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Summary PLEASE READ THIS ANNOUNCEMENT IN ITS ENTIRETY BEFORE BEGINNING THE APPLICATION PROCESS TO ENSURE YOU SUBMIT ALL THE REQUIRED DOCUMENTS. The Cheyenne VA Medical Center, is currently recruiting for one (1) Nursing Assistant to work in the Community Living Center, CLC located in, Cheyenne, WY. Responsibilities GS-3 employees perform the following duties under close supervision. GS-3 include but are not limited to the following major duties: Adhere to VA and Nursing policies, procedures, & standards Maintain patient privacy/confidentiality & patient rights to privacy/confidentiality Collect patient information including observation of overall condition Take appropriate action in response to patient emergent situations Accurately documents patient information in CPRS Provide patient information to the accountable RN to include in the patient care plan Complete assignments in timely manner Use appropriate lifting/moving/transfer techniques/devices Utilizes infection control & universal standard precautions Participate in interdisciplinary team care planning & delivery of care process Assist in implementation of the psychiatric treatment program Provide routine hygienic/activities of daily living care. Perform actions targeted to maintain/restore skin integrity Collect patient specimens Follow seizure precautions as directed Transport patient w/ oxygen Use protective/restraining devices appropriately Feed patients who are at risk for aspiration orally Report situations including: (1) changes in behavior (2) wandering (3) sundowning (4) sleep disturbances (5) inappropriate sexual behavior (6) aggressive behavior (7) hallucinations (visual/auditory) (8) incontinence (9) swallowing problems (10) vital signs Recognize communication barriers: (1) sensory deficits ie: hearing aid/s, vision loss (2) stage of disease ie: stroke, end of life Demonstrate correct moving & transferring techniques, including: (1) stand/pivot transfer mechanics (2) repositioning from the front & rear lift approach (3) slide board transfer (4) using transfer belt (5) using transportation devices (6) using patient lifts (7) using side rail & trapeze Demonstrate correct use of assistive devices for eating & dressing Promote correct use of ambulation devices: (1) walker (regular and with wheels) (2) 3-point cane (3) Crutches (4) Hemi-Walker & canes Protect printed & electronic files containing sensitive data in accordance with the Privacy Act of 1974 & other applicable laws, federal regulations, VA statutes & policy; Protect data from unauthorized release or from loss, alteration, or unauthorized deletion; follow applicable regulations & instructions regarding access to computerized files, release of access codes, etc. Perform other duties as assigned GS-4 employees perform all the duties as a GS-3, but are expected to work more independently than a GS-3. In addition, GS-4 employees duties include but are not limited to the following duties: Demonstrate ability to assist patient dressing skills. Assist w/ toileting activities as appropriate. Monitor patients in restraints, seclusion/1:1 observation per unit policy. Demonstrate use of the following equipment: (1) Tub/scale (2) Special care beds (3) Geri chair (4) Vital signs monitor Apply heat & cold therapies Administer respiratory therapies: (1) turn, cough and deep breathe (2) incentive spirometer Apply and provide routine care for a condom catheter Promote skin healing through the application of noncomplex dressing changes & application of ostomy appliances as delegated by the accountable RN Offer physiological, psychological & spiritual comfort to the dying patient Demonstrate the correct application of slings, splints & braces Perform finger stick blood glucose using blood glucose monitor Demonstrates/performs use of oximetry as directed Recognize dementia safety risks Observe chest tubes Monitor continuous bladder irrigations Assist nurse w/ applying traction/supportive devices Ambulate patient w/w/out assistive devices & provide passive range of motion as directed by RN Monitor gastric/intestinal drainage & feeding tubes Assist in initiation/seclusion/behavioral management as directed Perform other duties as assigned GS-5 employees perform all of the duties of GS-4 employees and G3-3 employees but are expected to work independently. This is the full performance level of a NA. In addition, GS-5 employees duties include but are not limited to the following duties: Work Schedule: Days and Hours will vary and may include weekends and holidays Compressed/Flexible: Not Available Telework: Not Available Virtual: This is not a virtual position. Functional Statement #: 442-56709-A; 442-56708-A; 442-56707-A Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized Financial Disclosure Report: Not required Requirements Conditions of Employment You must be a U.S. Citizen to apply for this job. All applicants tentatively selected for VA employment in a testing designated position are subject to urinalysis to screen for illegal drug use prior to appointment. Applicants who refuse to be tested will be denied employment with VA. Selective Service Registration is required for males born after 12/31/1959. Must be proficient in written and spoken English. You may be required to serve a probationary period. Subject to background/security investigation. Selected applicants will be required to complete an online onboarding process. Must pass pre-employment physical examination. 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 Veterans Health Administration Health Care Personnel (HCP) - See "Additional Information" below for details. 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: Citizenship. Citizen of the United States. (Non-citizens may be appointed when it is not possible to recruit qualified citizens in accordance with chapter 3, section A, paragraph 3g, this part.) Experience or Education or Training. Six months of general experience. Experience must demonstrate the ability to acquire the knowledge and skills to perform the work of a NA; OR, One year of education above high school with courses related to the NA occupation; OR, 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. 1 (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. Grade Determinations: GS-3 Nursing Assistant (Entry Level): Experience. None beyond the basic requirements. GS-4 Nursing Assistant: 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 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 Nursing Assistant (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 Demonstrate the following 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. Preferred Experience: Long Term Care or Hospice experience. References: VA HANDBOOK 5005/81 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 in the range of GS-3 to GS-5. Physical Requirements: See VA Directive and Handbook 5019, Employee Occupational Health Service for requirements. 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. 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: https://sites.ed.gov/international/recognition-of-foreign-qualifications/. 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. Selected applicants may qualify for credit toward annual leave accrual, based on prior work experience or military service experience. 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. During the application process you may have an option to opt-in to make your resume available to hiring managers in the agency who have similar positions. Opting in does not impact your application for this announcement, nor does it guarantee further consideration for additional positions. 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. Pursuant to VHA Directive 1193.01, VHA health care personnel (HCP) are required to be fully vaccinated against COVID-19 subject to such accommodations as required by law (i.e., medical, religious or pregnancy). VHA HCPs do not include remote workers who only infrequently enter VHA locations. If selected, you will be required to be fully vaccinated against COVID-19 and submit documentation of proof of vaccination before your start date. The agency will provide additional information regarding what information or documentation will be needed and how you can request a legally required accommodation from this requirement using the reasonable accommodation process. If you are unable to apply online or need an alternate method to submit documents, please reach out to the Agency Contact listed in this Job Opportunity Announcement.