Nurse Assistant
Department Of Veterans Affairs - Fort Harrison, MT

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Vacancy Identification Number (VIN) 875082 Please include this number on all faxed documents.

Two full-time positions available at the VA Montana Medical Center at Fort Harrison, MT. Tour of duty varies to include nights, weekends and holidays.
OUR MISSION: To fulfill President Lincoln's promise - "To care for him who shall have borne the battle, and for his widow, and his orphan" - by serving and honoring the men and women who are America's Veterans.

The VA Montana Health Care System provides a VA presence in every major city in the state through a series of community based clinics, a community living center, and an acute care medical center.

Fort Harrison (Helena) is a 48-bed acute care, medical-surgical facility that offers a broad range of acute, chronic, and specialized inpatient and outpatient services for both male and female veterans. Specialty care includes internal medicine, gerontology, neurology, dermatology, cardiology, palliative care, pain management, medical oncology, surgery (general, vascular, laparoscopic, endoscopic), urology, orthopedics, plastic, ophthalmology, ENT, podiatry, gynecology, chiropractic care, psychiatry (including outpatient substance abuse treatment and PTSD and MST specific care), and ambulatory care (primary care). Radiology Service provides a broad range of diagnostic and interventional care provided on a full time basis. Pathology Services are available on site also provided on a full time basis. Telemedicine services are available for psychiatry, radiology, gynecology, primary care, ophthalmology and tele-home health. The 24-bed inpatient mental health facility serves patients needing treatment for PTSD, Substance Abuse and Acute Care.

A 30-bed Community Living Center (CLC) that provides general and ventilator dependent care is located in Miles City. Primary care is provided at Anaconda, Billings, Bozeman, Cutbank, Glasgow, Glendive, Great Falls, Havre, Kalispell, Lewistown, Miles City, and Missoula. Primary Care Telehealth Outreach Clinics are located in Hamilton and Plentywood. Staff and contract specialists visit the clinics regularly and provide access to specialty care as needed.

Montana is the fourth largest state geographically and has one of the largest per capita veteran populations. To augment mental health services in the outbased clinics, VA Montana Health Care System contracted mental health care outside Lewis and Clark County (location of Fort Harrison) to reduce veteran travel. This allowed the VA to provide for local care while maximizing funding in rural areas without making the veteran travel.

As a VA professional, your opportunities are endless. With many openings in the multiple functions of VA, you will have a wide range of opportunities and leadership positions at your fingertips. Not only is it the largest, most technologically advanced integrated health care system in the Nation, but we also provide many other services to Veterans through the Benefits Administration and National Cemeteries. VA professionals feel good about their careers and their ability to balance work and home life. VA offers generous paid time off and a variety of predictable and flexible scheduling opportunities. For more information on the Department of Veterans Affairs, go to http://www.vacareers.va.gov/

Note: 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 . The Professional Standards Board (a peer-review group) will review the selected candidate’s education and experience and recommend the grade and step at which the candidate will be placed. The salary is based on the grade and step approved for the selected candidate.

VA encourages persons with disabilities to apply. The health related positions in VA are covered by Title 38, and are not covered by the Schedule A excepted appointment authority.
Relocation Expenses: Relocation expenses are not authorized for this position.
KEY REQUIREMENTS

Must pass pre-employment examination
Must be proficient in written and spoken English
Designated and-or Random Drug Testing required

Background and-or Security Investigation required DUTIES:
The incumbent practices as a Float Pool Nursing Assistant (NA) on the Medical/Surgical/Behavioral Health/ICU/Emergency Department inpatient areas of VA Montana Medical Center. Certification preferred. The Float NA is responsible for the delivery of selected nursing activities to patients experiencing a variety of alterations in their physical, behavioral, acute and/or chronic psychiatric illnesses/substance dependency problems. This person will possess excellent communication and team building knowledge and skills. Basic Life Support (BLS) required for NAs per policy. This position requires flexibility in schedule and assignments, as this is a 24/7 hospital and a Float Pool Unit. As needs for cross-training are identified, orientation and checklist will be provided and completed.

