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. 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 [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. 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: 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 resident's 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. 4. Ability to communicate effectively with patients/residents, their families and other health 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 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: See VA Directive and Handbook 5019. ["General Description of Assigned Duties:\nOrganizational Location: The incumbent will be an employee of the VA Roseburg Healthcare System (VARHCS) Office of Patient Care Services. The reporting structure is identified on the organization chart, ultimately reporting to the Associate Chief Nurse Executive through a Nurse Manager, Assistant Nurse Manager, or Program Director. 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. The position requires the ability to work alternate schedules during evenings, nights, weekends, weekdays, holidays, and may alternate schedules to ensure adequate coverage of support functions. Employee performs assigned duties in a manner that promotes quality health care, outstanding customer service, and the maintenance of an environment committed to serving the Veterans, their families, and internal and external stakeholders. Employee actively supports the team concept and functions as a team player, working collaboratively across service and care lines to accomplish the mission of the facility and service. The incumbent contributes to team initiatives and continuously strives to improve the effectiveness of the team. Employee works effectively with others, recognizing emergency situations, and acts appropriately. The position includes responsibility for coverage of medical support assistant (MSA) duties in the absence of the MSA or during times of high need as determined by the Supervisor or designee. The position includes temporary assignments (floating) during one's scheduled tour of duty in other clinical areas such as Mental Health, Residential Treatment Program, Operative Care, Emergency Department, and the Medical /Telemetry, during the times of high need as determined by the Supervisor or designee. The incumbent may be reassigned as necessary to meet the operational needs and mission of the healthcare system. Personal Patient Care:\nDocuments 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. Assists with Technical Nursing Treatments:\nThe incumbent assists providers and nurses in the care and treatment of the acutely and chronically ill patients/residents receiving medical, surgical, psychiatric, rehabilitative, palliative, hospice, or emergent treatment. Observes and reports to the Supervisor or charge nurse changes in patient/resident behavior, attitude, bodily complaints, and appearance. He/she may provide nursing care to patients/residents experiencing extremes of behavior, including the severely depressed, suicidal, or homicidal patient/resident, and the drug or alcohol abuse patient/resident. Recognizes emergency situations and intervenes while awaiting assistance including implementation of basic life support. Work Schedule: 0600-1430,1400-2230,2200-0630 Various shifts\nTelework: Not Available\nVirtual: This is not a virtual position.\nPosition Title/Functional Statement #:Nursing Assistant (CLC)/PD000000\nRelocation/Recruitment Incentives: Not Authorized\nPermanent Change of Station (PCS): Not Authorized\nFinancial Disclosure Report: Not required"]
Providing Health Care for Veterans: The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,255 health care facilities, including 170 medical centers and 1,074 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.