Nursing Assistant-Outpatient Specialty Care Clinics

Applicants pending the completion of educational or certification/licensure requirements may be referred and tentatively selected but may not be hired until all requirements are met.

01Basic Requirements

United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. English Language Proficiency: NAs must be proficient in spoken and written English in accordance with 38 U.S.C. 7402(d).

02Experience

Six months of general experience. Experience must demonstrate the ability to acquire the knowledge and skills to perform the work of a NA;OR, Education: One year of education above high school with courses related to the NA occupation; OR, Training: Completion of an intensive, specialized, occupation-related training course of study or program of less than one year as a NA may also meet in full the experience requirements for GS-3.

May qualify based on being covered by the Grandfathering Provision as described in the VA Qualification Standard for this occupation (only applicable to current VHA employees who are in this occupation and meet the criteria). Grandfathering Provisions. All NAs 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 re-entry to the occupation.

03Grade Determinations

In addition to meeting the Basic Requirements, applicants will need to meet the grade level requirements, and the Demonstrated Knowledge, Skills, and Abilities (KSAs). To meet the grade level requirement the applicants must have the following listed below: Requirements for GS-3 Grade: None beyond the basic requirements (Experience and Education).

Requirements for GS-4 Grade: 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, healthcare 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 Demonstrated 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.

Requirements for GS-5 Grade: 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, 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 Demonstrated the following 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. Reference: VA Handbook 5005 Part II Appendix G46. For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/. 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-03 to GS-05.

04Physical 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. The NA must complete annual Employee Health requirements, such as annual TB screening or testing, as a condition of employment. These physical requirements will be consistent with VA Directive Handbook 5019.

The purpose of this position is to serve as a Nursing Assistant in the fast-paced Outpatient Specialty Care Clinic at the Brockton and Jamaica Plains, MA campuses. All duties performed will be provided under close supervision/ direction of a RN and the incumbent will refer issues/questions to supervisors or other healthcare professionals.

Depending on grade and assignment duties may include but are not limited to: Taking-recording-reporting vital signs accurately Assisting with total ADL care, treatments, including but not limited to bowel and bladder management, feeding patients, and repositioning.

Assisting with hoyer lift transfers and wheelchair usage Providing safe environments, hourly rounds and other duties or care as directed by Registered Nurses, Licensed Practical Nurses or providers Incumbent will initiate emergency action in life threatening situations such as cardiac and /or respiratory arrest, massive bleeding, shock, or assaultive behavior and will alert licensed personal immediately Performing EKG's Documenting ADL care provided.

Obtaining specimens, properly labeling and preparing specimens for transport for testing Blood Glucose testing Cleaning/disinfecting rooms/medical equipment after patient use Performs other duties as assigned Promotion Potential: The selectee may be promoted to the full performance level without further competition when all regulatory, qualification, and performance requirements are met. Selection at a lower grade level does not guarantee promotion to the full performance level.

Work Schedule: Evenings, with rotation of weekends and holidays. Functional Statement #PDF08525, PDF08524, and PDF08526 Telework: Not authorized. Virtual: This is not a virtual position. PCS Appraised Value Offer (AVO): Not authorized. Compressed/Flexible: Not authorized. Recruitment/Relocation Incentives (Sign-on Bonus): Not Authorized. Permanent Change of Station (PCS): Not Authorized. Financial Disclosure Report: Not Required.

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).

NOTIFICATIONS: Narrative responses to the knowledge, skills and abilities (KSAs) may be required from the selectee in order to proceed with the appointment. This position is in the Excepted Service. These positions are covered by a special rate. Incomplete applications will not be considered. This position is not a bargaining unit position. Due to a critical staffing shortage, 38 U.S.C. § 7412 waives the requirement to apply Veterans' preference for this job announcement.