Nursing Assistant
1. Provides nursing care to patients according to established facility procedures adhering to all VA and nursing policies, procedures, standards and protocol. Nursing care includes, but is not limited to:
a) Personal Hygiene - assists with bathing, oral hygiene, denture care, shaving and grooming. b) Positioning and Activity - positions Veterans using principles of body mechanics and proper lifting and positioning device. c) Nutrition and Fluids - assists Veterans at meal time following safety factors, uses adaptive equipment as indicated, manages tube feedings and care of tube per facility policy, measures and records intake and output as indicated. d) Elimination - assists Veterans with bowel and bladder elimination as indicated, collects specimens as ordered, measures and records output as indicated, manages urinary drainage devices as directed per facility policy, performs bladder scans per facility policy. e) Respiratory - positions Veterans to promote breathing and maintain open airway, assists with set up and administration of oxygen therapy as ordered, performs oral suctioning as ordered. f) Skin - observes, maintains and promotes skin integrity by following evidence-based practice guidelines, facility policies, procedures and protocols. g) Support - interacts with Veteran's family members in a kind and caring manner especially during end-of-life, assists with care of body after death. h) Data Collection - obtains records and reports vital signs and measurements which include temperature, pulse, respirations, blood pressure, height, weight, pulse oximetry and pain. (provides input to the RN Charge Nurse). i) Communication - reports significant changes or concerns in the patient's physical or psychosocial condition to the RN/Charge Nurse. Reports and documents. 2. Demonstrates a beginning ability to identify and prioritize resident care needs. 3. Gathers data and provides input to RN Charge Nurse. Preferred Experience in a long-term setting and BLS certification. Work Schedule:
Evenings - 2:
30 PM - 11:
00 PM, with rotating weekends and holidays 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:
Nursing Assistants 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:
Experience in a long-term setting and BLS certification. Grade Determinations:
GS-3
Experience:
None beyond the basic requirements. 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 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 (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
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. References:
VA Handbook 5005 Part II, Chapter 3, Appendix G-46. This can be found in the local Human Resource Office. 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 population of male and female Veterans served range from the adult, age 18, to the elderly adult; age 65 and over. St. Cloud VAHCS is an interdisciplinary facility, offering medical, surgical, and mental health inpatient services. Comprehensive health care is provided through primary care, tertiary care, and long-term care in the areas of medicine, surgery, psychiatry, physical medicine and rehabilitation, neurology, oncology, geriatrics, and transitional care. 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 Veterans and objects may be required. The Nursing Assistant may be exposed to infected Veterans and contaminated materials, and may be required to don protective clothing in isolation situations or operative/invasive procedures. The Nursing Assistant may occasionally be exposed to Veterans who are combative secondary to delirium, dementia, or psychiatric disorders. The Nursing Assistant must be a mature, flexible, sensible individual capable of working effectively in stressful situations, able to shift priorities based on Veteran needs.
Estimated Salary: $20 to $28 per hour based on qualifications.
a) Personal Hygiene - assists with bathing, oral hygiene, denture care, shaving and grooming. b) Positioning and Activity - positions Veterans using principles of body mechanics and proper lifting and positioning device. c) Nutrition and Fluids - assists Veterans at meal time following safety factors, uses adaptive equipment as indicated, manages tube feedings and care of tube per facility policy, measures and records intake and output as indicated. d) Elimination - assists Veterans with bowel and bladder elimination as indicated, collects specimens as ordered, measures and records output as indicated, manages urinary drainage devices as directed per facility policy, performs bladder scans per facility policy. e) Respiratory - positions Veterans to promote breathing and maintain open airway, assists with set up and administration of oxygen therapy as ordered, performs oral suctioning as ordered. f) Skin - observes, maintains and promotes skin integrity by following evidence-based practice guidelines, facility policies, procedures and protocols. g) Support - interacts with Veteran's family members in a kind and caring manner especially during end-of-life, assists with care of body after death. h) Data Collection - obtains records and reports vital signs and measurements which include temperature, pulse, respirations, blood pressure, height, weight, pulse oximetry and pain. (provides input to the RN Charge Nurse). i) Communication - reports significant changes or concerns in the patient's physical or psychosocial condition to the RN/Charge Nurse. Reports and documents. 2. Demonstrates a beginning ability to identify and prioritize resident care needs. 3. Gathers data and provides input to RN Charge Nurse. Preferred Experience in a long-term setting and BLS certification. Work Schedule:
Evenings - 2:
30 PM - 11:
00 PM, with rotating weekends and holidays 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:
Nursing Assistants 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:
Experience in a long-term setting and BLS certification. Grade Determinations:
GS-3
Experience:
None beyond the basic requirements. 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 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 (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
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. References:
VA Handbook 5005 Part II, Chapter 3, Appendix G-46. This can be found in the local Human Resource Office. 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 population of male and female Veterans served range from the adult, age 18, to the elderly adult; age 65 and over. St. Cloud VAHCS is an interdisciplinary facility, offering medical, surgical, and mental health inpatient services. Comprehensive health care is provided through primary care, tertiary care, and long-term care in the areas of medicine, surgery, psychiatry, physical medicine and rehabilitation, neurology, oncology, geriatrics, and transitional care. 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 Veterans and objects may be required. The Nursing Assistant may be exposed to infected Veterans and contaminated materials, and may be required to don protective clothing in isolation situations or operative/invasive procedures. The Nursing Assistant may occasionally be exposed to Veterans who are combative secondary to delirium, dementia, or psychiatric disorders. The Nursing Assistant must be a mature, flexible, sensible individual capable of working effectively in stressful situations, able to shift priorities based on Veteran needs.
- Department:
0621 Nursing Assistant - Salary Range:
$29,888 to $48,803 per year
Estimated Salary: $20 to $28 per hour based on qualifications.
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