Nursing Assistant

Community Living Center- Nursing Assistant

The Nursing Assistant (N.A) is an individual who delivers age specific care to adult Veterans according to established policies and procedures under the direct supervision of a registered nurse (RN). This work involves the provision of personal care associated with activities of daily living in addition to basic nursing care and nursing treatments and simple diagnostic procedures as directed by the RN, LPN, or provider.

Major Duties:

• Recognizes the normal aging process and responds to meet the age specific needs of the Veterans including sensory/perceptual changes and physical needs for food, water, air. elimination, rest sleep and activity.
• Assists residents with personal care and other duties or care as directed such as bathing, personal hygiene, assisting with feeding, taking / recording vital signs, and assisting with ambulation.
• Provide resident centered - care, which is driven by the needs, preferences, and lifelong habits of the residents. Care is individualized to each resident, and the resident is a participant in their own care when possible.
• Correctly identifies Veterans by using two specific personal identifiers.
• Provides timely verbal reports regarding results of care or changes in Veteran's condition to the RN.
• Documents nursing care according to established nursing policy and procedures, in the written patient care books and/or in the electronic nursing care programs known as Caribou and/or CPRS.
• Keeps informed of all policies and procedures, guidelines, directives and regulations.
• Utilizes proper body mechanics, lifting devices and assistance from coworkers in performance of Veteran care activities.
• Reiterates and reinforces teaching and instructions that were previously presented by the RN.
• Provides care for those Veterans transported to facilities outside of VA Butler Healthcare.
• Contributes to work area conferences.
• Initiates emergency action in life threatening situations such as cardiac and / or respiratory arrest and alerts licensed personnel immediately.
• Utilizes equipment, materials and supplies in simple diagnostic and treatment procedures.
• Monitors bowel and bladder functioning, tracking of intake and output.
• Administers specified skin treatments and comfort items such as ointments, solutions, lotions, and powders per applicable policy and procedure in compliance with Bar Code Medication Administration system (BCMA).
• Administers retention and non-retention enemas as well as rectal suppositories for purpose of lower bowel evacuation.
• Administers non-medicated eye drops used for comfort measures.
• Provides assigned respiratory care support services including the application and regulation of oxygen.
• Inserts urinary catheter and irrigates catheter per order.
• Utilizes clean and / or sterile technique for specimen collection (urine, stool, wound).

Work Schedule: 8 hour shifts, Rotating Weekends and Holidays

Pay: Competitive salary and regular salary increases

Paid Time Off: 37-50 days of annual paid time offer per year (13-26 days of annual leave, 13 days of sick leave, 11 paid Federal holidays per year)

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 Authorized

Virtual: This is not a virtual position.

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.
• Must pass pre-employment physical 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 2-year trial period during which we will evaluate your fitness and whether your continued employment advances the public interest.

Qualifications:

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.
• Experience or Education or Training. Six months of general experience. Experience must demonstrate the ability to acquire the knowledge and skills to perform the work of a NA; OR, One year of education above high school with courses related to the NA occupation; OR, Completion of an intensive, specialized, occupation-related course of study of less than one year as a NA may also meet in full the experience requirements for GS-3.
• Physical Requirements. See VA Directive and Handbook 5019, Employee Occupational Health Service for requirements.
• English Language Proficiency. NAs must be proficient in spoken and written English in accordance with VA Handbook 5005, part 11, chapter 3, section A, paragraph 3j.

Grade Determinations:

• GS-3 NA (Entry Level): Experience and Education. None beyond the basic requirements.
• GS-4 NA: 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 NA (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 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.