Nursing Assistant
Company: Veterans Affairs, Veterans Health Administration
Location: Roseburg
Posted on: March 17, 2023
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Job Description:
Summary The position is responsible for the nursing assistant
duties, including acute and close observation, taking and
documenting vital signs, collecting lab specimens including
phlebotomy, passing and picking up meal trays, tracking and
documenting intake and output, assisting with transporting of
patients/residents, and duties as assigned by the Supervisor or
designee. Responsibilities Functions/Scope of Assigned Duties:
Personal Patient Care: Performs a wide variety of nursing duties
aimed at increasing the safety, comfort, and spirit of the
patient/resident while following established policy and procedures.
Provide acute and close observation of patients/residents with
medical or mental health conditions requiring such observation.
This includes intervening to prevent an act of self or other harm
by patients/residents, assisting with prevention and management of
disruptive behavior, and reporting to the charge nurse any
deviation from baseline behavior or condition. Identifies and
reports data relative to more complex patient/resident situations
including subtle changes in patients'/residents' behavior or
condition or variances related to neurological signs, vital signs,
and other parameters. The incumbent monitors intake and output,
vital signs, percent ingestion of meals, and other activities of
daily living and documents appropriately. Documents in the
patients'/residents' medical record a daily outline or summary of
the patient's/resident's care using the approved format, including
situation-background-actions-response (SBAR) hand-off. He/she
assists patients/residents with transfers from bed to chair, chair
to bed, or bed to bedside commode using proper body mechanics and
safe patient handling and mobility devices to ensure safety to self
and patient/resident. He/she provides 1:1 observation for suicidal,
wander risk, or high fall risk patients/residents as directed by
the Supervisor or Charge Nurse. Provides and removes
patient/resident meal trays as appropriate, remaining cognizant of
patients/residents with special diets or who are ordered to not
receive anything by mouth. He/she assists patients/residents with
activities of daily living to include oral hygiene, bathing,
toileting, feeding, dressing, ambulating, passive or active range
of motion, and other activities to promote independence and
autonomy. Other examples include bowel and bladder care and
positioning for comfort. Engages in meaningful activity
opportunities with resident/patient on an individual or group
basis. He/she performs intentional rounding according to practice,
ensuring evaluation of need for Potty, Positioning, Pain, Periphery
and Parting. May provide escort services to patient/resident in the
absence of an escort. This includes escorting to other units,
diagnostic test areas, other healthcare facilities, and to
privately owned vehicles when discharged. Monitors environment of
care and initiates corrective actions to prevent patient injury,
reporting problem and resolution to Supervisor. Work Schedule:
0600-1430,1400-2230,2200-0630 Compressed/Flexible: Not Available
Telework: Not Available Virtual: This is not a virtual position.
Functional Statement #: 000000/Nursing Assistant
Relocation/Recruitment Incentives: Authorized Permanent Change of
Station (PCS): Not Authorized PCS Appraised Value Offer (AVO): Not
Authorized Financial Disclosure Report: Not required Requirements
Conditions of Employment You must be a U.S. Citizen to apply for
this job. All applicants tentatively selected for VA employment in
a testing designated position are subject to urinalysis to screen
for illegal drug use prior to appointment. Applicants who refuse to
be tested will be denied employment with VA. Selective Service
Registration is required for males born after 12/31/1959. Must be
proficient in written and spoken English. You may be required to
serve a probationary period. Subject to background/security
investigation. Selected applicants will be required to complete an
online onboarding process. Must pass pre-employment physical
examination. Participation in the seasonal influenza vaccination
program is a requirement for all Department of Veterans Affairs
Health Care Personnel (HCP). Participation in the Coronavirus
Disease 2019 (COVID-19) vaccination program is a requirement for
all Veterans Health Administration Health Care Personnel (HCP) -
See "Additional Information" below for details. Qualifications
Basic Requirements: Citizenship: Citizen of the United States.
(Non-citizens may be appointed when it is not possible to recruit
qualified citizens in accordance with chapter 3, section A,
paragraph 3g, this part.). English Language Proficiency: CNAs 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. Grandfathering Provisions. All Nursing
Assistants employed in VHA on the effective date of this
qualification standard are considered to have met all qualification
requirements for the series and grade held that are part of the
basic requirements of the occupation. For employees who do not meet
all the basic requirements required in this standard, but who met
the qualifications applicable to the position at the time they were
appointed to it, the following provisions apply: Employees who are
appointed on a temporary basis prior to the effective date of the
qualification standard may not have their temporary appointment
extended or be reappointed, on a temporary or permanent basis,
until they fully meet the basic requirements of the standard. If an
employee who was retained (grandfathered) under this provision
leaves the occupation, the employee loses protected status of the
grandfathering provision and must meet the full VA qualification
standard basic requirements in effect at the time of reentry to the
occupation. 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 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; 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.
Assignment. Individuals assigned as GS-4 NAs are 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. In this role, the
Nursing Assistant functions as a member of the nursing care team
and assists higher graded NA, 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 NA, or other healthcare 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 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. 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, 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 . Education IMPORTANT: A transcript must be
submitted with your application if you are basing all or part of
your qualifications on education. Note: Only education or degrees
recognized by the U.S. Department of Education from accredited
colleges, universities, schools, or institutions may be used to
qualify for Federal employment. You can verify your education here:
http://ope.ed.gov/accreditation/. If you are using foreign
education to meet qualification requirements, you must send a
Certificate of Foreign Equivalency with your transcript in order to
receive credit for that education. For further information, visit:
http://www.ed.gov/about/offices/list/ous/international/usnei/us/edlite-visitus-forrecog.html.
Additional Information Receiving Service Credit or Earning Annual
(Vacation) Leave: Federal Employees earn annual leave at a rate (4,
6 or 8 hours per pay period) which is based on the number of years
they have served as a Federal employee. Selected applicants may
qualify for credit toward annual leave accrual, based on prior work
experience or military service experience. This credited service
can be used in determining the rate at which they earn annual
leave. Such credit must be requested and approved prior to the
appointment date and is not guaranteed. This job opportunity
announcement may be used to fill additional vacancies. This
position is in the Excepted Service and does not confer competitive
status. VA encourages persons with disabilities to apply. The
health-related positions in VA are covered by Title 38, and are not
covered by the Schedule A excepted appointment authority. Pursuant
to VHA Directive 1193.01, VHA health care personnel (HCP) are
required to be fully vaccinated against COVID-19 subject to such
accommodations as required by law (i.e., medical, religious or
pregnancy). VHA HCPs do not include remote workers who only
infrequently enter VHA locations. If selected, you will be required
to be fully vaccinated against COVID-19 and submit documentation of
proof of vaccination before your start date. The agency will
provide additional information regarding what information or
documentation will be needed and how you can request a legally
required accommodation from this requirement using the reasonable
accommodation process. If you are unable to apply online or need an
alternate method to submit documents, please reach out to the
Agency Contact listed in this Job Opportunity Announcement.
Keywords: Veterans Affairs, Veterans Health Administration, Eugene , Nursing Assistant, Healthcare , Roseburg, Oregon
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