Nursing Assistant (Acute Care)

Summary Serves as a member of the nursing care team, providing direct patient care under RN/LVN direction to patients with acute, sub-acute, and chronic conditions. Duties include vital signs, hygiene, mobility support, wound and skin care, safe patient handling, and emergency intervention. Promotes patient dignity, safety, and comfort while collaborating with the interdisciplinary team in a 24/7 tertiary care facility serving Veterans and their families. Responsibilities Total Rewards of a Allied Health Professional Overview: Career-ladder Nursing Assistant position in Acute Care at South Texas Veterans' Healthcare System, a tertiary facility serving Veterans across acute, surgical, behavioral health, rehabilitation, geriatric, and primary care. NAs are members of the interdisciplinary nursing team, providing direct patient care under RN/LVN clinical direction and Nurse Manager supervision. This is a 24/7 facility requiring rotating shifts, weekends, and holidays. May be filled at GS-3, GS-4, or GS-5, with promotion potential to the GS-5 full performance level. GS-3 (Entry): Works under close, direct supervision with preceptor guidance; refers questions to licensed or higher-graded staff. Learning basic duties: glucose monitoring, personal hygiene, physical comfort, nutrition, elimination, activity/rest, prevention of skin breakdown, and rehabilitative care. Begins using observation and reporting skills. Assists with patient/family orientation, equipment setup, and group activities. Learning proper body mechanics and safe equipment use to prevent injury. No independent on-call duties. GS-4 (Developmental): Works under close RN/LVN supervision; directs same- or lower-graded staff on tasks. Performs broader direct care, including catheterization, colostomy care, skin/wound care, dressings, and braces/prosthetics; uses monitoring equipment (bladder scanner, CPM, glucometer) with QC responsibility; documents intake/output, vitals, pain scores, and rounding; recognizes and reports condition changes and abuse signs; applies de-escalation techniques with aggressive or elopement-risk patients; assists in emergencies/codes; provides emotional support to dying patients/families; transports patients, specimens, and medications. Subject to rotating shifts and disaster labor pool reassignment. GS-5 (Full Performance): Functions at the full performance level under RN-in-Charge direction; serves as preceptor/mentor to lower-graded NAs, overseeing orientation and practical experience. Performs the same clinical, emergency, assessment, and communication duties as GS-4, with greater independence across more complex, less predictable assignments, plus peer education responsibilities and emphasis on calming, reassuring patient/family communication. Subject to non-administrative tours and disaster/pandemic labor pool activation. Work Schedule: Day Shift Compressed/Flexible: Available Recruitment Incentive (Sign-on Bonus): Not Authorized Permanent Change of Station (Relocation Assistance): Not Authorized Pay: Competitive salary and regular salary increases. When setting pay, a higher step rate of the appropriate grade may be determined after consideration of higher or unique qualifications or special needs of the VA (Above Minimum Rate of the Grade). 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). Selected applicants may qualify for credit toward annual leave accrual, based on prior work experience or military service experience. 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 #: 54768-F, 54769-F, 54770-F Permanent Change of Station (PCS): Not Authorized Requirements Conditions of Employment You must be a U.S. Citizen to apply for this job. All applicants tentatively selected for VA employment in a testing designated position are subject to urinalysis to screen for illegal drug use prior to appointment. Applicants who refuse to be tested will be denied employment with VA. Selective Service Registration is required for males born after 12/31/1959. Must be proficient in written and spoken English. Subject to background/security investigation. Selected applicants will be required to complete an online onboarding process. Acceptable form(s) of identification will be required to complete pre-employment requirements ( Effective May 7, 2025, driver's licenses or state-issued identification cards that are not REAL ID compliant cannot be utilized as an acceptable form of identification for employment. Pre-Employment/Post-Employment Physical Examination: May be required, depending on the needs of the organization Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP). Complete all application requirements detailed in the "Required Documents" section of this announcement. As a condition of employment for accepting this position, you will be required to serve a 1 or 2-year trial period during which we will evaluate your fitness and whether your continued employment advances the public interest. In determining if your employment advances the public interest, we may consider: your performance and conduct; the needs and interests of the agency; whether your continued employment would advance organizational goals of the agency or the Government; and whether your continued employment would advance the efficiency of the Federal service. Upon completion of your trial period, your employment will be terminated unless you receive certification, in writing, that your continued employment advances the public interest. 