Summary

The Nursing Assistant (Acute Care) provides assistance to licensed nursing staff in the care of Veterans receiving preventive - acute - sub-acute chronic - maintenance in the Acute Care Unit.

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 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 English Language Proficiency
• Nursing Assistant must be proficient in spoken and written English in accordance with VA Handbook 5005 - part II - chapter 3 section A - paragraph 3j May qualify based on being covered by the Grandfathering Provision as described in the VA Qualification Standard for this occupation (only applicable to current VHA employees who are in this occupation and meet the criteria)
• Physical Requirements
• See VA Directive and Handbook 5019 - Employee Occupational Health Service for requirements Preferred Experience: 1-3 years of nursing assistant in experience in Acute Care - Medical/Surgical - Ambulatory Care/Outpatient specialties 1 year of nursing assistant experience in telemetry
• Grade Determinations: GS-03: (Entry Level) Experience and Education
• None beyond the basic requirements
• Assignments
• Individuals assigned as GS-3 are considered to be at entry level and are closely supervised
• GS-04: Experience
• One year of specialized experience as a Nursing Assistant 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
• In addition - the candidate must demonstrate the following KSAs: Ability to provide a range or 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
• Assignments
• Individuals assigned as a GS-4 are considered to be at the intermediate or developmental level and are closely supervised
• Nursing Assistants at this grade level function as a member of the nursing care team and assist higher graded Nursing Assistants - 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 - sun-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 Nursing Assistants or other healthcare professionals
• GS-05: 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 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 In addition - the candidate must demonstrate the following 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 an other personnel
• This includes serving as a preceptor to new Nursing Assistants 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
• Nursing Assistants 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 patient/residents who are in acute - sub acute or chronic state 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
• Nursing Assistants 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

Duties

• The Nursing Assistant (Acute Care) provides assistance in the full range of nursing care to patients/Veterans with physical and/or behavioral problems in a hospital - in the Acute Care Unit under the direction of a Registered Nurse and/or Licensed Vocational Nurse/Licensed Practical Nurse
• The Nursing Assistant (NA) assists the Registered Nurse and/or Licensed Practical Nurse in the provision of patient care by meeting the patient's nursing needs
• In all patient interactions - the nursing assistant respects the integrity and dignity of the individual patient
• Responsibilities and duties include - but not limited to the following: Completes basic technical nursing procedures (in accordance with classroom instruction and correct clinical technical) for providing and monitoring direct patient care typical of the assigned unit
• Also - participates in therapeutic individual and group activities
• observes for changes in mental and/or physical status
• and demonstrates correct interventions to restore or maintain patient welfare and safety
• Measures and documents patient intake and output - takes vital signs - measures height and weight - reports deviations timely and accurately
• Provides nursing care to veterans requiring a 1:1 attendant
• Provides a range of Veteran care and contributes to the completion of the nursing care plan
• Performs direct care for complex Veterans
• assists with ADLs (bathing
• toileting
• ambulation
• feeding
• positioning
• oral hygiene care)
• Assists in transporting/escorting Veterans to appointments - tests etc
• 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
• Provide the proper hand-off communication to the appropriate staff (CNAs - licensed staff - etc.)
• Answer and respond to call bells and phone calls to unit
• Utilizes equipment to promote the veteran self-care - such as lift equipment - transfer equipment - AvaSure Telesitter monitoring - and Veteran Wandering System
• Provides assistance in Acute Care (Medical-Surgical - Float Pool - Emergency Department - etc) Perform other related duties as assigned in Functional Statement
• Work Schedule: 7:45 pm - 8:15am including every other weekend Telework: Not available Virtual: This is not a virtual position
• Functional Statement #: 000000 Relocation/Recruitment Incentives: Not Authorized Financial Disclosure Report: Not required