This position is located in the Eastern Colorado Health Care System under Patient Care Services/Inpatient Nursing. The purpose of this position is to provide a range of direct patient care in collaboration with the inpatient nursing team. The incumbent will serve as a member of the nursing team. All work is reviewed by a Registered Nurse (RN). 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. English Language Proficiency. Must be proficient in spoken and written English in accordance with VA Handbook 5005 English Language Proficiency: must be proficient in spoken and written English in accordance with VA Handbook 5005, part II, chapter 3, section A, paragraph 3j. Grade Determinations: In addition to the basic requirements for employment, the following criteria must be met when determining the grade of candidates. GS-5 Nursing Assistant(Full Performance Level): 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 below; 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 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 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. This is the full performance level for GS-O5. 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. References: VA Handbook 5005/81, March 12, 2015, Appendix G46, Nursing Assistant Qualification Standard, GS 0621. Physical Requirements: 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. It requires assisting with transferring patients to wheelchairs/litters and transporting them to other departments. In addition to the aforementioned duties, it may involve moving equipment/objects in excess of 40lbs. The position may require the incumbent to go up and down several flights of stairs in response to all emergency codes. Transferring patients and objects may be required. Mechanical inpatient lifts are provided. The incumbent may be exposed to infected patients and contaminated materials and may be required to don protective clothing in isolation situations. 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. Must complete annual Employee Health requirements as a condition of employment. ["Duties and skills needed to be successful in this position include, but are not limited to: Performs and fulfills a variety of nursing care tasks in support of safe and effective patient care with the appropriate level of training. All tasks, assignments, and activities will be under the direction, guidance, and supervision of a RN. Contributes to a safe, clean, and therapeutic environment for patients and staff by maintaining clean equipment, patient's rooms and ward areas. Cares for patients with communicable diseases for which various isolations precautions may be required. Don the appropriate PPE based on the type of isolation precaution. Uses sterile techniques with treatments and simple dressings that do not require packing, irrigation, debridement, or medications. Wrap stumps, irrigates and stabilizes ostomies, changes ostomy appliances and performs bowel and bladder training as outlined by treatment plan. Observes PIV/CVC for redness, swelling, or pain and reports findings to RN. Provides urinary/catheter care to include perineal hygiene and the application of external catheters. Assists with the rehabilitation of patients and in the prevention of deformities by correct position and assisting with activities of daily living to include ambulation. Performs range of motion activities. Measures and records vital signs to include temperature, pulse, respirations, blood pressure and measuring height and weight. Measures and records intake and output. Recognizes overt abnormal signs and symptoms and/or changes in patients' condition and responds appropriately. Self-directed in seeking out RN, Lead Nurse, or Charge Nurse to report patient-related information. Observes and reports patient complaints, results of treatments performed, change in patient's condition, behavior and/or attitude. Utilizes the Computerized Patient Record System (CPRS) and Clinicomp/Essentris per policy. Documentation is consistent, accurate, concise, and timely. Applies safety devices as directed to include soft ankle and wrist restraints, Twice-as-Tough Restraints and padded side rails. Reports abusive, aggressive, threatening behaviors and documents such actions via Disruptive Behavior Reporting System (DBRS). At the RN's direction, initiates Code Yellow as necessary. Assists with the admission, discharge, and transfer of patients according to medical center or nursing service policies. Responsible for timely implementation of orders and nursing interventions. Adheres to Safe Patient Handling practices for safe body mechanics, use of mechanical devices. Uses sound judgement when requesting assistance from other staff when moving, lifting, or turning patients to prevent injury to patient, self or others. Assists in supervising patients in transfer activities, personal hygiene, preventing the spread of infectious diseases and in preventative and rehabilitative aspects of care. Follows ECHCS and nursing service policies and procedures for accurately documenting personal belongings and securing patients' belongings to include valuables and prosthetic devices such as dentures, hearing aids, eyes, and limbs. Performs bladders scans, EKGs, and collects urine, sputum, MRSA Nares or stool specimens per the RN's direction. Reports all patient critical glucose measurements immediately to nurse responsible for patient's care. When indicated, assists RN by placing patients on telemetry monitoring. Verifies proper patient and placement with telemetry technician. Changes telemetry batteries in Philips IntelliVue MX40 as requested by RN or telemetry technician. Initiates cardio-pulmonary resuscitation (CPR) or activates Code Blue in accordance with established medical center policy for patients found unresponsive and/or not breathing. Monitors patient's compliance and use of oxygen with guidance from the RN to ensure adequate perfusion and proper flow settings. Performs oral suctioning on selected patients as directed by the RN. Participates in patient care conferences and contributes to the formulation of nursing care plans. Demonstrates compliance with infection control practices, such as hand washing and wearing of appropriate personal protective equipment. Demonstrates safe work practices. Complies with safety rules and regulations for safe job performance and fire protection. Other duties as assigned to meet the needs of the Medical Center Work Schedule: Various Telework: Not Authorized Virtual: This is not a virtual position. Functional Statement #: 51164-A Relocation/Recruitment Incentive Not Authorized Permanent Change of Station (PCS): Not Authorized Financial Disclosure Report: Not required"]
OUR MISSION: To fulfill President Lincoln's promise "To care for those who have served in our nation's military and for their families, caregivers, and survivors" - by serving and honoring the men and women who are America's Veterans. How would you like to become a part of a team providing compassionate whole health care to Veterans?Readying Warriors and Caring for Heroes! This position is located within Surgical Services at the CAPT James A. Lovell Federal Health Care Center (FHCC) in North Chicago, IL. The FHCC is a first-of-its-kind partnership between the Department of Veterans Affairs (DVA), and Department of Navy (DoN)/Department of Defense (DoD). It is larger than just a single facility, but rather it is a fully-integrated medical care facility with a single combined VA and Navy mission. The combined mission of the FHCC means active duty military and their family members, military retirees, and eligible veterans receive health care at this facility.VA encourages persons with disabilities to apply. The health related positions in VA are covered by Title 38, and are not covered by the Schedule A excepted appointment authority. Join the FHCC team of energetic, career-minded professionals! For additional information, click onhttp://www.lovell.fhcc.va.gov/index.asp.