Nursing Assistant (Intermittent)
The Nursing Assistant assigned in the in-patient care areas demonstrates active collaboration and communication with the Registered Nurse, Patient, Primary Care Provider, and other care team members. It is also imperative that the Nursing Assistant establish a positive rapport with family/caregiver, internal and community based services and disciplines involved in providing care to the patient. The Nursing Assistant assigned in the out-patient care areas demonstrates active collaboration and communication with Team let (Patient, Primary Care Provider, and RN Care Manager ) and Larger Team (family/caregiver, internal and community based services and disciplines involved in providing care to the patient). Duties will include but are not limited to:
Obtain vital signs, documents in CPRS and reports deviations to appropriate Registered Nurse. Obtains Intake and Outputs appropriately (oral intake, IV pump, feeding pump, Foley catheter, urinal, drains, etc.) and reports shift totals/deviations to Registered Nurse. Gathers information about patient condition and communicates to Registered Nurse to develop specific plan of care for patient. Recognizes subtle changes in the patient's condition, behavior and/or comfort. Reports observations and interventions to Registered Nurse. Provides environmental safety, security, infection control and patient privacy. Demonstrates ability to plan and organize assignment independently. Performs and documents Q2 hour rounding/turning. Verbalizes and demonstrates process for obtaining lab specimens, proper labeling and immediate transport. Recognizes and responds to impaired airway notifying Registered Nurse. Provides oxygen as ordered or as RN instructs-using the appropriate equipment. Provides care for & management of patient with chest tubes. Performs 12-Lead ECG with correct lead placement. Verbalizes and demonstrates the process for retrieval and placement of the telemetry unit. Obtains urine output (i.e., bladder scan, I&O documentation, etc.) and reports finding to appropriate Registered Nurse. Provides Foley catheter care each shift, daily or as needed. Verbalizes process in notifying RN regarding changes in patient skin status. Verbalizes rationale when performing Q2 hour rounding/turning requirements. Demonstrates proper hand hygiene prior to and immediately following patient are/contact. Demonstrates ability to locate Hand Hygiene MCM 105-11.Verbalizes and demonstrates caring for patient in Negative Air-Flow or isolation precautions. Verbalizes and demonstrates standard precautions for blood and body fluids. Verbalizes and demonstrates understanding of provide CHG baths and per RN guidelines. Verbalizes and performs blood pick-up process per SOP. Maintains SBAR per Registered Nurse guidelines. Operates patient handling equipment safely, i.e., ceiling lift, floor lift, evacuation equipment, etc. Manage restraints under RN supervision. Manages patient with Suicidal Ideation/Homicidal Ideation- including required documentation. Verbalizes the process of maintaining 1:
1 sitter status and the required documentation for the patient. Performs D-stick and notifies RN with variations in results. Attends Daily Huddles. Work Schedule:
Varied Intermittent Pool; 7:
30am- 8:
00pm OR 7:
30pm -8:
00am Financial Disclosure Report:
Not required 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. 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. 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). Preferred
Experience:
1 Year experience caring for adult/geriatric population Current BLS Hands on experience with all type of equipment To include, lifts, bladder scanners and glucometers. Grade Determinations:
GS-3 Nursing Assistant- (Entry Level) Experience and Education:
None beyond the basic requirements. GS-4 Nursing Assistant
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 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. GS-5 Nursing Assistant (Full Performance Level)
Experience:
One year of progressively responsible assignments and experience equivalent to theGS-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 In addition, the candidate must demonstrate the professional KSAs in 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. References:
VA HANDBOOK 5005/81 PART II Appendix G46 dated March 12, 2015. 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:
The position will require moderate lifting (15-44 pounds), moderate carrying (15-44 pounds), straight pulling (3 hours), pushing (3 hours), reaching above shoulder, use of fingers, repeated bending (1 hour), walking (8 hours), standing (3.5 hours), and kneeling (0.5 hours).
Estimated Salary: $20 to $28 per hour based on qualifications.
Obtain vital signs, documents in CPRS and reports deviations to appropriate Registered Nurse. Obtains Intake and Outputs appropriately (oral intake, IV pump, feeding pump, Foley catheter, urinal, drains, etc.) and reports shift totals/deviations to Registered Nurse. Gathers information about patient condition and communicates to Registered Nurse to develop specific plan of care for patient. Recognizes subtle changes in the patient's condition, behavior and/or comfort. Reports observations and interventions to Registered Nurse. Provides environmental safety, security, infection control and patient privacy. Demonstrates ability to plan and organize assignment independently. Performs and documents Q2 hour rounding/turning. Verbalizes and demonstrates process for obtaining lab specimens, proper labeling and immediate transport. Recognizes and responds to impaired airway notifying Registered Nurse. Provides oxygen as ordered or as RN instructs-using the appropriate equipment. Provides care for & management of patient with chest tubes. Performs 12-Lead ECG with correct lead placement. Verbalizes and demonstrates the process for retrieval and placement of the telemetry unit. Obtains urine output (i.e., bladder scan, I&O documentation, etc.) and reports finding to appropriate Registered Nurse. Provides Foley catheter care each shift, daily or as needed. Verbalizes process in notifying RN regarding changes in patient skin status. Verbalizes rationale when performing Q2 hour rounding/turning requirements. Demonstrates proper hand hygiene prior to and immediately following patient are/contact. Demonstrates ability to locate Hand Hygiene MCM 105-11.Verbalizes and demonstrates caring for patient in Negative Air-Flow or isolation precautions. Verbalizes and demonstrates standard precautions for blood and body fluids. Verbalizes and demonstrates understanding of provide CHG baths and per RN guidelines. Verbalizes and performs blood pick-up process per SOP. Maintains SBAR per Registered Nurse guidelines. Operates patient handling equipment safely, i.e., ceiling lift, floor lift, evacuation equipment, etc. Manage restraints under RN supervision. Manages patient with Suicidal Ideation/Homicidal Ideation- including required documentation. Verbalizes the process of maintaining 1:
1 sitter status and the required documentation for the patient. Performs D-stick and notifies RN with variations in results. Attends Daily Huddles. Work Schedule:
Varied Intermittent Pool; 7:
30am- 8:
00pm OR 7:
30pm -8:
00am Financial Disclosure Report:
Not required 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. 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. 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). Preferred
Experience:
1 Year experience caring for adult/geriatric population Current BLS Hands on experience with all type of equipment To include, lifts, bladder scanners and glucometers. Grade Determinations:
GS-3 Nursing Assistant- (Entry Level) Experience and Education:
None beyond the basic requirements. GS-4 Nursing Assistant
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 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. GS-5 Nursing Assistant (Full Performance Level)
Experience:
One year of progressively responsible assignments and experience equivalent to theGS-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 In addition, the candidate must demonstrate the professional KSAs in 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. References:
VA HANDBOOK 5005/81 PART II Appendix G46 dated March 12, 2015. 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:
The position will require moderate lifting (15-44 pounds), moderate carrying (15-44 pounds), straight pulling (3 hours), pushing (3 hours), reaching above shoulder, use of fingers, repeated bending (1 hour), walking (8 hours), standing (3.5 hours), and kneeling (0.5 hours).
- Department:
0621 Nursing Assistant - Salary Range:
$27,800 to $45,393 per year
Estimated Salary: $20 to $28 per hour based on qualifications.
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