Nursing Assistant

Somersworth, NH
Jan 31, 2018
Feb 28, 2018
Support Staffing
Contract Type
Full Time

The Nursing Assistant (NA) is responsible for performing basic nursing care to support the Patient Care Aligned Team (PACT) in Veteran centered care. This care will be accomplished by performing a variety of direct patient care and clerical support duties that facilitate the work of an interdisciplinary coordinated care delivery model for all clinics in the primary care setting. The Nursing Assistant will review the clinics appointment schedule to ensure that clinic utilization is optimized and effectively supports the needs of the clinics as well as the needs of the Veterans. Develop and maintain effective and efficient communication with the patient, interdisciplinary teams, VA medical centers, and other agencies. This position includes, but is not limited to, work that requires a practical knowledge of computerized data entry and information processing systems, setting priorities and deadlines, participating and providing input in problem solving on operational issues or procedures in team meetings, performing nursing support and administrative follow up actions; evaluating patient information ,educating providers about shared patients who may be receiving care at multiple VAs or in the community, the medical facility's organization and services, rules and regulations governing eligibility and treatment, practical knowledge of the standard procedures, medical records, medical terminology, security of sensitive electronic files, process improvement, and customer service.
Assignments at this level include, but are not limited to: fielding telephone calls, ensuring timely communication to patient/staff; preparing for clinic visits; monitoring outpatient appointments for areas of responsibility. The incumbent will maintain exam room supplies; clean exam tables/supplies in-between patient appointments. Responsible for obtaining and assistance with obtaining laboratory specimens as needed.

S/He performs vital signs for patients including pain scale, and enters into the electronic medical record. Performs applicable screening and processing of clinical reminders in preparation for provider visit. Assists in ensuring all patients are seen in the appropriate clinic in an expeditious and orderly manner. S/He prepares simple word documents, memos and communications for clinical staff, reviewing documentation, data entry, reminder phone calls and data entry.

Review of upcoming appointments to ensure any pre work, follow through on orders or requests for documentation have been completed or requested to assist with the preparation for an efficient and effective provider visit. Assists the team with patient notification by phone, letter or secure messaging. Assists with the entry of outside medical records by summarizing contents or scanning per protocol.

*In the Community Based Outpatient Clinic's (CBOC) responsible for performing phlebotomy, processing laboratory specimens and performing electrocardiograms as needed. Follows all scheduling processes as assigned.

Work Schedule: Monday to Friday 7:30 a.m. to 4:00 p.m.

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.
  • Proficient in written and spoken English
  • completed one (1) year above high school with courses related to the Certified Nursing Assistant occupation. (TRANSCRIPTS REQUIRED)
  • Application for Associated Health Occupations 10-2850C
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 CNA (Entry Level)

(a) Experience, Education and Certification. None beyond the basic requirements.

(b) Assignments. Individuals assigned as GS-3 CNAs are considered to be at the entry level and are closely supervised.

(2) GS-4 CNA

(a) Experience. One year of specialized experience as a CNA 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/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.

(d) Assignment

1. Individuals assigned as GS-4 CNAs are considered to be at the intermediate or developmental level and are closely supervised. CNAs at this grade level function as a member of the nursing care team and assist higher graded CNAs, 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 CNAs or other healthcare professionals.

2. In this role, the Nursing Assistant functions as a member of the nursing care team and assists higher graded CNAs, 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 CNAs, 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/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: References: VA Handbook 5005/71 Part II Appendix G

The full performance level of this vacancy is GS 05. 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:
The majority of work is performed in an office setting. The work involves periods of moving about the unit and occasional transport of patients to other departments/areas such as radiology, phlebotomy/EKG areas. Work requires regular and recurring movement about the unit to different exam rooms to screen patient pre and post outpatient appointments. The work also requires moving and transporting of office supplies such as tablets, medical equipment, and paper products. The incumbent may be occasionally be exposed to infected patients and contaminated materials and may be required to don protective clothing in isolation situations or procedures.

Selected applicants will be required to complete an online onboarding process.

To apply for this position, you must provide a complete Application Package which includes:

  • Resume
VA Form 10-2850c Application for Associated Health Occupations can be found at: REQUIRED

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), SF-50's, documentation to support Veterans Preference or ICTAP/CTAP documentation (for displaced Federal employees).

  • Cover Letter
  • DD-214
  • OF-306
  • Application for Associated Health Occupations 10-2850C Required
  • Other Veterans Document
  • Resume
  • SF-15
  • SF-50
  • Transcript
Veterans' Preference: When applying for Federal Jobs, eligible Veterans should claim preference for 5pt (TP), 10pt (CP/CPS/XP), or for Sole Survivor Preference (SSP) in the questionnaire. You must provide a legible copy of your DD214(s) which shows dates and character of service (honorable, general, etc.). If you are currently serving on active duty and expect to be released or discharged within 120 days you must submit documentation related to your active duty service which reflects the dates of service, character of service (honorable, general, etc.), and dates of impending separation. Additionally, disabled veterans and others eligible for 10-point preference (such as widows or mothers of eligible Veterans) must also submit an SF-15 "Application for 10 Point Veteran Preference" with required proof as stated on the form. Documentation is required to award preference. For more information on Veterans' Preference, please visit

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