This position is located at the Durham VA Medical Center, Durham, NC. The Nursing Assistant (NA) is assigned to the Medical, Surgical, CLC, Hospice, Psychiatry Unit, or Emergency Room. The employee provides routine nursing care and standard procedures on a regular and continuing basis. The incumbent must complete a competency-based orientation and Annual Mandatory Review. Basic Requirements: U.S. citizenship. Non-citizens may 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 NA occupation. Completion of an intensive, specialized, occupation-related course of study of less than one year which resulted in attaining certification as a nursing assistant may also meet in full the experience requirements for GS-3. 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. GRADE DETERMINATIONS: GS-3 Nursing Assistant (Entry Level) (a) Experience, Education and Certification. None beyond the basic requirements. (b) Assignments. Individuals assigned as GS-3 CNAs are considered to be at the entry level and are closely supervised. GS-4 Nursing Assistant (a) Experience. One year of specialized experience as a CNA 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: 1. Ability to provide a range of patient/resident care and contribute to the completion of the nurse care plan and recovery of patients/residents. 2. Ability to observe patients/residents' or resident's 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 patients/residents, their families and other health professionals. (d) Assignment 1. Individuals assigned as GS-4 CNAs are considered to be at the intermediate or developmental level and are closely supervised. CNAs at this grade level function as a member of the nursing care team and assist higher graded CNAs, 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 CNAs or other healthcare professionals. 2. In this role, the Nursing Assistant functions as a member of the nursing care team and assists higher graded CNAs, 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 Nursing Assistant in this role provides care under close supervision and refers issues/questions to supervisors, higher graded CNAs, or other healthcare professionals. GS-5: Nursing Assistant (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 the KSAs in subparagraph (c) below: (c) Demonstrated Knowledge, Skills and Abilities (KSAs): 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. 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. Physical Requirements: Duties require extensive periods of standing and walking. Working with patients requires bending, lifting, stooping, stretching, pulling, and other similar activities. The use of correct body mechanics is required. References: VA Handbook 5005 Part II Appendix G46. 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. ["These duties may include but are not limited to:\na. Routinely assumes and completes assignments for a variety of patients with diverse nursing care needs; provides care in a timely manner, demonstrating initiative and independence.\nb. Accurately performs a full range of nursing procedures utilizing appropriate and safe techniques.\nc. Routinely delivers complete and comprehensive care to meet the needs of activities of daily living (eating, bathing, dressing, toileting, transferring, etc.)\nd. Uses the appropriate technique when providing care to patients/residents with Delirium, Dementia, or mental health related behavior (such as approach, distraction, re-direction, limit setting, etc.)\ne. Performs procedures timely, accurately and thoroughly, such as obtaining vital signs, weights, blood sugar checks, dressing changes, bladder scan, tube feedings, suctioning, skin checks, delivery of meal trays, etc.\nf. Maintains the patient bedside space in a neat, clean, safe, stocked and orderly manner. Uses supplies and equipment in an appropriate and cost-effective manner. Reports broken equipment to Charge Nurse.\ng. Provides a thorough hand off report to oncoming staff to assure continuity of care. Introduces oncoming staff to the patient Updates white board during bedside report with name, date/day and Cisco extension number. Work Schedule: Determined by supervisor based on organizational needs\nPosition Title/Functional Statement #:Nursing Assistant (Multiple Areas)/PD00000\nFinancial Disclosure Report: Not required"]
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