The Nursing Assistant (NA) Home Health Aide/Homemaker serves in a Home Health setting and is organizationally responsible to the assigned Nurse Manager, providing direct patient care to Veterans in the home setting. The Home Health Aide/Homemaker provides direct patient care to Veterans in the home setting who require assistance with Activities of Daily Living and Instrumental Activities of Daily Living, while adhering to Sioux Falls Veteran Affairs Health Care System policies and procedures. To qualify for this position, applicants must meet all requirements by the closing date of this announcement, 09/29/2023 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: Certified Nursing Assistant Certificate is preferred but not required. Long-term care experience desired. 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: The population of male and female Veterans served range from the adult, age 18, to the elderly adult; age 65 and over. St. Cloud VAHCS is an interdisciplinary facility, offering medical, surgical, and mental health inpatient services. Comprehensive health care is provided through primary care, tertiary care, and long-term care in the areas of medicine, surgery, psychiatry, physical medicine and rehabilitation, neurology, oncology, geriatrics, and transitional care. 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 Veterans and objects may be required. The Nursing Assistant may be exposed to infected Veterans and contaminated materials, and may be required to don protective clothing in isolation situations or operative/invasive procedures. The Nursing Assistant may occasionally be exposed to Veterans who are combative secondary to delirium, dementia, or psychiatric disorders. The Nursing Assistant must be a mature, flexible, sensible individual capable of working effectively in stressful situations, able to shift priorities based on Veteran needs. ["This is an OPEN CONTINUOUS ANNOUNCEMENT and will remain open until September 29, 2023 and may be extended until all vacancies are filled. The initial cut-off date for referral of eligible applications will be August 15th, 2023. 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 Nursing Assistant (NA) Home Health Aide/Homemaker serves in a Home Health setting and is organizationally responsible to the assigned Nurse Manager, providing direct patient care to Veterans in the home setting. The Home Health Aide/Homemaker provides direct patient care to Veterans in the home setting who require assistance with Activities of Daily Living and Instrumental Activities of Daily Living, while adhering to Sioux Falls Veteran Affairs Health Care System policies and procedures. He/she is responsible for delivering safe, physical and emotional care to residents in a variety of settings, while becoming familiar with technical nursing skills. Duties include, but are not limited to the following: Performs a variety of nursing care activities which include bathing, feeding, oral care and related personal hygiene duties. Assists with range of motion (ROM), ambulation, position and turn Veterans Recognizes and properly use equipment, materials, and supplies to carry out procedures and other assignments under the direction of the RN delegation. Applies slings and braces as needed Provide simple/light meal preparation/assistance and reports any nutritional concerns to the RN May be asked to provide simple/light housekeeping tasks to include dust, vacuum, sweep, straighten up, wash dishes, clean the bathroom/kitchen, do laundry, dispose of trash, and change linens. Assists with bladder and bowel elimination, observing, reporting and recording Veteran bowel and bladder function. Perform diagnostic support duties such as collection of specimens: stool, urine, sputum Serve as a responsible member of the nursing team requiring interaction with Veterans, Families, professional personnel, support personnel, and members of other services; responding to concerns in a manner that is effective and improve customer satisfaction. Responsible for charting on assigned templates in CPRS for assigned Veterans on a daily basis. Maintains valid drivers license and pass employee health physical as needed. Previous home health or patient care technician experience preferred but not required. Work Schedule: Day Shift, 0700-1530 or 0730-1600 Telework: Ad-Hoc, as determined by agency policy Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not Authorized Financial Disclosure Report: Not required Physical Requirements: You will be asked to participate in a pre-employment examination or evaluation as part of the pre-employment process for this position. Questions about physical demands or environmental factors may be addressed at the time of evaluation or examination."]

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