Nursing Assistant - Community Living Center
Company: Veterans Affairs, Veterans Health Administration
Location: Grand Junction
Posted on: January 25, 2023
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Job Description:
Summary The incumbent will provide a range of assistance and
support for veteran patients by providing personal patient care,
support for diagnostic procedures, performing technical nursing
treatments as delegated by Nursing staff, appropriate documentation
and offering basic patient instruction under the guidance of a
Registered Nurse. The Nursing Assistant is an integral member of
the nursing care team in direct service to veterans and families.
Responsibilities Supports Diagnostic Procedures Assistants
physicians and nurses in the performance of diagnostic examinations
by performing duties such as monitoring vital signs, preparing and
positioning the patient, or by performing a variety of routine
diagnostic tests such as glucometer test for blood glucose level,
collection of urine sample, etc. Assists with Technical Nursing
Treatments Assists physicians and nurses in the care and treatment
of veteran patients receiving medical, surgical, or skilled
longer-term treatment. Observes and reports to the professional
nurse changes in patient behavior, attitude, bodily complaints, and
appearance. Observes patients for any change in condition
(deviation in color, pulse, respiration, temperature, and blood
pressure) and reports them to the Registered Nurse. Reports the
condition of wounds and skin and any reaction to or results of
treatment Direct Patient Care Provides a full range of patient care
to complex patients with a variety of physical and/or behavioral
problems including personal nursing care, support duties and
treatments. Uses good communication skills in dealing with
patients, some of whom are unusually difficult to care for or
communicate with. Provides effective action in emergency
situations. Performs actions targeted to the
maintenance/restoration of skin integrity by assisting nurses
withturning patients and cleaning patients as needed. Assists
nurses, preparing patients for transport to procedures by obtaining
oxygen tanks or other needed equipment. Complies with universal
precaution and with all infection control policies and procedures.
Provides emotional patient and family care. Maintain patient
privacy. Responds appropriately to emergency situations.
Assists/completes clerical and transport functions as needed. Makes
rounds to ensure visual contact, safety and comfort of each
patient. Indirect Care Maintains a safe/clean work environment and
completes assigned environmental duties Demonstrates appropriate
actions in environmental emergency situations. Employs appropriate
lifting/moving, transfer and assistive devices and demonstrates
safe and proper body mechanics. Utilizes equipment in a safe
manner. Reports unsafe equipment and working conditions to
appropriate individuals. Offers assistance to coworkers when
needed. Participates in QI activities as directed. Practice cost
effective measures in the use of supplies and equip Enters
Information on the Patients' Records/Charts Enters specific
information onto the patients' records using the Computerized
Patient Record System (CPRS). Enters information regarding the care
rendered and the condition and progress of the patient. Performs
direct patient support work including personal patient care and/or
basic patient education Personal Patient Care Performs a wide
variety of duties aimed at increasing the comfort and spirit of the
patient. Anticipates patients' routine care and comfort needs for
psycho/social/spiritual well-being, personal hygiene, physical
comfort, nutrition, elimination, prevention of skin breakdown,
rehabilitation, safety, etc. Patient Teaching Teaches patients and
family members the necessity to continue the procedures for proper
health care. Assists with specific health teaching, such as
reminding diabetic patients of the importance for skin care and
following a diet, reinforcing the importance of exercise and diet
for the cardiac patients, etc. Encourages patients in self-care
activities within their individual capacities as outlined on their
care plan. Environment of Care Support professional staff and
veterans as needed with maintaining a clean, safe environment of
care. Cleans bedside tables, stocks linens, cleans wheelchairs and
other direct resident care equipment using appropriate precautions.
Patient Safety Use standard precautions and personal/patient
protective devices Recognizes and reports unsafe situations.
Initiates appropriate emergency interventions. Maintains a
safe/clean work environment, ensuring patient privacy. Participates
in unit-based medical center and organizational in-services and
continuing education activities. Adheres to dress-code policy.
