The Nursing Assistant assigned to the Community Living Center (CLC) provides safe and individualized resident care to complex, frail and mostly elderly residents who are chronically ill in a home environment. If you are not a permanent, current federal employee, apply to CBST-12121459-23-DW

Duties

Duties include but are not limited to: Performs/assist with resident's Activities of Daily Living (ADL) as per the resident's required level of assistance including functional mobility, transfers, personal hygiene, grooming, bathing, toileting, dressing, transfers, ambulation and feeding. Ensures/verifies meal consumption for each resident by either asking resident about his/her food intake including food brought from off premises, verbal prompting to encourage resident to eat, physically guiding resident or feeding residents that require full physical assistance. Utilizes adaptive feeding equipment. Adheres to dysphagia and aspiration precautions. Ensures/verifies consumption of snacks and supplements. Performs hydration rounds including residents with enteral tubes to avoid dehydration and other medical complications. Performs, assist or cues for appropriate dental mouth hygiene and understands the correlation between mouth care and pneumonia. Utilizes "Mouth Care without a Battle" techniques as established. Performs, assist or cues in resident bath including hair and complete body. Bed bath with wipes is performed in between showers. Perianal care is provided as needed to ensure resident is clean and dry. Utilizes "Bathing Without a Battle" (BWB) techniques, as needed. Monitors for need of tracheostomy care and notifies RN or LPN to perform procedure. Assures oxygen therapy is connected as per order. Positions resident to promote breathing and to maintain airway. Assists patients with incentive spirometry. Performs bowel care effectively according to the resident bowel care program to avoid bowel accidents, constipation, and autonomy dysreflexia. Monitors for signs and symptoms of constipation including bowel movement patterns. Implements nursing interventions to prevent Urinary Tract Infections (UTI) including Catheter Associated Urinary Tract Infections (CAUTI). Always maintains urinary drainage bags covered, fixed, below bladder level and less than half full. Implements skin and wound care program interventions as per policy Assists residents out of bed at least 2 hours daily or according to the resident's person-centered care plan. Ensures/encourages residents to be out of bed/room in civilian clothing. Uses principles of body mechanics and utilizes safe resident handling and management techniques. Enhances and/or maintains resident's dignity by maintaining feet/hand nails trimmed and clean. Ensures to notify RN when toenails need care by a specialized service. Performs other related duties as assigned. Work Schedule: Rotation of shifts/subject to change based on facility needs Telework: Not Available Virtual: This is not a virtual position. Functional Statement #: 00193F/00194F/00195F Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not 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: Citizenship. Citizen of the United States. (Non-citizens may be appointed when it is not possible to recruit qualified citizens in accordance with chapter 3, section A, paragraph 3g, this part.) 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. 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. 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: GS-3 NA (Entry Level) Experience and Education. None beyond the basic requirements. GS-4 NA 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 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 NA (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; AND 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. Preferred Experience: 3-5 years of current Nursing Assistant Experience; 1-2 years of Nursing Assistant experience in a long term/skilled nursing care facility; Competent in aiding with Activities of Daily Living (ADL) and Range of Motion (ROM); Nursing Assistant Certification highly preferred; Communicates effective with clients, peers, and other health care professionals; plan, organize and complete assignments within the scheduled shift; Experience with infection prevention procedures, safety procedures and long-term care regulations. References: VA Handbook 5005/81 Part II Appendix G46 The full performance level of this vacancy is GS5. The actual grade at which an applicant may be selected for this vacancy is in the range of GS3 to GS5. Physical Requirements: Heavy lifting, 45 pounds and over; Heavy carrying, 45 pounds and over; Pushing; Reaching above shoulder; Use of fingers; Both hands required; Walking; Standing; Repeated Bending; Climbing, legs only; Both legs required; Ability for rapid mental and muscular coordination simultaneously; Near vision correctable at 13" to 16" to Jaeger 1 to 4; Far vision correctable in one eye to 20/20 and to 20/40 in the other; Both eyes required; Depth perception; Ability to distinguish basic colors; Ability to distinguish shades of colors; Hearing (aid may be permitted)

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 GV Sonny Montgomery VAMC 1500 East Woodrow Wilson Drive Jackson, MS 39216 US
• Name: Danielle Warren
• Phone: 479-443-4301 X65188
• Email: [email protected]