PLEASE READ THIS ANNOUNCEMENT IN ITS ENTIRETY BEFORE BEGINNING THE APPLICATION PROCESS TO ENSURE YOU SUBMIT ALL THE REQUIRED DOCUMENTS. This Job Opportunity Announcement will be used to fill a Nursing Assistant, GS-0621-3/4/5 position in Geriatric and Extended Care Service at the Montana VA Health Care System, Mile City, MT. This is an open and continuous announcement which will remain open until filled. First review will be July 7, 2022, then every 2 weeks thereafter. 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. Basic Life Support (BLS) Certification is required. 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 NA (Entry Level) Experience/Education. None beyond the basic requirements. 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 (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 NA (Full Performance Level (FPL)) 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.; 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 professional KSAs in subparagraph (c) below. 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 [NAs] 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. References: VA Handbook 5005/81 PART II APPENDIX G46 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: 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 incumbent 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 incumbent may occasionally be exposed to patients who are combative secondary to delirium, dementia, or psychiatric disorders. The incumbent must be a mature, flexible, sensible individual capable of working effectively in stressful situations, able to shift priorities based on patient needs. ["GS3: Individuals assigned as GS-3 NAs are at the entry level and are closely supervised\nGS4: Individuals assigned as GS-4 NAs are considered to be at the intermediate or developmental\nlevel and are closely supervised. NAs at this grade level function as a member of the nursing care\nteam and assist higher graded NAs, licensed nursing staff, and other members of the care team in the\ncare of patients/residents receiving outpatient care, home or community living care or other\npatients/residents who are in acute, sub-acute, or chronic states of illness. The significant factor is that\nthey provide care under close supervision and refer issues/questions to supervisors, higher graded NAs\nor other healthcare professionals. In this role, the Nursing Assistant 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 Nursing Assistant in this role provides care under close supervision and refers issues/questions to supervisors, higher graded NAs, or other healthcare professionals.\nGS5: Assist physicians and nurses in the performance of diagnostic examinations by performing duties such as monitoring vital signs, preparing and positioning the patient, or by performing a variety of routine diagnostic tests such as glucometer test for blood glucose level, collection of urine sample, etc.\nAssists physicians and nurses in the care and treatment of veteran patients receiving medical, surgical, or skilled longer-term treatment.\nObserves and reports to the professional nurse changes in patient behavior, attitude, bodily complaints, and appearance.\nObserves patients for any change in condition (deviation in color, pulse, respiration, temperature, and blood pressure) and reports them to the Registered Nurse.\nReports the condition of wounds and skin and any reaction to or results of treatment.\nProvides a full range of patient care to complex patients with a variety of physical and/or behavioral problems including personal nursing care, support duties and treatments.\nUses good communication skills in dealing with patients, some of whom are unusually difficult to care for or communicate with.\nProvides effective action in emergency situations.\nPerforms actions targeted to the maintenance/restoration of skin integrity by assisting nurses with turning patients and cleaning patients as needed.\nAssists nurses, preparing patients for transport to procedures by obtaining oxygen tanks or other needed equipment.\nMaintains a safe/clean work environment and completes assigned environmental duties\nDemonstrates appropriate actions in environmental emergency situations.\nEmploys appropriate lifting/moving, transfer and assistive devices and demonstrates safe and proper body mechanics.\nEnters specific information onto the patients' records using the Computerized Patient Record System\n(CPRS).\nTeaches patients and family members the necessity to continue the procedures for proper health care.\nAssists with specific health teaching, such as reminding diabetic patients of the importance for skin care and following a diet, reinforcing the importance of exercise and diet for the cardiac patients, etc.\nMaintains a safe/clean work environment, ensuring patient privacy\nParticipates in unit-based medical center and organizational in-services and continuing education activities. Work Schedule: Rotating shifts to include days, nights, weekends and holidays\nTelework: Not Available\nVirtual: This is not a virtual position.\nFunctional Statement #: 54114-A, 54115-A, 54116-A\nFinancial Disclosure Report: Not required"]
Providing Health Care for Veterans: The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,255 health care facilities, including 170 medical centers and 1,074 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.