Summary

The Nursing Assistant (NA) may perform theses duties in a variety of health care settings such as outpatient - inpatient - home or community living care - acute - sub-acute. The NA will care for patients/residents with acute to chronic conditions. 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. The NA at this level also assumes a peer education/mentorship.

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: One year above high school with courses related to the Nursing Assistant 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 Proficiency
• Nursing Assistants must be proficient in spoken and written English
• Preferred Experience: At least one year nursing assistant experience.Grade Determinations:GS-3 Experience and Education: None beyond the basic requirements
• GS-4 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 Demonstrated Knowledge - Skills - and Abilities (KSAs)
• In addition - the candidate must demonstrate the following 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 resident's 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-5 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)
• 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
• References: VA Handbook 5005 - Part II - Appendix G46 - Nursing Assistant Qualification Standard
• This can be found in the local Human Resources Office.

Duties

• All duties performed will be completed under close supervision with appropriate training and competencies for assigned task
• Maintains a positive therapeutic relationships 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 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.: Personal Hygiene Physical comfort Activity - Exercise - Rest Nutrition Elimination Prevention of Skin Breakdown Rehabilitative Aspects of Care Beginning to engage in-group activities such as off-station trips - reality orientation - current events and other therapeutic groups
• Learning to utilize principles of proper body mechanics while caring for patients
• Reports patient observations to the RN and or other members of the treatment team
• Is trained to set up patient care related equipment 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 equipment and supplies according to procedures
• 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
• 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 - 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
• The NA must be a mature - flexible - sensible individual capable of working effectively in stressful situations - able to shift priorities based on patient needs
• The NA must complete annual employee health requirements - such as annual TB screening or testing - as a condition of employment
• These physical requirements will be consistent with VA Directive Handbook 5019 Work Schedule: 8a-8p (6 shifts in a 2 week period +1 8 hour shift 0745-145) rotating weekends/holidays Telework: Not Available Virtual: This is not a virtual position
• Bargaining Unit: Yes Permanent Change of Station (PCS): Not authorized Financial Disclosure Report: Not required