Organizational Location: The incumbent will be an employee of the Roseburg VA Healthcare System (RVAHCS) Office of Patient Care Services. Performs a wide variety of nursing duties aimed at increasing the safety, comfort, and spirit of the patient/resident while following established policy and procedures. Provide acute and close observation of patients/residents with medical or mental health conditions requiring such observation. Basic Requirements: a. Citizenship. Citizen of the United States. (Non-citizens may be appointed when it is not possible to recruit qualified citizens in accordance with chapter 3, section A, paragraph 3g, this part.) b. Education or Training One year above high school with courses related to the [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 c. Physical Requirements See VA Directive and Handbook 5019 d. English Language Proficiency. Nursing Assistant 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 (Entry Level) (a) Experience [and] Education . None beyond the basic requirements. (b) Assignments. Individuals assigned as GS-3 Nursing Assistant are considered to be at the entry level and are closely supervised. GS-4 (a) Experience. One year of specialized experience as a Nursing Assistant 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, (b) 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 (c) 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. (d) Assignment 1. Individuals assigned as GS-4 Nursing Assistant are considered to be at the intermediate or developmental level and are closely supervised. Nursing Assistant at this grade level function as a member of the nursing care team and assist higher graded Nursing Assistant, 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 Nursing Assistant or other healthcare professionals. 2. In this role, the Nursing Assistant functions as a member of the nursing care team and assists higher graded Nursing Assistant, 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 Nursing Assistant in this role provides care under close supervision and refers issues/questions to supervisors, higher graded Nursing Assistant, or other healthcare professionals GS-5 (Full Performance Level) (a) 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, (b) 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 (c) 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 (d) Assignment. This is the full performance level for Nursing Assistant. Nursing Assistant 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. Nursing Assistant at this level also assume more of a peer education/mentorship role References: VA HANDBOOK 5005/81 PART II APPENDIX G46 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: See VA Directive and Handbook 5019 ["Organizational Location: The incumbent will be an employee of the Roseburg VA Healthcare System (RVAHCS) Office of Patient Care Services. The reporting structure is identified on the organization chart, ultimately reporting to the Associate Chief Nurse Executive through a Nurse Manager, Assistant Nurse Manager, or Program Director. The position is responsible for the nursing assistant duties, including acute and close observation, taking and documenting vital signs, collecting lab specimens including phlebotomy, passing and picking up meal trays, tracking and documenting intake and output, assisting with transporting of patients/residents, and duties as assigned by the Supervisor or designee. The position requires the ability to work alternate schedules during evenings, nights, weekends, weekdays, holidays, and may alternate schedules to ensure adequate coverage of support functions. Employee performs assigned duties in a manner that promotes quality health care, outstanding customer service, and the maintenance of an environment committed to serving the Veterans, their families, and internal and external stakeholders. Employee actively supports the team concept and functions as a team player, working collaboratively across service and care lines to accomplish the mission of the facility and service. The incumbent contributes to team initiatives and continuously strives to improve the effectiveness of the team.\nThe work environment involves a high risk of regular and recurring exposure to potentially dangerous situations such as infectious diseases, demented and suicidal/homicidal patients/residents, and construction with associated risks. There are regular and recurring situations where physical attack by patients/residents requires safety training, specifically prevention and management of disruptive behavior. Routine redirection, intervention, and mitigation of behaviors from resident/residents may be required. Work Schedule: 24 Hour Units-0600-1430,1400-2230,2200-0630\nVirtual: This is not a virtual position.\nFunctional Statement #: 000000\nRelocation/Recruitment Incentives: Not Authorized\nPCS Appraised Value Offer (AVO): Not Authorized\nFinancial Disclosure Report: Not required"]