Nursing Assistant (Open Continuous Announcement)

VA Portland Health Care System (VAPORHCS) is a Level 1A interdisciplinary teaching and quaternary facility with service-lines serving primary care, emergency medicine, medicine, surgery, specialty, psychiatry, physical medicine and rehabilitation, neurology, oncology, dentistry, geriatrics and multiple community-based outpatient clinics (CBOC).

Qualifications:

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.
• Experience or Education or Training:
  • Six months of general experience. Experience must demonstrate the ability to acquire the knowledge and skills to perform the work of a NA; OR,
  • One year of education above high school with courses related to the NA occupation; OR,
  • Completion of an intensive, specialized, occupation-related training course of study [or program] of less than one year as a NA may also meet in full the experience requirements for GS-3
• Physical Requirements: See VA Directive and Handbook 5019, Employee Occupational Health Service for requirements.
• 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.

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 NA (Entry Level)
Experience and Education. None beyond the basic requirements.GS-03

GS-4 NA
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

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 NA (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 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 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.

Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/.

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: See VA Directive and Handbook 5019

Responsibilities:

Total-Rewards-of-an-Allied-Health-VA-Career-Brochure.pdf

Nursing Assistant - vacareers.va.gov/wp-content/uploads/sites/5/Total-Rewards-of-a-Nursing-Assistant-Career-Flyer.pdf

The duties of this position include, but are not limited to:

• Utilizes glucose monitoring machine to receive glucose readings for veterans refers deviation to appropriate health care staff
• Provides direct care for complex veterans
• Makes observations of subtle changes in resident's condition, i.e. behavior shifts, mood, skin coloring, appetite, etc. and takes action accordingly within the NA's assigned role.
• Documents care given, observations and responses on appropriate tools or forms.
• Responds appropriately to subtle patient changes by contacting the appropriate nursing personal
• Administers complete tracheostomy care, including suctioning.
• Monitor and documents patient intake and output reports deviations timely and accurately
• Performs nursing procedures within scope of practice and according to policies and standard procedures to care for the veteran for such procedures but not limited to: enemas, catheterization, colostomy care, skin care simple dressing, application of braces and prosthetic devices
• Works on small group activities with veterans/residents according to the patients/resident treatment plan.
• Recognizes the residents' autonomy and promotes independence by means of respect, limit setting and individualized treatment.
• Actively participates in Treatment Planning Meeting
• Utilizes equipment to promote the veteran self-care, such as; lift equipment, Hydro sound Tubs, and Veteran/Resident Wandering System.
• Verbally provides patient information to the treatment team for inclusion in the veteran/residents' plan of care, participates in treatment team meetings for resident care planning.
• Enters information about the residents' condition in the chart, utilizing appropriate formats.
• Participates in maintaining a clean, safe environment for the patient/resident
• Removes defective equipment, reports hazards, observes safety regulations, contributes to infection control, and utilizes proper aseptic technique in performance of duties.
• Serves as the unit safe patient handling liaison
• Serves as preceptor and mentor to other NA's,
• Orients members of the health care team to the units as appropriate
• Functions as a member of the unit based council
• Manages distributed patient behavior and by appropriately intervenes and request assistant from other health care members.
• Appropriately initiates basic life support, takes actions appropriate action.
• May provide monitoring of patients via a Continuous Video Monitoring with completion of training requirements

Work Schedule: Monday - Friday, 7:30am to 4:00am, 7:30am to 5:00pm, 8:00am to 5:30pm
Recruitment Incentive (Sign-on Bonus): Authorized
Permanent Change of Station (Relocation Assistance): PCS is NOT Authorized. Relocation incentive is authorized
Pay: Competitive salary and regular salary increases When setting pay, a higher step rate of the appropriate grade may be determined after consideration of higher or unique qualifications or special needs of the VA (Above Minimum Rate of the Grade).
Paid Time Off: 37-50 days of annual paid time offer per year (13-26 days of annual leave, 13 days of sick leave, 11 paid Federal holidays per year)
Selected applicants may qualify for credit toward annual leave accrual, based on prior [work experience] or military service experience.
Parental Leave: After 12 months of employment, up to 12 weeks of paid parental leave in connection with the birth, adoption, or foster care placement of a child.
Child Care Subsidy: After 60 days of employment, full time employees with a total family income below $144,000 may be eligible for a childcare subsidy up to 25% of total eligible childcare costs for eligible children up to the monthly maximum of $416.66.
Retirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA
Insurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement)
Telework: Not Available
Virtual: This is not a virtual position.
Functional Statement #: 000000
Permanent Change of Station (PCS): Not Authorized

Salary : $41,686