The Oklahoma City VA Medical Center Nursing Service is looking to fill an open vacancy for a Geriatrics and Extended Care (GEC) Nursing Assistant. The Nursing Assistant is accountable for adhering to the standards of care, standards of practice and maintaining competencies with roles and responsibilities, while adhering to the established Oklahoma City Veterans' Health Care System policies and procedures. 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-3 Experience and Education. None beyond the basic requirements. 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; 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-5 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 listed 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. 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 position requires visual acuity, keen hearing, clear distinctive speech, and manual dexterity. This position requires potentially extended periods of continued walking, standing, stooping, sitting, bending, pulling, and pushing. Transferring patients and objects may be required. Mechanical inpatient lifts are provided. The incumbent may be exposed to infected patients and contaminated materials and may be required to don protective clothing in isolation situations, operative/invasive procedures, or home settings. 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. ["Total-Rewards-of-an-Allied-Health-VA-Career-Brochure.pdf Nursing Assistant - vacareers.va.gov/wp-content/uploads/sites/5/Total-Rewards-of-a-Nursing-Assistant-Career-Flyer.pdf The following are the list of duties but not limited to: Safely and accurately perform personal care skills, including measuring and recording vital signs to include temperature, pulse, respiration, blood pressure and measuring of height and weight. Provides direct care for acute, long-term, perioperative, primary care and psychiatric patients/residents per established Oklahoma City VA HCS abiding by policies and nursing procedures. Measures and records intake and outpatient, feeding techniques, non-sterile specimen collection, transfer positioning, and turning techniques. Self-directed in seeking out RN, Lead Nurse, or Change Nurse to report patient-related information. The Nurse Aide will work within their scope of practice, competency level and the defined skills list for Nurse Aides for the Oklahoma City VAHCS. Maintain appropriate communication with patients, families, and other health care workers, use medical asepsis and universal precautions, and documents care given is inherent to the role. Self-directed in seeking out RN, Lead Nurse, or Charge Nurse to report patient-related information. Collects Veteran data, participates in care planning, performs approved skills per orders or by protocol in accordance with the care planning. Assists with patient education and documentation of education provided. Promotes independence of Veteran by means of respect, limit setting, and individualized treatment. Initiates basic life support and promptly recognize/respond to emergent situations. Monitor patients/residents per levels of observation, acuity levels and assignment sheet. Offers supportive nursing care to critically or terminally ill patients/residents. Provides emotional support to patient/resident and/or family and significant other. Receptive to constructive feedback and self-directed in improving performance and interpersonal skills to enhance professional development. Participates in unit base educational activities and continuing education opportunities to increase clinical and professional knowledge. Completes orientation, unit-based in-services, and mandatory educational activities in a self-directed manner by established timeframes. Identifies own deficits in skills and knowledge and acts to correct performance. Attend daily huddle and team meeting as per area. Work with team to \"scrub\" clinic to promote open access. Completes pre-visit calls for appointment reminders as per area. Actively participates in Committees and tasks groups that improve the overall nursing program. All other duties assigned based on the needs of the facility. Work Schedule: 730pm to 8am alternating 4-day shifts with rotating weekend and holiday coverage as required by facility needs Compressed/Flexible: Compressed Recruitment Incentive (Sign-on Bonus): Not Authorized Permanent Change of Station (Relocation Assistance): Not Authorized Pay: Competitive salary and regular salary increases Paid Time Off: 37-50 days of annual paid time offer per year (13-26 days of annual leave, 13 days of sick leave, 11 paid Federal holidays per year) Parental Leave: After 12 months of employment, up to 12 weeks of paid parental leave in connection with the birth, adoption, or foster care placement of a child. Child Care Subsidy: After 60 days of employment, full time employees with a total family income below $144,000 may be eligible for a childcare subsidy up to 25% of total eligible childcare costs for eligible children up to the monthly maximum of $416.66. Retirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA Insurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement) Telework: Not Available Virtual: This is not a virtual position. Functional Statement #: 59208A, 59209A, 59210A Permanent Change of Station (PCS): Not Authorized"]
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.