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Nursing Assistant

Company: usagov
Location: Lexington
Posted on: March 18, 2023

Job Description:

Summary

This Nursing Assistant position is organizationally aligned under Patient Care Services. S/he works at a two-divisional teaching hospital affiliated with the University of Kentucky (UK) Medical Center at the U.S. Department of Veterans Affairs (VA) Medical Center, Lexington, Ky. Incumbent will normally work at one of the locations for the two divisions (Sousley Campus or Bowling Campus) but is required to work at the other locations as necessary.

This job is open to

  • The public

    U.S. Citizens, Nationals or those who owe allegiance to the U.S. Clarification from the agency

    This announcement is open to the public.

    This position is one of the hybrid title 38 occupations reported among the occupations with the largest staffing shortages and, therefore, under 38 U.S.C. - 7412 waives the requirement to apply Veterans' preference to external applicants for appointments made during the Fiscal Year 2023.

    Videos

    Duties

    The Nursing Assistant will bathe, shave, give oral hygiene, provide nail care, and active range of motion activity. Provides other personal needs; properly disposing of body wastes, prepares patients for meals and feeds patients. Administers tube feedings through gastrostomy tube with mature stoma and sustained skin integrity by bolus or gravity. Notes changes in patients' nutritional needs, and reports to Registered Nurse. Makes beds, positions, holds, turns, ambulates, and transfers patients as indicated. Identifies need for and applies supportive and protective devices for protection of patient and personnel. Utilizes lift aids and good body mechanics. Maintains safe and therapeutic environment by keeping assigned area in a orderly and sanitary condition. Maintains the cleanliness of all items in the patient area. Utilizes Standard Precautions for all contact with body substances, which include urine, blood, saliva, feces, vomitus, wound drainage or any other body fluid. Instructs patients and visitors about protective procedures if indicated. Sets up patient rooms for other isolation/transmission precautions as indicated. Transports patients who may require close observation and support, accompanies selected patients when necessary, assures safety during transportation process; assures proper hand-off and accountability for return of patients. Collects labels specimens of sputum, urine (routine and sterile), feces, and assists with collection of other sterile specimens, as directed by the team leader for storage and/or delivery to the laboratory. Measures/records vital signs, height and weight, intake and output, and reports changes to Registered Nurse. Assists Registered Nurse in monitoring signs/symptoms or intravenous infiltration or dislodgement. Documents patient care/patient response to treatment. Assists in post-mortem care, supports family members as needed. Assists members of health care team by obtaining supplies and equipment, exercises sound judgement in utilization/conservation of supplies used in patient area. Assembles equipment and prepares patient for tests and treatments. Administers cleansing or retention enemas. Performs colostomy/urostomy care after individual instructions. Applies external urinary devices. Discontinues and reconnects oxygen therapy by nasal cannula or mask, and instructs patients on oxygen safety. Turns patient and assists in deep breathing and coughing exercises as assigned. Assists during emergency situations, including initiating and/or assisting with cardiopulmonary resuscitation, care of the choking victim. Obtains equipment and supplies, and performs errands as requested. Establishes and maintains a therapeutic relationship with patients. Observes, reports, records changes in patients' physical or emotional status, i.e., signs and symptoms that may require interventions or treatment, e.g., respiratory distress, cyanosis, aspiration, infiltration of IV fluids, blood transfusion reaction, unusual behavior, non-verbal signs of pains, stress, or withdrawal. Employs therapeutic/effective communicative skills with patients, staff and visitors. Helps instruct or interpret instructions to patients and family to obtain cooperation in disturbed/disruptive behavior management techniques. Guides, encourages, provides basic instruction to patients in achieving maximum motivation, independence, resocialization and rehabilitation. Participates in patient/team conferences, and contributes to patient care plan. Conducts small discussion/therapeutic patient groups under direction of a Registered Nurse. Applies/removes simple sterile and non-sterile dressings (such as transparent, hydrocolloidal, non stick and moist to damp) and bandages, slings, ace bandages, elastic stockings. Applies sterile/non-sterile hot/cold compresses, packs and soaks. Utilizes equipment to provides heating and cooling. Gives Sitz baths/other prescribed baths and soaks. Performs oral suctioning. Observes/reports sigs of dyspnea, cyanosis, bleeding around the tracheostomy and swelling of the neck. Performs non-invasive procedures, e.g., bladder scan, pulse oximeter, reports results to the Registered Nurse. Performs glucometer testing as ordered by provider, documents results. Informs Registered Nurse of critical values. Teaches by example demonstrating to personnel/patients proper techniques/treatment principles in performing basic Nursing Service procedures. Anticipates changes in workload activity and offers assistance to meet the need. Contributes to Nursing Service committees to enhance patient care. Completes annual competency review. Maintains infection control practices as defined by the organizational memorandums. Follows Reusable Medical Equipment memorandums/standard operating procedures.

