Nursing Assistant- Residential Rehabilitation Treatment Program

Summary The Nursing Assistant functions as a member of the nursing care team and assists licensed nursing staff in the care of patients/residents receiving preventive - acute - sub-acute chronic - maintenance - and hospice care. 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 PolicyExperience or Education or Training: Six months of general experienceExperience must demonstrate the ability to acquire the knowledge and skills to perform the work of a NAOR - One year of education above high school with courses related to the NA occupationOR - 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. 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 3jMay 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-03 Nursing Assistant- Experience and Education: None beyond the basic requirementsGS-04 Nursing Assistant- 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 treatmentsOR - 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 techniciansAND Demonstrated Knowledge - Skills - and Abilities (KSAs)In addition - the candidate must demonstrate the following KSAs: i Ability to provide a range of patient/resident care and contribute to the completion of the nurse care plan and recovery of patients/residentsii Ability to observe patients/residents' or resident's physical or emotional status and refer deviations and/or problems to supervisor in a timely manneriii 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 - etciv Ability to communicate effectively with patients/residents - their families and other health professionalsGS-5 Nursing Assistant- 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 assignmentIn addition - the candidate must demonstrate the professional KSAs in subparagraph (c) belowOR - 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 degreeAND Demonstrated KSAsi 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 Nurseii Ability to communicate orally with patients/residents - families - interdisciplinary team and other personnelThis 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 settingiii Ability to recognize and react to emergent patient/resident care situations and intervene while waiting for assistanceFor example - recognizing need for basic life support - controlling bleeding and assisting with behavior crisis - etcReference: For more information on this qualification standard - please visit https://www.va.gov/ohrm/QualificationStandards/The full performance level of this vacancy is GS-05The actual grade at which an applicant may be selected for this vacancy is in the range of GS-03 to GS-05Physical Requirements: This position requires visual acuity - keen hearing - clear distinctive speech - and manual dexterityThis position requires potentially long periods of continued walking - standing - stooping - sitting - bending - pulling - and pushingTransferring patients and objects may be requiredThe incumbent may be exposed to infected patients and contaminated materials and may be required to don protective clothing in isolation situations or operative/ invasive proceduresThe incumbent may occasionally be exposed to patients who are combative secondary to delirium - dementia - or psychiatric disordersThe incumbent must be a mature - flexible - sensible individual capable of working effectively in stressful situations - able to shift priorities based on patient needs. Duties Total Rewards of a Allied Health Professional Duties include but are not limited to the following: Patient Education - Health Promotion - and Counseling: Provides education to veterans regarding their health conditions - medications - and self-care strategies to promote independence - health literacy - and informed decision-makingDocuments all education and counseling providedMedication Assistance: Assists with medication reminders and processes related to basic medication administration within scope of practiceEmotional Support and Advocacy: Offers emotional support - advocates for veterans' needs - and facilitates social engagement - participation in activities - and group interactions to enhance overall well-beingVeteran Monitoring and Environmental Observation: Performs scheduled rounding - veteran location monitoring - searches - and environmental observations to identify contraband - subtle changes in condition - behavior - mood - or condition and responds appropriately by notifying the nursing staff or rehab technician supervisorEnsures a safe environment by reporting hazards - removing defective equipment - and maintaining infection control standardsUtilizes glucose monitoring machines to obtain glucose readings - reports deviations to appropriate healthcare staffMakes observations of subtle changes in residents' conditions and responds within scopeProvides direct care for complex veterans - including performing nursing procedures such as enemas - catheterization - colostomy care - skin care - simple dressings - application of braces and prosthetic devices - and monitoring intake/outputMonitors and documents patient intake and output accurately and timelyPerforms vital signs assessment including blood pressure - pulse - respirations - temperature - and pulse oximetry - and documents findings appropriatelyConducts EKG measurements - if trained and within scope - and documents results accuratelyRecognizes residents' autonomy - promotes independence through respect and individualized treatmentParticipates in mass vaccination efforts according to competency - scope - and policyActively participates in Treatment Planning Meetings as neededProvides verbal and written information to the treatment team for inclusion in the veteran's plan of careEnters resident condition updates into the electronic medical record using appropriate formatsWorks on small group activities aligned with the residents' treatment plansParticipates in all required huddles and team meetingsUtilizes equipment such as lift devices to promote self-care and safetyMaintains a clean - safe environment - adhering to safety regulations and infection control protocolsServes as a unit's safe patient handling liaisonRemoves defective equipment and reports hazards promptlyManages patient behavior appropriately - intervening as needed and requesting assistance from other healthcare team membersCommunicates effectively with the treatment team - family - and caregivers when necessaryEngages in ongoing training with timely completion of all required competencies - adheres to evolving policies and procedures - and upholds ethical standards to ensure safe - competent careWork Schedule: First week- Sun-Tues: 5:30 pm-6:00 am - Wed: 5:30 pm-2:00amSecond Week- Sun-Tues: 5:30pm-6:00 amCompressed/Flexible: Available Recruitment/Relocation Incentives (Sign-on Bonus): Not Authorized Permanent Change of Station (Relocation Assistance): Not 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 experienceParental 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 childChild 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 $416.66Retirement: 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 positionPermanent Change of Station (PCS): Not Authorized