The Restorative Nursing Assistant (RNA) assigned to the Community Living Center (CLC) provides safe and individualized restorative care to complex, frail and mostly elderly residents who are acutely or chronically ill in a home like environment. The RNA will care for Residents under close supervision by the Restorative Care Coordinator and Nursing Management 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. 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. 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. 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 Criteria: Completion of education or training as a nursing assistant. Basic Life Support (BLS) provider card issued by the American Heart Association (AHA) or Military Training Network (MTN) Restorative Nursing Assistant Certification Physical Requirements: 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. Grade Determinations: GS-3 Entry Level Experience and Education. None beyond the basic requirements. GS-4 Experience: One year of specialized experience 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, 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 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. GS-5 Full Performance Level 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 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. References: VA Handbook 5005/81, Part II, Appendix G46 Nurse Assistant Qualification Standard GS-621, dated March 12, 2015, http://vaww.va.gov/OHRM/Directives-Handbooks/Documents/5005.pdf The full performance level of this vacancy is 5. The actual grade at which an applicant may be selected for this vacancy is in the range of 3 to 5. ["Major duties and responsibilities include but not limited to: Carries out the restorative care according to the plan of care for the resident. Recommends modifications and changes in the resident's restorative care plan as indicated based on observations. Performs restorative care modalities including Range of Motion (ROM), Passive ROM (PROM), splint or brace assistance, bed mobility, transfers, ambulation, dressing, grooming, eating, swallowing, amputation/prostheses care, communication, and bowel and bladder program. Utilize interventions that assist and/or promote the residents' ability to attain his or her maximum. functional potential. Uses appropriate mobility, balance and strengthening exercises, as well as incorporating these into activities of daily living. Uses principles of body mechanics and utilizes safe resident handling and management techniques. Recognizes emergency situations and change in the resident's condition that require immediate notification to the RN and/or provider. Utilizes hand-off communication for immediate notification. Initiates Basic Life Support (BLS) if necessary and calls for assistance. As necessary, takes and records Vital Signs (V/S) as ordered and per policy; reports abnormal findings to the Registered Nurse. Cares for the resident with dementia/cognitive impairment including monitoring for unmet needs and implementing non-pharmacological interventions for managing expressions of unmet needs (challenging behaviors). Work Schedule: Varied Schedules to include rotating weekends Compressed/Flexible: Telework: Not Available Virtual: This is not a virtual position. Functional Statement #: 00000 Relocation/Recruitment Incentives: Not Authorized Financial Disclosure Report: Not required"]
The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,298 health care facilities, including 171 medical centers and 1,113 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.