The Nursing Assistant on the Community Living Center practices and adheres to a high level of respect and knowledge of Veteran rights to protect the vulnerable and frail Veterans. The NA practice includes all activities of daily living, and general nursing duties and tasks to help the team restore the Veteran to the highest level of independence or remain comfortable toward the end of life.
To qualify for this position, applicants must meet all requirements within 30 days of the closing date of this announcement. 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. 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. Grade Determinations: Nursing Assistant, GS-3 (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 supervise. Nursing Assistant, 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; *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. ii 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. Nursing Assistant, GS-5 (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; *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. NOTE: Students/trainees may be appointed in accordance with 38 U.S.C. § 7405(a)(1)(D). See Part II, Chapter 3, paragraph 5 of VA Handbook 5005. Former VA Handbook 5005 Reference: Part II Appendix G46 EFFECTIVE DATE: May 22, 2024. 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: Heavy lifting (45 lbs. or over), straight pulling, pushing, reaching above shoulder, use of fingers, both hands required, walking, standing, repeated bending, ability to distinguish basic colors, hearing (aid may be permitted), visual acuity 20/30 corrected, mental and emotional stability.
Nursing Assistant - vacareers.va.gov/wp-content/uploads/sites/5/Total-Rewards-of-a-Nursing-Assistant-Career-Flyer.pdf Ability to assist in the full range of nursing care to residents with physical and behavioral problems in a hospital, long term care or outpatient setting under the direction of a RN and LPN Provides care that offers no evidence or concern of abuse. Performs, and can mentor other CNAs, in activities of daily living by helping Veterans in their physical functioning, to include personal hygiene, eating, assisting in and out of bed/wheelchairs using proper lifting techniques and safe patient handling equipment. Demonstrates the need for minimal supervision and proficient skill in promoting independence in daily living activities. Independently follows the Restorative Plan of Care and performs range of motion exercises, turning and positioning, ambulation and other routine care procedures to complete all restorative exercises. Follows the Restorative Plan of Care and performs range of motion exercises, turning and positioning, ambulation and other routine care procedures. Performs general nursing duties competently, including measurement and accurate recording of vital signs, height, weight, intake and output, cleansing and retention enemas, tube feeding, post-mortem care, infection control, isolation, simple treatments such as hot and cold packs, changing clean dressings, and applying external catheters. Performs, under the supervision of a RN, catheter care, oral -pharyngeal suctioning and tracheostomy suctioning and tracheostomies that are non-complicated and at least five days old. Maintains and monitors oxygen therapy as directed by the RN, to include management and operation of oxygen tanks. Applies binders, splints, supportive devices, braces, and other simple devices to aid Veterans in positioning for therapy, applies hot and cold packs, prepares patients for tests, examinations, and treatments. Collects specimens, correctly labels specimens for laboratory examinations and assures timely transportation of specimens. Applies ointments, shampoos, and creams considered medications and medication administration. Reviews the Veteran's treatment plan and follows the plan in performing resident care. Updates the plan of care in the resident's room to remain current with IDT and NCP in the medical record, and reports changes and discrepancies to the charge nurse. Participates in actions to improve the quality of care for Veterans to include fall l) intervention and prevention of pressure sores. Independently implements the Veteran's specific plan of care to prevent falls with injury and pressure sores. Cleans and maintains equipment independently or at the direction of the RN/LPN. Assists with admission, discharge and transfer of patients. Provides one-to-one observation as directed for assaultive and ill residents. Initiates Cardio-Pulmonary Resuscitation, Heimlich maneuver for choking, and first aid in accordance with established policy and initiates or complies with other emergency procedures as necessary, including fire and disaster. Performs other assignments designated by the charge nurse that promote the care of patients and appropriate to his/her level of training. Works the schedule assigned which requires being ready and able to work at the beginning of the tour, working on weekends, holidays and day, evening or night shift. Mandatory overtime is performed per unit practice to preserve the safety of the Veterans and operation of the unit. Work Schedule: Monday thru Friday 2:00pm-10:30pm with every other weekend and rotating holidays. Recruitment Incentive (sign on bonus): Not Authorized Permanent Change of Station: Not Authorized Pay: Competitive salary and regular salary increases. When setting pay, a higher step rate of the appropriate grade may be determined after consideration of higher or unique qualifications or special needs of the VA . 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) Selected applicants may qualify for credit toward annual leave accrual, based on prior work experience or military service experience. 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 Authorize Virtual: This is not a virtual position. Functional Statement #: 000000