Nursing Assistant - Rehab and Extended Care - UP TO 20 PERCENT SIGN ON BONUS AUTHORIZED
Veterans Affairs, Veterans Health Administration
Location: Minneapolis, Minnesota
Internal Number: 669085700
The Minneapolis VA Health Care System (VAHCS) is a teaching hospital providing a full range of patient care services with state-of-the-art technology, as well as education and research. Comprehensive health care is provided through primary care, tertiary care and long-term care in areas of medicine, surgery, psychiatry, physical medicine and rehabilitation, neurology, oncology, dentistry, geriatrics and extended care. To qualify for this position, applicants must meet all requirements by the closing date of this announcement, 09/30/2022 BASIC REQUIREMENTS: (a) Citizenship. Citizen of the United States. (Noncitizens may be appointed when it is not possible to recruit qualified citizens in accordance with chapter 3, section A, paragraph 3g, this part.) (b) 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. (c) 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. Preferred Experience: CNA certification preferred but not required GRADE DETERMINATIONS: GS-3 Grade Determinations: (a) Experience and Education. None beyond the basic requirements. (b) Assignments. Individuals assigned as GS-3 NAs are considered to be at the entry level and are closely supervised. GS-4 Grade Determinations: (a) 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, (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 (transcripts required); AND (c) 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. (d) 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 healthcare professionals. 2. In this role, the Nursing Assistant 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 Nursing Assistant in this role provides care under close supervision and refers issues/questions to supervisors, higher graded NAs, or other healthcare professionals. GS-5 Grade Determinations: (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 (transcripts required); AND (c) 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. (d) 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 The full performance level of this vacancy is GS-5. The actual grade at which an applicant may be selected for this vacancy is GS-3 through GS-5. Physical Requirements: In accordance with HRML No. 05-12-02, Employment of People with Disabilities, Including Under Schedule A, 5 CFR 213.3102 (u). Requirements include: Heavy Lifting (45 lbs and over); Moderate Carrying (15-44 lbs); Reaching Above Shoulder; Both Hands Required; Walking Throughout Assigned Shift; Standing As Duties Require; Kneeling as Duties Require; Repeated Bending As Duties Require; Both Legs Are Required; Near Vision Correctable at 13" to 16" to Jaeger 1 to 4; Far Vision Correctable in One Eye To 20/50 and to 20/100 In the Other; Color Vision; Hearing (aid permitted); and Specific Hearing Requirements. This position requires visual acuity, keen hearing, clear distinctive speech, and manual dexterity. This position requires potentially long periods of continued walking, standing, stooping, sitting, bending, pulling, and pushing. Transferring patients and objects may be required. Mechanical inpatient lifts are provided. The incumbent may be exposed to infected patients and contaminated materials and may be required to don protective clothing in isolation situations, operative/invasive procedures, or home settings. The incumbent may occasionally be exposed to patients 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 patient needs. Complete annual Employee Health requirements, such as annual TB screening or testing, as a condition of employment. ["A recruitment incentive of up to 20% of an annual salary (pre-taxed) has been authorized for eligible, highly qualified applicants. Incentive may be pro-rated. Please contact the HR specialist for specific requirements: Daniel.Neal3@va.gov. This is an OPEN CONTINUOUS ANNOUNCEMENT and will remain open until September 30, 2022 and may be extended until all vacancies are filled. The initial cut-off date for referral of eligible applications will be August 19th. Eligible applications received after that date will be referred at regular intervals or as additional vacancies occur on an as-needed basis until positions are filled. The Rehab and Extended Care aligned Nursing Assistant (NA) will provide a range of assistance and support for Veteran patients by providing personal patient care, support for diagnostic procedures, performing technical nursing treatments as delegated by the Registered Nurse (RN) or Licensed Practical Nurse (LPN), appropriate documentation and offering basic patient instruction under the guidance of a RN or LPN The individual would be an integral member of the nursing care team in direct service to Veterans and families. These duties will be performed in all Acute Care Units, Community Living Center units, and Outpatient Clinics. The incumbents may rotate on weekends and all tours as needed to meet unit and patient care needs. Duties Include: Assists physicians and nurses in the performance of diagnostic examinations by performing duties such as monitoring vital signs, preparing and positioning the patient, or by performing a variety of routine diagnostic tests i.e. glucometer test for blood glucose level, EKGs, bladder scanning, and collection of urine sample and other procedures with validated competencies. Performs a complete range of treatment procedures such as; routine urinary catheter care; application of condom catheters; external application of cold and heat with RN or LPN direction; emptying of colostomy or other duties as assigned by the RN or LPN. Assists physicians, nurses, and other healthcare team members in the care and treatment of Veteran patients receiving medical surgical or emergency treatment. Observes and reports to the professional nurse changes in patient behavior, attitude, bodily complaints/pain and appearance. Observes patients for any change in condition (deviation in color, pulse, respiration, temperature and blood pressure) and reports them to the assigned RN or LPN. Reports the condition of wounds and skin and any reaction to or results of treatments. Reinforces with patients and family members the necessity to continue the procedures for proper health care. Assists with specific health teaching, such as reminding diabetic patients of the importance for skin care and following a diet, reinforcing the importance of exercise and diet for the cardiac patients, etc. Encourages patients in self-care activities within their individual capacities as outlined on their care plan. Performs selected treatments such as foot-soaks, and applications of non-prescribed topical lotions, performs basic care to patients requiring the use of isolation techniques. Checks and records vital signs, weights, and heights and reports deviations from normal to the professional nurse. Work Schedule: Various schedules available including Full time 1.0 FTEE and Part-Time 06, 0.7 and 0.8 FTEE\nTelework: Not Available\nVirtual: This is not a virtual position.\nRelocation/Recruitment Incentives: May Be Authorized to Highly Qualified Eligible Candidate\nFinancial Disclosure Report: Not required This occupational series is eligible for the Student Loan Repayment Program (SLRP). Repayment is limited to $10,000 annually, up to $60,000 in lifetime awards. Participants must sign a service agreement and maintain an acceptable level of performance to remain eligible for this program. The VA Midwest Health Care Network advocates for a Whole Health System of care in each of the Medical Centers. This is an approach to healthcare that empowers and equips people to take charge of their health and well-being and live their lives to the fullest. As an employee operating in a Whole Health System of care, you will operate in a model with three core elements, seeking to create a personalized health plan for each Veteran. This is done in the context of healing relationships and healing environments and a connection back to the Veteran's community. This aligns with the Veterans Health Administration (VHA) Mission Statement to Honor America's Veterans by providing exceptional health care that improves their health and well-being."]
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.