The Nursing Assistant assigned to the Community Living Center (CLC) provides safe and individualized resident care to complex, frail and mostly elderly residents who are chronically ill in a home environment. The CLC is a component of the spectrum of long-term care that provides a skilled nursing environment and houses a variety of specialty programs for persons needing services which include skilled nursing, rehabilitation, continuing care, restorative care, and hospice and palliative care. 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. English Language Proficiency. NAs must be proficient in spoken and written English. Preferred Experience: 1-2 years Nursing Assistant Experience in a Long-Term Care, Palliative, or Hospice Unit; experience managing mental health patients; ability to walk/stand for up to 6 hours; Nursing Assistant Certification. Grade Determinations: In addition to the basic requirements for employment, the following criteria must be met when determining the grade of candidates. GS-3 Level: Experience and Education: None beyond the above basic requirements. GS-4 Level: 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, 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, 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. GS-5 Level (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, 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 [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. References: VA Handbook 5005/81, Part II, Appendix G46, March 12, 2015 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: Work involves regular and recurring exposure to moderate risks or discomforts that require special safety precautions such as: exposure to infection and possible contagious diseases. 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, and pushing. Transferring residents and objects will be required. Will require exposure to bloodborne pathogens, body fluids, and other potentially infectious materials requiring incumbent to use personnel protective equipment, practice continuous hand hygiene and be knowledgeable of infection prevention policies and procedures. The incumbent may occasionally be exposed to residents 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 resident needs. There may be visiting and residential animals in the work setting to include dogs, cats, fish, and birds. This position potentially requires flexibility in schedule and assignments, as this is a 24/7 facility. Requires rotation of regular and irregular shifts including rotation of weekends and holidays. ["The duties of the Nursing Assistant include, but is not limited to: Provides complete personal hygiene needs and documents in the veteran's records. Turns and repositions patients to maintain proper body alignment, lifts, ambulates, and transfers patient. Encourages and teaches individual patients and groups of patients in self-care activities. Performs I & O on patients and documents their input and output in CPRS. Cleans reusable medical equipment on the unit and maintains a neat and orderly patient care environment. Takes and records vital signs and weights; reports change of status to RN. Escorts non-critical patients to appointments in a safe and cautious manner; assist in getting patients out of bed and returning to bed after escorting. Recognizes and reacts to emergent patient/resident care situations and intervene while waiting for assistance. Reports unsafe equipment and working conditions to appropriate individuals. Interacts in a courteous/respectful manner with patients, families and visitors. Work Schedule: Rotating Shifts to include weekends and holidays.\nTelework: Not Available\nVirtual: This is not a virtual position.\nFunctional Statement #: 586-00193-F; 586-00194-F; 586-00195-F\nRelocation/Recruitment Incentives: Not Authorized\nFinancial Disclosure Report: Not required"]