The Nursing Assistant, Community Living Center (CLC) assist in nursing care to patients/Residents of ages across the adult continuum 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. 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 Grade Determinations: GS-5 (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 (transcripts required); AND (c) 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. (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: 1-2years of nursing assistant experience in medsurg/long term care. References: VA Handbook 5005/81, Part II, Appendix G46 The full performance level of this vacancy is GS-05. The actual grade at which an applicant may be selected for this vacancy is GS-05. Physical Requirements: The population of male and female veterans served ranges from the adult, age 18, to the elderly adult, age 65 and over. The Miami VA Healthcare System (MVAHS) is a major interdisciplinary teaching facility, serving medical, surgical, mental health and geriatric inpatients and outpatients. The incumbent must be physically and mentally able to perform the essential functions of the position without hazard to themselves or others. This position requires visual acuity, keen hearing, clear distinctive speech, and manual dexterity. This position 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. The incumbent must be able to navigate all areas of the facility. This position potentially requires flexibility in schedule and assignments, as this is a 24/7 Medical Center. ["*** THIS POSITION IS OPEN TO ALL US CITIZENS. HOWEVER, IF YOU ARE A CURRENT VA EMPLOYEE, PLEASE APPLY UNDER ANNOUNCEMENT CBTC-11452297-22-CAF*** The Nursing Assistant Community Living Center, CLC is self-directed in providing nursing care to a variety of patients/residents of ages across the adult continuum The Nursing Assistant to meet personal hygiene needs such as bathing, lifting, turning and feeding; administering tube feeding via feeding pump to include changing administration sets, all the while explain procedures to patient/and or family. The NA provides nursing care, performs clinical procedures according to specialty, technical procedures and ancillary services for complex patient. The NA performs a variety of personal care or nursing care activities. The NA helps each patient attain optimal physical, physiological, emotional and social well-being. The Nursing Assistant may perform these duties in a variety of health care settings such as outpatient, inpatient, home or community living care, acute, sub-acute. The Nursing Assistant will care for patients/residents with acute to chronic mental health conditions. 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 risks on small group activities with veterans/residents according to the patients/resident treatment plan. Duties may also include transport activities (transfer of patients to and from procedures/units) and delivering lab specimens to laboratory. The Nursing Assistant, works in close collaboration with an assigned RN/LPN to provide safe and quality patient care. The nursing assistant obtains vital signs, assesses individual patient rooms and unit environment for safe/sanitation conditions, stocks as needed and performs equipment checks every shift. The Nursing Assistant is self-directed in providing nursing care to a variety of patients/residents of ages across the adult continuum to meet personal hygiene needs such as bathing, lifting, turning and feeding. The NA helps each patient attain optimal physical, physiological, emotional and social well-being. The duties and responsibilities of the CLC Nursing Assistant include but are not limited to the following: Measure and record vital signs, intake and output, and weights Meets personal hygiene needs such as bathing, lifting, turning and feeding Performs EKG testing Participates in maintaining a clean, safe environment for the patient/resident Assists with the discharge process as needed to maintain patient flow provides appropriate hand off report on assigned patients 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. Participates in interdisciplinary team meetings, contributing to the identification of patient problems or needs. 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. Responds appropriately to emergency situations such as cardiopulmonary arrest; provides for environmental safety, security and veterans privacy. Work Schedule: Full-time, evening tours 03:30 pm to Midnight, rotating weekends and holidays.\nTelework: Not Available\nVirtual: This is not a virtual position.\nFunctional Statement #: FS/00000\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.