Nursing Assistant - Acute Care

Summary

The Acute Care Nursing Assistant assists licensed nursing staff in the care of patients/residents receiving preventive - acute - sub-acute - chronic - maintenance - residential and hospice care. The NA is accountable for adhering to established policies - procedures - standards of care and standards of practice and for maintaining competencies consistence with role and responsibilities.

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
• 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)
• 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
• 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: GS-3 Experience: None beyond the basic requirements above
• GS-4 Experience/Education: In this role - the Nursing Assistant functions as a member of the nursing care team and assists higher graded Nursing Assistants - 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 Nursing Assistant in this role provides care under close supervision and refers issues/questions to supervisors - higher graded Nursing Assistants - or other healthcare professionals
• Experience: One year of specialized experience as a Nursing Assistant 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: 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: 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
• Preferred Experience: GS 05 Reference: For more information on this qualification standard - please visit https://www.va.gov/ohrm/QualificationStandards/
• 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
• The NA may be exposed to infected patients and contaminated materials and may be required to don protective clothing in isolation situations or operative/ invasive procedures
• The NA may occasionally be exposed to patients who are combative secondary to delirium - dementia - or psychiatric disorders
• The NA must be a mature - flexible - sensible individual capable of working effectively in stressful situations - able to shift priorities based on patient needs
• The NA must be willing to complete annual employee health requirements - such as annual TB screening or testing - as a condition of employment.

Duties

• The Nursing Assistant assists licensed nursing staff in the care of patients/residents receiving preventive - acute - sub-acute - chronic - maintenance - residential and hospice care
• The Nurse Assistant is accountable for adhering to established policies - procedures - standards of care and standards of practice and for maintaining competencies consistence with role and responsibilities
• The CNA performs complex age specific nursing care for adult and geriatric patients with a variety of physical - mental - behavioral or psychological needs
• The Nursing Assistant continues to provide care under supervision of a RN - are learning to perform complex nursing skills - and will refer issues/ questions to supervisors - higher graded NAs - licensed nursing staff or other healthcare professionals
• Nursing Assistants hired to positions on 3N are required to take the ECG Rhythm Interpretation course - successfully pass the final exam - and orient to telemetry monitoring within 9 months of hire
• ASSIGNED DUTIES FUNCTIONS AND RESPONSIBLITIES The Nursing Assistant provides direct patient care for complex veterans as well as utilizing glucose monitoring machine to receive glucose readings for veterans refers deviation to appropriate health care staff
• The Nursing Assistant makes observations of subtle changes in resident's condition - i.e
• behavior shifts - mood - skin coloring - appetite - etc
• and takes action accordingly within the NA's assigned role
• The Nursing Assistant documents care given - observations and responses on appropriate tools or forms
• Responds appropriately to subtle patient changes by contacting the appropriate nursing personnel
• Monitor and documents patient intake and output reports deviations timely and accurately
• The Nursing Assistant performs nursing procedures within scope of practice and according to policies and standard procedures to care for the veteran for such procedures but not limited to: enemas - colostomy care - skin care simple dressing - application of braces and prosthetic devices
• The Nursing Assistant works on small group activities with veterans/residents according to the patients/resident treatment plan
• The Nursing Assistant recognizes the residents' autonomy and promotes independence by means of respect - limit setting and individualized treatment
• and actively participates in Treatment Planning Meetings
• The Nursing Assistant utilizes equipment to promote the veteran self-care - such as
• lift equipment - Hydro sound Tubs - and Veteran/Resident Wandering System
• The Nursing Assistant verbally provides patient information to the treatment team for inclusion in the veteran/residents' plan of care - participates in treatment team meetings for resident care planning
• The Nursing Assistant enters information about the residents' condition in the chart - utilizing appropriate formats
• Participates in maintaining a clean - safe environment for the patient/resident
• And removes defective equipment - reports hazards - observes safety regulations - contributes to infection control - and utilizes proper aseptic technique in performance of duties
• The Nursing Assistant serves as the unit safe patient handling liaison
• The Nursing Assistant serves as preceptor and mentor to other NA's - The Nursing Assistant orients members of the health care team to the units as appropriate
• The Nursing Assistant functions as a member of the unit base counsel
• The Nursing Assistant manages distributed patient behavior and by appropriately intervenes and request assistant from other health care members
• The Nursing Assistant appropriately initiates basic life support - takes actions appropriate action
• Work Schedule: Night Shift 7:30PM-8:00AM Compressed/Flexible: Per Agency Policy 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