Nursing Assistant

Summary

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 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. The position reports to the Nurse/Clinical Manager in the Community Living Center (CLC).

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
• 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 [training] course of study [or program] 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 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: In addition to the basic requirements for employment - the following criteria must be met when determining the grade of candidates
• GS-3 NA (Entry Level) Experience and Education
• None beyond the basic requirements
• Assignments
• Individuals assigned as GS-3 NAs are considered to be at the entry level and are closely supervised
• 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
• Assignment
• 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 health care professionals
• In this role - the NA 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 NA in this role provides care under close supervision and refers issues/questions to supervisors - higher graded NAs - or other health care 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 In addition - the candidate must demonstrate the following 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
• 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
• 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)
• Reference: For more information on this qualification standard - please visit
• The full performance level of this vacancy is GS-05
• 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: See VA Directive and Handbook 5019 - Employee Occupational Health Service for requirements.

Duties

• Work Schedule: Part time - 8 hour tours
• rotating weekends and holidays Functional Statement #: : Nursing Assistant - T38 Hybrid Major Duties Include But Not Limited To: 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 I 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) Meets the needs of customers both internally and externally while supporting the VA mission
• Consistently communicates and treats customers (investigators - their representatives - visitors - and all VA staff) in a courteous - tactful - and respectful manner
• Protects printed and electronic files containing sensitive data in accordance with the provisions of the Privacy Act of 197 4 and other applicable laws - Federal regulations - VA statutes and policy - and VHA policy
• Follows applicable regulations and instructions regarding access to computerized files - release of access codes - etc
• Compressed/Flexible: Not available Telework: Not Available Virtual: This is not a virtual position
• Permanent Change of Station (PCS): Not Authorized

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The Veterans Health Administration (VHA) is the largest integrated health care system in the United States, providing care at 1,321 health care facilities, including 172 VA Medical Centers and 1,138 outpatient sites of care of varying complexity (VHA outpatient clinics) to over 9 million Veterans enrolled in the VA health care program. VHA Medical Centers provide a wide range of services including traditional hospital-based services such as surgery, critical care, mental health, orthopedics, pharmacy, radiology and physical therapy. In addition, most of our medical centers offer additional medical and surgical specialty services including audiology & speech pathology, dermatology, dental, geriatrics, neurology, oncology, podiatry, prosthetics, urology, and vision care. Some medical centers also offer advanced services such as organ transplants and plastic surgery.

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