Nursing Assistant - Float (Intermittent) Open Continuous Announcement

Summary

The Bruce W. Carter Department of VAMC is looking for multiple Nursing Assistant (NA) to work in our Nursing Service. The Intermittent Float N/A functions as member of our nursing care team assisting licensed nursing staff in the care of patients/residents receiving community living care or who are in acute - sub-acute or chronic states of illness. The NA will be under Nursing - Operations Service for unit will float within medical Surgical - CLC - Escort - MH - ED - Critical Care - Outpatient Clinics.

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
• Grandfathering Provisions: All NAs employed in VHA on the effective date of this qualification standard are considered to have met all qualification requirements for the series and grade held that are part of the basic requirements of the occupation
• For employees who do not meet all the basic requirements required in this standard - but who met the qualifications applicable to the position at the time they were appointed to it - [Experience or] Education or Training
• (1)[Six months of general experience
• Experience must demonstrate the ability to acquire the knowledge and skills to perform the work of a NA;OR - (2)One year of education above high school with courses related to the NA occupation
• OR - (3)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 for employment - the following criteria must be met when determining the grade of candidates
• GS-3 Nursing Assistant (Entry Level) (a) Experience and Education
• None beyond the basic requirements
• (b) Assignments
• Individuals assigned as GS-3 NAs are considered to be at the entry level and are closely supervised
• GS-4 Nursing Assistant (a) 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 - (b) Education
• Successful completion of 2 years above high school in an accredited institution with courses related to nursing care - healthcare 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 (c) Demonstrated Knowledge - Skills - and Abilities (KSAs)
• In addition - the candidate must demonstrate the following KSAs: i Ability to provide a range of patient/resident care and contribute to the completion of the nurse care plan and recovery of patients/residents
• ii Ability to observe patients/residents' or resident's physical or emotional status and refer deviations and/or problems to supervisor in a timely manner
• iii 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
• iv Ability to communicate effectively with patients/residents - their families and other health professionals
• (d) Assignment
• i: 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
• ii 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 Nursing Assistant (Full Performance Level)
• (a) 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 - (b) 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 (c) Demonstrated KSAs
• i 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
• ii 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
• iii 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
• (d) 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
• 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)
• Preferred Experience: 1 year of experience of Medical Surgical experience preferred
• 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: This position requires visual acuity - keen hearing - clear distinctive speech - and manual dexterity
• Require potentially long periods of continued walking - standing - stooping - sitting - bending pulling - and pushing
• Transferring patient objects may be required
• The Nursing Assistant may be exposed to infected patients and contaminated materials and may be required to use protective clothing in isolations situations or operative/invasive procedures
• Occasionally may be exposed to patients who are combative secondary to delirium - dementia - or psychiatrics disorders
• The NA must be mature - flexible - sensible individual capable of working effectively in stressful situations - able to shift priorities based on patient needs.

Duties

• Total Rewards of a Allied Health Professional NOTE: This is a INTERMITTENT appointment
• A part-time or intermittent employee may not be scheduled for employment which will exceed 1820 hours or seven-eighths of full-time employment during a service year
• This is an OPEN CONTINUOUS ANNOUNCEMENT for Miami VA medical Center for Nursing Assistant - Float (Intermittent) Open Continuous Announcement position
• It will remain open until 09-25-2026
• The initial cut-off date for referral of eligible applications will be on 21 days
• Eligible applications received after this date will be referred at regular intervals or as additional vacancies occurs as-needed basis until positions are filled
• Positions to fill - 10 Nursing Assistants for the following shifts 0730 am - 4:00 pm shift
• 10 for the 3:30 pm - 12:00/midnight shift
• and 10 Nursing Assistants for the 11:30 pm - 08:00 am shift
• Available to rotate to every other weekend
• The Nursing Assistant - Float position is located at the Miami VA Medical Center main facility - located at 1201 NW 16th Street and reports to the Nursing - Operations Nurse Manager or designee
• The Nursing Assistant (Float) Intermittent provides nursing care to a variety of patients/residents of ages across the adult continuum to meet personal hygiene needs such as bathing - lifting - turning and feeding
• administering tube feeding via feeding pump to include changing administration sets - all the while explain procedures to patient/and or family
• The NA (Float) provides nursing care - performs clinical procedures according to specialty - technical procedures and ancillary services for complex patient
• The Float NA performs a variety of personal care or nursing care activities
• The NA helps each patient attain optimal physical - physiological - emotional and social well-being - 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
• The Float Nursing Assistants recognizes and reports changes in patient condition RN - NP - and/or MD/DO
• Ability to recognize and react to emergent patient/resident care situations and intervene while waiting for assistance
• For example - recognizing need for BLS - controlling bleeding and assisting with behavior crisis - etc
• 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
• Assist in the prevention of hospital acquired complications such as pressure ulcers through the frequent repositioning
• through hand hygiene - via use of aseptic techniques and teaches patient/family the same
• 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 enemas - catheterization - colostomy care - skin care simple dressing - application of braces and prosthetic devices - The Nursing Assistant (Float) Intermittent duties include but are not limited to: Utilizes glucose monitoring machine to receive glucose readings for veterans refers deviation to appropriate health care staff
• Makes observations of subtle changes in resident's condition - i.e
• behavior shifts - mood - skin coloring - appetite - etc
• and take actions accordingly within the NA's assigned role
• Documents care given - observations and responses on appropriate tools or forms
• Recognizes the residents' autonomy and promotes independence by means of respect - limit setting and individualized treatment
• Participates in maintaining a clean - safe environment for the patient/resident
• Serves as the unit safe patient handling liaison
• Appropriately initiates basic life support - takes actions appropriate action
• Orients members of the health care team to the units as appropriate
• Administers complete tracheostomy care - including suctioning
• Provides direct care for complex veterans
• Enters information about the residents' condition in the chart - utilizing appropriate formats
• Work Schedule: Intermittent/Per Diem
• Tours - 0730 am - 4:00 pm - 3:30 pm - 12 midnight - 11:30 pm - 08:00 am
• Tours-based on the needs of the service
• Flexibility to work different days during the week with every other weekend rotation to ensure adequate coverage for the service
• 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)
• Telework: Not Available Virtual: This is not a virtual position
• Functional Statement #: 31775F - 31776F - 31777F
• Permanent Change of Station (PCS): Not Authorized.

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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.

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