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The Nursing Assistant is a member of the Acute Care Team, providing assistance to the providers, nursing leadership team, registered nurses, and other team members. The NA-GS-5 demonstrates the knowledge and ability to provide care to Veteran patients within the Acute Care Service Line. This service line cares for patients admitted to an inpatient medical-surgical inpatient hospital unit (2 West, 5 East or 6 West) at VA Puget Sound, Patient Care Service Line. 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. To qualify for this position, applicants must meet all requirements within 30 days of the closing date of this announcement. 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. 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). Grade Determinations: GS-3 NA (Entry Level) Experience and Education: None beyond the basic requirements. GS-4 NA 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, 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: 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. ( GS-5 NA (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 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 References: VA HANDBOOK 5005/81 PART II APPENDIX G46 II-G46-1 APPENDIX G46. NURSING ASSISTANT QUALIFICATION STANDARD GS-621 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. Physical Requirements: Heavy lifting, 45 pounds and over; Straight Pulling, 6 hours; Pushing, 2 hours; Reaching above shoulder; Use of fingers; Both Hands required; Walking, 6 hours; Standing, 2 hours; Repeated bending, 6 hours; Ability to distinguish basic colors; Hearing (aid may be permitted); Mental/Emotional Stability, Visual Acuity 20/30 corrected; ["The NA on the acute care units develops their practice and adheres to a high level of respect and knowledge of veteran patient rights and responsibilities. The NAs practice includes all activities of daily living, general nursing duties and tasks to help the team restore the veteran patient to the highest level of independence or remain comfortable toward the end of life. The NA supports the unit operations and can be assigned clinical and non-clinical duties. Participates in activity and actions to improve the quality of care for veteran patients to include fall and pressure sore prevention; that includes learning to implement the organization's prevention guidelines on falls and pressure sores, and the veteran's specific plan of care. The Nursing Assistant ensures the Veteran is wearing the correct identification bracelet. Employee adheres to responsibility of timely maintenance of all education required, including: TMS, BLS, HIPAA and Privacy training. Assists patients in personal hygiene, rest and eating. Feeds and bathes patients who require assistance. Helps patients in and out of bed, and with mobile devices. Instructs and assists patients in the skills necessary to gain independence in activities of daily living. Contributes to a safe, clean, clutter-free, and therapeutic environment for patients and staff. Follows Medical Center and Nursing Service policies and procedures. Provides care to patients in isolation and patients on chemotherapy precautions. Maintains privacy of patient and staff. 6. Under the supervision of the License Practicing Nurse (LPN) and/or RN, performs a variety of general nursing duties including measurement and recording of vital signs, EKGs, weight, height, intake and output, post-mortem care, simple treatments such as hot and cold packs, changes clean or sterile dressings, applies external catheters, and gives catheter care. Maintains oxygen therapy as directed by the RN, assignment, or written care plan, to include management and operation of oxygen tanks. Performs assistive cough and deep breathing exercises. Under the supervision of the LPN and/or RN, performs and/or instructs patients in learning range of motion exercise, turning and positioning, ambulation, and other routine care procedures. Under the supervision of the LPN and/or RN, collects specimens such as urine, sputum, and stool. Labels specimens for laboratory examinations according to facility policy and procedure. Performs blood glucose testing as appropriate. Cleans and maintains equipment with appropriate RME disinfectant. Initiates Cardio-Pulmonary Resuscitation in accordance with established Medical Center policy and initiates other emergency procedures as necessary, including fire and disaster. Demonstrates safe body mechanics. Observes and reports patient's physical and mental status, reporting unusual changes to the RN. Reports information obtained from patients and or family and participates in developing a plan of care. Assists with admission, discharge, and transfer of patients. Performs other assignments designated by the nurse in charge that are essential to the care of patients and appropriate to his/her level of training. Knowledge of safe handling practices (i.e., precautions and measures for handling of hazardous waste) working with patients who receive Hazardous Medications and the disposal of bodily fluids contaminated with Hazardous Medications including knowledge of unit radiation safety precautions. Knowledge and skill of medical terminology and observational skills sufficient to report the patient's physical and emotional reactions to care. Effective communication skills for reporting and recording pertinent information to the nursing and medical staff. Knowledge and skill sufficient to use standardized nursing principles, procedures, equipment, and supplies for providing nursing care to assigned patients. Knowledge of skills sufficient to assist in the teaching of patients in activities of daily living. Knowledge of basic human body structure, function, diseases, and skill sufficient to care for patients appropriate to his/her level. Knowledge of developmental needs (cognitive, emotional, physical, age related) of the young adult to the geriatric age category. Knowledge of aseptic techniques and skill in performing procedures requiring same. Demonstrates knowledge of proper body mechanics and skill in patient transfer procedures and other items requiring resident transfer or movement. Knowledge of special dietary needs, (i.e., patient unable to chew food for lack of teeth or a patient who is unable to feed self). Work Schedule: 8 hour evening shifts, 1530-0000, rotating weekends to cover the 24/7 inpatient unit.\nTelework: Not Available\nVirtual: This is not a virtual position.\nFunctional Statement #: 000000000\nRelocation/Recruitment Incentives: Not Authorized\nPermanent Change of Station (PCS): Not Authorized\nFinancial Disclosure Report: Not required"]