Summary

Escorts patients (ambulatory - wheelchair or gurney) within the health care system. Communicates with and observes patients during escorting procedures and takes appropriate action to ensure patient safety. Provides nursing care to chronically and/or acutely ill patients under the minimal direction of the Registered Nurse - Nurse Practitioner - and/or the physician. Provides support to perioperative department. Provides nursing care in the outpatient setting - promoting wellness and prevention.

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:

• 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
• Citizenship
• Citizen of the United States
• (Non-citizens may be appointed when it is not possible to recruit qualified citizens in accordance with chapter 3 - section A - paragraph 3g - this part
• Grandfathering Provisions
• All NAs 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
• FORMER VA HANDBOOK 5005 REFERENCE: Part II Appendix G46 EFFECTIVE DATE: May 22 - 2024 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 re-entry to the occupation
• [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
• In addition to the basic requirements for employment - the following criteria must be met when determining the grade of candidates
• GS-3 - (Entry Level) Experience and Education
• None beyond the basic requirements
• Assignments
• Individuals assigned as GS-3 NAs are considered to be at the entry level and are closely supervised
• 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
• 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 health care professionals
• In this role - the NA 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 NA in this role provides care under close supervision and refers issues/questions to supervisors - higher graded NAs - or other health care 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 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
• 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-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: ???????See VA Directive and Handbook 5019 - Employee Occupational Health Service for requirements.

Duties

• Duties Major duties include - but are not limited to: Collecting Specimens: sputum - urine (routine & sterile) - feces - and others as directed by team lead for storage and delivery to lab according to unit standard
• Notify nurse of change in patient's condition and/or hazardous environments
• including Vital Signs - physical or behavioral Signs & Symptoms - psychosocial - supply and/or equipment issues
• Under the guidance of the nurse or provider - prepares and positions the patient and arranges and passes medical supplies and materials to the providers or nurses for a variety of diagnostic tests
• Activities of Daily Living: bathing - feeding - oral care - hair care and other personal hygiene duties and range of motion activities
• Applies ointments - creams - shampoos - solutions - etc
• per facility policy
• Assists with bladder and bowel care - documents output and reinforces patient education
• Actively participate in pressure ulcer prevention per facility/unit protocol
• Work Schedule: Monday - Friday 0700-1530 Telework: Not Available Virtual: This is not a virtual position
• Functional Statement #: 08191F - 08192F - 08193F Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized