Clarification from the agency

NOTE: The 2-page Resume requirement does not apply to this position.

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All duties performed will be completed under close supervision with appropriate training and competencies for assigned task.

• Maintains a positive therapeutic relationship by displaying respect for human dignity with patients, families, and/or significant others utilizing learned communication skills.
• Begins to utilize observation skills for data collection, reporting, and recording patient/resident observations.
• Learning to perform aspects of nursing care to meet patient needs for the following under close supervision and with direction/guidance from a preceptor:
• Personal hygiene
• Physical comfort
• Activity, exercise, rest
• Nutrition
• Elimination
• Prevention of skin breakdown
• Rehabilitative aspects of care
• Turning/positioning
• Maintains a safe, clean, and therapeutic environment for patients by performing activities such as checking equipment, assessing safety hazards, straightening procedural and storage areas, and cleaning stretchers and wheelchairs between patient uses.
• Sends broken, torn, or equipment needing maintenance to designated areas.
• Monitors patients who may be at risk for harming themselves or others according to established policies and procedures and appropriately refers issues to the charge nurse or other health care professional.
• Will learn to appropriately utilize glucose monitoring equipment to collect and document glucose readings for assigned veterans and report out-of-range levels to the registered nurse (RN).
• Participates in maintenance of an optimal infection control program by observing hand-washing policies and techniques and by carrying out isolation procedures.
• Learning to utilize principles of proper body mechanics and follows procedures for use of patient care equipment to prevent injury to self or others in all settings, such as utilization of lifting equipment.
• Recognizes the need for emergency measures and institutes resuscitative procedures if needed, in accordance with basic cardiopulmonary resuscitation (CPR) training.
• Organizes and obtains routine supplies and equipment.
• Assists with orienting patient/family to unit routines and policies.
• Works as a cooperative, courteous member of the interdisciplinary team.
• Demonstrates adequate interpersonal skills by reassuring, motivating, encouraging, observing, and communicating effectively with patients, families, and interdisciplinary team members.
• Safeguards the patient's right to privacy by judiciously protecting information of a confidential nature.
• Learning to utilize equipment and supplies according to procedures.
• Attends and participates in staff meetings, safety huddles, and educational programs.
• Provides care appropriate to the age of patients served, applying the principles of growth and development over the life span and identifying age-specific needs.

Work Schedule: Monday-Friday (Nights) 1930 - 0800, and Day Shift 0730-2000
Compressed/Flexible: Not Authorized
Telework: Not Authorized
Virtual: This is not a virtual position.
Functional Statement #:70969F
Relocation/Recruitment Incentives: Not Authorized
Permanent Change of Station (PCS): Not Authorized
PCS Appraised Value Offer (AVO):

Preferred Experience
Selective Placement Factor
Quality Rankin Factor

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 identification 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

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.
• 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.
• 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,
• [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; 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.

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: In addition to the basic requirements for employment, the following criteria must be met when determining the grade of candidates.

GS-3 Nursing Assistant (Entry Level)
(a) Experience and Education. None beyond the basic requirements.
(b) Assignments. Individuals assigned as GS-3 NAs are considered to be at the entry level and are closely supervised.

GS-4 Nursing Assistant

(a) 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,
(b) Education. Successful completion of 2 years above high school in an accredited institution with courses related to nursing care, healthcare 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
(c) Demonstrated Knowledge, Skills, and Abilities (KSAs). In addition, the candidate must demonstrate the following KSAs:
i Ability to provide a range of patient/resident care and contribute to the completion of the nurse care plan and recovery of patients/residents.
ii Ability to observe patients/residents' or resident's physical or emotional status and refer deviations and/or problems to supervisor in a timely manner. iii 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.
iv Ability to communicate effectively with patients/residents, their families and other health professionals.

(d) Assignment. i: Individuals assigned as GS-4 NAs are considered to be at the intermediate or developmental level and are closely supervised. NAs at this grade level function as a member of the nursing care team and assist higher graded NAs, licensed nursing staff, and other members of the care team in the care of patients/residents receiving outpatient care, home or community living care or other patients/residents who are in acute, sub-acute, or chronic states of illness. The significant factor is that they provide care under close supervision and refer issues/questions to supervisors, higher graded NAs or other health care professionals. ii In this role, the NA functions as a member of the nursing care team and assists higher graded NAs, licensed nursing staff, and other members of the care team in the care of patients/residents receiving outpatient care, home or community living care, or other patients who are in acute, sub-acute, or chronic states of illness. The NA in this role provides care under close supervision and refers issues/questions to supervisors, higher graded NAs, or other health care professionals.

GS-5 Nursing Assistant (Full Performance Level).
(a) 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,
(b) 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
(c) Demonstrated KSAs. i 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. ii 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. iii 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.
(d) Assignment. This is the full performance level for NAs. NAs at this grade level function as a member of the nursing care team and assist licensed nursing staff in the care of patients/residents receiving outpatient care, home or community living care or other patients/residents who are in acute, sub acute or chronic states of illness. The distinguishing factor is that patient/resident assignments typically involve more complex nursing needs which can vary within a range of predictable to unpredictable requirements. NAs at this level also assume more of a peer education/mentorship role. 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:

1 year of experience of Medical Surgical experience preferred .

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-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: This position requires visual acuity, keen hearing, clear distinctive speech, and manual dexterity. Require potentially long periods of continued walking, standing, stooping, sitting, bending pulling, and pushing. Transferring patient objects may be required. The Nursing Assistant may be exposed to infected patients and contaminated materials and may be required to use protective clothing in isolations situations or operative/invasive procedures. Occasionally may be exposed to patients who are combative secondary to delirium, dementia, or psychiatrics disorders. The NA must be mature, flexible, sensible individual capable of working effectively in stressful situations, able to shift priorities based on patient needs.

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.