Career Center

Summary

The 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 preventive - acute - sub-acute chronic - maintenance - and hospice care.

Qualifications

Basic Requirements:

• a
• 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.) b
• [Experience or] Education or Training
• (1) [Six months of general experience
• Experience must demonstrate the ability to acquire the knowledge and skills to perform the work of a NA
• OR -] (2) One year of education above high school with courses related to the NA occupation
• OR - (3) Completion of an intensive - specialized - occupation-related [training] course of study [or program] of less than one year as a NA may also meet in full the experience requirements for GS-3. c
• Physical Requirements
• See VA Directive and Handbook 5019 - Employee Occupational Health Service for requirements
• d
• 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
• Grade Determinations: GS-3 NA (Entry Level) (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 NA (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
• AND (c) Demonstrated Knowledge - Skills - and Abilities (KSAs)
• In addition - the candidate must demonstrate the following KSAs: i Ability to provide a range of patient/resident care and contribute to the completion of the nurse care plan and recovery of patients/residents
• ii Ability to observe patients/residents' or resident's physical or emotional status and refer deviations and/or problems to supervisor in a timely manner
• iii 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
• iv Ability to communicate effectively with patients/residents - their families and other health professionals
• (d) Assignment
• i 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 health care professionals
• ii In this role - the NA 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 NA in this role provides care under close supervision and refers issues/questions to supervisors - higher graded NAs - or other health care professionals
• GS-5 NA (Full Performance Level)
• (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
• AND (c) Demonstrated KSAs
• i 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
• ii 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
• iii 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: Preferred candidates will have 6 months of hospital nursing assistant experience
• Preferred candidates will have medical terminology knowledge and experience
• Reference: For more information on this qualification standard - please visit https://www.va.gov/ohrm/QualificationStandards/
• 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.

Duties

• Nursing Assistant - vacareers.va.gov/wp-content/uploads/sites/5/Total-Rewards-of-a-Nursing-Assistant-Career-Flyer.pdf 1
• Utilizes glucose monitoring machine to receive glucose readings for veterans refers deviation to appropriate health care staff
• 2
• Provides direct care for complex veterans
• 3
• Makes observations of subtle changes in resident's condition - i.e
• behavior shifts - mood - skin coloring - appetite - etc
• and takes action accordingly within the NA's assigned role
• 4
• Documents care given - observations and responses on appropriate tools or forms
• 5
• Responds appropriately to subtle patient changes by contacting the appropriate nursing personal
• 6
• Administers complete tracheostomy care - including suctioning
• 7
• Monitor and documents patient intake and output reports deviations timely and accurately
• 8
• Performs nursing procedures within scope of practice and according to policies and standard procedures to care for the veteran for such procedures but not limited to: enemas - catheterization - colostomy care - skin care simple dressing - application of braces and prosthetic devices - monitoring of 9
• Works on small group activities with veterans/residents according to the patients/resident treatment plan
• 10
• Recognizes the residents' autonomy and promotes independence by means of respect - limit setting and individualized treatment
• 11
• Actively participates in Treatment Planning Meetings 12
• Utilizes equipment to promote the veteran self-care - such as
• lift equipment - Hydro sound Tubs - and Veteran/Resident Wandering System
• 13
• Verbally provides patient information to the treatment team for inclusion in the veteran/residents' plan of care - participates in treatment team meetings for resident care planning
• 14
• Enters information about the residents' condition in the chart - utilizing appropriate formats
• 15
• Participates in maintaining a clean - safe environment for the patient/resident Work Schedule: Variable Days - Nights - Weekends - and Holidays Recruitment Incentive (Sign-on Bonus): Not Authorized Permanent Change of Station (Relocation Assistance): Not Authorized Pay: Competitive salary and regular salary increases Paid Time Off: 37-50 days of annual paid time offer per year (13-26 days of annual leave - 13 days of sick leave - 11 paid Federal holidays per year) Selected applicants may qualify for credit toward annual leave accrual - based on prior [work experience] or military service experience
• Parental Leave: After 12 months of employment - up to 12 weeks of paid parental leave in connection with the birth - adoption - or foster care placement of a child
• Child Care Subsidy: After 60 days of employment - full time employees with a total family income below $144 -000 may be eligible for a childcare subsidy up to 25% of total eligible childcare costs for eligible children up to the monthly maximum of $416.66
• Retirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA Insurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement) Telework: Not Authorized Virtual: This is not a virtual position
• Functional Statement #: 000000 Permanent Change of Station (PCS): Not Authorized