Summary

The Nursing Assistant (NA) at James H. Quillen VA Medical Center (JHQVAMC) is assigned to provide care for an adult/geriatric patient population - ranging from the critically/acutely ill patient to the chronically/terminally ill long-term patients - including mental health patients. The incumbent's work area will be in the cardiac telemetry station and telesitter program.

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 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. Physical Requirements
• Heavy lifting (45 lbs
• and over)
• Heavy carrying (45 lbs
• and over)
• Straight pulling (up to 8 hours)
• Pushing (up to 8 hours)
• Reaching above shoulders
• Use of fingers
• both hands required
• walking (up to 8 hours)
• standing (up to 8 hours)
• kneeling (2 to 3 hours)
• repeated bending (up to 8 hours)
• both legs required
• hearing (aid permitted)
• English Language Proficiency: 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)
• Grade Determinations: GS-3 No specialized experience beyond the basic requirements
• GS-4 One year of specialized experience as a Nursing Assistant or experience in another medical field - 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 - 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
• In addition to the above - applicant must demonstrate the following
• Knowledge - Skills and Abilities: 1 Ability to provide a range of patient/resident care and contribute to the completion of the nurse care plan and recovery of patient/residents
• 2 Ability to observe patients/residents physical or emotional status and refer deviations and/or problems to supervisor in a timely manner
• 3 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
• 4 Ability to communicate effectively with patient / residents - their families and other health professionals
• GS- 5 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 assignments -OR- 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
• In addition the above - applicant must demonstrate the following
• Knowledge - Skills and Abilities: 1 Ability to assist in the full range of nursing care to patient/resident 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 nursing assistants 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
• 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: The population of male and female veterans served ranges from the adult - age 18 - to the elderly adult - age 65 and over
• James H Quillen Veterans Affairs Medical Center (JHQVAMC) is a major interdisciplinary teaching facility - serving medical - surgical - and neurological inpatients and outpatients
• There is a large outpatient psychiatric population - with admissions for medical comorbidities
• 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 - lifting more than 10 pounds - and pushing
• Transferring patients and objects may be required
• The NA 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 NA may occasionally be exposed to patients who are combative secondary to delirium - dementia - or psychiatric disorders
• The NA must be a mature - flexible - sensible individual capable of working effectively in stressful situations - able to shift priorities based on patient needs
• The employee may on occasion - be assigned to other Veteran care areas throughout the medical center where certain healthcare services are available 24/7.

Duties

• Nursing Assistant - vacareers.va.gov/wp-content/uploads/sites/5/Total-Rewards-of-a-Nursing-Assistant-Career-Flyer.pdf GS-3: Clinical Nursing Practice: Provide and assist in oral hygiene with suctioning of oral cavity if necessary and denture care
• Change linen of occupied and unoccupied beds
• Assist patients with bedpans and urinals
• Administration: Enters leave in a timely manner - per facility policy
• Initiate and/or actively participate on a unit level quality or process improvement project/initiative with demonstrated outcomes
• Research: Participate in the accurate collection of data as instructed by the Nurse Manager or designee
• Participate in Performance Improvement activities at the unit level
• Education: Carry out teaching activities as assigned and according to pre-established teaching plan
• Reinforce patient education activities
• Reusable Medical Equipment: Be responsible for knowing what reusable instruments - equipment - medical devices or supplies are used (inventory) within assigned area
• Be familiar with which items are reprocessed locally (on unit) and/or which items are sent to sterile processing and/or SPD for reprocessing and/or sterilization
• If items are to be transported for reprocessing - he/she/they must be aware of the initial decontamination steps that must be taken prior to transport of item and the appropriate method of transport
• GS-4: Clinical Nursing Practice: Assists with admission - discharge - and transfer of patients
• Completing duties as assigned and under the supervision and direction of the Registered Nurse (RN) and/or Lead Licensed Practical Nurse (LPN)
• Give bed bath - tub and shower baths - shampoo hair - and assist patients with grooming
• He/She/They will consistently promote patient independence - rehabilitation and restorative nursing as the patient plan of care dictates
• Administration: Review contributions to nursing care and establish goals for personal/professional development with assistance of Nurse Manager or Nursing Education - etc
• Exercise economic use of supplies and apply adequate safeguards to prevent misuse and loss
• Research: Participate in the accurate collection of data as instructed by the Nurse Manager or designee
• Participate in Performance Improvement activities at the unit level
• Education: Receive education related to special knowledge and skills needed to care for the geriatric patient annually at the unit level
• Reusable Medical Equipment: Have documented training in the setup - reprocessing and maintenance of specific equipment
• Validation of competency will be done - minimally - on an annual basis
• Will suspend the reuse of any RME if he/she/they suspect that the device was not properly cleaned - disinfected or sterilized according to the SOP and manufacturer's guidelines
• GS-5 Clinical Nursing Practice: Respond to patient calls for assistance in a timely manner
• Ensure proper identification of patient per policy before administering care
• Administration: Report to the Nurse Manager or designee any failure to comply with established policy or procedure
• Assist with answering the phone conveying timely messages to the appropriate staff - placing calls/pages as needed
• Research: Participate in the accurate collection of data as instructed by the Nurse Manager or designee
• Participate in Performance Improvement activities at the unit level
• Education: Demonstrate accountability for on-going education requirements as required by facility and assigned unit
• Reusable Medical Equipment: Will have an understanding of the importance in reprocessing of RME and the significant impact on our Veteran population through the risk of infectious disease
• Work Schedule: Rotational Pay: Competitive salary and regular salary increases
• When setting pay - a higher step rate of the appropriate grade may be determined after consideration of higher or unique qualifications or special needs of the VA (Above Minimum Rate of the Grade)
• Pay Schedule: V0SO and 001M Paid Time Off: 37-50 days of annual paid time offer per year (13-26 days of annual leave - 13 days of sick leave - 11 paid Federal holidays per year) Parental Leave: After 12 months of employment - up to 12 weeks of paid parental leave in connection with the birth - adoption - or foster care placement of a child
• Child Care Subsidy: After 60 days of employment - full time employees with a total family income below $144 -000 may be eligible for a childcare subsidy up to 25% of total eligible childcare costs for eligible children up to the monthly maximum of $416.66
• Retirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA Insurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement) Telework: Not Available Functional Statement #: 61049-F - 61050-F - 61051-F Permanent Change of Station (PCS): Not Authorized