This position is located at Lebanon VA Medical Center - Geriatrics and Extended Care Service Line. Under the supervision of a licensed registered nurse (RN), the nursing assistant (NA) functions as a member of the nursing team and assists the RN in the care of patients in acute, subacute, or chronic states of illness. The NA delivers fundamental, knowledge-based care to assigned patients in the Community Living Center (CLC) while developing technical competencies. 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 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. Grade Determinations: In addition to the basic requirements for employment, the following criteria must be met when determining the grade of candidates. GS-3 Experience 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 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, 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, Demonstrate the following knowledge, skills, and abilities: 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 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; 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, Demonstrate the following knowledge, skills, abilities: 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 Experience: At least one year of experience as a nursing assistant. References: VA HANDBOOK 5005/81, PART II, APPENDIX G46 The full performance level of this vacancy is GS-5. The actual grade at which an applicant may be selected for this vacancy is in the range of GS-3 to GS-5. 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, lifting 45 pounds or more, reaching, stretching, and similar activities supporting various weights. Transferring patients and objects may be required. ["The primary purpose of this position is to perform a very wide range of patient personal care, support diagnostic services, and chart activities on a regular and continual basis within the CLC. The incumbent performs duties in such a way as to promote a sense of worth, dignity and independence within each individual. Major duties include, but are not limited to: Assists the RN, LPN, and other members of the interdisciplinary team (IDT) with providing input in the development of care plan based on the Veteran's care needs. Performs support duties for diagnostic procedures, which include preparing the Veteran and monitoring the Veteran's condition. Promotes the value of cultural transformation and Veteran-centered care to nursing staff in the CLC. Actively seeks Veteran choice in care plan participation and goal development. Offers suggestions to improve the Veterans activities of daily living (ADL) functions and quality of life. Performs nursing care as applicable to the Veteran including all aspects of personal care and grooming. Under the direction of the RN or licensed practical nurse (LPN), monitors bladder and bowel functioning, tracking of I&O and hydration. Consistently follows policies, standard operating procedures, and procedures as applicable to reusable medical equipment and infection control. Observes Veterans and reports changes in Veteran behavior and condition to the unit charge nurse. Reports required information for hand-off communication to charge nurse and co-workers, including to other members of the IDT, and other applicable staff and departments. Under the direction of the RN or LPN, educates the Veterans on their care needs, as appropriate, to NA skill level. Communicates with families and significant others as appropriate. Under the direction of the RN or LPN, provides health care services to the Veteran to include, but not limited to: Foley Catheter insertion/discontinuation/care; obtaining the Veteran's vital signs, blood glucose, or electrocardiogram (EKG); activities of daily living; and post-mortem care. Promptly reports any deviations from normal practice patterns to the charge nurse, nurse manager (NM), or the nursing supervisor. Completes all assigned routine documentation. Takes appropriate action when indicated regarding equipment safety (Wanderguard unit, crash cart, refrigerators, etc.). Communicates to appropriate staff when immediate intervention is needed for safe care. Initiates and maintains standards of cleanliness and safety in Veteran environment and exercises proper us and maintenance of equipment. Monitors Veterans risk for behaviors including, but not limited to: elopement; wandering; suicide; fall; behavior; and pressure ulcer; and taking action, when indicated, to include communicating to appropriate personnel, when further intervention is needed and completing necessary documentation. Responds during emergencies, assisting during fire drills and responding to any safety issues as they arise. Demonstrates self-direction in applying knowledge of fire, safety and disaster regulations, practices, and procedures and communicates expectations to staff. Uses proper body mechanics and safe lifting equipment including personal protective equipment (PPE) that promotes a safe workplace. Encourages other staff compliance with safety policies. Participates on committees or other workgroups as requested. Participates in quality improvement activities. Actively seeks educational opportunities to enhance nursing knowledge and skills. Completes mandatory education requirements. Provides one-to-one observation, close observation and purposeful rounding to ensure Veteran safety. The NA Resource Pool nurse works in multiple CLC areas maintaining appropriate competencies and remaining informed of both standard and unique documentation requirements as they may differ between CLC units. Under the direction of the Restorative Nursing Team, facilitates restorative nursing activities within the CLC. Under the direction of the RN or LPN, participates in developing and monitoring CLC based diversional activity programs. Performs other duties as assigned. Work Schedule: Multiple shifts available: 6:00 a.m. - 6:00 p.m., 2:00 p.m. - 10:00 p.m. or 10:00 p.m. - 6:00 a.m. All shifts include weekend and holiday rotation. Telework: Not Available Virtual: This is not a virtual position. Functional Statement #: Nursing Assistant - Community Living Center/PD000000, PD000000, PD000000, and PD000000 Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized Financial Disclosure Report: Not required Note: This is an open continuous announcement until September 29, 2023. Qualified applicants will be considered and referred as vacancies become available."]
The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,298 health care facilities, including 171 medical centers and 1,113 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.