and empties colostomy bags. 8. Ensures consistent evidence of a professional approach in communicating, listening, and performing procedures in interacting with Veteran, family, and/or staff. 9. The incumbent routinely communicates with providers, nursing personnel, administrative personnel, and other health professional staff using sound interpersonal skills and protects sensitive health care information. 10. Models EXCELLENCE by striving for the highest quality and continuous improvement and being thoughtful and decisive in leadership, accountable for own actions, willing to admit mistakes, and rigorously correcting them. Other duties as assigned. Work Schedule: Intermittent, 12hr or 8hr rotating shifts as needed. Examples 1800-0630, 0600-1430, etc. Telework: Not Available. Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not Authorized. Permanent Change of Station (PCS): Not Authorized. Financial Disclosure Report: Not required."]
The Veterans Health Administration (VHA) is the largest integrated health care system in the United States, providing care at 1,321 health care facilities, including 172 VA Medical Centers and 1,138 outpatient sites of care of varying complexity (VHA outpatient clinics) to over 9 million Veterans enrolled in the VA health care program. VHA Medical Centers provide a wide range of services including traditional hospital-based services such as surgery, critical care, mental health, orthopedics, pharmacy, radiology and physical therapy. In addition, most of our medical centers offer additional medical and surgical specialty services including audiology & speech pathology, dermatology, dental, geriatrics, neurology, oncology, podiatry, prosthetics, urology, and vision care. Some medical centers also offer advanced services such as organ transplants and plastic surgery.
