The San Francisco Veterans Affairs Health Care System Community Living Center (CLC)/Geriatrics & Extended Care (GEC) is a team of health care providers caring for a diverse age range of veterans admitted to our facility at various stages of life. The goal of the CLC is to transform a hospital like environment into an innovative home that improves quality of life while enhancing both privacy and social connections. 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 [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. Physical Requirements. See VA Directive and Handbook 5019. [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. Grandfathering Provisions. All Nursing Assistants employed in VHA on the effective date of this qualification standard are considered to have met all qualification requirements for the series and grade held that are part of the basic requirements of the occupation. For employees who do not meet all the basic requirements required in this standard, but who met the qualifications applicable to the position at the time they were appointed to it, the following provisions apply: [ ] [(1)] Employees who are appointed on a temporary basis prior to the effective date of the qualification standard may not have their temporary appointment extended or be reappointed, on a temporary or permanent basis, until they fully meet the basic requirements of the standard. [(2)] If an employee who was retained (grandfathered) under this provision leaves the occupation, the employee loses protected status of the grandfathering provision and must meet the full VA qualification standard basic requirements in effect at the time of reentry to the occupation. 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 (Entry Level): None beyond the basic requirements (SEE ABOVE). 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-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: See VA Directive and Handbook 5019. ["The primary focus of the CLC is Cultural Transformation making our facility a home for living rather than a place for dying. Rehabilitative, restorative and supportive nursing care is provided to prevent deterioration when possible, to achieve and maintain optimal levels of functioning, independence and comfort, maximizing the Veterans' ability to adapt and adjust to living as independently and safely as possible. The major duties and responsibilities include, but are not limited to: Provides nursing care to aging and terminally ill residents/patients in a home like environment. Performs and encourages residents/patients to maintain optimal self-care in a range of personal nursing duties. Performs routine patient care documentation using an electronic pictorial care documentation system as well as paper records. Assists patients with maintaining daily living activities such as bathing, oral hygiene, hair and nail care, feeding, etc., performs diagnostic support duties. Obtains requested specimens. Performs a range of therapeutic measures, turns and positions patients. Demonstrates restorative care techniques to foster patient independence including range of motion exercises, ambulation, encouraging self-care, etc. Participates in resident/patient groups, performs a range of motion exercises, recognizes and reports changes in patient condition to Charge Nurse and Team Leaders. Encourages patient/family involvement in management of daily living activities. Supports and complies with established safety policies and procedures. The CLC utilizes a wide range of lifting equipment. This position requires working flexible schedules as assigned. Performs procedures and completes patient care pertaining to activities of daily living and adapts routine care for assigned patients in accordance with established policies, procedures, and guidelines with general instructions given by the RN/LVN. Uses initiative in carrying out recurring assignments and in prioritizing assigned duties based on patient condition and previous instructions, obtains additional instructions for any unusual or unfamiliar situations where appropriate guidelines are not readily available, and works with minimal supervision. Performs a range of diagnostic support duties which includes preparing patients for tests, examinations and treatments, and basic assessment functions (i.e. vs., weights, heights etc.) Performs treatment procedures which include topical medications, suppositories for bowel elimination, giving enemas, changing dressing, irrigating catheters and other specific procedures as assigned. Work Schedule: Full Time. Rotating weekends, shift varies; 0730-1600, 1530-2400,2330-0800 subject to change as organizational needs arise Telework: Not available Virtual: This is not a virtual position. Functional Statement #: 00000 Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized Financial Disclosure Report: Not required"]
About Veterans Affairs, Veterans Health Administration
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.