The purpose of the work is to provide nursing assistant care that covers personal care, diagnostic support procedures, treatment procedures, Veteran/resident charting, and teaching. A secondary purpose is to assist with the administrative functions of the unit, communicate with internal and external customers, and assist with Veterans/residents with a variety of concerns, which contributes to the effective functioning of the unit and the overall quality of Veteran/resident care.

Duties

The incumbent will be an employee of the Roseburg VA Healthcare System (RVAHCS) Patient Care Services. The reporting structure is identified on the organizational chart, ultimately reporting to the Associate Chief Nurse Executive- Geriatrics and Extended Care (GEC) through a Nurse Manager, Assistant Nurse Manager, or Program Director. The position is responsible for the nursing assistant duties, including acute and close observation, taking, and documenting vital signs, collecting lab specimens including phlebotomy, passing, and picking up meal trays, tracking and documenting intake and output, assisting with transporting of Veterans/residents, and duties as assigned by the Supervisor or designee. The position requires the ability to work alternate schedules during evenings, nights, weekends, holidays, and may alternate schedules to ensure adequate coverage of support functions. Employee performs assigned duties in a manner that promotes quality health care, outstanding customer service, and the maintenance of an environment committed to serving the Veterans, their families, and internal and external stakeholders. Employee actively supports the team concept and functions as a team player, working collaboratively across service and care lines to accomplish the mission of the facility and service. The incumbent contributes to team initiatives and continuously strives to improve the effectiveness of the team. Employee works effectively with others, recognizing emergency situations, and acts appropriately. The position includes responsibility for coverage of medical support assistant (MSA) duties in the absence of the MSA or during times of high need as determined by the Supervisor or designee. The position includes temporary assignments (floating) during one's scheduled tour of duty in other clinical areas such as Mental Health and Urgent Care, during the times of high need as determined by the Supervisor or designee. The incumbent may be reassigned as necessary to meet the operational needs and mission of the healthcare system. The purpose of the work is to provide nursing assistant care that covers personal care, diagnostic support procedures, treatment procedures, Veteran/resident charting, and limited Veteran/resident teaching. The work contributes to a base of standard nursing care upon which further nursing care may be planned and/or provided by nurses. A secondary purpose is to assist with the administrative functions of the unit, communicate with internal and external customers, and assist with Veterans/residents with a variety of concerns. Timely and accurate performance of these duties relieves the clinical staff from routine administrative tasks and contributes to the effective functioning of the unit and the overall quality of Veteran/resident care. Scope of Work Performs a wide variety of nursing duties aimed at increasing the safety, comfort, and spirit of the Veteran/resident while following established policy and procedures. Provide acute and close observation of Veterans/residents with medical or mental health conditions requiring such observation. This includes intervening to prevent an act of self or other harm by Veterans/residents, assisting with prevention and management of disruptive behaviors, and reporting to the charge nurse any deviation from baseline behavior or condition. The incumbent refers issues/questions to supervisors, higher graded NAs, or other healthcare professionals for complex Veteran/resident situations including subtle changes in Veteran/resident behavior or condition or variances related to neurological signs, vital signs, and other parameters. The incumbent records intake and output, vital signs, percent ingestion of meals, and other activities of daily living and documents appropriately. Incumbent documents in Veterans/residents Electronic Health Record (EHR) a daily outline or summary of the Veteran/resident care using the approved format, including SBAR hand-off and verbally reports findings to higher graded NAs or charge nurse. Incumbent assists Veteran/resident with transfers from bed to chair, chair to bed, or bed to bedside commode using proper body mechanics and safe patient handling and mobility devices to ensure safety to self and Veteran/resident. Incumbent provides 1:1observation for suicidal, wander risk, or high fall risk Veterans/residents as directed by the Supervisor or Charge Nurse. Provides and removes Veteran/resident meal trays as appropriate, remaining cognizant of Veterans/residents with special diets or those who are ordered to not receive anything by mouth. Work Schedule: Three shifts available. Eight hour shifts. 6:00 am- 2:30 pm, 2:00 pm -10:30 pm, 10:00 pm-6:30 am Telework: Not Available, Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Authorized Financial Disclosure Report: Not Required

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. English Language Proficiency: CNAs must be proficient in spoken and written English in accordance with VA Handbook 5005, part II, chapter 3, section A, paragraph 3j. 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 as a nursing assistant may also meet in full the experience requirements for GS-3. Grandfathering Provisions. All Nursing Assistants 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. For employees who do not meet all the basic requirements required in this standard, but who met the qualifications applicable to the position at the time they were appointed to it, the following provisions apply:1. Employees who are appointed on a temporary basis prior to the effective date of the qualification standard may not have their temporary appointment extended or be reappointed, on a temporary or permanent basis, until they fully meet the basic requirements of the standard.2. If an employee who was retained (grandfathered) under this provision leaves the occupation, the employee loses protected status of the grandfathering provision and must meet the full VA qualification standard basic requirements in effect at the time of reentry to 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 (Entry Level) Experience and Education. None beyond the basic requirements. Individuals assigned as GS-3 NAs are at the entry level and are closely supervised. GS-4 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, Education. Successful completion of 2 years above high school in an accredited institution with courses related to nursing care, health career 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 (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. GS-5 (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 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; 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. Demonstrated Knowledge, Skills, and Abilities (KSAs). In addition, the candidate must demonstrate the following 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. The full performance level of this vacancy is 5. The actual grade at which an applicant may be selected for this vacancy is in the range of 3 to 5. Physical Requirements: 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, and pushing. Transferring patients and objects may be required. Mechanical inpatient lifts are provided. The incumbent may be exposed to infected patients and contaminated materials and may be required to don protective clothing in isolation situations. The incumbent may occasionally be exposed to patients who are combative secondary to delirium, dementia, or psychiatric disorders. The incumbent must be a mature, flexible, sensible individual capable of working effectively in stressful situations, able to shift priorities based on patient needs. Must complete Employee Health requirements as a condition of employment. The incumbent who provides care in home settings or other off-site locations may be required to drive and/or ride in GSA-vehicles.

Education

IMPORTANT: A transcript must be submitted with your application if you are basing all or part of your qualifications on education.

Note: Only education or degrees recognized by the U.S. Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment. You can verify your education here: http://ope.ed.gov/accreditation/. If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education. For further information, visit: http://www.ed.gov/about/offices/list/ous/international/usnei/us/edlite-visitus-forrecog.html.

Contacts

• Address Roseburg VA Medical Center 913 Northwest Garden Valley Boulevard Roseburg, OR 97471 US
• Name: Shae Stokes
• Phone: (901) 268-0301
• Email: [email protected]