Nursing Assistant (NTE 2 years) Government - Manchester, NH at Geebo

Nursing Assistant (NTE 2 years)

Duties include but are not limited to:
Utilizes glucose monitoring machines to receive glucose readings. Provides direct care for complex veterans. Makes observations of subtle changes in the 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. Administers complete tracheostomy care, including suctioning. Monitor and documents patient intake and output reports deviations timely and accurately. Performs nursing procedures within the scope of practice and according to policies and standard procedures for, but not limited to enemas, catheterization, colostomy care, simple skincare dressing, application of braces and prosthetic devices, and monitoring. Works with veterans/residents on small group activities as indicated in their patients/resident treatment plan. Recognizes the residents' autonomy and promotes independence through 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. Perform duties related to appointment registration and scheduling to include screening patients, visitors, and caregivers upon entry to the Medical Center and escort the patient to appointment locations as needed. 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 a proper aseptic technique to perform duties. Serves as the unit safe patient handling liaison. Serves as preceptor and mentor to other NA's. Conducts pre-entry administrative screening of all staff, patients, and visitors to the Medical Center. 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 appropriately intervenes and requests assistance from other health care members. Appropriately initiates basic life support and takes action as appropriate. Performs other duties as assigned. Work Schedule:
8:
00 am - 4:
30 pm may change to 7:
30 am - 4:
00 pm; rotating weekends and holidays Telework:
Not eligible Financial Disclosure Report:
Not required To qualify for this position, applicants must meet all requirements by the closing date of this announcement, 09/08/2020. 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. Education or Training:
One year above high school with courses related to the Nursing Assistant (NA) occupation. Completion of an intensive, specialized, occupation-related course of study of less than one year as a nursing assistant may also meet in full the experience requirements for GS-3 Grade Determinations:
In addition to the basic requirements for employment, the following criteria must be met when determining the grade of candidates. (1) GS-3 CNA (Entry Level) (a) Experience, Education and Certification. None beyond the basic requirements. (b) Assignments. Individuals assigned as GS-3 CNAs are considered to be at the entry level and are closely supervised. (2) GS-4 CNA (a) Experience. One year of specialized experience as a CNA 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, 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, (c) 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. (d) Assignment Individuals assigned as GS-4 CNAs are considered to be at the intermediate or developmental level and are closely supervised. CNAs at this grade level function as a member of the nursing care team and assist higher graded CNAs, 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 CNAs or other healthcare professionals. In this role, the Nursing Assistant functions as a member of the nursing care team and assists higher graded CNAs, 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 Nursing Assistant in this role provides care under close supervision and refers issues/questions to supervisors, higher graded CNAs, or other healthcare 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 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. (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. 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:
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. 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 NA must complete annual Employee Health requirements, such as annual TB screening or testing, as employment conditions. These physical requirements will be consistent with VA Directive Handbook 5019.
  • Department:
    0621 Nursing Assistant
  • Salary Range:
    $30,955 to $50,545 per year

Estimated Salary: $20 to $28 per hour based on qualifications.

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