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Summary An incentive of $3,500 offered for highly qualified applicants. The Nursing Assistant functions as a member of the nursing team in providing quality patient care on any medical/surgical unit. The employee in this position provides intensive or total nursing care to medically/surgically unstable patients which requires a high degree of versatility. These patients range from those with an acute onset of a disease to multiple systems failure. Responsibilities This is an OPEN CONTINUOUS ANNOUNCEMENT and will remain open until September 30, 2024. The initial cut-off date for referral of eligible applications will be November 3, 2023. After this date, qualified applicants will be considered and referred as vacancies become available. Eligible applications received after the initial cut-off date will be referred as additional vacancies occur on an as-needed basis until positions are filled. Applicants will remain active for 3 months after their initial application is received or updated. After that time, you must update your application through your USAJobs account if you would like to be considered during the open period. This position involves a multi-grade career ladder. The major duties listed below represent the full performance level of GS-5. At the GS-3 and GS-4 grade levels, you will perform assignments of a more limited scope and with less independence. You will progressively acquire the background necessary to perform at the full performance level of GS-5. Promotion is at the discretion of the supervisor and is contingent upon satisfactory performance. Job duties include, but are not limited to: Assists with patient admission, transfer or discharge. In addition to obtaining basic information, the person observes skin condition for pressure areas, lesions, bruises, etc., that will indicate the need for special nursing measures. The person further assists the Team Leader/Primary Care Nurse with baseline data collections as sensorium, presence of tubes and gives the patient and family an orientation to the ward and explains hospital rules such as visiting hours and smoking regulations. Applies principles of normal range of motion, body mechanics and body alignments. This is done several times a tour for the immobilized patient and the person has a thorough understanding of this nursing measure. Performs duties in connection with personal services to patients such as bathing, oral hygiene, shampoo, shaving, giving bedpans and urinals, answering call lights, ambulating, positioning, lifting and transporting patients, feeding patients and applying condom drains. The person understands the complications and the necessity of good oral hygiene. Assists the physician or nurse in performing procedures by positioning, draping and supporting the patient and setting up equipment, such as lumbar puncture trays, aspiration trays, etc. With additional knowledge received, the person understands why they place a patient in a special position for a procedure, as for the lumbar puncture, and also knows that specimen labeling must be done immediately and taken to lab with very careful handling. Utilizes principles of asepsis in performing urological procedures, such as catheterization and irrigations. The person, monitors continuous irrigations of bladder or wounds, reporting to the. Team Leader/Primary Care Nurse the type of drainage. Changes simple non-sterile dressings. Prepares and gives tap water and soap suds enemas, irrigates mature colostomies and supports the teaching programs for patient and family care for all ostomates. Keeps constantly alert in observing patients, notes any significant changes, whether evidenced by a physical observation or by a mechanical means, takes emergency action for which he/she is trained and calls the professional nurse. Work Schedule: Various tours available. Will be determined by the Hiring Manager (Nurse Manager) of the position. Virtual: This is not a virtual position Telework: Not Available Functional Statement #: PD000000 Relocation/Recruitment Incentives: 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: 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. Grandfathering Provisions: All Nursing Assistants employed in VHA on the effective date of this qualification standard (March 12, 2015) 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 Requirements: Creditable 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 Nursing Assistant (Entry Level) Experience and Education: None beyond the basic requirements. Assignment: Individuals assigned as GS-3 NAs are considered to be at the entry level and are closely supervised. GS-4 Nursing Assistant (Intermediate/Developmental Level) 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), GS-4: 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 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. GS-5 Nursing Assistant (Full Performance Level) Experience: One year of progressively responsible assignments and experience equivalent to the GS-4 level which demonstrates knowledge, skills, and abilities as described above that are directly related to the specific assignment. 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, GS-5: In addition, the candidate must demonstrate the following 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, 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 in the range of GS-3 to GS-5. Physical Requirements: Duties require extensive periods of standing, sitting and walking. Working with patients requires regular and recurring bending, lifting, stooping, stretching and similar activities. The employee provides physical restraints for confused or combative patients as necessary. The incumbent may on occasion, be assigned to any nursing section. Incumbent must be physically able to lift a minimum of fifty (50) pounds. 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 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.