The Certified Nursing Assistant is an individual who delivers age specific care to adult Veterans according to established policies and procedures under the direct supervision of a Registered Nurse (RN). He/she will be a member of the nursing team and is assigned to provide individualized nursing care to Veterans who experience varying degrees of physical, emotional and/or behavioral health problems across their lifespan. 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: One year above high school with courses related to the Nursing Assistant 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 Proficiency. Nursing Assistants must be proficient in spoken and written English. Preferred Experience: At least one year nursing assistant experience. Grade Determinations: GS-3 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, 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. 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 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 Knowledge, Skills, and Abilities (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. References: VA Handbook 5005, Part II, Appendix G46, Nursing Assistant Qualification Standard. This can be found in the local Human Resources Office. The full performance level of this vacancy is 05. The actual grade at which an applicant may be selected for this vacancy is in the range of 03 to 05. 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, kneeling, bending, pulling, and pushing. Transferring residents and objects is required. The incumbent may be exposed to infected residents and contaminated materials and is required to don protective clothing in isolation situations or during resident procedures and care. The incumbent may occasionally be exposed to residents who are combative secondary to delirium, dementia, or psychiatric disorders. Use of fingers, both hands, and near and far vision is required. ["The Nursing Assistant works under the direct supervision and guidance of the Registered Nurse. Daily assignments are prepared by the RN and reviewed in detail by the Nursing Assistant. He/she reports observations and findings to the RN and documents appropriately in the computerized patient record system (CPRS).\nPrinciple Functions and Responsibilities: Demonstrates all knowledge and performs all skills taught in Nursing Assistant training. Recognizes the normal aging process and responds to meet the age specific needs of the Veterans including sensory/perceptual changes and physical needs for food, water, air, elimination, rest, sleep and activity. Provide resident centered - care, which is driven by the needs, preferences and lifelong habits of the residents. Care is individualized to each resident, and the resident is a participant in their own care when possible. Correctly identifies Veterans by using two specific personal identifiers. Accurately scans Veteran identification wristbands into the Bar Code Medication Administration (BCMA) system. Properly scans specified skin treatments and comfort supplies, as outlined in MCM PC-115, into BCMA and safely administers these products. Provides timely verbal reports regarding results of care or changes in Veteran's condition to the RN. Documents nursing care according to established nursing policy and procedures, in the written patient care books and/or in the electronic nursing care programs known as CareTracker and/or CPRS. Keeps informed of all policies and procedures, guidelines, directives and regulations. Utilizes proper body mechanics, lifting devices and assistance from coworkers in performance of Veteran care activities. Reiterates and reinforces teaching and instructions that were previously presented by the RN. Provides care for those Veterans transported to facilities outside of VA Butler Healthcare. Contributes to work area conferences. Completes all mandatory annual training. Work Schedule: rotating tours, weekends and holidays\nTelework: Not Available\nVirtual: This is not a virtual position.\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.