Provides direct patient/resident care in a variety of settings, including acute medical unit, acute or subacute mental health unit, community living center, residential rehabilitation, and ambulatory care. Care includes assisting with Activities of Daily Living (ADLs), such as bathing, dressing, eating and mobility. Operates a variety of equipment including, but not limited to, wheelchairs, stretchers, vital sign machines, bladder scanners, lifts and oxygen. 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: Citizen of the United States. (Non-citizens may be appointed when it is not possible to recruit qualified citizens in accordance with chapter 3, section A, paragraph 3g, this part.) 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 (1) 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 (1) year as a NA may also meet in full the experience requirements for GS-3. Grandfathering Provisions. All NAs 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: 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. 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 re-entry to the occupation. Grade Determinations: In addition to the basic requirements for employments, the following criteria must be met when determining the grade of candidates. GS-3 NA (Entry Level) Experience and Education. None beyond the basic requirements. Assignments. Individuals assigned as GS-3 NAs are considered to be at the entry level and are closely supervised. 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 in subparagraph (c) 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 Knowledge, Skills, and Abilities (KSAs). In addition, the candidate must demonstrate the following 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. NOTE: Students/trainees may be appointed in accordance with 38 U.S.C. § 7405(a)(1)(D). See Part II, Chapter 3, paragraph 5 of VA Handbook 5005. Preferred Experience: 12 Months of Nursing Assistant experience. 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, Employee Occupational Health Service for requirements. ["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 Clinical Responsibilities - Assist with Treatment & Procedures 24/7/365 position requiring night, weekend, and holiday hours. Assists in the care and treatment of patients receiving medical, surgical, psychiatric, or outpatient treatment. Observes and reports changes in patient behavior, attitude, and appearance, such as patients' color, vital signs, wound/skin condition, and reaction to/results of treatment. Assists in the performance of diagnostic/assessment examinations by performing duties such as the taking/monitoring, recording, and reporting of vital signs, height, weight, patient concerns/symptoms, and less obvious changes in patients' condition. Assists with treatment and diagnostic procedures by preparing and positioning the patient, obtaining supplies/equipment, reassuring the patient, cleaning up following the procedure, documenting/reporting concerning the procedure, and conducting post-procedure checks on the patient. Provides care to patients experiencing extremes of behavior, including those who are severely depressed, agitated, and/or acting out and those patients with complex medical conditions. The care provided frequently involves setting up/working around various types of medical equipment and the use of medical supplies. Recognizes emergency situations and appropriately intervenes while awaiting assistance. Clinical Responsibilities - Personal Patient Care Performs a wide variety of duties aimed at increasing patients' comfort and health status. Performs patient care and comfort measures addressing patients' biopsychosocial needs, personal hygiene, physical comfort, nutrition, hydration, skin care, rehabilitation, and safety. Identifies and reports data relative to more complex patient situations including subtle changes in patients' behavior or condition, or variances related to neurological and vital signs, actual and potential safety issues, and other parameters. Patient Teaching Explains to patients and family members the necessity of procedures for proper health care. Provides specific health information based on patient's condition, such as acceptance of limited physical mobility, proper body mechanics, and the importance of adhering to prescribed regimens for both medical and mental health conditions. Administrative Responsibilities Required to complete quarterly BLS training prior to first day of new quarter. Enters specific information into the patient's electronic record using appropriate formats, medical terminology, and templates. This information must be entered in a complete, confidential, and professional manner to insure information on the patient is shared with other VA staff. This information is to be reviewed on a regular basis. Establishes and maintains positive working relationships with employees, volunteers, consumers and stakeholders within the VA and outside community agencies. Attendance of all appropriate staff meetings (interdisciplinary treatment team meetings, other committees as appropriate, etc.) is necessary. Additional duties may be required to be performed, as needed. Work Schedule: Operates 24 hours per day, 7 days per week, 365 days per year. Shifts are 12-hours, generally from 0600-1830 and 1800-0630 with one 8-hour shift per pay period to total 80 hours per pay period. Shifts and days off are not guaranteed, schedules are based on the needs of the unit to best serve Veterans. Recruitment Incentive (Sign-on Bonus): Not Authorized. Permanent Change of Station (Relocation Assistance): Not Authorized. Pay: Competitive salary and regular salary increases. 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 #: 51607-A, 51608-A, 51609-A Permanent Change of Station (PCS): Not Authorized."]

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