    Work Schedule: Part Time 40 hours per pay period (May include holidays and weekends)

    Financial Disclosure Report: Not required

    Incentive: Anincentive is authorized for highly qualified applicants

    Requirements

    Conditions of Employment
    • Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP)
    • Participation in the Coronavirus Disease 2019 (COVID-19) vaccination program is a requirement for all Department of Veterans Affairs Personnel
    • Designated and/or random drug testing may be required
    • Selective Service Registration is required for males born after 12/31/1959
    • You may be required to serve a probationary period
    • Subject to a background/security investigation
    • Must be proficient in written and spoken English
    • Selected applicants will be required to complete an online onboarding process

      Qualifications

      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 Nursing Assistant 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. Heavy lifting (45 lbs. and over); Heavy carrying (45 lbs. and over); Straight pulling (up to 8 hours); Pushing (up to 8 hours); Reaching above shoulders; Use of fingers; both hands required; walking (up to 8 hours); standing (up to 8 hours); kneeling (2 to 3 hours); repeated bending (up to 8 hours); both legs required; hearing (aid permitted).
      • English Language Proficiency: 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).

        Preferred Experience: CNA/SRNA Certificate preferred, experience on a medical surgical unit preferred.

        Grade Determinations:

        GS-3 No specialized experience beyond the basic requirements.

        GS-4 One year of specialized experience as a Nursing Assistant or experience in another medical field, 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 - 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. In addition to the above, applicant must demonstrate the following Knowledge, Skills and Abilities:

        1 Ability to provide a range of patient/resident care and contribute to the completion of the nurse care plan and recovery of patient/residents.

        2 Ability to observe patients/residents 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 patient / residents, their families and other health professionals.

        GS- 5 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 assignments -OR- 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. In addition the above, applicant must demonstrate the following Knowledge, Skills and Abilities:

        1 Ability to assist in the full range of nursing care to patient/resident 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 nursing assistants 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 Part II, Appendix G46

        The full performance level of this vacancy is GS-5. The actual grade at which an applicant may be selected for this vacancy is GS-3/4/5.

        Physical Requirements: Heavy lifting (45 lbs. and over); Heavy carrying (45 lbs. and over); Straight pulling (up to 8 hours); Pushing (up to 8 hours); Reaching above shoulders; Use of fingers; both hands required; walking (up to 8 hours); standing (up to 8 hours); kneeling (2 to 3 hours); repeated bending (up to 8 hours); both legs required; hearing (aid permitted).

        Education

        IMPORTANT: A transcript must be submitted with your application if you are basing all or part of your qualifications on education.

        Note: Only education or degrees recognized by the U.S. Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment. You can verify your education here: http://ope.ed.gov/accreditation/. If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education. For further information, visit: http://www.ed.gov/about/offices/list/ous/international/usnei/us/edlite-visitus-forrecog.html.

