The Nursing Assistant (NAs) positions are located on the inpatient units, resource management, Emergency Department, and in the escort department of the medical center. NAs are responsible for the entire scope of patient care, to include direct patient care, patient admission, discharge, transfer, errand duties, and delivery of medical supplies/equipment when needed. This is an active general medical and surgical medical center with a large ambulatory care program and an extensive research and professional training program affiliated with the University of Alabama at Birmingham School of Medicine. The incumbent assigned to this position is a member of the Nursing team. The NA is assigned by licensed personnel to care for the patients by taking vital signs, collecting specimens, performing EKG's, assisting with transport, and providing dressing changes, and usual daily activities to include bathing, linen changes, assistance with feeding patients, assistance with toileting, and post-mortem care. Duties include but are not limited to:
- Provides care to 1:1 patient.
- Assist with care for a group of patients on a designated unit
- Provides 1:1 observation for patients at risk for suicide or harm per policy/procedure.
- Demonstrates skill and knowledge as well as understanding the therapeutic aspect of the nursing assistant patient relationships and has been educated to recognize the importance of dealing with medical-surgical issues and complications. The issues are physical, psychological, social, spiritual and cultural.
- Assumes responsibility for patients who may be physically or emotionally unable to communicate their needs and who require skilled care.
- Demonstrates knowledge and skills necessary to provide care appropriate to the age of the patients.
- Demonstrates knowledge of the principles of growth and development over the life span and possess the ability to assess data reflective of the patient's status and interpret the appropriate information needed to identify each patient's requirements relative to his or her age-specific needs, and to provide the care needed as described in policies and procedures.
- Practices good customer service in all work activities. This includes such actions as treating all customers with courtesy and fairness; considering the impact of work decisions on customers; and incorporating customer feedback in job and work modifications.
- Bathes patients and change bed linens, adjusts the patient's position and provides pillows and blankets for comfort, etc.
- Properly collects specimens and assures proper labeling and security of lids and bagging in biohazard bag before sending for processing.
- Makes sure that the responsible person is aware of patient's and/or specimen's arrival before leaving the unit.
- Assures that patients arrive at designated areas for tests and/or treatments on time.
- Transports and remains with patients when sent to other departments within the facility.
- Reports and records significant data on proper forms, reports and records significant data regarding changes in patient condition when indicated.
- Participates in medical center and/or unit performance improvement activities.
- Conduct purposeful patient rounding to ensure the safety and comfort of the patient
- Consistently protects printed and electronic files containing sensitive data in accordance with the provisions of the Privacy Act of 1974 and other applicable laws, federal regulations, VA statues and policy, and Veterans Health Administration policy.
- Ensures his/her actions contribute to a mode of continued accreditation readiness regarding Joint Commission (TJC), Office of Inspector General, Commission on Accreditation of Rehabilitation Facilities (CARF), VA surveyors, Laboratory College of American Pathologists (CAP), and other survey teams.
Citizen of the United States. (Non-citizens may be appointed when it is not possible to recruit qualified citizen).
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.
Physical Requirements. In accordance with VA Directive and Handbook 5019.
English Language Proficiency. NAs appointed to direct patient care positions must be proficient in spoken and written English as required b 38 U.S.C.7402(d) and 7407(d).
Grandfathering Provisions. All Nursing Assistants employed in VHA on the effective date of this qualification standard 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:
(1) 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.
2) 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 Determinations: In addition to the Basic Requirements stated above, the following qualification criteria must be met for each grade. The candidate's qualifications must clearly demonstrate the level of competence required for the grade.
Quality of Experience. To be creditable, NA experience must be documented on the application or resume and verified in an employment reference, or through independent means.
GS-3 (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.
(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:
- 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.
(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:
- 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.
The population of male and female veterans served ranges from the adult, age 18, to the elderly adult, age 65 and over. The VA Medical Center is a major interdisciplinary teaching facility, serving medical, surgical, and neurological inpatients and outpatients. There is a large outpatient psychiatric population, with admissions for medical co-morbidities. This position requires visual acuity (glasses permitted), keen hearing (hearing aid permitted), clear distinctive speech, and manual dexterity. This position requires potentially long periods of continued walking (up to 8 hours), standing (up to 8 hours), stooping, sitting, bending (up to 8 hours), pulling, and pushing. Light lifting under 15 lbs. Light carrying 15-44 lbs. 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. Use of rapid mental and muscular coordination simultaneously. 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.
VA facilities must make reasonable accommodation for the physical or mental limitations of an applicant or employee who is a qualified person with a disability unless the accommodation would impose an undue hardship on the department or agency.
Failure to submit the required information and documents may result in you receiving an ineligible rating. Do not submit documents with photographs. Redact all photos prior to submitting documents.
NOTE: Experience must be fully documented on your resume and must include job title, duties, month and year start/end dates AND hours worked per week. A full year of work is considered to be 35-40 hours of work per week. Part-time experience is credited according to the relationship it bears to the full-time workweek (e.g., an LPN/LVN who worked 20 hours per week, i.e., half-time, would receive 1 full-time workweek of credit for each 2 weeks of such service. Applicants wishing to receive credit for such experience must indicate clearly the nature of their duties and responsibilities in each position and the number of hours a week spent in such employment.
1. Required. Comprehensive Resume. You are encouraged to build your resume using the Resume Builder on www.USAJbos.gov website, but if you choose to use your own rÃ©sumÃ©, then you must describe your job-related qualifications that include beginning and ending dates for paid and non-paid work experience, hours worked per week, month and year of employment for each job title listed. Be sure that your resume clearly supports your responses to all of the questions by addressing your work experience in detail. We cannot make assumptions regarding your qualifications;
2. Required. VA Form 2850c, Application for Associated Health Occupations. Application must be signed and dated within 12 months. The application must contain updated information, i.e., licensure expiration dates. If you cannot sign the form electronically, complete it, print it, sign it, and upload or fax per the instructions in the vacancy announcement. (Available at http://vaww.va.gov/vaforms/medical/pdf/vha-10-2850c-fill.pdf . .
3. Required. Occupational Questionnaire;
4. Required (if permanent current Federal employee) . Copy of most recent SF 50-B, Notification of Personnel SF50. SF50 must include (at a minimum) position title, tenure, grade, step and salary. SF50 must be dated 01/08/2017 or later. Do not submit PERFORMANCE AWARD SF50s. The SF50 may be downloaded from your electronic-Official Personnel Folder (e-OPF);
5. Required (if permanent current Federal employee). Copy of most recent Performance Appraisal. Appraisal must include overall rating.
Applicants may also submit the following supporting document type(s), which may not be required for all applicants (if applicable):
*DD-214 - If claiming Veteran's Preference
*Other Veterans Document - VA Rating Letter
*SF-50 - If current Federal Employee
*Cover Letter - Optional
*OF-306 - Optional
*SF-15 - Optional
*Transcript - optional
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.