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. In accordance with 38 U.S.C. 7402(d), no person shall serve in direct patient care positions unless they are proficient in basic written and spoken English. Experience, Education or Training. You must meet one of the following to meet the basic requirements for a Nursing Assistant (NA): Six (6) 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; (TRANSCRIPTS REQUIRED) 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. Grandfathering Provision: 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: In addition to the basic requirements stated above, the following qualification criteria must be met for each grade. The candidate's qualifications must clearly demonstrate the level of competence required for the grade. GS-03 - None beyond the basic requirements. NAs at this grade are considered entry-level and are closely supervised. GS-04 - To qualify at the GS-4 level you must meet the following: EXPERIENCE: One (1) year of experience as a Nursing Assistant or 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 two (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, in addition you must demonstrate the following Knowledge, Skills and Abilities (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 residents' 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-05 - To qualify at the GS-5 level you must meet the following: EXPERIENCE: One (1) year of progressively responsible assignments and experience equivalent to the GS-4 level which demonstrates knowledge, skills, and abilities (KSAs) that are directly related to the specific assignment. Specialized experience includes but is not limited to functioning as a member of the nursing care team and assisting licensed nursing staff and other members of the care team in the full range of nursing care of patients/residents receiving outpatient care, home, or community living care or other patients/residents who are receiving preventative, acute, sub-acute, chronic, maintenance, and hospice care. OR, EDUCATION: Successful completion of 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, in addition you must demonstrate the following Knowledge, Skills and Abilities (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. Please provide the contact information for a supervisory reference with your resume. The reference must be a supervisor from within the last three years who can attest to your work experience as a Nursing Assistant, or work that would qualify you as a Nursing Assistant. 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). Reference: For more information on this qualification standard, please visit 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: Include moderate lifting and carrying of 15-44 lbs and light lifting and carrying under 15 lbs; straight pulling for 1 hour; pushing for 1-3 hours; reaching above shoulder level; use of fingers, with both hands required; walking up to 4 hours; standing 2-7 hours; sitting up to 8 hours; kneeling up to 2 hours; repeated bending up to 2 hours; climbing using both legs and arms, with both legs required; rapid mental and muscular coordination performed simultaneously; simple grasping for 2-4 hours; fine manipulation, including keyboarding, for 4-6 hours; twisting up to 2 hours; near vision correctable to 13"-16" at Jaeger 1-4; a specific visual requirement of 20/40 DVA, corrected; both eyes required; ability to distinguish basic colors; hearing, with an aid permitted; and mental and emotional stability. Education IMPORTANT: A transcript must be submitted with your application if you are basing all or part of your qualifications on education. Note: Only education or degrees recognized by the U.S. Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment. You can verify your education here: If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education. For further information, visit: Note: If your school has changed names, or is no longer in existence, you must provide this information in your application. Additional Information Receiving Service Credit for Earning Annual (Vacation) Leave: Federal Employees earn annual leave at a rate (4, 6 or 8 hours per pay period) which is based on the number of years they have served as a Federal employee. Selected applicants may qualify for credit toward annual leave accrual, based on prior work experience or military service experience. This credited service can be used in determining the rate at which they earn annual leave. Such credit must be requested and approved prior to the appointment date and is not guaranteed. During the application process you may have an option to opt-in to make your resume available to hiring managers in the agency who have similar positions. Opting in does not impact your application for this announcement, nor does it guarantee further consideration for additional positions. This job opportunity announcement may be used to fill additional vacancies. This position is in the Excepted Service and does not confer competitive status. VA encourages persons with disabilities to apply. The health-related positions in VA are covered by Title 38, and are not covered by the Schedule A excepted appointment authority. If you are unable to apply online or need an alternate method to submit documents, please reach out to the Agency Contact listed in this Job Opportunity Announcement. Under the Fair Chance to Compete Act, the Department of Veterans Affairs prohibits requesting an applicant's criminal history prior to accepting a tentative job offer. For more information about the Act and the complaint process, visit Human Resources and Administration/Operations, Security, and Preparedness (HRA/OSP) at The Fair Chance Act.