Nursing Assistant - Geriatric and Extended Care

Summary

The Nursing Assistant (NA) will provide basic nursing care to Veterans/residents that have multiple complex medical and or emotional conditions under the supervision of the Registered Nurse (RN) or the Licensed Practical Nurse (LPN)/Licensed Vocational Nurse (LVN). The NA has the ability to observe - identify and respond to patient's needs for care including equipment to assisted with care.

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
• 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: 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 NAs are considered entry-level and are closely supervised.GS-04 - To qualify at the GS-4 - 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
• 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
• 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
• Preferred Experience: 2 years of long term care experience Reference: For more information on this qualification standard - please visit
• 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 long periods of continued walking - standing - stooping - sitting - bending - pulling - lifting 10 pounds or more and pushing
• Transferring patients and objects may be required
• The NA 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 NA may occasionally be exposed to patients who are combative secondary to delirium - dementia - or psychiatric disorders
• Must be a mature - flexible - sensible individual capable of working effectively in stressful situations - able to shift priorities based on patient needs.

Duties

• Major duties include - but not limited to: Will learn to appropriately utilize glucose monitoring machine to collect and document appropriate glucose readings for assigned Veteran/resident
• Maintains a positive therapeutic relationship by displaying respect for human dignity with patient - families and/or significant others utilizing learned communication skills
• Begins to utilize observation skills for data collection - reporting and recording patient/resident observations and takes appropriate action
• Learning to performs aspects of nursing care to meet patient's needs for the following under close supervision and with direction/guidance from a preceptor.: a
• Personal Hygiene b
• Physical comfort c
• Activity - Exercise - Rest d
• Nutrition e
• Elimination f
• Prevention of Skin Breakdown g
• Rehabilitative Aspects of Care Organizes and obtains routine supplies and equipment
• Assist with orienting patient/family to unit routines and policies Work as a cooperative - courteous member of the interdisciplinary team
• Safeguarding the patient's right to privacy by judiciously protecting information of a confidential nature
• Uses proper safety practices
• Learning to utilize principles of proper body mechanics and follows procedures for use of patient care equipment to prevent injury to self or others in all settings such as utilization of lifting equipment
• Learning to demonstrate adherence to VA and nursing policies/procedures - Standard Operating Procedures (SOPs)
• maintains competencies consistent with role responsibilities
• Learning to utilize the RN/LPN/LVN/provider and other staff in proactively identifying and addressing veteran care needs
• Learning to readily recognizes overt and subtle signs and symptoms of changes in veteran's condition
• Responds diligently to the veteran changes and deteriorating condition in emergent situations and seeks assistance from the RN/LPN/LVN/provider in a timely manner
• Actively participates in interdisciplinary team planning sessions by offering observations/suggestions
• Actively seeks out educational opportunities to enhance nursing knowledge and skills - sharing new knowledge gained with other staff to improve and advance nursing practice
• This includes active participation in the department's initiative to recovery-oriented training and education - knowledge on evidence-based daily programming activities
• Completes all required mandatory reviews within set timeframes
• Promotes a safe therapeutic environment and meets the safety needs of Veteran/resident - taking into considerations age related needs
• Recognizes and reports unsafe working conditions and malfunctioning equipment - initiating corrective measures where indicated
• Follows all approved infection control guidelines - Patient Safety Goals - and hospital safety policies and procedures
• Actively participates in Dementia training and provides therapeutic interventions for residents with Dementia
• Work Schedule: 12 hour tour including weekdays - weekends - and holidays
• Tour determined by supervisor
• 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
• 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.