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Veterans Affairs, Veterans Health Administration Nursing Assistant- Community Living Center in Des Moines, Iowa

Summary The Nursing Assistant (NA) provides direct patient care to patients requiring nursing care and observation on a regular and ongoing basis in an inpatient, CLC and/or outpatient setting. Under the supervision of a Registered Nurse, Licensed Practical Nurse, or providers, the NA is accountable for adhering to the standards of care, standards of practice and maintaining competencies with role and responsibility, while adhering to VACIHCS policies and procedures. Responsibilities The Medical/Surgical Nursing Assistant receives a basic training in performing certain patient care duties. They are assigned on a regular basis to a patient ward and work a rotating tour of duty following formal classroom instruction and demonstration of competency in the nursing assistant duties, along with a few specific healthcare tech duties. Under carefully planned and controlled conditions in the clinical area, they perform the following relatively simple and repetitive tasks, which require elementary knowledge of patient or nursing care procedures, but is also trained to recognize emergent situations and take necessary action. Major Duties: Gives and assists with all types of cleansing baths and shampoos. Gives skin care to prevent complications and promote healing. Gives and assists with oral care and hygiene, including denture care. Assists with the use of bedpans and urinals. Applies external catheters and maintains patency or drainage. Assists with bowel and bladder training. Assists in providing ostomy care for established and uncomplicated ostomies under the direction of the RN. Maintains correct body positions. Turns patients as required using all types of supporting and comfort devices. Assists or provides patient transfers, activities, e.g. ambulation, litter, and or wheelchair to bed. Escorts patients to tests as needed. Assists with assembling equipment for sterile procedures, administration of oxygen, and vacuum/suction setĀ­up under the direction of the RN. Meets the need for safe therapeutic environment by employing principals of medical asepsis, maintaining ward cleanliness by daily cleaning of patient unit and areas. Demonstrates recognition of cognitive, physical, emotional, and chronological maturation of adult and geriatric patient's needs and possesses an understanding of how to compensate for these changes. Takes and records temperatures, blood pressure, pulse, 02 saturation, pain, height, and weight. May also obtain and record vitals on patients requiring more than routine vital signs of the immediate post-op patient and patients who have uncomplicated special diagnostic procedures (i.e.: cardiac catheterization, post angiography, para and thoracentesis, post pacer placement, etc.) Additional Pay: Shift Differential - 10% of basic pay for work performed during regularly scheduled hours between 6pm and 6am. Weekend Premium - 25% of basic pay for work performed between the hours of midnight Friday and midnight Sunday. This includes continuous service connected to work performed during these hours. Holiday Pay - 2 times basic hourly rate for regularly scheduled, non-overtime work on a designated holiday. Work Schedule: Sunday-Saturday, rotating weekends/ holidays. Day, evening, and night shift available. 8 or 12 hour shifts available. Day Shift: 7:30am-8:00pm & 7:30am-4:00pm, Evening Shift: 11:30am -midnight and 3:30pm-midnight, Night shift: 11:30pm - 8am and 7:30pm -8:00am Preferred Experience: Long Term Care, Dementia, and Restorative and Rehabilitation experience Compressed/Flexible: Available Recruitment Incentive (Sign-on Bonus): Not Authorized Pay: Competitive salary and regular salary increases When setting pay, a higher step rate of the appropriate grade may be determined after consideration of existing pay, higher or unique qualifications, or special needs of the VA (Above Minimum Rate of the Grade). Paid Time Off: 37-50 days of annual paid time offer per year (13-26 days of annual leave, 13 days of sick leave, 11 paid Federal holidays per year) Selected applicants may qualify for credit toward annual leave accrual, based on prior [work experience] or military service experience. Parental Leave: After 12 months of employment, up to 12 weeks of paid parental leave in connection with the birth, adoption, or foster care placement of a child. Child Care Subsidy: After 60 days of employment, full time employees with a total family income below $144,000 may be eligible for a childcare subsidy up to 25% of total eligible childcare costs for eligible children up to the monthly maximum of $416.66. Retirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA Insurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement) Telework: Not Available Virtual: This is not a virtual position. Permanent Change of Station (PCS): Not Authorized Financial Disclosure Report: Not required Requirements Conditions of Employment You must be a U.S. Citizen to apply for this job. All applicants tentatively selected for VA employment in a testing designated position are subject to urinalysis to screen for illegal drug use prior to appointment. Applicants who refuse to be tested will be denied employment with VA. Selective Service Registration is required for males born after 12/31/1959. Must be proficient in written and spoken English. You may be required to serve a probationary period. Subject to background/security investigation. Selected applicants will be required to complete an online onboarding process. Must pass pre-employment physical examination or evaluation. Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP). Participation in the Coronavirus Disease 2019 (COVID-19) vaccination program is a requirement for all Veterans Health Administration Health Care Personnel (HCP) - See "Additional Information" below for details. Basic Life Support (BLS) certification required. Training provided. Qualifications US Citizenship is required. (Non-citizens may be appointed when it is not possible to recruit qualified citizens in accordance with VA Handbook 5005, Part II, Chapter 3, Section A, paragraph 3.g.) English Language Proficiency: Must be proficient in basic written and spoken English in accordance with VA Handbook 5005, part II, chapter 3, section A, paragraph 3j. Physical Requirements: See VA Directive and Handbook 5019, Employee Occupation Health Service for requirements. Experience, Education or Training: (1) Six months of general experience. Experience must demonstrate the ability to acquire the knowledge and skills to perform the work of a NA. OR, (2) One year of education above high school with courses related to the NA occupation. OR, (3) Completion of an intensive, specialized, occupation-related [training]course of study [or program] of less than one year as a NA may also meeting full the experience requirements for GS-3. Note: If basing your qualifications on education, a copy of college transcripts showing completion of one year of education above high school related to the NA occupation, or documentation showing completion of an intensive, specialized, occupation-related course of study of less than one year as a nursing assistant (e.g., Nurse Aid Certificate) is required to verify you meet the basic education/training requirement. While not required at the time of application, documentation may be required to receive further consideration. Grandfathering Provisions: All Nursing Assistants employed in VHA on the effective date of this qualification standard (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. GRADE DETERMINATION: The full performance level of this vacancy is GS-5. The actual grade at which an applicant may be selected for this vacancy is GS-3 through GS-5. In addition to the basic requirements stated above, the qualification criteria outlined below must be met for each grade. To receive full consideration at the GS-4 and -5 levels, your application must clearly demonstrate the Knowledge, Skills, and Abilities (KSAs) described below GS-3 - Entry Level: Individuals assigned as GS-3 NAs are considered to be at the entry level and are closely supervised. Experience and Education. None beyond the basic requirements. GS-4 - Developmental Level: Individuals assigned as GS-4 NAs are considered to be at the intermediate or developmental level and are closely supervised. 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 (transcripts required). 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 - Full Performance Level: This is the full performance level for Nursing Assistants. 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 listed 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 (transcripts required). AND 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. References: VA HANDBOOK 5005 REFERENCE: Part II Appendix G46, revision dated: May 22, 2024. Physical requirements: You will be asked to participate in a pre-employment examination or evaluation as part of the pre-employment process for this position. Questions about physical demands or environmental factors may be addressed at the time of evaluation or examination Education IMPORTANT: This position has a positive education or training requirement. An unofficial copy of college transcripts showing completion of one year of education above high school related to the Nursing Assistant occupation or documentation showing completion of an intensive, specialized, occupation-related course of study of less than one year as a nursing assistant is required to verify you meet the basic qualification requirements. If basing your qualifications on education at the GS-4 or-5 levels, you must submit a copy of all relevant transcripts with your application. You do not need to submit an official copy; however, your submitted transcript must include your name, name of school, name of program, total credits completed, date degree/certificate conferred. Your transcript will be reviewed for relevant coursework; therefore, the copy you submit must be legible. Note: Only education or degrees recognized by the U.S. Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment. You can verify your education here: If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education. For further information, visit: Additional Information This job opportunity announcement may be used to fill additional vacancies. This position is in the Excepted Service and does not confer competitive status. VA encourages persons with disabilities to apply. The health-related positions in VA are covered by Title 38, and are not covered by the Schedule A excepted appointment authority. Pursuant to VHA Directive 1193.01, VHA health care personnel (HCP) are required to be fully vaccinated against COVID-19 subject to such accommodations as required by law (i.e., medical, religious or pregnancy). VHA HCPs do not include remote workers who only infrequently enter VHA locations. If selected, you will be required to be fully vaccinated against COVID-19 and submit documentation of proof of vaccination before your start date. The agency will provide additional information regarding what information or documentation will be needed and how you can request a legally required accommodation from this requirement using the reasonable accommodation process. If you are unable to apply online or need an alternate method to submit documents, please reach out to the Agency Contact listed in this Job Opportunity Announcement. The VA Midwest Health Care Network advocates for a Whole Health System of care in each of the Medical Centers. This is an approach to healthcare that empowers and equips people to take charge of their health and well-being and live their lives to the fullest. As an employee operating in a Whole Health System of care, you will operate in a model with three core elements, seeking to create a personalized health plan for each Veteran. This is done in the context of healing relationships and healing environments and a connection back to the Veteran's community. This aligns with the Veterans Health Administration (VHA) Mission Statement to Honor America's Veterans by providing exceptional health care that improves their health and well-being