This is an Open Continuous Announcement (OCA) that will be used to fill multiple multiple Nursing Assistant vacancies at the Buffalo Location of the Western New York VA Healthcare System. We will also utilize this OCA to accept applications in anticipation of future vacancies. Extended announcements provide us a readily available source of applicants when vacancies do occur and are approved. If a vacancy does not occur, no further notification concerning the announcement will be provided. This is an open continuous announcement until September 28, 2023. Qualified applicants will be considered and referred as vacancies become available. To qualify for this position, applicants must meet all requirements by the closing date of this announcement, 09/28/2023. Basic Requirements: Citizenship: Citizen of the United States. (Non-citizens may be appointed when it is not possible to recruit qualified citizens 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. IMPORTANT: A transcript must be submitted with your application if you are basing all or part of your qualifications on education Physical Requirements: All applicants must meet physical requirements for this position. See VA Directive and Handbook 5019. 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. Creditable Experience: Knowledge of Current Practice: To be creditable, the experience must have required the use of knowledge, skills, and abilities associated with the current practice. 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. 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. Grade Determinations: GS-3 (Entry Level) Experience [and] Education: None beyond the basic requirements. GS-4 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; AND Demonstrated Knowledge, Skills, and Abilities (KSAs). In addition, the candidate must demonstrate the following KSAs: 1. Ability to provide a range of patient/resident care and contribute to the completion of the nurse care plan and recovery of patients/residents. 2. Ability to observe patients/residents' or resident's physical or emotional status and refer deviations and/or problems to supervisor in a timely manner. 3. 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. 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. 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 (IMPORTANT: A transcript must be submitted with your application if you are basing all or part of your qualifications on education); AND Demonstrated KSAs: In addition, the candidate must demonstrate the following 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, Part II, Appendix G47 The full performance level of this vacancy is GS5. The actual grade at which an applicant may be selected for this vacancy is GS3 - GS5. 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. Mechanical patient lifts are provided. 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. Must complete annual Employee Health requirements, such as annual TB screening or testing, as a condition of employment. Selected candidate is required to successfully pass a medical examination. (See VA Directive and Handbook 5019) ["VA nursing assistants perform care as delegated by a Registered Nurse. They assist medical personnel in the care and treatment of patients, including direct patient care. They perform a wide variety of duties aimed at increasing the comfort and mental health of the patient. They perform patient care and take measures to address the patient's bio-psychosocial needs, personal hygiene, physical comfort, nutrition, hydration, and safety. They will encourage patients with self-care and promote independence, while reporting to the Registered Nurse. They also perform other related duties as assigned. Duties Include but are not limited to: 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. 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: care simple dressing, application of braces and prosthetic devices. Performing and documenting prescribed medical treatment and interventions for patients, such as diabetic urine testing and blood testing, simple dressing changes. 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. 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. Work Schedule: Variable Days, Evenings, Nights Depending on Department - Tour of duty will be discussed at interview. Telework: Not Eligible Relocation/Recruitment Incentives: May be Authorized for Highly Qualified Candidates Permanent Change of Station (PCS): Not Authorized Financial Disclosure Report: Not required"]

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