The purpose of this position is to provide a range of Veterans care services to the Pueblo Care Living Center (PCLC). The major duties of this position are:
- Interacts with and provides patients specific care for residents of varying ages and cultures.
- Uses various techniques such as distraction and re-approach to provide care when dealing with patients with dementia.
- Collaborates with other team members to set goals and establish consistency in nursing staff care to address patients problem behaviors.
- Recognizes behavioral changes or outbursts may have a physiological cause such as low blood sugars, UTIs or hypoxia .
- Reports behavioral and physiological changes to licensed nurse.
- Monitors oxygen flow and changes oxygen tanks.
- Recognizes emergency situations and institutes appropriate actions such as CPR, emergency measures for choking and emergency First Aid.
- Recognizes early signs and symptoms of hypoxia and intervenes quickly by alerting the professional nurse.
- Assists and encourages patients in activates of daily living, such as bed bath, showers, shampoos, oral hygiene, dressing and undressing etc.
- Makes occupied and unoccupied beds.
- Provides care of the body after death, including collecting personal effects, preparing body for transports to the funeral home, and supporting the honor of the veteran as the body leaves the facility.
- Participates in the Safety Report and follows interventions and Care Plan to prevent injuries.
- Observes, report and documents resident behavior associates with pain. Provides emotional support and comfort measures.
- Accompanies residents to meals. Assist with or feeds patients as appropriate to individual and nutritional needs.
- Gives non-medicated enemas, applies external catheters, performs catheter and colostomy care, and provides perineal care for patients with catheters.
- Collects routine and midstream urine, stool, sputum and other specimens for Laboratory.
- Documents BMs and reports occurrences with no BMs within 3 days to licensed nursing staff.
Candidate must be willing to work weekends, holidays, irregular work hours and extended hours.
Functional Statement Title/#: Nursing AssistantBasic 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 Nursing Assistant (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.
- Physical Requirements. See VA Directive and Handbook 5019.
- 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.
Grade Determinations: In addition to the basic requirements for employment, the following criteria must be met when determining the grade of candidates.
(1) GS-3 [NA] (Entry Level)
(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.
(2) GS-4 [NA]
(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;
(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; AND
(c) Demonstrated Knowledge, Skills, and Abilities (KSAs). In addition, the candidate must demonstrate the following KSAs:
1. Ability to provide a range of patient care and contribute to the completion of the nurse care plan and recovery of patients.
2. Ability to observe patients 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.
4. Ability to communicate effectively with patients, their families and other health professionals.
1. 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.
(3) 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;
(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 with physical and/or behavioral problems in an outpatient setting under the direction of a Registered Nurse and/or Licensed Vocational Nurse/Licensed Practical Nurse.
2. Ability to communicate orally with patients, 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 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 CERTIFIED NURSING ASSISTANT QUALIFICATION STANDARD. This can be found in the local Human Resources Office.Physical Requirements: The position involves considerable standing, walking, bending, crouching, reaching, pushing, lifting, turning and repositioning patients. It requires assisting with transferring patients to wheelchairs/litters and transporting them to other departments. In addition to the aforementioned duties, it may involve moving equipment also in excess of 50 pounds. The position may require the incumbent to go up and down several flights of stairs in response to all emergency codes. The position requires visual and auditory acuity at a level to enable the incumbent to perform his/her duties. The incumbent must be clean and neat in appearance.
To apply for this position, you must provide a complete Application Package which includes:
- VA 10-2580c
The following documents are accepted, and may be required if applicable to your eligibility and/or qualifications for this position. Please use this checklist to ensure you have included all documents required for your application, such as a copy of your transcript (if using education to qualify), documentation to support Veterans Preference or ICTAP/CTAP documentation (for displaced Federal employees).
- Cover Letter
- VA 10-2580c
- Other Veterans Document