The Nursing Assistant position is located in the 3B Medical/Telemetry Unit within the Acute Care Service Line at the Northern Arizona VA Health Care System. The Nursing Assistant functions are to perform personal care to patients and standardized procedures. In addition, the Nursing Assistant performs personal nursing care according to individual patient needs.

Duties

The duties of the position include but are not limited to: Personal Patient Care. Performs a wide variety of duties aimed at increasing the comfort and spirit of the patient. These duties include: feeding, bathing, shaving, toileting, lifting and turning/repositioning patients, and providing oral, hair, fingernail and related hygiene care (i.e., peri and Foley care and linen changes). Provides personal care based on the needs of the patient. Supportive Duties for Diagnostic Services. Performs a range of diagnostic supportive duties that include taking and recording temperatures, pulses, respirations, blood pressures, and finger sticks; reports any deviation from normal to the RN. Weighs, and measures patient's height. Assists physicians and providers with diagnostic examinations by positioning and supporting patients. Measures and records intake and output. Observes and reports unusual indications such as pressure areas of the skin, blood in the sputum, urine, stool, emesis, etc. Is aware of changes in patient's condition such as inattention, dyspnea, cyanosis and anxiety, and reports and documents these observations. Assists with Technical Nursing Treatments. Performs more extensive standardized procedures that require knowledge and consideration of specific patient conditions and treatments including oral suctioning, caring for patients in isolation, setting up and applying oxygen; observes and reports observations of patient in traction. Applies external catheters, routine bowel care, hot and cold packs, non-sterile dressing changes. Monitors NG/PEG tube feeding, is knowledgeable of potential complications and notifies the nurse appropriately. Able to initiate CPR and the Heimlich maneuver appropriately in emergency situations. Observes and reports to the registered nurse changes in patient's behavior, attitude, bodily complaints, mentation and/or appearance. Perform oral suctioning using Yank Auer tip. Maintains, observes and reports status of ostomy sites. Enters Information onto the Patient's Electronic Medical Record. Documents patient information and teaching in the appropriate CPRS progress note. Documents treatments on the treatment sheets. Documents vital signs and weights in the computer. Verbally provides information to the registered nurse regarding the patient's condition and requests as needed and at the end-of-tour. Orients patients on admission and completes appropriate documentation. Others Duties. Instructs patients' in various procedures and treatments such as catheter care, enemas, etc., reinforcing the information previously given by the registered nurse. Reinforces instruction on x-ray and laboratory preps. Reinforces rehabilitation instructions such as transfers, ambulation, and crutch-walking and active exercises. Instruct family members in passive exercises and other procedures as appropriate. Work Schedule: This position potentially requires flexibility in schedule and assignments, as this is a 24/7 hospital. Some positions require rotation of tours or indefinite work on non-administrative tours as established by the immediate supervisor. Not all duties may be listed, so other duties may be assigned. Telework: Not available. Virtual: This is not a virtual position. Functional Statement #: 000000. 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. Education or Training. The candidate must have 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. Nursing Assistants appointed to direct patient-care positions must be proficient in spoken and written English as required by 38 U.S.C. 7402(d), and 7407(d) Grade Determinations: GS-3 (Entry Level). There is no additional experience or education requirements beyond the basic requirements (as listed above). GS-4 Experience/Education: 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 demonstrate the following KSAs: Ability to provide a range of patient/resident care and contribute to the completion of the nurse care plan and recovery of patients/residents. Ability to observe patients/residents' or resident's physical or emotional status and refer deviations and/or problems to supervisor in a timely manner. 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. Ability to communicate effectively with patients/residents, their families and other health professionals. GS-5 Experience/Education: This is the full performance level for Nursing Assistants. Nursing Assistants 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. Nursing Assistants at this level also assume more of a peer education/mentorship role. 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 Demonstrated Knowledge, Skills, and Abilities (KSAs). In addition, the candidate must demonstrate the following KSAs: 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. 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. 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. Grandfathering Provisions. All Nursing Assistants employed in VHA as of March 12, 2015 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: 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. 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. 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. References: VA Handbook 5005 Part II Appendix G46, Nursing Assistant Qualification Standard. Physical Requirements: Work requires walking, standing, stooping, lifting, bending, pushing, turning, and at times carrying heavy loads. Must be able to utilize good body mechanics and have stamina to withstand stress.

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 Bob Stump VA Medical Center 500 Highway 89 North Prescott, AZ 86313 US
• Name: Rose Buckle
• Phone: 928-445-4860 X4809
• Email: [email protected]