        Additional information

        Receiving Service Credit or Earning Annual (Vacation) Leave: Federal Employees earn annual leave at a rate (4, 6 or 8 hours per pay period) which is based on the number of years they have served as a Federal employee. VA may offer newly-appointed Federal employee's credit for their job-related non-federal experience or active duty uniformed military service. This credited service can be used in determining the rate at which they earn annual leave. Such credit must be requested and approved prior to the appointment date and is not guaranteed.

        This job opportunity announcement may be used to fill additional vacancies.

        This position is in the Excepted Service and does not confer competitive status.

        VA encourages persons with disabilities to apply. The health-related positions in VA are covered by Title 38, and are not covered by the Schedule A excepted appointment authority.

        If you are unable to apply online or need to fax a document you do not have in electronic form, view the following link for information regarding an Alternate Application.
        • Benefits

          A career with the U.S. government provides employees with a comprehensive benefits package. As a federal employee, you and your family will have access to a range of benefits that are designed to make your federal career very rewarding. Opens in a new windowLearn more about federal benefits.

          Review our benefits

          Eligibility for benefits depends on the type of position you hold and whether your position is full-time, part-time or intermittent. Contact the hiring agency for more information on the specific benefits offered. How You Will Be Evaluated

          You will be evaluated for this job based on how well you meet the qualifications above.

          IN DESCRIBING YOUR EXPERIENCE, PLEASE BE CLEAR AND SPECIFIC. WE MAY NOT MAKE ASSUMPTIONS REGARDING YOUR EXPERIENCE. Your application, r--sum--, C.V., and/or supporting documentation will be verified. Please follow all instructions carefully. Errors or omissions may affect consideration for employment.

          Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religions; spiritual; community; student; social). Volunteer work helps build critical competencies, knowledge, and skills and can provide valuable training and experience that translates directly to paid employment. You will receive credit for all qualifying experience, including volunteer experience.

          The Department of Veterans Affairs performs pre-employment reference checks as an assessment method used in the hiring process to verify information provided by a candidate (e.g., on resume or during interview or hiring process); gain additional knowledge regarding a candidate's abilities; and assist a hiring manager with making a final selection for a position.

          It is the policy of the VA to not deny employment to those that have faced financial hardships or periods of unemployment.

          Veterans and Transitioning Service Members: Please visit the VA for Vets site for career-search tools for Veterans seeking employment at VA, career development services for our existing Veterans, and coaching and reintegration support for military service members.
          • Benefits

            A career with the U.S. government provides employees with a comprehensive benefits package. As a federal employee, you and your family will have access to a range of benefits that are designed to make your federal career very rewarding. Opens in a new windowLearn more about federal benefits.

            Review our benefits

            Eligibility for benefits depends on the type of position you hold and whether your position is full-time, part-time or intermittent. Contact the hiring agency for more information on the specific benefits offered.
          • Required Documents

            As a new or existing federal employee, you and your family may have access to a range of benefits. Your benefits depend on the type of position you have - whether you're a permanent, part-time, temporary or an intermittent employee. You may be eligible for the following benefits, however, check with your agency to make sure you're eligible under their policies.

            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: About VA Form 10-2850C - Veterans Affairs.

              REQUIRED AT THE TIME OF SELECTION!!!!

              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 (current/former Federal employees), etc.
              • Cover Letter
              • DD-214/ Statement of Service
              • Disability Letter (VA)
              • Resume
              • Transcript If you are relying on your education to meet qualification requirements:

                Education must be accredited by an accrediting institution recognized by the U.S. Department of Education in order for it to be credited towards qualifications. Therefore, provide only the attendance and/or degrees from schools accredited by accrediting institutions recognized by the U.S. Department of Education.

