THIS OPEN & CONTINUOUS ANNOUNCEMENT (OCA) ESTABLISHES A STANDING REGISTER OF ELIGIBLE APPLICANTS, which closes on April 28, 2023. The initial cut-off date for referral of eligible applications will be 2/17/2023 with subsequent reviews every other week as additional vacancies occur, or on an as-needed basis, until positions are filled. Please see the "What To Expect Next" area of the announcement which provides additional information on the referral process for this type of announcement. 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: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. 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. 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. 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). Grandfathering Provisions. All Nursing Assistants 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: (1) 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. (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 reentry to the occupation. Grade Determinations: In addition to the basic requirements for employment, the following criteria must be met when determining the grade of candidates. GS-3 (Entry Level) (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 (Developmental) (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: 1. Ability to provide a range of patient/resident care and contribute to the completion of the nurse care plan and recovery of patients/residents. 2. Ability to observe patients/residents' or resident's physical or emotional status and refer deviations and/or problems to supervisor in a timely manner. 3. 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. 4. Ability to communicate effectively with patients/residents, their families and other health professionals. GS-5 (Full Performance Level) (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 Knowledge, Skills, and Abilities (KSAs). 1. 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. 2. 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. 3. 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. References: VA HANDBOOK 5005, APPENDIX G46, NURSING ASSISTANT QUALIFICATION STANDARD GS-621, dated 3/12/2015 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. Physical Requirements: Work involves varying periods of sitting, standing and walking. Working with Veterans/residents requires bending, stooping, teaching, lifting, balancing, kneeling, pushing, i.e., wheelchairs, geri-chairs, litters and similar activities. Also, it may be necessary to perform such activities as CPR and psychiatric intervention at a unit-specific level. ["This announcement is intended to fill current and future vacancies under various service lines at the Togus VA Medical Center. The presence of a location does not necessarily indicate a current vacancy. Available shifts could be days, evenings, nights, or include weekends/holidays to cover shortages or high patient volume. Shift changes will be considered based on patient and facility needs. Service Lines/Unit assignments may include: Community Living Center Emergency Intensive Care/Special Care Unit Mental Health Primary Care Sensory and Rehab Geriatrics Extended Care Acute Care Outpatient clinics (medicine and surgical) Nursing Assistants 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 or other healthcare professionals. Depending on grade and assignment duties may include but are not limited to: Under the direction of the RN the NA provides care to acutely ill patients including baths, personal hygiene, nutrition/feeding, elimination, intake and output. Including assisting with all activities of daily living (ADL). Under the direction of the RN the NA may initiate and assist with CPR per hospital policy. Practices under the model of Patient Centered Care while exhibiting the ICARE values. Maintains full patient confidentiality. Participates in the admission, transfer and discharge of patients. Prepares patient care rooms for admissions or transfers. Assists with removing patient specific items from the room at discharge. Performs active and passive range of motion exercises. Supports and assists patient with turning, moving, or transferring from bed to chair, commode etc. The NA will maintain competency and utilize lift equipment to practice safe patient handling. Assists with postmortem care of the body after death and transport of the body to the morgue. Performs assigned clinical procedures, such as; application of External Urinary Device's (EUD) and colostomy bags, unsterile soaks and compresses, hot and cold applications, elastic hose, binders, bladder scanning, and oral suctioning. Performs assigned technical procedures, such as blood glucose monitoring and quality controls, EKG's, taking and recording blood pressure, temperature, pulse, respiration, height, weight, incentive spirometer, collecting specimens, such as expectorated sputum, feces, urine-voided midstream and drainage collection bag. Documents vital signs, nursing care and belongings inventory list in the electronic medical record and on appropriate flow sheet. Practices techniques and principles of medical asepsis and infection control, (e.g., hand hygiene), care of linen, transmission precautions, etc. Must be aware of and actively practice principles of universal precautions. Assists the physician or nurse with diagnostic and therapeutic procedures. As directed provides assistance with transporting patients that are not critically ill independently from tests, procedures and appointments. Provides care for behavioral ill or restrained patients, to include but not limited to, those who are: suicidal, homicidal, interfere with medical devices, confused, have poor judgment or require 1:1 monitoring. Assignments may include restraint monitoring, safety monitoring and/or require physical checks every 15 minutes. Performs duties required of video monitoring patients; including management of the call system and role of the rounding NA. Observes patient receiving I.V. fluids and reports swelling, pain and or wetness at the needle site. Observes patient and reports changes in appearance, including physical and emotional reactions. Reports patient complaint of pain to RN/LPN. Functions as a \"Safety Monitor\" for patients who need close observation. Safety Monitor assignment includes providing care (baths, personal hygiene, feeding, elimination and intake and output) for patient and preventing patient from injury or interfering with the treatment by pulling out lines/IVs. Maintains constant supervision. Work Schedule: Multiple tours and schedules available; May be scheduled to days, evenings, nights, weekends, holidays, and off-tours to support facility needs. Shifts may be discussed at interview and will be confirmed upon selection. Compressed/Flexible: Not available Telework: Not available Virtual: This is not a virtual position. Functional Statement #: varies will be determined by unit/department Relocation/Recruitment Incentives: Not authorized Permanent Change of Station (PCS): Not authorized Financial Disclosure Report: Not required"]
About Veterans Affairs, Veterans Health Administration
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.