Allied Nursing Functions: Defined as direct and indirect activities related to patient care as appropriately assigned by the RN. These activities are targeted to assisting the health care team.

1. Adheres to VA and Nursing policies, procedures, and standards.

2. Delivers care to patients in a respectful, non-judgmental manner.

3. Maintains patient privacy/confidentiality and patient rights to privacy/confidentiality.

4. Sets limits within the Nursing Assistant/patient relationship, which are clearly defined.

5. Participates in selected Continuous Improvement (CI) activities as directed.

6. Assists with selected activities related to patient admission/transfer and discharge.

7. Collects patient information including observation of overall condition.

8. Recognizes and reports obvious changes in patient condition including emergencies.

9. Takes appropriate actions in response to patient emergent situations.

10. Accurately documents patient information in CPRS.

11. Provides patient information to the accountable RN for inclusion in the patient’s plan of care.

12. Completes assignment, reports to the accountable RN when assignment has been completed or when unable to complete activities.

13. Uses appropriate lifting/moving/transfer techniques/devices.

14. Utilizes infection control and universal standard precautions.

16. Adjusts to assignment changes.

17. Participates in the interdisciplinary team care planning and delivery of care process.

18. Assists in the implementation of the psychiatric treatment program as assigned.

19. Related to stages of adult development:
a. Describes relationship of developmental stages to provision of nursing care.

b. Identifies selected developmental tasks, related stages of adult development and approximate age range of each stage.

c. Provides input to RN related to patient’s stage of adult development.

d. Provides care to patients in a variety of stages of adult development.

20. Supports the health care team through the reinforcement of patient education.

21. Safely performs the following functions:
a. Provides routine hygienic/activities of daily living care.

b. Performs actions targeted to the maintenance/restoration of skin integrity.

c. Collects patient specimens.

d. Administers a variety of comfort measures.

e. Takes vital signs after completion of orientation and competency validation.

f. Follows seizure precautions as directed.

g. Transports patients with oxygen.

h. Appropriately uses protective/restraining devices.

i. Feeds patients orally including those who are at risk for aspiration, after appropriate training.

j. Uses therapeutic cushions appropriately.

k. Reports situations including:
(1) changes in behavior.

(2) wandering

(3) sundowning

(4) sleep disturbances

(5) inappropriate sexual behavior

(6) aggressive behavior

(7) hallucinations (visual/auditory)

(8) incontinence

(9) swallowing problems

(10) vital signs

l. Recognizes communication barriers:
(1) sensory deficits ie: hearing aid/s, vision loss.

(2) stage of disease ie: stroke, end of life. m. Demonstrates correct moving and transferring techniques, including:

(1) mechanics of stand/pivot transfer

(2) repositioning from the front and rear lift approach

(3) slide board transfer

(4) use of transfer belt

(5) use of Transporter

(6) use of patient lifts

(7) use of side rail and trapeze

n. Demonstrates correct use of assistive devices for eating, including:

(1) eating utensils

(2) plate guard

(3) wheelchair and morgue lift

o. Demonstrates correct use of assistive devices for dressing, including:

(1) reachers

(2) shoe horn

(3) dressing sticks

(4) button hooks

(5) zipper pulls

p. Promotes correct use of ambulation devices:
(1) walker (regular and with wheels)

(2) 3 point cane

(3) Crutches

(4) Hemi-Walker and cane

q. Demonstrates ability to assist patient dressing skills.

r. Assists with toileting activities as appropriate.

s. Monitors patients in seclusion/1:1 observation using worksheets and assignment sheets.

t. Demonstrates use of the following equipment:
(1) Tub/scale.

(2) Special care beds.

(3) Geri/Cadillac chair.

