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Nursing Assistants 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. 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. 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 Nursing Assistant 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: Must be proficient in spoken and written English 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 Entry Level Experience and Education None beyond the basic requirements. GS-4 Experience and/or Education 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, 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). In addition, the candidate must demonstrate the following KSAs: 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 residents' 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. GS-5 Full Performance Level Experience and/or Education 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 OR, 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 In addition, the candidate must demonstrate the following KSAs: 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 5005/81 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 in the range of GS 3 to GS 5 Physical Requirements: This position requires visual acuity, keen hearing, clear distinctive speech, and manual dexterity. Requires potentially long periods of continued walking, standing, stooping, 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, able to shift priorities based on patient needs. Must complete annual Employee Health requirements, such as annual TB screening or testing, as a condition of employment. ["*** This is an OPEN CONTINUOUS ANNOUNCEMENT and will remain open until May 8, 2023. The initial cutoff date for referral of eligible applications will be December 21, 2022. 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. *** Provides direct patient/resident care in a variety of settings, including acute medical unit, acute or sub-acute mental health unit, community living center, residential rehabilitation and ambulatory care. Care includes assisting with Activities of Daily Living (ADLs), such as bathing, dressing, eating and mobility. Operates a variety of equipment including, but not limited to, wheelchairs, stretchers, vital sign machines, bladder scanners, lifts and oxygen. Assists with procedures using proper technique. Transports patients using safe technique. Completes thorough, timely and accurate documentation of care provided. Recognizes and reacts to acute changes or emergent patient conditions such as bleeding, abnormal vital signs and behavior crisis. If assigned to the acute medical unit, will be required to pass test for cardiac rhythms and watch monitors. Monitor watching will require recognition of alarms for serious or life-threatening rhythms and immediate notification of the Registered Nurse who is responsible for assessment and intervention. Assists in the care and treatment of patients receiving medical, surgical, psychiatric, or outpatient treatment. Observes and reports changes in patient behavior, attitude, and appearance, such as patients' color, vital signs, wound/skin condition, and reaction to/results of treatment. Assists in the performance of diagnostic/assessment examinations by performing duties such as taking/monitoring, recording, and reporting of vital signs, height, weight, patient concerns/symptoms, and less obvious changes in patients' condition. Assists with treatment and diagnostic procedures by preparing and positioning the patient, obtaining supplies/equipment, reassuring the patient, cleaning up following the procedure, documenting/reporting concerning the procedure, and conducting post-procedure checks on the patient. Provides care to patients experiencing extremes of behavior, including those who are severely depressed, agitated, and/or acting out and those patients with complex medical conditions. The care provided frequently involves setting up/working around various types of medical equipment and the use of medical supplies. Recognizes emergency situations and appropriately intervenes while awaiting assistance. Performs a wide variety of duties aimed at increasing patients' comfort and health status. Performs patient care and comfort measures addressing patients' biopsychosocial needs, personal hygiene, physical comfort, nutrition, hydration, skin care, rehabilitation, and safety. Identifies and reports data relative to more complex patient situations including subtle changes in patients' behavior or condition, or variances related to neurological and vital signs, actual and potential safety issues, and other parameters. Explains to patients and family members the necessity of procedures for proper health care. Provides specific health information based on patient's condition, such as acceptance of limited physical mobility, proper body mechanics, and the importance of adhering to prescribed regimens for both medical and mental health conditions. Enters specific information into the patient's electronic record using appropriate formats, medical terminology, and templates. This information must be entered in a complete, confidential, and professional manner to ensure information on the patient is shared with other VA staff. This information is to be reviewed on a regular basis. Establishes and maintains positive working relationships with employees, volunteers, consumers and stakeholders within the VA and outside community agencies. Attendance of all appropriate staff meetings (interdisciplinary treatment team meetings, other committees as appropriate, etc.) is necessary. Work Schedule: Variable 12-hour shifts, days or nights and every other weekend. Schedule can be addressed with management. Compressed/Flexible: Available Telework: Not available Virtual: This is not a virtual position. Functional Statement #: 52583-A, 52584-A, 52585-A Relocation/Recruitment Incentives: Authorized Permanent Change of Station (PCS): Not Authorized Financial Disclosure Report: Not required"]

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