Nursing Assistant - Acute Care

Summary

The Nursing Assistant (NA) within the scope and certification of a CNA in the nursing unit, clinic, area of assignment and demonstrates consistent practice when temporarily assigned to related nursing units and clinics. Provides care and services to multiple populations served and admitted to the nursing unit, clinic, area of assignment as determined by the patient/resident need for nursing care and services.

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Duties

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The Nursing Assistant working for the Medical- Surgical Units (Acute Care) will provide care to Veterans in multiple clinical areas. This will include possible one on one observation to Veterans identified with mental health crisis, Suicidal Ideation, Homicidal Ideation, or at high risk for injury due to altered mental status.

The assigned areas for the nursing assistant working for the Resource Unit are the 4 Medicine and Surgical Units supporting 25 beds each for patients pre-and post-surgery, dialysis care, cancer care and other chronic acute medical admissions. The Emergency Department which is one of the busiest level 3 facilities nationwide with 27 beds and a 4 bed Psychiatric acute care unit placed for Mental Health Emergency Care. The Intensive Care Units are Surgical, Medical and Cardiac with occasional needs for close observation with falls risk patients who may not be aware of the surroundings due to sedation or medical disease process. The final area of service would be to our Community Living Area for the Long-Term Care Residents or Veterans needing End of Life Care, Rehab or Respite Care.

In addition, the staff will be assigned to provide the full range of Nursing Assistant duties on one of the above units, if/when the need for close observation is not present.

• Major responsibilities and duties may include but are not limited to the following:
• Providing patient care such as feeding, bathing, dressing, positioning, transferring
• Obtaining vital signs and capillary blood glucose results.
• Documentation of care and patient education
• Performing procedures such as enemas, wound care, tube feedings and suctioning.
• Applying creams, lotions, and administering other approved medications under the supervision of the nurse.
• Assisting with examinations and medical procedures such preparing and positioning patient, obtaining equipment and supplies.
• Performing as a sitter to observe patients when necessary for suicide prevention, fall reduction, and risk of harm to self/other.
• Setting up equipment such as suction equipment, oxygen, cooling blankets, etc.

Work Schedule : The shift will be days, evenings, or nights with weekend night rotation for a 40 hour work week,

Recruitment/Relocation Incentives (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).

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 # : 000000

Permanent Change of Station (PCS): Not Authorized

Requirements

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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.
• Must pass pre-employment physical evaluation/examination.
• 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.
• Education or Training. One year above high school with courses related to the NA occupation. Completion of an intensive, specialized, occupation-related course of study of less than one year as a nursing assistant may also meet in full the experience requirements for GS-3.
• Part-Time Experience. Part-time experience as a Nursing Assistant is creditable according to its relationship to the full-time workweek. For example, a Nursing Assistant employed 20 hours a week, or on a 1/2-time basis, would receive 1 full-time workweek of credit for each 2 weeks of service.

Grade Determinations :

GS-3 Nursing Assistant (Entry Level)

Experience [ and ] Education. None beyond the basic requirements.

Assignments. Individuals assigned as GS-3 NAs are at the entry level and are closely supervised.

GS-4 Nursing Assistant:

Experience. One year of specialized experience as a Nursing Assistant 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:

1. Ability to provide a range of patient/resident care and contribute to the completion of the nurse care plan and recovery of patients/residents

2. Ability to observe patients/residents' or residents' physical or emotional status and refer deviations and/or problems to supervisor in a timely manner.

3. 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.

4. Ability to communicate effectively with patients/residents, their families and other health professionals.

GS-5 Nursing Assistant (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.

AND

Demonstrated Knowledge, Skills, and Abilities (KSAs). In addition, the candidate must demonstrate the following KSAs:

1. 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.

2. Ability to communicate orally with patients/residents, families, interdisciplinary team and other personnel. This includes serving as a preceptor to new Nursing Assistant by assisting with the coordination of their orientation and overseeing/assessing their practical experience while in a clinical setting.

3. 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.

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:

• Certified Nursing Assistant Level II
• Hospital Acute Care Nursing Assistant Experience within the last 2 years
• Demonstrated use of computerized electronic medical record charting and data entry
• Long Term Care of Adult Geriatric patients
• Demonstrated successful care of the Psychiatric Acute Patient

Preferred Level of Education:

• High School plus 1- 2 years college in a health-related field

Preferred Certification(s):

• CNA II

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: The position requires performance of work which involves heavy lifting and carrying of 45 pounds and over, repetitive pulling, pushing, reaching above shoulder, walking, standing, bending, kneeling and the ability for rapid mental and muscular coordination simultaneously. It also requires the use of safe patient handling equipment.

Working Conditions: The work is performed inside areas working around machinery with moving parts, working with hands in water. Incumbent will at times work alone and closely with others.

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:

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.

Candidates should be committed to improving the efficiency of the Federal government, passionate about the ideals of our American republic, and committed to upholding the rule of law and the United States Constitution.

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