This Nursing Assistant position works in the Nursing Service Float Pool at the Boise VA Health Care System in Boise, Idaho. 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 Nursing Assistant (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. 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. 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 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, 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 (c) 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 resident's 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. (d) Assignment 1. 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 healthcare professionals. 2. In this role, the Nursing Assistant 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 Nursing Assistant in this role provides care under close supervision and refers issues/questions to supervisors, higher graded [NAs], or other healthcare 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 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 [NAs] 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. (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 References: VA HANDBOOK 5005/81 PART II APPENDIX G46 The full performance level of this vacancy is GS-005. 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 distinct speech and manual dexterity. Work requires physical activity including extended periods of standing, walking, and bending with occasional periods of sitting, kneeling, climbing, stooping, crouching, and balancing. Work also requires constant reaching between knee and shoulder level as well as frequent reaching below knee level. Frequent fine motor movement of fingers and wrists as well as gross motor movement of elbows and arms is also required. Incumbents in this position may be exposed to infectious/communicable diseases and blood borne pathogens and may be required to don protective clothing in isolation situations or operative/invasive procedures. Incumbents must occasionally be able to independently lift up to 50 pounds and push/pull up to 50 pounds of force with grip strength of 65 pounds. The employee is expected to use proper safe patient handling techniques to perform duties. The incumbent may be exposed to veterans 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 veteran needs. The incumbents will be assigned to specific shifts; however, schedules may include varied days, hours, weekends, overtime, holidays, and emergency call-in. Noise level is usually moderate but could at times be extreme. Work may be fast-paced when dealing with multiple priorities and/or emergency situations. The employee must complete annual Employee Health requirements as a condition of employment. ["The duties of this position include but are not limited to the following: Assists in the full range of nursing care to patients/residents with physical and/or behavioral problems while meeting their diverse needs based on age, culture, ethnic, spiritual, and war conflict group, in a hospital, long term care or outpatient setting under the direction of a Registered Nurse and/or /Licensed Practical Nurse. Contributes to the interdisciplinary team in the development, implementation, and evaluation of the individual Veteran's treatment plan. Implements team decisions, reports outcomes, and participates in evaluation of outcomes. Promotes and participates in unit performance improvement initiatives, identifies problems, collects data, and supports change. Conducts self-assessment for continuous learning and growth seeking out educational opportunities and shares expertise with colleagues. Knowledgeable of the disease processes and the approaches in caring for the cognitively impaired Veteran that are effective such as: empathy, calm approach, re-approach, re-direction, and therapeutic activities. Performs procedures to maintain proper nutrition, airway, circulation, elimination, muscle strength, neurological functions, and promotes AOL/hygiene protocols and documents care provided in the ADL note. Meet the patient's needs for privacy. Ensures that patients are appropriately covered by clothing or bedding. Always closes the patient's door, curtains, and blinds to ensure privacy when providing direct patient care. Follows the medical center policy for release of information and respects patient confidentiality. Consistently performs a range of technical procedures including 12 Lead ECGs, blood glucose monitoring, phlebotomy, and straight catheterization per demonstrated competency/certification. Performs a range of therapeutic procedures including wound and skin care, sterile dressings, and wound irrigations, according to procedure. Incorporates Safe Patient Handling techniques into daily practice. This includes but is not limited to SPH Algorithms and the utilization of SPH equipment per policy. Work Schedule: Varies 6:00pm - 6:30am\nTelework: Not available.\nVirtual: This is not a virtual position.\nPosition Title/Functional Statement #:Nursing Assistant (Float Pool)/PD000000\nRelocation/Recruitment Incentives: Not authorized.\nPermanent Change of Station (PCS): Not authorized.\nFinancial Disclosure Report: Not required"]
Providing Health Care for Veterans: The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,255 health care facilities, including 170 medical centers and 1,074 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.