(4) Vital signs monitor.

u. Reports changes in the flow rates of intravenous/Parenteral Nutrition therapy.

v. Applies heat and cold therapies.

w. Administers respiratory therapies:
(1) turn, cough and deep breathe.

(2) incentive spirometer

(3) oxygen (cannula/prongs/mask)

x. Applies and provides routine care for a condom catheter.

y. Promotes skin healing through the application of noncomplex dressing changes and the

application of ostomy appliances as delegated by the accountable RN.

z. Offers physiological, psychological and spiritual comfort to the dying patient.

aa. Correctly uses specialized wheelchairs.

bb. Demonstrates the correct application of slings, splints and braces.

cc. Performs finger stick blood glucose using the blood glucose monitor.

dd. Monitors patients during meal time.

ee. Demonstrates/performs use of oximetry as directed.

ff. Recognizes safety risks related to dementia.

gg. Observes chest tubes.

hh. Monitors continuous bladder irrigations.

ii. Assists the nurse in the application of traction and supportive devices.

jj. Ambulates patient with/without assistive devices and provides passive range of motion as

directed by the RN.

kk. Under the direction of the RN:
(1) Provides cast care/CMS

(2) Provides care for patients in HALO jacket.

ll. Administers established enteral feedings and checks for residual.

mm. Monitors gastric/intestinal drainage and feeding tubes.

nn. Correctly performs oral suctioning.

oo. Monitors tracheotomy secretions and removes external secretions.

pp. Appropriately uses protective and restraining devices.

qq. Assists in the initiation of seclusion/behavioral management as directed.

rr. Monitors those patients on safety checks/in seclusion/restraints, 1:1 observation.

ss. Demonstrates/performs use of oximetry as directed.

tt. Performs finger stick blood glucose using glucometer.

QUALIFICATIONS REQUIRED:
BASIC REQUIREMENTS:
U.S. Citizenship. Non-citizens may be appointed when it is not possible to recruit citizens in accordance with VA Policy.
Must pass pre-employment physical examination
English Language Proficiency required
Designated and-or Random Drug Testing required
Background and-or Security Investigation required

Preferred Experience: We are looking for nursing assistants with experience in a variety of hospital settings who is flexible and reliable. Nonprofessional nursing care work in hospital, outpatient clinic, nursing home, or other medical nursing, or patient care facility, or in such work as that of a home health aid performing duties such as; personal nursing care; support duties for diagnostic and technical treatment procedures; caring for mentally ill patients, including observing, recording, and reporting changes in behavior, and/or assisting physicians and registered nurses.

IN DESCRIBING YOUR EXPERIENCE, PLEASE BE CLEAR AND SPECIFIC. WE MAY NOT MAKE ASSUMPTIONS REGARDING YOUR EXPERIENCE.

GRADE DETERMINATIONS:
GS-4: Six (6) months of general experience that demonstrates ability to lean and perform nursing care duties, to deal successfully with people, and to be adaptable to the work situation. Additionally, six (6) months of specialized experience equivalent to a GS-3 grade level in the federal service performing non-professional nursing care work in a hospital, outpatient clinic, nursing home or other medical patient care facility, or as a home health aid. Examples of non-professional nursing care work include: 1) performing personal nursing acre duties; 2) support duties for diagnostic and technical treatment procedures; 3) caring for mentally ill patients; 4) assisting surgeons or registered nurses in operating room activities.

OR

Education: Two (2) years of practical nursing degree program or related field from an accredited community college, junior college, college or university. TRANSCRIPT REQUIRED

OR

Combination of experience and education such that the percentage of the required experience and education equals 100%. TRANSCRIPT REQUIRED

GS-5: One (1) or more years of specialized experience equivalent to GS-4 grade level in the federal services performing non-professional nursing care work in a hospital, outpatient clinic, nursing home, or other medical patient care facility, or as a home health aid. Examples of non-professional nursing care work include: 1) performing personal nursing care duties; 2) support duties for diagnostic and technical treatment procedures; 3) caring for mentally ill patients; 4) assisting surgeons or registered nurse in operating room activities.

