This is an Open Continuous Announcement. James A Haley has multiple nursing assistant vacancies. These Nursing Assistant positions are located at the James A Haley VA and provides direct patient care activities under the supervision of a Registered Nurse (RN). Areas hiring Spinal Cord Injury, Acute Care, Community Living Center, Polytrauma/Rehab, Peri operations, Mental Health, and other areas as applicable. 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. 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. 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. 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 Grade Determinations:(a) 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 Grade Determinations: (a) 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, (b) 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 (transcripts required); AND (c) 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. (d) 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 healthcare professionals. 2. 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. GS-5 Grade Determinations: (a) 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, (b) 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 (transcripts required); AND (c) Demonstrated 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 [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. (d) 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. Preferred Experience: Nursing Assistant License Minimum of 2-3 years experience in applied specialty Experience in utilizing dependability, self direction, critical thinking and problem-solving skills Experience utilizing skills adapting and being flexible References: VA Directive and Handbook 5005/81, Part II, Appendix G46; Nursing Assistant Qualification Standard, dated March 12, 2015. 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 incumbent must be physically and mentally able to perform the essential functions of the position without hazard to themselves or others. 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. The incumbent must be able to navigate all areas of the facility. This position potentially requires flexibility in schedule and assignments, as this is a 24/7 Medical Center. ["THIS ANNOUNCEMENT IS OPEN TO THE PUBLIC, CURRENT PERMANENT VA EMPLOYEES SHOULD APPLY UNDER THE ANNOUNCEMENT CBTC-11909468-23-RM This is an OPEN CONTINUOUS ANNOUNCEMENT and it will remain open until 06-30-2023. The initial cut-off date for referral of eligible applications will be 04/21/2023. Eligible applications received after this date will be referred at regular intervals or as additional vacancies occur, as-needed until positions are filled. Applications will expire after 3 months, you will be required to update the application to continue to be considered. The Nursing Assistant provides nursing care to a variety of patients/residents of ages across the adult continuum to meet personal hygiene needs such as bathing, lifting, turning and feeding; administering tube feeding via feeding pump to include changing administration sets, all the while explain procedures to patient/and or family. The NA provides nursing care, performs clinical procedures according to specialty, technical procedures and ancillary services for complex patient. The NA performs a variety of personal care or nursing care activities. Acute care (4S, 4N, 5N, 5S, 5W, 6S, 7N) service at the James A Haley Veterans Hospital and Clinics offers specialized care to our veterans. These services are provided with guidance and organizational structure of the acute care service to include five medical/surgical floors, Progressive Care unit, and three intensive care units. Acute Care (Tele) Responsible for the more complex personal patient care duties, supporting diagnostic procedures, technical nursing treatments, patient charting, and patient instruction which involves direct work relationships with patients and participation as a member of the nursing care team in direct services to patients. GEC (CLC-C, CLC-D, Hospice) Community Living Center at the James A Haley VA offers special in-patient care to its veteran population. Patients receive preventative, acute, sub-acute chronic, maintenance and hospice care. Mental Health (ARC-1, ARC-2, Dom) The nursing assistant will be assigned to the Inpatient Psychiatry/Behavioral Health Unit. These unit care for patients with a variety of mental health issues including but not limited to thought, mood, PTSD, self-harm, and addiction. The Domiciliary Residential Rehabilitation (DOM) is residential rehabilitation program focusing on physical, mental, social, rehabilitative, & vocational services. Periop (OR, APU, PACU) Perioperative Service offers specialized inpatient and outpatient care to its veteran population. These services include Ambulatory Surgical, GI, GU, OR, CCL, IR, and PACU. Polytrauma Rehab (Rehab, Polytrauma, Poly Resource) The Rehabilitation Nursing Service Nursing Assistant (NA) is a key member of the nursing and rehabilitation treatment team. The role of the NA is to provide basic patient care that supports patient's activities of daily living, hygiene, and nutrition as well as those tasks that support professional nursing. In addition, the NA will also assist, as assigned, in observation of stable post-operative patients and complex medical patients requiring additional observation. The nursing assistant could service in polytrauma, comprehensive rehabilitation or float between. Spinal Cord Injury (SCI-B, SCI-D, SCI-DR, SCI-E, SCI-F, SCI-FV, SCI Resource) Inpatient services include acute rehabilitation, sustaining medical and surgical care, respite care, end of life care, and long term care. Services within this area include psychology and social work services, physical therapy, occupational therapy, recreation therapy, nutritional and pharmacy services. Patient Sitter Resource Pool This nursing assistant is a member of the nursing care team and assists licensed personnel in the care of patients/residents receiving preventative, acute, subacute chronic, maintenance, and hospice care. The distinguishing factor is that the patient/resident assignments typically involve more complex nursing needs, which can vary within a range of predictable to unpredictable requirements. Surge The surge unit functions as a pull system where the NA supports throughput by pulling the patient from the ED, providing patient transport to the location of care, testing, and the inpatient unit. Major Nursing Assistant duties include, but are not limited to: Assists or provides patients with personal hygiene, i.e., bathing, shaving, teeth brushing, nail care, hair combing, etc. Provides patients with the appropriate level of assistance with activities of daily living, bathing, dressing, transferring, ambulating, feeding, and toileting. Obtains blood pressure, pulse, respiration, and blood glucose (finger stick) and records them appropriately in the medical record. Work Schedule: Multiple Tours-based on the needs of the service; Flexibility in the schedule is required to ensure adequate coverage for the service. Telework: Not Available Financial Disclosure Report: Not required"]

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