The Nursing Assistant provides clinical support for the adult and geriatric Veteran under the direction of the RN and LPN. The Nursing Assistant on the Community Living Center practices and adheres to a high level of respect and knowledge of Veteran rights to protect the vulnerable and frail Veterans. The Nursing Assistant maintains their education and knowledge of abuse, and other care practices specific to the debilitated and geriatric Veterans.

Duties

FUNCTIONS OF ASSIGNED DUTIES: Provides care that offers no evidence or concern of abuse: care is given that demonstrates the Veteran's right to be free from verbal, sexual, physical and mental abuse Ensures the Veteran / resident is wearing the correct identification bracelet Demonstrates a respect and courtesy for the Veteran at all times Performs, and can mentor other CNAs, in activities of daily living by helping Veterans in their physical functioning Demonstrates the need for minimal supervision and proficient skill in promoting independence in daily living activities by following the Veteran's Restorative Plan of Care Independently follows the Restorative Plan of Care and performs range of motion exercises, turning and positioning, ambulation and other routine care procedures Follows the Restorative Plan of Care and performs range of motion exercises, turning and positioning, ambulation and other routine care procedures Performs and can mentor other CNAs in a variety of general nursing duties competently including measurement and accurate recording of vital signs, height, weight, intake and output, smoking safety per Veteran's smoking assessment, cleansing and retention enemas, tube feeding, post mortem care, infection control, isolation, simple treatments such as hot and cold packs, changing clean dressings, and applying external catheters Performs, under the supervision of a Registered Nurse, and when assigned, catheter care, oral -pharyngeal suctioning and tracheostomy suctioning and tracheostomies that are non complicated and at least five days old Uses aseptic technique and changes clean dressings Maintains and monitors oxygen therapy as directed by the RN, assignment or written care plan, to include management and operation of oxygen tanks. Performs assistive cough and deep breathing exercises Applies binders, splints, supportive devices, braces, and other simple devices to aid Veterans in positioning for therapy, applies hot and cold packs, prepares patients for tests, examinations, and treatments. Collects specimens such as urine, specimen and stool, correctly labels specimens for laboratory examinations and assures timely transportation Applies ointments, shampoos, and creams considered medications under the Unlicensed Assistive Personnel and mentors fellow CNAs in performing medication administration per policy Reviews the Veteran's /resident's treatment plan and follows the plan in performing resident care Participates in CLC activity and actions to improve the quality of care for residents/Veterans to include fall intervention and prevention of pressure sores Participates in the nursing care conferences and interdisciplinary team meetings, using knowledge of the Veteran / resident and reports resident / Veteran problems Cleans and maintains equipment independently or at the direction of the RN/LPN. Inspects devises and determines if the device is safe to use, or removes the device, notifies supervisor, and implements the process to have the device repaired Assists with admission, discharge and transfer of patients. Orients the new resident/Veteran to the room and safety features. Provides one-to-one observation as directed for assaultive and ill residents and follows facility policy Assists with labeling, preparing for transport, laundering and distributing resident's personal clothing Initiates Cardio-Pulmonary Resuscitation, Heimlich maneuver for choking, and first aid in accordance with established Medical Center policy and initiates or complies with other emergency procedures Safely and timely escorts Veterans to and from the CLC for appointments and recreational therapy Implements leisure and diversional activities for the Veteran and promotes meaningful use of time that enhanced independence, positive self-esteem and relaxing leisure experiences Performs other assignments designated by the charge nurse Works the schedule assigned Accurately documents treatments and care given to the Veteran/resident in the Veteran/resident's medical record Total-Rewards-of-an-Allied-Health-VA-Career-Brochure.pdf Nursing Assistant - vacareers.va.gov/wp-content/uploads/sites/5/Total-Rewards-of-a-Nursing-Assistant-Career-Flyer.pdf Work Schedule: 6 - 12h shifts (19:30-08:00) and 1 - 8h shift (23:00-08:00) & alternate weekends Recruitment Incentive (Sign-on Bonus): Not Authorized Permanent Change of Station (Relocation Assistance): Not Authorized Telework: Not Available Virtual: This is not a virtual position. Functional Statement #: 000000 Permanent Change of Station (PCS): Not Authorized

Requirements

Qualifications

To qualify for this position, applicants must meet all requirements within 30 days of the closing date of this announcement. 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. 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). Grade Determinations: In addition to the basic requirements for employment, the following criteria must be met when determining the grade of candidates GS-3 NA (Entry Level) Experience and Education. None beyond the basic requirements. (b) Assignments. Individuals assigned as GS-3 NAs are considered to be at the entry level and are closely supervised 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 Demonstrated Knowledge, Skills, and Abilities 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. Assignment Individuals assigned as GS-4 NAs are considered to be at the intermediate or developmental level and are closely supervised. NAs at this grade level function as a member of the nursing care team and assist higher graded NAs, 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 NAs or other health care professionals. In this role, the NA functions as a member of the nursing care team and assists higher graded NAs, 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 NA in this role provides care under close supervision and refers issues/questions to supervisors, higher graded NAs, or other health care 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 Demonstrated 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. Assignment. 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. Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/. 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. Physical Requirements: Heavy lifting, straight pulling; pushing; reaching above shoulder, use of fingers; both hands required; standing; repeated bending; ability to distinguish basic colors; hearing aid; visual acuity 20/30 corrected; mental and emotional stability

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: https://sites.ed.gov/international/recognition-of-foreign-qualifications/.

Contacts

• Address VA Puget Sound Health Care System 1660 South Columbian Way Seattle, WA 98108 US
• Name: Melissa Quilter
• Phone: 360-696-4061 X38599
• Email: [email protected]