This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific individual eligibility requirements in accordance with VHA policy and submit your EDRP application within four months of appointment. Approval, award amount (up to $200,000) and eligibility period (one to five years) are determined by the VHA Education Loan Repayment Services program office after complete review of the EDRP application. Learn more This is an open-continuous announcement. The announcement will remain open until there is no longer a need. There will be multiple cut-off dates used to consider applications for referral to the selecting official. The first cut-off date to consider applications for referral to the selecting official will be August 04, 2022, the second is August 25, 2022 the third is September 8, 2022, the fourth is September 22, 2022 and the final cut-off date is October 12,2022. 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. 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. Education or Training: One year above high school with courses related to the Nursing Assistant (NA) 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. Part-Time Experience. Part-time experience as a NA is creditable according to its relationship to the full-time workweek. For example, a NA employed 20 hours a week, or on a 1/2-time basis, would receive 1 full-time workweek of credit for each 2 weeks of service. Grade Determinations: In addition to the basic requirements for employment, the following criteria must be met when determining the grade of candidates. Applicants must meet basic requirements at all grade levels. (Transcripts and/or NA Certification must be submitted to be referred for the NA position at all grade levels) GRADE REQUIREMENTS: GS-3: 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, 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; 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: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. 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. 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. 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. References: VA Handbook 5005/81, Part II, Appendix G46 Nursing Assistant Qualification Standard GS-621 Veterans Health Administration, Dated March 12, 2015. 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: This position involves considerable amount of standing (up to 2 hours), walking (up to 6 hours), stooping, bending, reaching, lifting, and turning. It requires repositioning patients, assisting with transfers from wheelchairs/stretchers and transporting them to other departments or facilities. Mechanical devices are available and are required to be used for heavy or difficult to lift clients. The work may involve pushing or lifting in excess of 45 pounds and going up and down flights of stairs. The position requires visual (corrected to 20/30 or better with color discrimination) and auditory acuity at a level to provide safe and effective nursing care. The position requires the nurse to work for periods of time with arms above shoulder level or with neck in a fully flexed or extended position. The nurse may occasionally be exposed to patients who are combative secondary to delirium, dementia or psychiatric disorders. The nurse many be exposed to infected patients and contaminated materials and may be required to don protective clothing in isolation situations or operative/invasive procedures. The incumbent must possess sound and logical clinical judgment. The incumbent must be a mature, flexible, sensible individual capable of working effectively in stressful situations, able to shift priorities based on patient needs. The position also requires ability to work on computers for extended periods of time. ["The Nursing Assistant (NA) is a member of the Acute Care Team, providing assistance to the physician, nurse manager, registered nurse, and other team members during diagnostic examinations or medical treatment procedures as part of the diagnosis and treatment of patients. The Nursing Assistants are involved in a variety of personal care, nursing care, or related procedures that do not require the knowledge and skills represented by the licensure of practical nurses. Duties will vary based on grade. At the GS-5 full performance level, the NA supports the unit operations and can be assigned clinical and non-clinical duties. Duties will include: Participates in activity and actions to improve the quality of care for veteran patients to include fall and pressure sore prevention; that includes learning to implement the organization's prevention guidelines on falls and pressure sores, and the veteran's specific plan of care. The Nursing Assistant ensures the Veteran is wearing the correct identification bracelet. Employee adheres to responsibility of timely maintenance of all education required, including: TMS, BLS, HIPAA and Privacy training. Supervises patients and can mentor other NA's in personal hygiene, rest and eating. Feeds and bathes patients who require assistance. Helps patients in and out of bed, and with mobile devices. Instructs and assists patients in the skills necessary to gain independence in activities of daily living. Contributes to a safe, clean, clutter-free, and therapeutic environment for patients and staff. Follows Medical Center and Nursing Service policies and procedures. Provides care to patients in isolation and patients on chemotherapy precautions. Maintains privacy of patient and staff. Performs and can mentor other NA's in a variety of general nursing duties including measurement and recording of vital signs, EKGs, weight, height, intake and output, post-mortem care, simple treatments such as hot and cold packs, changes clean or sterile dressings, applies external catheters, and gives catheter care. Maintains oxygen therapy as directed by the RN, assignment, or written care plan, to include management and operation of oxygen tanks. Performs assistive cough and deep breathing exercises. Performs and/or instructs patients in learning range of motion exercise, turning and positioning, ambulation, and other routine care procedures. Prepares patients for tests, examinations, treatments and for surgery. Collect's specimens such as urine, sputum and stool. Labels specimens for laboratory examinations. Performs blood glucose tests as appropriate. Cleans and maintains equipment with appropriate RME disinfectant. Initiates Cardio-Pulmonary Resuscitation in accordance with established Medical Center policy and initiates other emergency procedures as necessary, including fire and disaster. Demonstrates safe body mechanics. Observes and reports patient's physical and mental status, reporting unusual changes to the RN. Report's information obtained from patients and or family and participates in developing a plan of care. Assists with admission, discharge, and transfer of patients. Performs other assignments designated by the nurse in charge that are essential to the care of patients and appropriate to his/her level of training. Knowledge of safe handling practices (i.e., precautions and measures for handling of hazardous waste) working with patients who receive Hazardous Medications and the disposal of bodily fluids contaminated with Hazardous Medications including knowledge of unit radiation safety precautions. Knowledge and skill of medical terminology and observational skills sufficient to report the patient's physical and emotional reactions to care. Effective communication skills for reporting and recording pertinent information to the nursing and medical staff. Knowledge and skill sufficient to use standardized nursing principles, procedures, equipment, and supplies for providing nursing care to assigned patients. Knowledge of skills sufficient to assist in the teaching of patients in activities of daily living. Knowledge of basic human body structure, function, diseases, and skill sufficient to care for patients appropriate to his/her level. Knowledge of developmental needs (cognitive, emotional, physical, age related) of the young adult to the geriatric age category. Knowledge of aseptic techniques and skill in performing procedures requiring same. Knowledge of special dietary needs, (i.e., patient unable to chew food for lack of teeth or a patient who is unable to feed self). Work Schedule: To be determined at time of interview, rotating weekends and holidays\nTelework: Not Available\nVirtual: This is not a virtual position\nFunctional Statement #:000000\nEDRP Authorized: Contact Stacy Hermann, the EDRP Coordinator for questions/assistance at V20CompensationTeam@va.gov\nFinancial Disclosure Report: Not required"]
Providing Health Care for Veterans: The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,255 health care facilities, including 170 medical centers and 1,074 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.