The incumbent serves as a Nursing Assistant or as a Transportation Assistant/Escort in the Office of Patient Care Services -Nursing Service with the Southern Nevada Medical Center (VASNHS) Las Vegas, Nevada. Incumbent will normally work on the Inpatient Nursing Unit but may be required to work on other units and areas of the facility, including Float Pool, if the need arises. The incumbent reports to the Office of Patient Care Services - Nursing Services through the Associate Chief Nurse 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 [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. Preferred Criteria: Grade Determinations: GS-3 Entry Level Experience and Education. None beyond the basic requirements. GS-4 Experience: One year of specialized experience 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 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. References: VA Handbook 5005/81, Part II, Appendix G46 Nurse Assistant Qualification Standard GS-621, dated March 12, 2015, http://vaww.va.gov/OHRM/Directives-Handbooks/Documents/5005.pdf 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: 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. ["Duties include, but are not limited to: Responsible for performing a wide variety of duties aimed at increasing the comfort and spirit of the patient. Identifies and reports data relative to more complex patient situations including subtle changes in the patient's behavior or condition, or variances related to neurological signs, vital signs, and other parameters. Performs hourly rounding on assigned patients. Monitor's intake and output, vital signs, percent ingestion of meals, and other activities of daily living and documents in appropriate area of the Computerized Patient Record System (CPRS) and/or required paper forms. Assures accuracy and completeness. Assists patients with transfers from bed to chair, or bed to bedside commode using proper body mechanics and/or safe patient handling equipment per policy to ensure safety to self and patient. Provides 1:1 observation for homicidal or suicidal patients, patients who are a danger to themselves or others, or due to a high fall risk as directed by the Nurse Manager, Assistant Nurse Manager, Charge Nurse or designee and documents per policy. Provides and removes patient meal trays as appropriate, remaining cognizant of patients with special diets or who are ordered to not receive anything by mouth. Assists patient with activities of daily living, promoting independence and autonomy. This includes bathing, bowel and bladder care, eating, and positioning for comfort. May provide escort services to patient in the absence of an escort. This includes escorting to other units, diagnostic tests, and to privately owned vehicles when discharged. Takes direction from charge nurse and local policy regarding methods of transfer/escort. Observes and monitors patients and communicates and documents care given during the transportation/escort process. Report's status of patients and changes noted to the registered nurse at escort destination. Continually monitors patient flow, identifies existing and potential problem areas or delays in processing a Veteran's medical care request. Initiates action with the clinical staff to expedite the care and ensures the smooth flow of patient care from reception through disposition. Monitor's environment of care and initiates corrective actions to prevent patient injury, reporting problems and resolution to Nurse Manager, Charge Nurse or designee. Work Schedule: Various Tours Available Telework: Not Available Virtual: This is not a virtual position. Functional Statement #: 00068F Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized Financial Disclosure Report: Not required"]

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