VA Portland Health Care System is a Complexity Level 1a Facility and provides extensive primary, secondary, tertiary, and quaternary care in outpatient, inpatient, residential, and community settings. VAPORHCS is a multi-site medical system that includes a major medical facility in Portland, Oregon, outpatient and residential facilities in Vancouver, Washington, and 10 Community Based Outpatient Clinics.
To qualify for this position, applicants must meet all requirements by the closing date of this announcement, 07/21/2025. 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 or Training- 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 Language Proficiency- Nursing Assistants must be proficient in spoken and written English in accordance with VA Handbook 5005, part II, chapter 3, section A, paragraph 3j. Grade Determinations: GS-3 Nursing Assistant: Experience and Education- None beyond basic requirements. GS-4 Nursing Assistant: One year of experience as a Nursing Assistant or in another medical field; OR Education- 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: 1. Ability to provide a range of patient/resident care and contribute to the completion of the nurse care plan and recovery of patients/residents. 2. Ability to observe patients/residents' or resident's physical or emotional status and refer deviations and/or problems to supervisor in a timely manner. 3. 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. 4. Ability to communicate effectively with patients/residents, their families and other health professionals. GS-5 Nursing Assistant: One year of progressively responsible assignments and experience equivalent to the GS-4 level; OR, Education- 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 1. 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. 2. 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. 3. 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. Physical Requirements: This position requires visual acuity, keen hearing, clear distinct speech and manual dexterity. Work requires physical activity including extended periods of standing, walking, and bending with occasional periods of sitting, kneeling, climbing, stooping, crouching, and balancing. Work also requires constant reaching between knee and shoulder level as well as frequent reaching below knee level. Frequent fine motor movement of fingers and wrists as well as gross motor movement of elbows and arms is also required. Incumbents in this position may be exposed to infectious/communicable diseases and blood borne pathogens and may be required to don protective clothing in isolation situations or operative/invasive procedures. Incumbents must occasionally be able to independently lift up to 50 pounds and push/pull up to 50 pounds of force with grip strength of 65 pounds. The employee is expected to use proper safe patient handling techniques to perform duties. The incumbent may be exposed to veterans who are combative secondary to delirium, dementia, or psychiatric disorders. The incumbent must be a mature, flexible, sensible individual capable of working effectively in stressful situations, able to shift priorities based on veteran needs. The incumbents will be assigned to specific shifts; however, schedules may include varied days, hours, weekends, overtime, holidays, and emergency call-in. Noise level is usually moderate but could at times be extreme. Work may be fast-paced when dealing with multiple priorities and/or emergency situations. The employee must complete annual Employee Health requirements as a condition of employment.
The duties of this position include but are not limited to the following: - Utilizes glucose monitoring machine to receive glucose readings for veterans refers deviation to appropriate health care staff - Provides direct care for complex veterans - Makes observations of subtle changes in resident's condition, i.e. behavior shifts, mood, skin coloring, appetite, etc. and takes action accordingly within the NA's assigned role. - Documents care given, observations and responses on appropriate tools or forms. - Responds appropriately to subtle patient changes by contacting the appropriate nursing personal - Administers complete tracheostomy care, including suctioning. - Monitor and documents patient intake and output reports deviations timely and accurately - Performs nursing procedures within scope of practice and according to policies and standard procedures to care for the veteran for such procedures but not limited to: enemas, catheterization, colostomy care, skin care simple dressing, application of braces and prosthetic devices, monitoring of - Works on small group activities with veterans/residents according to the patients/resident treatment plan. - Recognizes the residents' autonomy and promotes independence by means of respect, limit setting and individualized treatment. - Actively participates in Treatment Planning Meetings. - Utilizes equipment to promote the veteran self-care, such as; lift equipment, Hydro sound Tubs, and Veteran/Resident Wandering System. - Verbally provides patient information to the treatment team for inclusion in the veteran/residents' plan of care, participates in treatment team meetings for resident care planning. - Enters information about the residents' condition in the chart, utilizing appropriate formats. - Participates in maintaining a clean, safe environment for the patient/resident - Removes defective equipment, reports hazards, observes safety regulations, contributes to infection control, and utilizes proper aseptic technique in performance of duties. - Serves as the unit safe patient handling liaison - Serves as preceptor and mentor to other NA's, - Orients members of the health care team to the units as appropriate - Functions as a member of the unit based council - Manages distributed patient behavior and by appropriately intervenes and request assistant from other health care members. - Appropriately initiates basic life support, takes actions appropriate action. May provide monitoring of patients via a Continuous Video Monitoring with completion of training requirements. Work Schedule: Monday-Friday 08:00am-4:30pm Telework: Not Available Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Authorized Permanent Change of Station (PCS): Not Authorized PCS Appraised Value Offer (AVO): Not Authorized