This is an Open Continuous Announcement that will be used to fill vacant positions at the Madison VAMC. Resumes will be referred to hiring managers as a vacancy occurs. If you are a current, permanent VA Nationwide Employee, you should apply under the announcement CAZP-11786537-23-CG. A recruitment incentive has been authorized for highly qualified full-time/part-time (not intermittent) individuals. 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 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. 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: S-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): 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 Knowledge, Skills, and Abilities (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. Preferred Experience: 1-year of direct patient care in the acute care setting References: VA Directive and Handbook 5005/81, Part II, Appendix G46; Nursing Assistant Qualification Standard 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: This position requires visual acuity, keen hearing, clear distinctive speech, and manual dexterity. This position requires potentially long periods of continued walking, standing, kneeling, sitting, bending, pulling, and pushing. Transferring patients and objects may be required. The incumbent may 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 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, and able to shift priorities based on patient needs. This position requires flexibility in schedule and assignments. The incumbent may rotate on weekends and all tours as needed to meet unit and patient/resident care needs. ["Major Nursing Assistant duties include, but are not limited to: Assists or provides patients with personal hygiene, i.e., bathing, shaving, teeth brushing, nail care, hair combing, etc. Provides patients with the appropriate level of assistance with activities of daily living, bathing, dressing, transferring, ambulating, feeding, and toileting. Obtains blood pressure, pulse, respiration, and blood glucose (finger stick) and records them appropriately in the medical record. Weighs patients and records them appropriately in the medical record. Assists during emergency treatment situations obtaining equipment as necessary and running errands as needed. Maintains positive and constructive professional working relationship with patients, families, medical staff, volunteers, and co-workers. Transports patients as assigned off the unit for various diagnostic and therapeutic interventions. Assists the team in reinforcing educational needs with patients. Performs other duties as assigned, such as phlebotomy and 12-Lead EKGs. Understands and demonstrates behavior that reflects that each patient is an individual with needs that vary, particularly according to his/her age. Understands the appropriate body mechanics to safely move patients using a variety of lifts/transfer devices. Applies and operates specialized equipment for residents (patients), e.g., prosthetic appliances, patient mobility devices, etc. Recognizes and reports potential safety hazards. Initiates emergency measures to protect patients. Maintains patient rooms and unit areas in a clean and orderly fashion. Participates in problem-solving activities to maintain a safe environment Assists in provision of a safe environment for patients with memory deficits, orientation problems and acting-out behavior. Cleans various pieces of patient equipment as needed and directed by responsible nurse. Select Nursing Assistants will be trained to perform Health Unit Coordinator tasks and will manage patient admissions, discharges, post discharge appointments, and other clerical tasks. Nursing Assistant / Video Monitor Safety Assistant is responsible for providing constant patient/resident observation and monitoring of assigned high risk patients to support safety and prevention of injury. Observation includes more than one patient at a time at the monitoring station. The Video Monitoring Safety Assistant must be able to clearly see all the patients for which the team member is responsible for at all times. Major Video Monitoring Safety Assistant duties include, but are not limited to: Demonstrates understanding and proficiency of electronic systems for role of Telecare Video monitoring. Takes direction from the Registered Nurse Troubleshoots monitoring difficulties with central stations, alert vendor/ Ol&T/BioMed of any software or hardware problems. Reports any physical or behavioral changes promptly to nursing staff responsible for the care of the patient/resident and ensures follow-up actions. Documents interventions and patient data Always maintains patient confidentiality Respects patient privacy needs Conducts self in a professional manner, using accountability in communication to resolve problems in an open, timely manner. In addition to the above job responsibilities, other duties may be assigned. Understands and demonstrates behavior that reflects that each patient is an individual with needs that vary, particularly according to his/her age. Recognizes and reports potential safety hazards and/or issues. Initiates emergency measures to protect patients. Participates in problem-solving activities to maintain a safe environment Assists in provision of a safe environment for patients with memory deficits, orientation problems and acting-out behavior. Seeks assistance with removal of any potential safety hazard from room and reports findings to appropriate staff member Consistently reports to the team leader/licensed staff observations of the patient's physical condition and behavior. Participates with the nursing team to provide input in the formulation and implementation of the care plan. Records appropriately in the medical record. Consistently addresses the patient, family, and staff with respect and dignity. Will report any suspected abuse to the appropriate licensed nurse (charge nurse, supervisor, manager)."]

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