Nursing Assistant (Community Living Center)

U.S. Department of Veterans Affairs; Murfreesboro (TN); On-site; USD 32,000 - 42,000; Full time

Job summary

Alvin C. York VA Medical Center in Murfreesboro, TN is recruiting for a Nursing Assistant for the Community Living Center. The role delivers direct patient care under supervision, assists with daily living activities, and helps maintain a safe, clean environment.

Applicants must meet VA basic requirements; there is potential for growth and federal benefits. This is a full-time position requiring good communication and observation skills within a long-term care setting.

Qualifications

• Basic requirements include U.S. citizenship and VA qualification standards.
• Education or training may substitute for experience as outlined.
• English language proficiency as specified by VA standards.

Responsibilities

• Utilizes glucose monitoring to obtain readings and reports deviations.
• Provides direct patient care and documents observations and responses.
• Performs assigned nursing procedures within scope of practice.
• Acts as preceptor and mentor to new nursing assistants.

Skills

Nursing care

Observation of patient status

Communication

Education

Two years of education above high school

Four-year health care program (BS)

Tools

Glucose monitoring

Tracheostomy care equipment

Job description

Summary

Alvin C. York Veterans' Administration Medical Center - Murfreesboro - Tennessee is currently recruiting for a Nursing Assistant / Community Living Center CLC.

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
• (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. 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 - the following provisions apply: 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
• 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
• 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: a
• Creditable Experience
• (1) Knowledge of Current Practice
• To be creditable - the experience must have required the use of knowledge - skills - and abilities associated with the current practice
• (2) Quality of Experience
• To be creditable - NA experience must be documented on the application or resume and verified in an employment reference - or through other independent means
• (3) Part-Time Experience
• Part-time experience as a NA is creditable according to its relationship to the full-time workweek
• For example - a NA employed 20 hours a week - or on a 1/2-time basis - would receive 1 full-time workweek of credit for each 2 weeks of service
• (1) GS-3 NA (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
• (2) GS-4 NA (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
• (3) GS-5 NA (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
• Preferred Experience: Long term care experience 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: See VA Directive and Handbook 5019 for requirements
• The pre-placement physical examination shall be completed prior to appointment to determine the physical and mental fitness for candidates for appointment in VA
• The examination will be concerned with the mental and physical ability of the applicant to satisfactorily perform the duties of the proposed assignment and will include requisite laboratory and other screening as required by Federal regulatory agencies
• This position requires visual acuity - keen hearing - clear distinctive speech - and manual dexterity
• This position requires potentially long periods of continued walking - standing - stooping - sitting - bending - pulling - and pushing
• This position requires that you are able to lift at least 50 lbs
• Transferring patients and objects may be required
• The incumbent may be exposed to infected patients and contaminated materials and may be required to don protective clothing in isolation situations or operative/invasive procedures
• The incumbent may occasionally be exposed to patients who are combative secondary to delirium - dementia - or psychiatric disorders
• The incumbent must be a mature - flexible - sensible individual capable of working effectively in stressful situations - able to shift priorities based on organizational needs
• Must complete annual Employee Health requirements - such as annual Influenza vaccination - TB screening or testing - as a condition of employment.

Duties

• ASSIGNED DUTIES FUNCTIONS AND RESPONSIBLITIES Utilizing glucose monitoring machine to receive glucose readings for veterans refers deviation to appropriate health care staff Provides direct care for complex veterans- Makes observations of subtle changes in resident's condition - i.e
• behavior shifts - mood - skin coloring - appetite - etc
• and takes action accordingly within the NA's assigned role Documents care given - observations and responses on appropriate tools or forms Responds appropriately to subtle patient changes by contacting the appropriate nursing personnel Administers complete tracheostomy care - including suctioning Monitor and documents patient intake and output reports deviations timely and accurately Performs nursing procedures within scope of practice and according to policies and standard procedures to care for the veteran for such procedures but not limited to: enemas - catheterization - colostomy care - skin care simple dressing - application of braces and prosthetic devices - monitoring of Works on small group activities with veterans/residents according to the patients/resident treatment plan Recognizes the residents' autonomy and promotes independence by means of respect - limit setting and individualized treatment Actively participates in Treatment Planning Meetings Utilizes equipment to promote the veteran self-care - such as
• lift equipment - Hydro sound Tubs - and Veteran/Resident Wandering System Verbally provides patient information to the treatment team for inclusion in the veteran/residents' plan of care - participates in treatment team meetings for resident care planning Enters information about the residents' condition in the chart - utilizing appropriate formats Participates in maintaining a clean - safe environment for the patient/resident Removes defective equipment - reports hazards - observes safety regulations - contributes to infection control - and utilizes proper aseptic technique in performance of duties Serves as the unit safe patient handling liaison Serves as preceptor and mentor to other NA's Orients members of the health care team to the units as appropriate Functions as a member of the unit base counsel Manages distributed patient behavior and by appropriate intervention and request assistance from other health care members Appropriately initiates basic life support - takes appropriate actions Total Rewards of a Allied Health Professional Recruitment Incentive (Sign-on Bonus): Not authorized Permanent Change of Station (Relocation Assistance): Not authorized Pay: Competitive salary and regular salary increases
• when setting pay - a higher step rate of the appropriate grade may be determined after consideration of higher or unique qualifications or special needs of the VA (Above Minimum Rate of the Grade)
• Paid Time Off: 37-50 days of annual paid time offer per year (13-26 days of annual leave - 13 days of sick leave - 11 paid Federal holidays per year)
• selected applicants may qualify for credit toward annual leave accrual - based on prior [work experience] or military service experience
• Parental Leave: After 12 months of employment - up to 12 weeks of paid parental leave in connection with the birth - adoption - or foster care placement of a child
• Child Care Subsidy: After 60 days of employment - full time employees with a total family income below $144 -000 may be eligible for a childcare subsidy up to 25% of total eligible childcare costs for eligible children up to the monthly maximum of $416.66
• Retirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA Insurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement) Work Schedule: This is a full time (80 hours per pay period) - based on the needs of the service
• (some weekends and holidays) Telework: Not available Virtual: This is not a virtual position
• Functional Statement #: 71427F - 71429F - 771428 Permanent Change of Station (PCS): Not authorized Special Salary Rate: V785