The LTC Charles S. Kettles VA Medical Center is seeking a Full-Time, Nursing Assistant at the Ann Arbor VA Medical Center.
Basic Requirements: United States Citizenship: Citizen of the United States. 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. Grade Determinations: GS-3 (Entry Level) 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, healthcare 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 (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. Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/. 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. Grandfathering Provisions. All NAs employed in VHA on the effective date of this qualification standard are considered to have met all qualification requirements for the series and grade held that are part of the basic requirements of the occupation. For employees who do not meet all the basic requirements required in this standard, but who met the qualifications applicable to the position at the time they were appointed to it, the following provisions apply: (1) Employees who are appointed on a temporary basis prior to the effective date of the qualification standard may not have their temporary appointment extended or be reappointed, on a temporary or permanent basis, until they fully meet the basic requirements of the standard. FORMER VA HANDBOOK 5005 REFERENCE: Part II Appendix G46 EFFECTIVE DATE: May 22, 2024 2 (2) If an employee who was retained (grandfathered) under this provision leaves the occupation, the employee loses protected status of the grandfathering provision and must meet the full VA qualification standard basic requirements in effect at the time of re-entry to the occupation. Physical Requirements: Duties require extensive periods of standing and walking and working outdoors or in portable building or tent. Lifting up to 35 pounds intermittently for 8-12 hours, moderate carrying (15-35 pounds) intermittently for 8 to 12 hours, lifting over 35 pounds with assistive devices in accordance with the Safe Patient Handling Policy except in emergent situations requiring prompt patient care, pulling for 8 to 12 hours, intermittently, pushing for 8-12 hours, intermittently, reaching above the shoulders for 8-12 hours, intermittently, both hands required, walking 8-12 hours, intermittently, standing 8-12 hours intermittently, kneeling 8 to 12 hours, intermittently, repeated bending for 8-12 hours, intermittently, climbing and use of both legs and arms for 8-12 hours, intermittently, both legs required, near vision at 13 to 16" Jaeger 1 to 4, far vision correctable in one eye to 20/20 and to 20/40 in the other eye, ability to distinguish basic colors, hearing aid permitted, twisting, simply grasp and fine manipulation.
The Nursing Assistant will function as a member of the nursing care team and assist higher grade Nursing Assistants and licensed nursing staff in the care of patients. Duties include, but are not limited to: Adheres to VA and Nursing policies, procedures and standards. Delivers care to patients in a respectful, non-judgmental manner. Maintains patient privacy/confidentiality and patient rights to privacy/confidentiality. Sets limits within the Nursing Assistant/patient relationship, which are clearly defined. Participates in selected Performance Improvement (PI) activities as directed. Assists with selected activities related to patient admission/transfer and discharge. Collects patient information including observation of overall condition. Recognizes and reports obvious changes in patient condition including emergencies. Takes appropriate actions in response to patient emergent situations. Accurately documents patient information on flow sheets and a Computerized Patient Reporting System (CPRS). Provides patient information to the accountable RN for inclusion in the patient's plan of care. Completes assignments, reports to the accountable RN when assignment has been completed, or when unable to complete activities. Uses appropriate lifting/moving/transfer techniques/devices. Utilizes infection control and universal standard precautions. Participates in the interdisciplinary team care planning and delivery of care process. Is knowledgeable of stages of adult development and how it may relate to nursing care; provides input to RN related to patient's stage of adult development and provides care to patients in a variety of stages of adult development. Safely performs the following functions: Provides routine hygienic/activities of daily living care. Performs actions targeted to the maintenance/restoration of skin integrity. Collects patient specimens. Administers a variety of comfort measures. Takes vital signs after completion of orientation and competency validation. Follows seizure precautions as directed. Transports patients with oxygen. Appropriately uses protective/restraining devices. Feeds patients orally including those who are at risk for aspiration, after appropriate training. Reports situations including, but not limited to: Changes in behavior. Wandering Sun-downing Sleep disturbances Inappropriate sexual behavior Aggressive behavior Hallucinations (visual/auditory) Incontinence Swallowing problems Abnormal vital signs Recognizes communication barriers. Promotes correct use of ambulation devices. Monitors patients on 1:1 observation using worksheets and assignment sheets. Assists with toileting activities as appropriate. Applies and provides routine care for a condom catheter. Performs finger stick blood glucose using the blood glucose monitor. Completes purposeful rounding of patients, assisting with any care needs, keeping team lead and charge nurse informed of any patient issues/concerns. Maintains a safe/clean/stocked work environment. Demonstrates appropriate actions in environmental emergencies. Utilizes equipment in a safe manner. Reports unsafe equipment and working conditions to appropriate individuals. Completes mandatory safety training/annual reviews. Interacts in a courteous/respectful manner with with patients, families and visitors as well as with co-workers/members of other services. Uses appropriate channels of communication. Follows verbal and/or written directions. Adheres to uniform policy. Maintains appropriate boundaries when dealing with patients/significant others/families and all staff. Assumes an appropriate amount of work/responsibility for group projects. Works within the current workflow processes to improve timeliness of patient care. Stocks, replenishes patient rooms and care areas with appropriate equipment and supplies necessary for patient care. Work Schedule: Monday - Friday 7:30 AM - 8:00 PM, Rotating Holidays and Weekends. Compressed/Flexible: Authorized Recruitment Incentive (Sign-on Bonus): Not Authorized Telework: Not Available Virtual: This is not a virtual position. Permanent Change of Station (PCS): Not Authorized