Nursing Assistant - Short Stay Unit

Diversity Group; Lebanon (Lebanon County); On-site; USD 38,000 - 65,000; Full time

Job summary

The Lebanon VA Medical Center in Lebanon, PA, is seeking a Nursing Assistant for the Geriatric and Extended Care service line to provide direct patient care under RN/LPN supervision.

Responsibilities include monitoring patients, assisting with daily living activities, and documenting care. VA qualification standards apply; schedule is 3:00pm–11:00pm with alternating weekends and holidays.

Qualifications

• Six months of general experience
• One year of education above high school with courses related to nursing care
• Completion of a 4-year health-care related program

Responsibilities

• Care for patients/residents in various health care settings under RN/LPN supervision
• Monitor patient condition and document observations and responses
• Assist with activities of daily living and basic life support as needed
• Maintain a safe, clean environment and report hazards

Education

One year of education above high school with courses related to nursing care

Successful completion of a 4-year course of study above high school including 24 semester hours in healthcare

Job description

Summary

This position is located at Lebanon VA Medical center in the Nursing - Geriatric and Extended Care service line.

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
• 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)
• 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) Experience and Education
• 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 - 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 Demonstrated Knowledge - Skills - and Abilities (KSAs).In addition - the candidate must 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 Demonstrated KSAs
• 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
• 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
• 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: 1 year of acute care and some LTC 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-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: This position requires potentially long periods of continued walking - standing - stooping - sitting - bending - pulling - and pushing - lifting 45 pounds or more - reaching - stretching - and similar activities supporting various weights
• 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 patient needs
• The incumbent must complete annual employee health requirements as a condition of employment
• These physical requirements will be consistent with VA Directive Handbook 5019.

Duties

• The Nursing Assistant may perform theses duties in a variety of health care settings such as outpatient - inpatient - home - or community living care - acute - sub-acute
• The Nursing Assistant will care for patients/residents with acute to chronic conditions
• Utilizes 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 personal Administers complete tracheostomy care - including suctioning
• Monitor and documents patient intake and output reports deviations timely and accurately Recognizes the residents' autonomy and promotes independence by means of respect - limit setting and individualized treatment
• 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
• 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 appropriately intervenes and request assistant from other health care members
• Appropriately initiates basic life support - takes actions appropriate action
• Promotes the value of cultural transformation and Veteran-centered care to nursing staff in the community living center
• Actively seeks Veteran choice in care plan participation and goal development
• Offer suggestions to improve the Veterans activities of daily living (ADL) functions and quality of life
• This would include suggestions for restorative or rehabilitative care
• Assist with ROM - transfer - ambulation - application of SCDs as delegated - use of patient lift/transfer/mobility devices - post fall use of hover jack - uses proper body mechanics - emergency evacuation sleds or devices
• Under the direction of the RN or LPN - monitor bladder and bowel functioning - tracking of intake and output (I&O) - and hydration
• Other duties as assigned
• Work Schedule: 3:00pm-11:00pm
• every other weekend - every other holiday: 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) Telework: Not Available Virtual: This is not a virtual position
• Functional Statement #: PD05212F - PD05211F - and PD05210F Permanent Change of Station (PCS): Not Authorized