Completes all TMS in a timely manner. Work Schedule: Varying
Full-Time Shifts Compressed/Flexible: Available Telework: Not
Available Virtual: This is not a virtual position. Functional
Statement #: 52384A, 52385A, 52386A Relocation/Recruitment
Incentives: Not Authorized Permanent Change of Station (PCS): Not
Authorized Financial Disclosure Report: Not required Requirements
Conditions of Employment You must be a U.S. Citizen to apply for
this job. All applicants tentatively selected for VA employment in
a testing designated position are subject to urinalysis to screen
for illegal drug use prior to appointment. Applicants who refuse to
be tested will be denied employment with VA. Selective Service
Registration is required for males born after 12/31/1959. Must be
proficient in written and spoken English. You may be required to
serve a probationary period. Subject to background/security
investigation. Selected applicants will be required to complete an
online onboarding process. Participation in the seasonal influenza
vaccination program is a requirement for all Department of Veterans
Affairs Health Care Personnel (HCP). Participation in the
Coronavirus Disease 2019 (COVID-19) vaccination program is a
requirement for all Veterans Health Administration Health Care
Personnel (HCP) - See "Additional Information" below for details.
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:
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. Physical Requirements. See VA Directive and Handbook
5019. 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. 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:
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. 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: Nursing Assistant,
GS-3 Experience and Education . None beyond the basic requirements.
Nursing Assistant, 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, 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.
Nursing Assistant, GS-5 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 KS As 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 KSA's. 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. Preferred Experience: Prefer up to 1 year of
long-term care experience, rehab or hospice. Care giver experience
or nursing assistant experience preferred. ADL, documentation
experience. References: VA Handbook 5005/81, Part II, Appendix G46
The full performance level of this vacancy is 5. The actual grade
at which an applicant may be selected for this vacancy is in the
range of 3 to 5. Physical Requirements: This position requires
visual acuity, keen hearing, clear distinctive speech, and manual
dexterity. This position requires potentially long periods of
continued walking, standing, stooping, sitting, bending, pulling,
and pushing. 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. Education IMPORTANT: A
transcript must be submitted with your application if you are
basing all or part of your qualifications on education. Note: Only
education or degrees recognized by the U.S. Department of Education
from accredited colleges, universities, schools, or institutions
may be used to qualify for Federal employment. You can verify your
education here: http://ope.ed.gov/accreditation/. If you are using
foreign education to meet qualification requirements, you must send
a Certificate of Foreign Equivalency with your transcript in order
to receive credit for that education. For further information,
visit:
http://www.ed.gov/about/offices/list/ous/international/usnei/us/edlite-visitus-forrecog.html.
Additional Information Receiving Service Credit or Earning Annual
(Vacation) Leave: Federal Employees earn annual leave at a rate (4,
6 or 8 hours per pay period) which is based on the number of years
they have served as a Federal employee. Selected applicants may
qualify for credit toward annual leave accrual, based on prior work
experience or military service experience. This credited service
can be used in determining the rate at which they earn annual
leave. Such credit must be requested and approved prior to the
appointment date and is not guaranteed. This job opportunity
announcement may be used to fill additional vacancies. This
position is in the Excepted Service and does not confer competitive
status. VA encourages persons with disabilities to apply. The
health-related positions in VA are covered by Title 38, and are not
covered by the Schedule A excepted appointment authority. Pursuant
to VHA Directive 1193.01, VHA health care personnel (HCP) are
required to be fully vaccinated against COVID-19 subject to such
accommodations as required by law (i.e., medical, religious or
pregnancy). VHA HCPs do not include remote workers who only
infrequently enter VHA locations. If selected, you will be required
to be fully vaccinated against COVID-19 and submit documentation of
proof of vaccination before your start date. The agency will
provide additional information regarding what information or
documentation will be needed and how you can request a legally
required accommodation from this requirement using the reasonable
accommodation process. If you are unable to apply online or need to
fax a document you do not have in electronic form, view the
following link for information regarding an Alternate
Application.
Keywords: Veterans Affairs, Veterans Health Administration, Grand Junction , Nursing Assistant - Community Living Center, Healthcare , Grand Junction, Colorado
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