Summary

This LTC Charles S. Kettles VA Medical Center is seeking a Full-Time - Nursing Assistant (NA) in Ann Arbor - MI. within the in Patient Care Service Telemetry section. This is a day shift position No designated days off and will rotate weekends (shift time is 7:30am - 8:00pm)

Qualifications

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: Citizen of the United States
• Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy
• Experience or Education or Training
• Six months of general experience
• Experience must demonstrate the ability to acquire the knowledge and skills to perform the work of a NA
• OR - One year of education above high school with courses related to the NA occupation
• OR - 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. Grade Determinations: GS-3 (Entry Level) Experience and Education
• None beyond the basic requirements
• GS-4 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 - Education
• Successful completion of 2 years above high school in an accredited institution with courses related to nursing care - healthcare 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
• GS-5 (Full Performance Level) 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 - 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
• For example - recognizing need for basic life support - controlling bleeding and assisting with behavior crisis - etc
• Reference: For more information on this qualification standard - please visit https://www.va.gov/ohrm/QualificationStandards/
• 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: Duties require extensive periods of standing and walking and working outdoors or in portable building or tent
• Lifting up to 35 pounds intermittently for 8-12 hours - moderate carrying (15-35 pounds) intermittently for 8 to 12 hours - lifting over 35 pounds with assistive devices in accordance with the Safe Patient Handling Policy except in emergent situations requiring prompt patient care - pulling for 8 to 12 hours - intermittently - pushing for 8-12 hours - intermittently - reaching above the shoulders for 8-12 hours - intermittently - both hands required - walking 8-12 hours - intermittently - standing 8-12 hours intermittently - kneeling 8 to 12 hours - intermittently - repeated bending for 8-12 hours - intermittently - climbing and use of both legs and arms for 8-12 hours - intermittently - both legs required - near vision at 13 to 16" Jaeger 1 to 4 - far vision correctable in one eye to 20/20 and to 20/40 in the other eye - ability to distinguish basic colors - hearing aid permitted - twisting - simply grasp and fine manipulation.

Duties

• The Nursing Assistant will function as a member of the nursing care team and assist higher grade Nursing Assistants and licensed nursing staff in the care of patients
• Duties include - but are not limited to: Adheres to VA and Nursing policies - procedures and standards
• Delivers care to patients in a respectful - non-judgmental manner
• Maintains patient privacy/confidentiality and patient rights to privacy/confidentiality
• Sets limits within the Nursing Assistant/patient relationship - which are clearly defined
• Participates in selected Performance Improvement (PI) activities as directed
• Assists with selected activities related to patient admission/transfer and discharge
• Collects patient information including observation of overall condition
• Recognizes and reports obvious changes in patient condition including emergencies
• Takes appropriate actions in response to patient emergent situations
• Accurately documents patient information on flow sheets and a Computerized Patient Reporting System (CPRS)
• Provides patient information to the accountable RN for inclusion in the patient's plan of care
• Completes assignments - reports to the accountable RN when assignment has been completed - or when unable to complete activities
• Uses appropriate lifting/moving/transfer techniques/devices
• Utilizes infection control and universal standard precautions
• Participates in the interdisciplinary team care planning and delivery of care process
• Is knowledgeable of stages of adult development and how it may relate to nursing care
• provides input to RN related to patient's stage of adult development and provides care to patients in a variety of stages of adult development
• Safely performs the following functions: Provides routine hygienic/activities of daily living care
• Performs actions targeted to the maintenance/restoration of skin integrity
• Collects patient specimens
• Administers a variety of comfort measures
• Takes vital signs after completion of orientation and competency validation
• Follows seizure precautions as directed
• Transports patients with oxygen
• Appropriately uses protective/restraining devices
• Feeds patients orally including those who are at risk for aspiration - after appropriate training
• Reports situations including - but not limited to: Changes in behavior
• Wandering Sun-downing Sleep disturbances Inappropriate sexual behavior Aggressive behavior Hallucinations (visual/auditory) Incontinence Swallowing problems Abnormal vital signs Recognizes communication barriers
• Promotes correct use of ambulation devices
• Monitors patients on 1:1 observation using worksheets and assignment sheets
• Assists with toileting activities as appropriate
• Applies and provides routine care for a condom catheter
• Performs finger stick blood glucose using the blood glucose monitor
• Completes purposeful rounding of patients - assisting with any care needs - keeping team lead and charge nurse informed of any patient issues/concerns
• Maintains a safe/clean/stocked work environment
• Demonstrates appropriate actions in environmental emergencies
• Utilizes equipment in a safe manner
• Reports unsafe equipment and working conditions to appropriate individuals
• Completes mandatory safety training/annual reviews
• Interacts in a courteous/respectful manner with with patients - families and visitors as well as with co-workers/members of other services
• Uses appropriate channels of communication
• Follows verbal and/or written directions
• Adheres to uniform policy
• Maintains appropriate boundaries when dealing with patients/significant others/families and all staff
• Assumes an appropriate amount of work/responsibility for group projects
• Works within the current workflow processes to improve timeliness of patient care
• Stocks - replenishes patient rooms and care areas with appropriate equipment and supplies necessary for patient care
• Work Schedule: This is a day shift position
• No designated days off and will rotate weekends (shift time is 7:30am - 8:00pm) Compressed/Flexible: Not Authorized
• Recruitment Incentive (Sign-on Bonus): Not Authorized
• Telework: Not Available
• Virtual: This is not a virtual position
• Permanent Change of Station (PCS): Not Authorized