The Iowa City VA Health Care System is recruiting for one (1) full-time Nursing Assistant for the Primary Care Service Line. This position is located at the Iowa City VA Medical Center on the 9W Inpatient Unit. To qualify for this position, applicants must meet all requirements by the closing date of this announcement, 01/25/2022. BASIC REQUIREMENTS: (a) Citizenship. Citizen of the United States. (Noncitizens may be appointed when it is not possible to recruit qualified citizens in accordance with chapter 3, section A, paragraph 3g, this part.) (b) 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. (c) 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. CNA and BLS preferred but not required. GRADE DETERMINATIONS: GS-3 Grade Determinations: (a) Experience and Education. None beyond the basic requirements. (b) Assignments. Individuals assigned as GS-3 NAs are considered to be at the entry level and are closely supervised. GS-4 Grade Determinations: (a) 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, (b) 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 (c) 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.?????? (d) Assignment. Individuals assigned as GS-4 NAs are considered to be at the intermediate or developmental level and are closely supervised. NAs at this grade level function as a member of the nursing care team and assist higher graded NAs, licensed nursing staff, and other members of the care team in the care of patients/residents receiving outpatient care, home or community living care or other patients/residents who are in acute, sub-acute, or chronic states of illness. The significant factor is that they provide care under close supervision and refer issues/questions to supervisors, higher graded NAs or other healthcare professionals. 2. In this role, the Nursing Assistant functions as a member of the nursing care team and assists higher graded [NAs], licensed nursing staff, and other members of the care team in the care of patients/residents receiving outpatient care, home or community living care, or other patients who are in acute, sub-acute, or chronic states of illness. The Nursing Assistant in this role provides care under close supervision and refers issues/questions to supervisors, higher graded NAs, or other healthcare professionals. GS-5 Grade Determinations: (a) 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, (b) 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 (c) 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. (d) Assignment. This is the full performance level for NAs. NAs at this grade level function as a member of the nursing care team and assist licensed nursing staff in the care of patients/residents receiving outpatient care, home or community living care or other patients/residents who are in acute, sub acute or chronic states of illness. The distinguishing factor is that patient/resident assignments typically involve more complex nursing needs which can vary within a range of predictable to unpredictable requirements. NAs at this level also assume more of a peer education/mentorship role. All qualifying experience you possess must be clearly described in your application package. We will not make assumptions when reviewing applications. Failure to demonstrate your experience/how you gained each KSA in your resume may result in disqualification. It is strongly recommended that you write to each KSA in your application package. Please see the Required Documents section below for resume requirements. 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 GS-3 through GS-5. Physical Requirements: The population of male and female veterans served ranges from the adult, age 18, to the elderly adult, age 65 and over. ICVAHCS is a major interdisciplinary teaching facility, serving medical, surgical, and neurological inpatients and outpatients. There is a large outpatient psychiatric population, with visits to the Emergency Department and admissions for medical co-morbidities. This position requires visual acuity, keen hearing, clear distinctive speech, and manual dexterity. This position requires up to the entire shift of continued walking, standing, stooping, sitting, bending, pulling, and pushing. Incumbent is required to lift up to 45 pounds, as transferring patients and objects may be required. The incumbent may be exposed to infected patients and contaminated materials and may be required to don protective clothing in isolation situations or operative/invasive procedures. The incumbent may occasionally be exposed to patients who are combative secondary to delirium, dementia, or psychiatric disorders. The incumbent must be a mature, flexible, sensible individual capable of working effectively in stressful situations, able to shift priorities based on patient needs. This position potentially requires flexibility in schedule and assignments, as this is a 24/7 hospital. ["Responsibilities include, but are not limited to:\n1. Gives and assists with all types of cleansing baths and shampoos. Gives skin care to prevent complications and promote healing. Gives and assists with oral care and hygiene, including denture care.\n2. Makes all types of beds.\n3. Assists with the use of bedpans and urinals. Applies external catheters and maintains patency or drainage. Assists with bowel and bladder training. Assists in providing ostomy care for established and uncomplicated ostomies.\n4. Assists patients in feeding themselves, or feeds those who cannot. Measures and records all intake and output (excluding IV and tube feeding totals).\n5. Maintains correct body positions. Turns patients as required using all types of supporting and comfort devices. Assists or provides patient transfers, activities, e.g. ambulation, litter, and or wheelchair to bed. Escorts patients to tests as needed.\n6. Assists with assembling equipment for sterile procedures, administration of oxygen, and vacuum/suction setup.\n7. Meets the need for safe therapeutic environment by employing principals of medical asepsis, maintaining ward cleanliness by daily cleaning of patient unit and areas. Properly handles soiled and clean linen according to policy. Applies all types of physical restraints and protective devices as ordered. Employs techniques of firefighting and emergency evacuation in the case of fire and/or disaster. Knows the purpose of all ward equipment and seeks assistance as needed.\n8. Demonstrates recognition of cognitive, physical, emotional, and chronological maturation of adult and geriatric patient's needs and possesses an understanding of how to compensate for these changes. The geriatric patient is defined as older than 60 years. The NA must also be aware that chronic medical conditions may alter the manifestation of aging.\n9. Assists ward staff with direct patient care activities as assigned.\n10. Performs basic patient care activities and duties as assigned, such as taking vitals and recording measurements. Receives cardiac monitoring training and is documented as competent to perform basic, noninterpretive tasks associated with the telemetry system, such as assisting with placing patient on telemetry equipment for monitoring, operating and setting up monitoring capabilities at bedside monitors, communicating with the\nTelemetry Technician, responding to broadcasted 3-star alarms, replacing batteries and leads as needed, and suspending and un-suspending monitoring when patients leave and return from testing.\n11. Adheres to principles of patient safety, falls prevention, infection control, and universal precautions at all times. This includes things such as replacing bed rails and wearing gloves or other appropriate PPE.\n12. Participates in health team conferences by reporting observations of patient's physical, mental, and emotional status. Reports and records observations as required, i.e.: vital signs, color and skin condition, airway patency and the need for suctioning, drainage from tubes and drains, condition of patient dressings, and/or any changes in patient observed throughout shift.\n13. Participates in team communication to facilitate all aspects of patient safety. Is responsible for hand off communication to oncoming NA's to avoid gaps in care.\n14. Incumbent must be able to recognize, respond, report, and assist in emergency situations, i.e.: Code Blue, Code Green, Code Red, RRT, Code Silver, Stroke, and all-natural disasters.\n15. Responsible for ensuring proper room set up and terminal room clean with appropriate RME.\n16. May assist RN with administering Bolus Tube Feedings via G-tube, J-tube, GJ-tube by positioning the patient and passing supplies. PLEASE SEE THE QUALIFICATION REQUIREMENTS BELOW Work Schedule: 7:30 a.m. - 4:00 p.m./8:00 p.m., 3:30 p.m. - 12:00 a.m., every other weekend\nTelework: Not available\nVirtual: This is not a virtual position.\nPosition Title/Functional Statement #:Nursing Assistant/PD000000\nRelocation/Recruitment Incentives: Not authorized\nPermanent Change of Station (PCS): Not authorized\nFinancial Disclosure Report: Not required"]
Providing Health Care for Veterans: The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,255 health care facilities, including 170 medical centers and 1,074 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.