The Nursing Assistant (NA) is a member of the Comprehensive Interdisciplinary Inpatient Rehabilitation Program (CIIRP) Team and provides 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. Applicants pending the completion of educational or certification/licensure requirements may be referred and tentatively selected but may not be hired until all requirements are met. 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. Preferred Experience: Knowledge of Current Practice. To be creditable, the experience must have required the use of knowledge, skills, and abilities associated with the current practice. Quality of Experience. To be creditable, NA experience must be documented on the application or resume and verified in an employment reference, or through other independent means. 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 GS-3 NA (Entry Level) Experience and Education: None beyond the basic requirements. Assignments: Individuals assigned as GS-3 NAs are considered to be at the entry level and are closely supervised. GS-4 NA 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; 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. 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 health care professionals. GS-5 NA (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 KSA's 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. 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. 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. ["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 .The work is performed on the Acute Inpatient Rehabilitation Unit (Ward 2 East) at VA Puget Sound, Rehabilitation Care Services and the Acute Inpatient Care Services. The positions are located on the Acute Inpatient Rehabilitation Unit (Ward 2 East), VA Puget Sound Health Care System - Seattle Division. Nursing Assistants performing a variety of general nursing assistant duties to include but not limited to: PROVISION OF CARE (Nursing Care) Supervises patients and can mentor other NA's on personal hygiene, rest and eating. Feeds and bathes patients who require assistance. Assists 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, simple treatments such as hot and cold packs, changes clean dressings 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. Monitors oxygen tanks of all the patients during activity and acts to maintain oxygen therapy. 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. Can mentor other NA's on how to perform these duties. Prepares patients for tests, examinations, treatments and for surgery. Collects specimens such as urine, sputum and stool. Labels specimens for laboratory examinations. Performs blood glucose and stool guaiac test. Cleans and maintains equipment with appropriate RME disinfectant. Demonstrates safe body mechanics in accordance with Medical Center Policy and Procedures for Safe Patient Handling. COMMUNICATION, COLLABORATION & SUPPORT (Interpersonal Communication) Participates in activity and actions to improve the quality of care for veteran patients to include fall and pressure sore prevention; that is learning to implement the organization's prevention guidelines on falls and pressure sores, and the veteran's specific plan of care. Employee adheres to responsibility of timely maintenance of all education required, TMS, BLS, HIPPA and Privacy training. RECOGNIZE, AND REACT (Safety) 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. Observes and reports patient's physical and mental status, reporting unusual changes to the Registered Nurse. Reports information obtained from patients and or family and participates in developing a plan of care. Assists with admission, discharge and transfer of patients. Participates in activity and actions to improve the quality of care for veteran patients to include fall and pressure sore prevention; that is learning to implement the organization's prevention guidelines on falls and pressure sores, and the veteran's specific plan of care. Maintains BLS Certification and is able to Initiates Cardio-Pulmonary Resuscitation in accordance with established Medical Center policy and initiates other emergency procedures as necessary, including fire and disaster. 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. Work Schedule: 5 Days a Week: Rotating Schedule with Alternating Weekends Off; 0730 - 1600, Seattle Division Virtual: This is not a virtual position. Functional Statement #: 000000 Relocation/Recruitment Incentives: May be authorized. Financial 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.