                Failure to provide all of the required information as stated in this vacancy announcement may result in an ineligible rating or may affect the overall rating.
              • How to Apply

                All applicants are encouraged to apply online. To apply for this position, you must complete the full questionnaire and submit the documentation specified in the Required Documents section below. The complete application package must be submitted by 11:59 PM (ET) on 03/28/2023 to receive consideration. To preview the questionnaire click https://apply.usastaffing.gov/ViewQuestionnaire/11871416.
              • To begin, click Apply Online to create a USAJOBS account or log in to your existing account. Follow the prompts to select your USA JOBS resume and/or other supporting documents and complete the occupational questionnaire.
              • Click Submit My Answers to submit your application package. NOTE: It is your responsibility to ensure your responses and appropriate documentation is submitted prior to the closing date.

                To verify your application is complete, log into your USA JOBS account, https://my.usajobs.gov/Account/Login, select the Application Status link and then select the more information link for this position. The Details page will display the status of your application, the documentation received and processed, and any correspondence the agency has sent related to this application. Your uploaded documents may take several hours to clear the virus scan process. To return to an incomplete application, log into your USA JOBS account and click Update Application in the vacancy announcement. You must re-select your resume and/or other documents from your USA JOBS account or your application will be incomplete.

                Agency contact information

                Rita Tolen

                Phone

                423-979-3565

                Email

                rita.tolen@va.gov

                Address

                Lexington VA Health Care System 2250 Leestown Road Lexington, KY 40511 US

                Next steps

                Once your online application is submitted you will receive a confirmation notification by email. After we receive application packages (including all required documents) and the vacancy announcement closes, we will review applications to ensure qualification and eligibility requirements are met. After the review is complete, a referral certificate(s) is issued and applicants will be notified of their status by email. Referred applicants will be notified as such and may be contacted directly by the hiring office for an interview. All referred applicants receive a final notification once a selection decision has been made.

                You may check the status of your application at any time by logging into your USA Jobs account and clicking on Applications. Information regarding your application status can be found in the USAJobs Help Center.

                NOTE: Participation in the seasonal influenza program is a condition of employment and a requirement for all Department of Veterans Affairs Health Care Personnel (HCP). It is a requirement that all HCP to receive annual seasonal influenza vaccination or obtain an exemption for medical or religious reasons. Wearing a face mask is required when an exemption to the influenza vaccination has been granted. HCP in violation of this directive may face disciplinary action up to and including removal from federal service. HCP are individuals who, during the influenza season, work in VHA locations or who come into contact with VA patients or other HCP as part of their duties. VHA locations include, but are not limited to, VA hospitals and associated clinics, community living centers (CLCs), community-based outpatient clinics (CBOCs), domiciliary units, Vet centers and VA-leased medical facilities. HCP include all VA licensed and unlicensed, clinical and administrative, remote and onsite, paid and without compensation, full- and part-time employees, intermittent employees, fee basis employees, VA contractors, researchers, volunteers and health professions trainees (HPTs) who are expected to perform any or all of their work at these facilities. HPTs may be paid or unpaid and include residents, interns, fellows and students. HCP also includes VHA personnel providing home-based care to Veterans and drivers and other personnel whose duties put them in contact with patients outside VA medical facilities.
              • Fair and Transparent

                The Federal hiring process is set up to be fair and transparent. Please read the following guidance.
                • Equal Employment Opportunity (EEO) Policy
                • Reasonable accommodation policy
                • Financial suitability
                • Selective Service
                • New employee probationary period
                • Signature and false statements
                • Privacy Act
                • Social security number request Required Documents

                  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: About VA Form 10-2850C - Veterans Affairs.

                    REQUIRED AT THE TIME OF SELECTION!!!!

                    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 (current/former Federal employees), etc.
                    • Cover Letter
                    • DD-214/ Statement of Service
                    • Disability Letter (VA)
                    • Resume
                    • Transcript If you are relying on your education to meet qualification requirements:

                      Education must be accredited by an accrediting institution recognized by the U.S. Department of Education in order for it to be credited towards qualifications. Therefore, provide only the attendance and/or degrees from schools accredited by accrediting institutions recognized by the U.S. Department of Education.

