The Cheyenne VA is currently recruiting for eight GS 3/4/5 Nursing Assistants to work in the Community Living Center, CLC. Applicants pending the completion of educational or certification/licensure requirements may be referred and tentatively selected but may not be hired until all requirements are met. Basic Requirements: U.S. Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. English Language Proficiency. Must be proficient in spoken and written English Education or Training. One year above high school with courses related to the Nursing Assistant, (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 Determination Requirements: GS-3Experience and Education None beyond the basic requirements. GS-4 Experience. One year of specialized experience as a NA or experience in another medical field (Licensed Practical/Vocational Nurse, LPN/LVN, Health Technician, HT, 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; 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-5Experience. 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. 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 Knowledge, Skills, and Abilities (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, Part II, Appendix G46, Nursing Assistant Qualification Standard. The full performance level of this vacancy is a GS-5. The actual grade at which an applicant may be selected for this vacancy is in the range of a GS-3 to a GS-5.The full performance level for this position is a GS-5. Physical Requirements: Heavy Lifting, 45 pounds and over, Heavy Carrying 45 pounds and over, Straight pulling (2-6 hours), Pushing (2-6 hours), Reaching above shoulder, Use of fingers, Both hands required, Walking (5-9 hours), Standing (4-8 hours), Kneeling (1-2 hours), Repeated bending (2-4 hours), Climbing, legs only (1-2 hours), Twisting (2-4 hours). ["GS-3 employees perform the following duties under close supervision. GS-3 include but are not limited to the following major duties: Adhere to VA and Nursing policies, procedures, & standards\nMaintain patient privacy/confidentiality & patient rights to privacy/confidentiality\nCollect patient information including observation of overall condition\nTake appropriate action in response to patient emergent situations\nAccurately documents patient information in CPRS\nProvide patient information to the accountable RN to include in the patient care plan\nComplete assignments in timely manner\nUse appropriate lifting/moving/transfer techniques/devices\nUtilizes infection control & universal standard precautions\nParticipate in interdisciplinary team care planning & delivery of care process\nAssist in implementation of the psychiatric treatment program\nProvide routine hygienic/activities of daily living care.\nPerform actions targeted to maintain/restore skin integrity\nCollect patient specimens\nFollow seizure precautions as directed\nTransport patient w/ oxygen\nUse protective/restraining devices appropriately\nFeed patients who are at risk for aspiration orally\nReport situations including: (1) changes in behavior (2) wandering (3) sundowning (4) sleep disturbances (5) inappropriate sexual behavior (6) aggressive behavior (7) hallucinations (visual/auditory) (8) incontinence (9) swallowing problems (10) vital signs\nRecognize communication barriers: (1) sensory deficits ie: hearing aid/s, vision loss (2) stage of disease ie: stroke, end of life\nDemonstrate correct moving & transferring techniques, including: (1) stand/pivot transfer mechanics (2) repositioning from the front & rear lift approach (3) slide board transfer (4) using transfer belt (5) using transportation devices (6) using patient lifts (7) using side rail & trapeze\nDemonstrate correct use of assistive devices for eating & dressing\nPromote correct use of ambulation devices: (1) walker (regular and with wheels) (2) 3-point cane (3) Crutches (4) Hemi-Walker & cane\nProtect printed & electronic files containing sensitive data in accordance with the Privacy Act of 1974 & other applicable laws, federal regulations, VA statutes & policy;\nProtect data from unauthorized release or from loss, alteration, or unauthorized deletion; follow applicable regulations & instructions regarding access to computerized files, release of access codes, etc.\nPerform other duties as assigned GS-4 employees perform all the duties as a GS-3, but are expected to work more independently than a GS-3. In addition, GS-4 employees duties include but are not limited to the following duties: Demonstrate ability to assist patient dressing skills.\nAssist w/ toileting activities as appropriate.\nMonitor patients in restraints, seclusion/1:1 observation per unit policy.\nDemonstrate use of the following equipment: (1) Tub/scale (2) Special care beds (3) Geri chair (4) Vital signs monitor\nApply heat & cold therapies\nAdminister respiratory therapies: (1) turn, cough and deep breathe (2) incentive spirometer\nApply and provide routine care for a condom catheter\nPromote skin healing through the application of noncomplex dressing changes & application of ostomy appliances as delegated by the accountable RN\nOffer physiological, psychological & spiritual comfort to the dying patient\nDemonstrate the correct application of slings, splints & braces\nPerform finger stick blood glucose using blood glucose monitor\nDemonstrates/performs use of oximetry as directed\nRecognize dementia safety risks\nObserve chest tubes\nMonitor continuous bladder irrigations\nAssist nurse w/ applying traction/supportive devices\nAmbulate patient w/w/out assistive devices & provide passive range of motion as directed by RN\nMonitor gastric/intestinal drainage & feeding tubes\nAssist in initiation/seclusion/behavioral management as directed\nPerform other duties as assigned GS-5 employees perform all of the duties of GS-4 employees and G3-3 employees but are expected to work independently. This is the full performance level of a NA. In addition, GS-5 employees duties include but are not limited to the following duties: Perform urine drug screens and breathalyzers tests as needed\nPerform other duties as assigned Work Schedule: 7:30am-8:00pm rotating 12 hour weekly day and night shifts depending on the needs on the service, including weekends and holidays.\nFunctional Statement #: PDNo matches found.\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.