OR

Education: Four (4) years of education above high school level at an accredited college or university, and have obtained a bachelors' degree in related field (one academic year of education is 30 semester hours or 45 quarter hours) TRANSCRIPT REQUIRED

OR

Combination of work experience and education such that the percentage of required experience and education equals 100%. When combining education and experience, you may only credit education beyond the first two academic years (two academic years of education is 60 semester hours or 90 quarter hours). TRANSCRIPT REQUIRED

References : OPM Group Coverage Qualification Standard for Technical and Medical Support Positions and Individual Qualification Standards GS-621

References: OPM Group Coverage Qualification Standard for Technical and Medical Support Positions and Individual Qualification Standards GS-621

PLEASE NOTE: Education must be accredited by an accrediting institution recognized by the U.S. Department of Education in order for it to be credited towards qualifications (particularly positions with a positive education requirement.) Therefore, applicants must report only attendance and/or degrees from schools accredited by accrediting institutions recognized by the U.S. Department of Education. Applicants can verify accreditation at the following website: http://www.ed.gov/admins/finaid/accred/index.html All education claimed by applicants will be verified by the appointing agency accordingly. If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education.

Physical Requirements: Work reequired long periods of physical activity such as standing, walking, lifting, and bending. Incumbent may be exposed to violent and/or aggressive patient behavior.

  • Moderate lifting, 15-44 poinds
  • Moderate carrying, 15-44 pounds
  • Straight pulling
  • Pushing
  • Reaching above shoulder
  • Use of fingers
  • Both hands required
  • Walking
  • Standing
  • Kneeling
  • Repeated bending
  • Climbing, legs only
  • Climbing, use of legs and arms
  • Both legs required
  • Ability for rapid mental and muscular coordination simultaneously
  • Near vision correctable at 13" to 16" to Jaeger 1 to 4
  • Far vision correctable in one eye to 20/20 and to 20/40 in the other
  • Depth perception
  • Ability to dintinguish basic colors
  • Ability to distinguish shades of colors
  • Hearing (aid permitted)
  • Emotional Stability
  • Mental stability
  • Sitting - 3 hours intermittently
  • Hand and eye coordination
  • Twisting
Veterans' Preference: When applying for Federal Jobs, eligible Veterans should claim preference on the Occupational Questionnaire in the section provided and provide a legible copy of your DD214(s) and/or documentation related to your active duty service which shows dates of service, character of service (honorable, general, etc.), or dates of impending separation.

Additionally, disabled veterans and others eligible for 10-point preference (such as widows or mothers of eligible Veterans) must also submit an SF-15 "Application for 10 Point Veterans Preference" with required proof as stated on the form. For more information, please review the information for disabled Veterans in the application checklist or visit http://www.fedshirevets.gov/job/vetpref/index.aspx .

HOW YOU WILL BE EVALUATED:
Your application, résumé and/or supporting documentation will be verified. Please follow all instructions carefully. Errors or omissions may affect consideration for employment. BENEFITS:
Working for the Department of Veterans Affairs offers a comprehensive benefits package that includes, in part, paid vacation, sick leave, holidays, life insurance, health benefits, thrift savings plan, and participation in the Federal Employees Retirement System. In addition to traditional "dollars and cents" benefits, we offer a range of benefits to help balance work and life. For more information please visit us at http://www.va.gov/JOBS/Job_Benefits/benefits.asp .

Receiving Service Credit for Earning Annual (Vacation) Leave: Federal Employees earn annual leave at a rate (4, 6 or 8 hours per pay period) which is based on the number of years they have served as a Federal employee. OTHER INFORMATION:
This job opportunity announcement may be used to fill additional vacancies.

This position is in the Excepted Service and does not confer competitive status.

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The United States Department of Veterans Affairs (VA) is a government-run military veteran benefit system with Cabinet-level status. It is...