                      Failure to provide all of the required information as stated in this vacancy announcement may result in an ineligible rating or may affect the overall rating.

                      How to Apply

                      All applicants are encouraged to apply online. To apply for this position, you must complete the full questionnaire and submit the documentation specified in the Required Documents section below. The complete application package must be submitted by 11:59 PM (ET) on 03/28/2023 to receive consideration. To preview the questionnaire click https://apply.usastaffing.gov/ViewQuestionnaire/11871416.
                    • To begin, click Apply Online to create a USAJOBS account or log in to your existing account. Follow the prompts to select your USA JOBS resume and/or other supporting documents and complete the occupational questionnaire.
                    • Click Submit My Answers to submit your application package.

                      NOTE: It is your responsibility to ensure your responses and appropriate documentation is submitted prior to the closing date.

                      To verify your application is complete, log into your USA JOBS account, https://my.usajobs.gov/Account/Login, select the Application Status link and then select the more information link for this position. The Details page will display the status of your application, the documentation received and processed, and any correspondence the agency has sent related to this application. Your uploaded documents may take several hours to clear the virus scan process. To return to an incomplete application, log into your USA JOBS account and click Update Application in the vacancy announcement. You must re-select your resume and/or other documents from your USA JOBS account or your application will be incomplete.

                      Agency contact information

                      Rita Tolen

                      Phone

                      423-979-3565

                      Email

                      rita.tolen@va.gov

                      Address

                      Lexington VA Health Care System 2250 Leestown Road Lexington, KY 40511 US

                      Next steps

                      Once your online application is submitted you will receive a confirmation notification by email. After we receive application packages (including all required documents) and the vacancy announcement closes, we will review applications to ensure qualification and eligibility requirements are met. After the review is complete, a referral certificate(s) is issued and applicants will be notified of their status by email. Referred applicants will be notified as such and may be contacted directly by the hiring office for an interview. All referred applicants receive a final notification once a selection decision has been made.

                      You may check the status of your application at any time by logging into your USA Jobs account and clicking on Applications. Information regarding your application status can be found in the USAJobs Help Center.

                      NOTE: Participation in the seasonal influenza program is a condition of employment and a requirement for all Department of Veterans Affairs Health Care Personnel (HCP). It is a requirement that all HCP to receive annual seasonal influenza vaccination or obtain an exemption for medical or religious reasons. Wearing a face mask is required when an exemption to the influenza vaccination has been granted. HCP in violation of this directive may face disciplinary action up to and including removal from federal service. HCP are individuals who, during the influenza season, work in VHA locations or who come into contact with VA patients or other HCP as part of their duties. VHA locations include, but are not limited to, VA hospitals and associated clinics, community living centers (CLCs), community-based outpatient clinics (CBOCs), domiciliary units, Vet centers and VA-leased medical facilities. HCP include all VA licensed and unlicensed, clinical and administrative, remote and onsite, paid and without compensation, full- and part-time employees, intermittent employees, fee basis employees, VA contractors, researchers, volunteers and health professions trainees (HPTs) who are expected to perform any or all of their work at these facilities. HPTs may be paid or unpaid and include residents, interns, fellows and students. HCP also includes VHA personnel providing home-based care to Veterans and drivers and other personnel whose duties put them in contact with patients outside VA medical facilities.

                      Fair & Transparent

                      The Federal hiring process is set up to be fair and transparent. Please read the following guidance.
                      • Equal Employment Opportunity (EEO) Policy
                      • Reasonable accommodation policy
                      • Financial suitability
                      • Selective Service
                      • New employee probationary period
                      • Signature and false statements
                      • Privacy Act
                      • Social security number request

Keywords: usagov, Lexington , Nursing Assistant, Healthcare , Lexington, Kentucky

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