Nursing Assistant (Long Term Care)

We need to output HTML fragment with sections: About the role? The posting includes a Summary, Qualifications, Duties, Work Schedule, Pay, Benefits (Paid Time Off, Parental Leave, Child Care Subsidy, Retirement, Insurance, Relocation/Recruitment Incentives, Telework, Virtual). Also maybe "Physical Requirements" but that's part of duties? It's repeated. We need to include sections only when posting has real specific content. Avoid filler like "commensurate with experience". 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)". That's specific enough? It mentions competitive salary and regular increases, above minimum rate. That's specific enough to include Pay section. Schedule: "Work Schedule: Evenings with some weekends and holidays Compressed/Flexible: Not Authorized". That's specific. Benefits: Paid Time Off details, Parental Leave, Child Care Subsidy, Retirement, Insurance, Relocation/Recruitment Incentives, Telework, Virtual. Those are specific. We also have "Physical Requirements" repeated but it's basically same as duties; we could include under Responsibilities? But we have Duties section already. We could include a "Physical Requirements" subsection? Not required; we can incorporate into Duties. We need headings: About the role (maybe from Summary), Responsibilities (maybe Duties), Requirements (Qualifications), Benefits, Pay, Schedule. Also maybe Skills? Not separate. We must not repeat job title. No Job ID. We must use

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  for prose. We need to preserve all substantive information; do not invent or summarize away detail. So we need to include details from qualifications: basic requirements: citizenship, experience/education/training options, grandfathering provisions, grade determinations (GS-03, GS-04, GS-05) with experience/education and KSAs. Also specialized experience examples. Also reference link. Also "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". Also Physical Requirements (but it's duplicate). Also Duties list. We need to not include boilerplate like EEO etc. The text didn't have obvious boilerplate except maybe reference link; we keep it. We must not create sections with filler like "not specified". All sections we create have content. We need to decide how to structure qualifications: Could be a

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    About the role

    Summary: The Nursing Assistant functions as a member of the nursing care team and assists licensed nursing staff in care of patients/residents receiving preventive, acute, sub-acute, chronic, maintenance and hospice care. Nursing Assistant duties are performed in a variety of health care settings such as outpatient, inpatient, home, community living care, acute, sub-acute. The Nursing Assistant will care for patients/residents with acute to chronic conditions.

    Responsibilities

    • Maintaining a positive therapeutic relationship by displaying respect for human dignity with patient, families and/or significant other utilizing communication skills
    • Utilize observation skills for data collection, reporting and recording
    • Participate in patient centered conferences/shift reports and contributing information for the development and review of the nursing care plan
    • Competent with performing aspects of nursing care to meet patient/resident needs for: Personal Hygiene, Physical comfort, Activity‑exercise‑rest, Nutrition, Elimination, Prevention of skin breakdown, Rehabilitative aspects of care
    • Utilizes principles of proper body mechanics while caring for patients
    • Monitors veterans who may be at risk for harming themselves and/or others according to established policies and procedures and appropriately refers the issues to the charge nurse or other health care professional
    • Documents care given, observations and responses on appropriate tools or forms
    • Performs nursing procedures within scope of practice and according to policies and standard procedures to care for veteran
    • Utilizes equipment to promote veteran self care such
    • Respond appropriately to subtle patient changes
    • Organizes and obtains routine supplies, equipment
    • Safeguarding patients right to privacy and protecting of patients information
    • Other duties as assigned
    But note some duties list got cut off: "Utilizes equipment to promote veteran self care such" incomplete; we should keep as is? The original text: "Utilizes equipment to promote veteran self care such". It seems truncated; we must preserve as given. We'll keep that phrase exactly.

    Requirements

    Basic Requirements:

    • Citizenship: Be a citizen of the United States (U.S.). Non‑citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy.
    • Experience/Education/Training: You may qualify based on your experience, training, and/or education as described below:
      • General Experience: Six (6) months of general experience demonstrating the ability to acquire the knowledge and skills to perform the work of a Nursing Assistant.
      • Education: One (1) year of education above high school with courses related to the Nursing Assistant occupation.
      • Training: Completion of an intensive‑specialized‑occupation‑related training course of study or program of less than one (1) year as a Nursing Assistant.
    • 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:
      1. Employees 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 re‑entry to the occupation.
    • Grade Determinations (in addition to basic requirements):
      • GS‑03 Level: Nursing Assistant – Experience or Education: None beyond basic requirements.
      • GS‑04 Level: Nursing Assistant – Experience: One (1) year of specialized experience as a Nursing Assistant 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 two (2) years above high school in an accredited institution with courses related to nursing care, health care or a field of study appropriate to the specialization of the position (e.g., education in a program for psychology, psychiatric, or operating room technicians). AND Demonstrated Knowledge, Skills, and Abilities (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' 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‑05 Level: Nursing Assistant – Experience: One (1) year of progressively responsible assignments and experience equivalent to the GS‑4 level which demonstrates knowledge, skills, and abilities 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 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 (e.g., recognizing need for basic life support, controlling bleeding, assisting with behavior crisis, etc.).
    • Physical Requirements: 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 (including serving as a preceptor to new NAs); ability to recognize and react to emergent patient/resident care situations and intervene while waiting for assistance (e.g., recognizing need for basic life support, controlling bleeding, assisting with behavior crisis, etc.).
    • Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/.
    But we have nested lists; allowed? The instruction: Use
    • for any list of duties/requirements/benefits. It didn't forbid nested lists, but we could flatten. However nested lists are still
      • . It's okay. We need to avoid repeating content; we have duplicated Physical Requirements text similar to duties; but it's present in posting, we must preserve. We'll keep. Now Benefits section:

        Benefits

        • Paid Time Off: 37‑50 days of annual paid time off 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