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Nursing Assistant (Long Term Care)

Department of Veterans Affairs
Veterans Health Administration
VA Puget Sound Health Care System

Summary

Nursing Assistants function as a member of the nursing care team and assist licensed nursing staff in the care of patients/residents receiving preventive, acute, sub-acute chronic, maintenance, and hospice care.




Overview

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Accepting applications
Open & closing dates
02/12/2026 to 03/05/2026
Salary
$42,127 to - $68,781 per year

GS-3: $42,127 - $54,771 /// GS-4: $47,289 - $61,479 /// GS-5: $52,908 - $68,781

Pay scale & grade
GS 3 - 5
Location
1 vacancy in the following location:
Tacoma, WA
1 vacancy
Remote job
No
Telework eligible
No
Travel Required
Not required
Relocation expenses reimbursed
No
Appointment type
Permanent
Work schedule
Full-time
Service
Excepted
Promotion potential
5
Job family (Series)
Supervisory status
No
Security clearance
Other
Drug test
Yes
Position sensitivity and risk
Non-sensitive (NS)/Low Risk
Trust determination process
Financial disclosure
No
Bargaining unit status
No
Announcement number
CBSV-12883630-26-MLY
Control number
857608500

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Duties

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Duties will vary by grade. At the GS-5 full performance level, The NA may perform these duties in a variety of health care settings such as outpatient, inpatient, home or community living care, acute, sub-acute. The NA will care for patients/residents with acute to chronic conditions. Duties will include:

  • The NA will care for patients/residents with acute to chronic conditions.
  • The NA ensures the Veteran / resident is wearing the correct identification bracelet.
  • The NA performs, and can mentor other NAs, in activities of daily living (ADL) by helping Veterans in their physical functioning, to include personal hygiene (bathing), eating, assisting Veterans in and out of bed/wheelchairs using proper lifting techniques and safe patient handling equipment.
  • NA demonstrates the need for minimal supervision and proficient skill in promoting independence in daily living activities by following the Veteran's Restorative Plan of Care. The NA's performance demonstrates the Veteran is taught and encouraged to give as much of their self-care as is possible, while respecting the Veteran's preferences.
  • The NA independently follows the Restorative Plan of Care and performs range of motion exercises, turning and positioning, ambulation and other routine care procedures to complete all restorative exercises in the Plan of Care.
  • The NA performs and can mentor other NAs in a variety of general nursing duties competently including measurement and accurate recording of vital signs, height, weight, intake and output, smoking safety per Veteran's smoking assessment, cleansing and retention enemas, tube feeding, post- mortem care, infection control, isolation, simple treatments such as hot and cold packs, changing clean dressings, and applying external catheters.
  • The NA performs, under the supervision of a RN, and when assigned, catheter care, oral -pharyngeal suctioning and tracheostomy suctioning and tracheostomies that are non- complicated and at least five days old.
  • The NA uses aseptic technique and changes clean dressings.
  • The NA maintains and monitors oxygen therapy as directed by the RN, assignment or written care plan, to include management and operation of oxygen tanks. The NA performs assistive cough and deep breathing exercises.
  • The NA applies binders, splints, supportive devices, braces, and other simple devices to aid Veterans in positioning for therapy, applies hot and cold packs, prepares patients for tests, examinations, and treatments.
  • The NA collects specimens such as urine, specimen and stool, correctly labels specimens for laboratory examinations and assures timely transportation of specimens.
  • The NA applies ointments, shampoos, and creams considered medications under the Unlicensed Assistive Personnel (UAP Policy) and mentors fellow NAs in performing medication administration per policy.
  • The NA reviews the Veteran's /resident's treatment plan and follows the plan in performing resident care. The NA updates the plan of care in the resident's room to remain current with IDT and/ or Nursing Care Plan in the medical record, and reports / verifies changes and discrepancies to the charge nurse.
  • The NA participates in CLC activity and actions to improve the quality of care for residents/Veterans to include fall intervention and prevention of pressure sores. The NA independently implements the Veteran's / resident's specific plan of care to prevent falls with injury and pressure sores. The NA accepts quality improvement assignments of monitoring compliance when assigned.
  • The NA participates in the nursing care conferences and interdisciplinary team meetings, using knowledge of the Veteran / resident and reports resident / Veteran problems, helps plan individualized care and discharge planning. They present interventions based on the organization's guidelines on fall prevention and pressure sore prevention to meet specific needs of the resident / Veteran for inclusion in the IDT plan of care.
  • The NA cleans and maintains equipment independently or at the direction of the RN/LPN. The NA inspects devises and determines if the device is safe to use, or removes the device, notifies supervisor, and implements the process to have the device repaired.
  • The NA assists with admission, discharge and transfer of patients. The NA orients the new resident/Veteran to the room and safety features. The NA checks in and documents resident / Veteran valuables.
  • The NA safely and timely escorts Veterans to and from the CLC for appointments and recreational therapy.
Work Schedule: 6:00am-2:30pm, rotating weekends off.
Telework: Not Available
Virtual: This is not a virtual position.
Relocation/Recruitment Incentives: Not Authorized
Permanent Change of Station (PCS): Not Authorized

Requirements

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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.
  • Subject to background/security investigation.
  • Selected applicants will be required to complete an online onboarding process. Acceptable form(s) of identification will be required to complete pre-employment requirements (https://www.uscis.gov/i-9-central/form-i-9-acceptable-documents). Effective May 7, 2025, driver's licenses or state-issued dentification cards that are not REAL ID compliant cannot be utilized as an acceptable form of identification for employment.
  • 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).
  • Complete all application requirements detailed in the "Required Documents" section of this announcement.
As a condition of employment for accepting this position, you will be required to serve a 1 or 2-year trial period during which we will evaluate your fitness and whether your continued employment advances the public interest. In determining if your employment advances the public interest, we may consider:
  • your performance and conduct;
  • the needs and interests of the agency;
  • whether your continued employment would advance organizational goals of the agency or the Government; and
  • whether your continued employment would advance the efficiency of the Federal service.
Upon completion of your trial period, your employment will be terminated unless you receive certification, in writing, that your continued employment advances the public interest.

Qualifications

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.
  • 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.
  • Experience or Education or Training:
    • (1) Six months of general experience. Experience must demonstrate the ability to acquire the knowledge and skills to perform the work of a NA;
      • OR
    • (2) One year of education above high school with courses related to the NA occupation; TRANSCRIPTS REQUIRED
      • OR,
    • (3) 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. PROOF OF COMPLETION/CERTIFICATION REQUIRED
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 (Entry Level):
Experience and Education: None beyond the basic requirements.

GS-4 (Developmental Level):
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:
  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 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.

Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/.

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: 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 colors, hearing (aid may be permitted), visual acuity 20/30 corrected, mental and emotional stability.

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

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.

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.

Under the Fair Chance to Compete Act, the Department of Veterans Affairs prohibits requesting an applicant's criminal history prior to accepting a tentative job offer. For more information about the Act and the complaint process, visit Human Resources and Administration/Operations, Security, and Preparedness (HRA/OSP) at The Fair Chance Act.

Candidates should be committed to improving the efficiency of the Federal government, passionate about the ideals of our American republic, and committed to upholding the rule of law and the United States Constitution.

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, resume, 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.

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