This Nursing Assistant position is located within the Fort Meade VA Medical Center's Community Living Center where Veterans receive nursing home level care including help with activities of daily living as well as skilled nursing and medical care. The Nursing Assistant delivers safe, basic physical and emotional care to residents with simple to complex needs while developing technical skills under the supervision of a Registered Nurse or Licensed Practical Nurse. BASIC REQUIREMENTS: (a) Citizenship. Citizen of the United States. (Noncitizens may be appointed when it is not possible to recruit qualified citizens in accordance with chapter 3, section A, paragraph 3g, this part.) (b) 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. (c) Education or Training: One year above high school with courses related to the 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. Note: A copy of college transcripts is required at the time of application showing completion of one year of education above high school related to the NA occupation, or documentation showing completion of an intensive, specialized, occupation-related course of study of less than one year as a nursing assistant. GRADE DETERMINATION: The full performance level of this vacancy is GS-5. The actual grade at which an applicant may be selected for this vacancy is GS-3 through GS-5. In addition to the basic requirements stated above, the qualification criteria outlined below must be met for each grade. To receive full consideration at the GS-4 and -5 levels, your application must clearly demonstrate the Knowledge, Skills, and Abilities (KSAs) described below. GS-3 - Entry Level Experience and Education. None beyond the basic requirements. Individuals assigned as GS-3 NAs are considered to be at the entry level and are closely supervised. 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 (transcripts required). 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 - 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 listed 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 (transcripts required). 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. References: VA Handbook 5005/81, Part II, Appendix G46 ["Major duties include, but are not limited to: Assist patients in dressing or undressing, bathing, and exercising. Assists patients at mealtimes and feeds patients if needed. Measures and records vital signs and measurements including temperature, pulse, respirations, pain, blood pressure, height, weight, abdominal or extremity girth, peripheral blood sugar, and pulse oximetry. Measures and records elimination and disposes of bodily wastes according to policy. Assembles, operates, and cleans reusable medical equipment. Performs simple procedures such as bladder scans. Continuously monitors vitals and patient behavior and reporting to nursing staff or provider. Assists as needed in controlling patient behavior which may be harmful to self or others. Recognizes and reports unsafe situations, and initiates appropriate emergency interventions. Turns, repositions, or moves patients between wheelchairs, seats, and beds utilizing principles of body mechanics and lifting devices or mechanical aids whenever possible. Escorts residents to scheduled procedures and or appointments. Aids nursing staff or providers with procedures as needed. Assists in the development of the nursing care plan by defining problems and needs and suggesting nursing actions based on information gained and through interaction with patients. Other duties as assigned. Work Schedule: Rotating shifts including evenings, nights, weekends, and holidays. Actual tour of duty to be discussed during interview. Telework: Not Available. Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Relocation incentive authorized for eligible, highly qualified applicants. A service agreement is required for all relocation incentives. Permanent Change of Station (PCS): Not authorized Financial Disclosure Report: This position requires some degree of fitness, strength, and agility. Nursing Assistants may be required to position a patient in bed or transport a patient. Nursing Assistants must also have strength to pull and push; stand for long periods of time (8-12 hours); lift moderately heavy objects with assistive devices; walking, bending, kneeling, twisting, and reaching above shoulders. Visual and auditory acuity is required (correctable with glasses/hearing devices) to perform assessments, monitor equipment, collect data, etc. Fine motor skills are required to grasp and control medical equipment and perform precise procedures."]

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