Summary

The NAs function as a member of the nursing care team and assist licensed nursing staff in the care of patients/residents receiving preventive - acute - sub-acute chronic - maintenance - and hospice care. 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.

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
• [Experience or] Education or Training
• (1) [Six months of general experience
• Experience must demonstrate the ability to acquire the knowledge and skills to perform the work of a NA
• OR - (2) One year of education above high school with courses related to the NA occupation
• OR - (3) 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. c
• Physical Requirements
• See VA Directive and Handbook 5019 - Employee Occupational Health Service for requirements
• d
• 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.e
• 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
• Grade Determinations: In addition to the basic requirements for employment - the following criteria must be met when determining the grade of candidates
• GS-3 NA (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 NA (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: i
• Ability to provide a range of patient/resident care and contribute to the completion of the nurse care plan and recovery of patients/residents
• ii
• Ability to observe patients/residents' or resident's physical or emotional status and refer deviations and/or problems to supervisor in a timely manner
• iii 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
• iv Ability to communicate effectively with patients/residents - their families and other health professionals
• (d) Assignment
• i 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
• ii 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 NA (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 KSAs i 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
• ii 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
• iii 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: See VA Directive and Handbook 5019 - Employee Occupational Health Service for requirements

Duties

• The GS-5 nursing assistant is the full performance level
• The expected experience is one year of progressive responsible assignments and experience equivalent to the GS-4 level - which demonstrates knowledge - skills - and abilities that are directly related to the specific NA assignment
• OR education that results in 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 care or possession of a bachelor's degree
• and the candidate must demonstrate the professional KSA's listed below
• 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
• Other Duties Performed - Utilizes glucose monitoring machine to receive glucose readings for veterans refers deviation to appropriate health care staff - Provides direct care for complex veterans - Perform phlebotomy to collect blood samples as ordered
• - Collect stool and urine samples as ordered
• - Perform Point of care test urine pregnancy
• - Perform Electrocardiogram (EKG) for patients with chest pain and other indications as instructed by Registered Nurse
• - Perform inventory of belongings and continuous1 :1 observation for safety of mental health patients
• - Transport patients to and from Emergency Department - Medical Surgical - or Community Living - Center to designated areas per nursing orders
• - Makes observations of subtle changes in resident's condition - i.e
• behavior shifts - mood - skin - coloring - appetite - etc
• and takes action accordingly within the NA's assigned role
• - Documents care given - observations and responses on appropriate tools or forms
• Safety through 1: 1 observation and Line of Sight care - Responds appropriately to subtle patient changes by contacting the appropriate nursing personnel - Administers complete tracheostomy care - including suctioning
• - Monitor and documents patient intake and output reports deviations timely and accurately
• Work Schedule: Monday- Friday 7:45p.m-8:15a.m 12 hour shifts alternating weekends Telework: Not Available Virtual: This is not a virtual position
• Functional Statement #: 000000 Permanent Change of Station (PCS): Not Authorized