Incumbent provides technical nursing care to adult and geriatric residents according to a plan of care established by a Registered Nurse (RN) who is responsible for the assigned resident's care. The NA performs basic nursing care according to standards of care, policies and procedures and assists providers and nurses in the performance of diagnostic examinations. 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 [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. 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. May qualify based on being covered by the Grandfathering Provision as described in the VA Qualification Standard for this occupation (only applicable to current VHA employees who are in this occupation and meet the criteria). Grade Determinations: GS-03 [NA] (Entry Level) (a) Experience and Education. None beyond the basic requirements. GS-4 [NA] (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. In addition to the GS-04 requirements candidates will need to address the Knowledge, Skills, and Abilities below: 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 [NA] (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. In addition to the GS-05 requirements candidates will need to address the Knowledge, Skills, and Abilities below: 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. References: VA Handbook 5005, Part II, Appendix, G46, Nursing Assistant Qualification Standard The full performance level of this vacancy is GS-05. The actual grade at which an applicant may be selected for this vacancy is in the range of GS-03 to GS-05. Physical 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, kneeling, bending, pulling, and pushing. Transferring residents and objects is required. The incumbent may be exposed to infected residents and contaminated materials and may be required to don protective clothing in isolation situations or during resident procedures and care. The incumbent may occasionally be exposed to residents who are combative secondary to delirium, dementia, or psychiatric disorders. Use of fingers, both hands, and near and far vision is required. ["Duties include but are not limited to: 1. Explains procedures to residents, using language which they understand and displaying consideration of individual resident needs. 2. Ensures that the physical and emotional environment is consistent with safe resident centered care. 3. Maintains self-control and responds consistently to the requirements of the work situation, shows flexibility. Acts as a role model to peers. 4. Maintains a positive attitude in accepting temporary reassignment to meet resident care needs. 5. Responds to residents calls for assistance promptly and interacts with the resident in a tactful, courteous manner, making customer service the focus of all interactions. 6. Responds respectfully to administrative staff and to all other members of the health care team. 7. Communicates, shares resources, and works effectively with other members of the health care team, unit staff, residents, family/significant others, other departments, and visitors. 8. Provides emotional support to residents, and families/significant others to assist them in adjusting to changes brought about by illness or change in health status. 9. Fosters an environment of respect for individual resident and family/significant other rights to privacy and dignity in all aspects of care delivery. Serves as Veteran's/family/significant other advocate and effectively incorporates knowledge and understanding of established customer service standards in all interactions with residents, family members, and/or internal/external customers and demonstrates resident-centered care. 10. Under the direction of the charge nurse or RN, administers complete personal care to Veterans 18 years through the geriatric years. These Veterans have unique age related and gender specific structural and functional changes that effect their response to assistance and care. This care may include, but is not limited to, restorative care, hygiene, assistance with ADL's, elimination and nutrition. 11. Provides selected resident treatment according to policy, i.e. warm and cold applications, glucometer testing, and skin agents. Collects routine specimens of sputum, feces, urine, wound drainage and gastric contents for evaluation in the clinical laboratory using blood and body fluid precautions. 12. Provides charge nurse or RN with pertinent data related to care provided, changes in condition and interventions initiated. Documents care provided, therapeutic measures administered and the resident's response through subjective and objective observations. Work Schedule: Evening shift primary 11:30A-Mid (12 hr)/ 3:30P-Mid (8 hr), day shift alternate Days = 7:30A-8:00P(12 hr)/ 7:30A-4:00P (8 hr) with rotating weekends and holidays Compressed/Flexible: Available Telework: Not Available Virtual: This is not a virtual position. Functional Statement: Nursing Assistant (Community Living Center) Relocation/Recruitment Incentives: Not Available Permanent Change of Station (PCS): Not Available Financial Disclosure Report: Not required"]

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