The is an Open Continuous Announcement. The Durham VA Medical Center, Durham, NC is seeking Nursing Assistants (NA) for the Acute Care (Medical-Surgical) and Resource Units within the Nursing Service. The NA provides care to Veterans in multiple clinical areas; and possible one on one observation to Veterans identified with mental health crisis, Suicidal Ideation, Homicidal Ideation, or at high risk for injury due to altered mental status. 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: 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: Nursing Assistants must be proficient in spoken and written English in accordance with VA Handbook 5005, part II, chapter 3, section A, paragraph 3j. May qualify based on being covered by the Grandfathering Provision as described in the VA Qualification Standard for this occupation (only applicable to current VHA employees who are in this occupation and meet the criteria). GRADE DETERMINATIONS: GS-3 NURSING ASSISTANT (NA): None beyond the Basic Requirements. GS-4 NURSING ASSISTANT (NA): (a) EXPERIENCE: One year of specialized experience as an Nursing Assistant 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 two (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: Ability to provide a range of patient/resident care and contribute to the completion of the nurse care plan and recovery of patients/residents. Ability to observe patients/residents' or resident's physical or emotional status and refer deviations and/or problems to supervisor in a timely manner. 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. Ability to communicate effectively with patients/residents, their families and other health professionals GS-5 NURSING ASSISTANT (NA): (a) EXPERIENCE: One (1) year of progressively responsible assignments and experience equivalent to the GS-4 level which demonstrates knowledge, skills, and abilities (KSAs) 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 Knowledge, Skills and Abilities (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. Preferred Qualifications: Certified Nursing Assistant Level II Hospital Acute Care Nursing Assistant Experience within the last 2 years Demonstrated use of computerized electronic medical record charting and data entry Long Term Care of Adult Geriatric patients Demonstrated successful care of the Psychiatric Acute Patient Preferred Certification: No certification is required; however, it is desirable that employees at this level have: Basic Life Support (BLS) Certification; CNA II Certification Psychiatric or Behavioral Health Certification References: VA Handbook 5005/81, Part II, Appendix, G46, Nursing Assistant Qualification Standard, dated 03/12/2015.The full performance level of this vacancy is GS-05. The actual grade at which an applicant may be selected for this vacancy is in the range of GS-03 to GS-05. Physical Requirements: This position requires visual acuity, keen hearing, clear distinctive speech, and manual dexterity. This position requires potentially prolonged periods of continued walking, standing, stooping, sitting, bending, pulling and pushing. Transferring patients/residents and objects may be required. The incumbent may be exposed to infected patients/residents and contaminated materials and may be required to don protective clothing in isolation situations or operative/invasive procedures. The incumbent maybe exposed to patients/residents 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 patients/resident's needs. The incumbent must complete annual employee health requirements as applicable, such as annual TB screening or testing as a condition of employment. The physical requirements will be consistent with VA Directive Handbook 5019. ["The Nursing Assistant functions as a member of the Acute Care Team in the Medical-Surgical Units (6A, 6B, 7A, 7B) or Resource Unit (Float Pool); and assists licensed nursing staff in the care of patients/resident receiving outpatient care, home or community living or other patients/residents who are in acute, sub-acute or chronic states of illness. The Nursing Assistant is accountable to the Registered Nurse for providing basic nursing care to adult and geriatric patients. The assigned areas for the Nursing Assistant working for the Resource Unit are the 4 Medicine and Surgical Units supporting 25 beds each for patients pre-and post-surgery, dialysis care, cancer care and other chronic acute medical admissions. Based on assignment and grade, major duties may include, but are not limited to:\nThe incumbent must be able to perform with skill and effectiveness all duties associated with nursing assistant work under the supervision of the Registered or Licensed Practical Nurse. Provides patient care such as feeding, bathing, dressing, positioning, transferring Obtains vital signs and capillary blood glucose results. Performs procedures such as enemas, wound care, tube feedings and suctioning. Applies creams, lotions, and administering other approved medications under the supervision of the nurse. Assists with examinations and medical procedures such preparing and positioning patient, obtaining equipment and supplies. Performs as a sitter to observe patients when necessary for suicide prevention, fall reduction, and risk of harm to self/other. Sets up equipment such as suction equipment, oxygen, cooling blankets, etc. Routinely assumes and completes assignments for a variety of patients with diverse nursing care needs; provides care in a timely manner, demonstrating initiative and independence. Accurately performs a full range of nursing procedures utilizing appropriate and safe techniques. Routinely delivers complete and comprehensive care to meet the needs of activities of daily living (eating, bathing, dressing, toileting, transferring, etc.) Performs procedures timely, accurately and thoroughly, such as obtaining vital signs, weights, blood sugar checks, bladder scan, suctioning, skin checks, etc. Maintains the patient bedside space in a neat, clean, safe, stocked and orderly manner. Uses supplies and equipment in an appropriate and cost-effective manner. Reports broken equipment to Charge Nurse. Establishes effective relationships with patient, family and members of the health care team. Displays respect, empathy, and compassion with the patient and works in partnership with family in providing care. Gathers information to assist in the admission/transfer of assessment of patient. Enters vital signs, NPO status, bowel prep status prior to the nursing portion of the assessment. Routinely observes and communicates subtle and emergent signs and symptoms reflecting the patient/resident's condition. Consistently recognizes and communicates the learning needs and discharge needs of the patient. Regularly observes potential behavioral and/or physical characteristics that may endanger the patient/resident and/or others. Obtains vital signs and blood sugars consistent with the pre procedure work-up. Accurately reports/records values; reports critical values to the assigned nurse or Charge Nurse. Adheres to safety standards, regulations and practice for turning/ repositioning and lifting patients with use of available lifting equipment and slings and the use of 2 staff members when lifting equipment is required. Reports critical values immediately to the primary nurse. Adheres to infection control guidelines for isolation procedures, use of PPE and handwashing. Documents care provided accurately. Uses templates in CPRS to assure the record is legible and coherent. When using free text, uses good grammar and limits notes to objective information within scope of practice, while maintaining respect for the patient. Provides escort to patients following discharge or transfer to other Units within the facility. Other duties as necessary. Work Schedule: 12 and 8-hour shifts, includes days/evenings/nights and every other weekend rotations.\nTelework: Not Available.\nVirtual: This is not a virtual position.\nFunctional Statement #: 558-1528FA, 558-1529FA, 558-1530FA Acute Care (Medical/Surgical Units)\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.