Nursing Assistant (Inpatient Medicine)

Location
Ann Arbor, MI
Salary
Competitive
Posted
Sep 08, 2017
Closes
Sep 27, 2017
Specialty
Support Staffing
Contract Type
Permanent
Hours
Full Time

Provides direct patient/resident care under the direction of a Registered Nurse.
A Nursing Assistant provides technical nursing care to adult and geriatric patients according to a plan of care to adult and geriatric patients according to a plan of care established by a Registered Nurse. The Nursing Assistant reports to the Registered Nurse who is responsible for the assigned patient's care. The GS-5 Nursing Assistant will be proficient in performing the following duties according to approved nursing procedure:

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a. Provides for the personal care of patients including: Feeding; Oral hygiene; Shaving; Skin care; Bathing; Showers; Tub Baths; Use of bedpan or urinal; Application of external catheters/drainage bags; Bed making; Distributing nourishments; Care for patients in isolation.
b. Performs, reports, and records the following activities: Vital signs; Neurological vital signs; Pulses-apical, carotid, pedal; Height/Weight; Visual chemstrip and glucometer measurements; Intake and output measurements; Cleansing and retention enemas; Suppository placement (non-medicated); Urethral catherization; Care of established colostomies and ileostomies and application of bag; Tube feedings; Sterile & non-sterile specimen collection; Range of joint motion; Elastic bandage & hose application; Hot & cold non-sterile compresses; Sterile dressing & irrigations; Initiation of deep breathing & coughing exercises; Oral & nasal suctioning; Tracheostomy tube suctioning; Oxygen therapy; Observation or IV flow rate Care of the body after death.
c. Provides for supportive care of patients: Admissions, discharges & transfers; Orienting patient to environment; Ambulation; Transfers from bed to chair/stretcher/wheelchair; Turning & positioning; Bed rails & bedboard application; Restraint & protective device application; Mechanical lifters utilization; Transporting, escorting & errands.
d. Observes and reports more subtle changes/ abnormalities in patient condition.
e. Assists with RN with modification of treatment plans to accommodate cultural preferences, religious preferences, and changes that occur with aging.
f. Assists the RN in formulating nursing objectives for individual patient care.
g. Participates in the implementation of the care plan developed by the RN.
h. Supports the health care team (e.g. RN, MD, OT) in diagnostic and therapeutic activities.
i. Initiates appropriate rehabilitative measures (e.g. dangling, ambulating).
j. Reinforces relevant patient education activities.
k. Recognizes and initiates appropriate actions in urgent/emergent situation, including cardiopulmonary resuscitation (BLS) when appropriate.
l. Utilizes appropriate emergency evacuation techniques.

Preferred Experience/Qualifications: One year experience on an inpatient unit. CNA certification preferred.

Work Schedule: Nights 11:30p.m.-8:00a.m.
Functional Statement Title/#: Nursing Assistant

Basic Requirements:

  • U.S. citizenship. Citizen of the United States. (Non-citizens may 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 tothe 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 a 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 Experience: One year experience on an inpatient unit. CNA certification preferred.

Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religions; spiritual; community; student; social). Volunteer work helps build critical competencies, knowledge, and skills and can provide valuable training and experience that translates directly to paid employment. You will receive credit for all qualifying experience, including volunteer experience.

Grade Determinations:

GS-5 [NA] (Full Performance Level)

(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; AND

(c) 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.

(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.

References: VA Handbook 5005/81, Part II, Appendix G46. This can be found in the local Human Resources Office.

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: http://ope.ed.gov/accreditation/. 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.

References: VA Handbook 5005/81, Part II, Appendix G46. This can be found in the local Human Resources Office.

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. Must complete annual Employee Health requirements, such as annual TB screening or testing, as a condition of employment.

Physical Demands Include:

Heavy lifting of 45 pounds or more; moderate carrying of 15-44 pounds; straight pulling for up to 2 hours; pushing up to 4 hours; use of fingers, both hands and legs required; walking and standing up for 4 hours, ability for rapid, simultaneous mental and muscular coordination; near vision correctable at 13" to 16"; far vision correctable in one eye to 20/20 and 20/40 in the other eye; ability to distinguish shades of color and hear without an aid.

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All applicants are required to submit the following supporting document type(s):
*Resume

Applicants may also submit the following supporting document type(s),which may not be required for all applicants:

*Cover Letter
*DD-214
*Other
*Other Veterans Document
*SF-15
*SF-50
*Transcript

Please use this checklist to make sure you have included other documents required for your application, such as a copy of your transcript (if using education to qualify), documentation to support Veterans Preference claims, etc. You will not be contacted for additional information.

Veterans' Preference:
When applying for Federal Jobs, eligible Veterans should claim preference for 5pt (TP), or 10pt (CP/CPS, XPP, XP), or for Sole Survivor Preference (SSP), on the Occupational Questionnaire in the section(s) provided. A legible copy of your DD214(s) indicating character of service, disability certification, SF-15 (if claiming 10 pt. preference) or if you are currently serving on active duty and expected to be released or discharged within 120 days; documentation related to your active duty service which reflects the dates of service, character of service (honorable, general, etc.), or dates of impending separation. Documentation is required for eligibility verification.

Faxing Applications or Supporting Documents: You are encouraged to apply online. Applying online will allow you to review and track the status of your application. If you are unable to apply online or unable to upload your supporting documents to your online application, follow the directions located at the following site: Fax Options. The Vacancy ID of the job opportunity announcement is 2008329.

NOTE: If you applied online and your application is complete, do not fax the paper application (1203-FX) as this will overwrite your prior online responses and may result in you being found ineligible.