The Phlebotomy Nursing Assistant is 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. Patient/resident assignments typically involve more complex nursing needs which can vary within a range of predictable to unpredictable requirements 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. 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 Nursing Assistant: Education. One year of education above high school with courses related to the Nursing Assistant occupation. OR, Training. I have completed an intensive, specialized, occupation-related course of study less than one year as a nursing assistant.. GS-4 Nursing Assistant: Experience- 1 year of experience as a Nursing Assistant or in another medical field; OR, Education- 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. 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. 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 Nursing Assistant: Experience- One year of progressively responsible assignments and experience equivalent to the GS-4 level; OR, Education- 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. 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. References: VA Handbook 5005 - http://vaww.va.gov/OHRM/Directives-Handbooks/Documents/5005.pdf. This can be found in the local Human Resources Office. 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. 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: Moderate lifting (15-44 pounds), moderate carrying (15-44 pounds), straight pulling (.5 hours), pushing (.5 hours), reaching above shoulder, use of fingers, both hands required, walking (4 hours), standing (4 hours), kneeling (.5 hours), ability for rapid mental and muscular coordinating simultaneously, depth perception, ability to distinguish basic colors, hearing (aid permitted), mental and emotional stability required. ["Phlebotomy/Nursing Assistant will practice in the Primary Care Clinics and may be assigned to the clinics located in Portland, Vancouver, Camp Rilea, Bend, Salem, Fairview, The Dalles, West Linn, Community Resource Referral Center (CRRC), or Hillsboro. Incumbent may assist members of the PACT Teamlet (Primary Care Provider, Nurse Care Manager, Licensed Practical Nurse, Health Technician, and Clerical Associate) or support the work of the expanded team (Pharmacist, Social Worker, Home Telehealth RN, Psychologist, and Dietician). The main responsibility of Incumbent will be to perform specimen collection of (urine, sputum, blood, or stool) ensuring to utilize proper labeling, packaging, and transport instructions from the Primary Care Community Based Clinics or assigned areas to the main facility laboratory. Incumbent must utilize proper facility required patient identified methods and ensure patient confidentiality is maintained. Incumbent access and complete specimens orders from the hospital computerized system, utilize centrifugation (id required), and prepare specimen prior to laboratory testing. Incumbent will exercise effective communication skills prior to, during, and after specimen collection, ensuring to review pertinent information with the patient. Maintain specimen integrity by using aseptic techniques, following department procedures, and observing and adhering to personal protective equipment policies and guidelines. She/he will adhere to applicable infection control guidelines of hand hygiene before and after venipuncture of all patients. Incumbent will demonstrate knowledge and skill in utilizing noninvasive vein mapping devices as well as demonstrates competency in venipuncture and specimen collection. Incumbent resolve order discrepancies by contacting the order originator for further clarification, notifying supervisor of unresolved orders. Incumbent must maintain a safe and secure working environment by adhering to local medical center standards, policies, and procedures as well as other federal or state regulating bodies to include but not limited to Joint Commission on the Accreditation of Healthcare Organizations (JCAHO), Occupational Health and Safety Administration (OSHA), and the Center for Disease Control (CDC).As needed the incumbent will provides care and services to multiple populations served within the clinic, area of assignment as determined by the patient/clinic need for nursing care and services. Incumbent must demonstrate the ability to observe, identify, and respond to Veterans needs for nursing, emergencies, medication, point-of-care-testing, and equipment assistant care to recognize deviations from normal, assist with technical procedures but not limited to: taking and recording BP, temperature, pulse, respiration, pulse ox, height, weight, specimen collection such as urine, sputum, or stool, finger glucose, and administering oxygen. Incumbent will assist with completing health promotion clinical reminders and documenting accordingly. Incumbent will assist with health literacy and education needs of the veterans as directed by the RN or Health Care Provider ( Nurse Practitioner or Medical Doctor) and manage clinic workflow by ensuring veterans are placed in examination rooms in a timely manner, and providing direction to veterans as they move through the clinic environment. Work Schedule: Monday-Friday, Varying tours from 0700-1730\nTelework: Not Available\nVirtual: This is not a virtual position.\nRelocation/Recruitment Incentives: Not Authorized\nPCS Appraised Value Offer (AVO): 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.