Summary This position is located in the Eastern Colorado Health Care System under Patient Care Services/Pueblo Community Living Center. The purpose of this position is to provide a range of direct patient care in collaboration with the Pueblo Community Living Center team. The incumbent will serve as a member of the nursing team. All work is reviewed by a Registered Nurse (RN). Responsibilities Adheres to the Time and Leave Policy and VA policies and procedures. Follows ECHCS and nursing service policies and procedures for accurately documenting personal belongings and securing patients' belongings to include valuables and prosthetic devices such as dentures, hearing aids, eyes, and limbs. Completes required documentation timely and accurately with minimal or no guidance; able to assist other staff members. Keeps supply rooms, and patient rooms orderly. Restocks rooms with established par levels. Reports issues with supply levels or restocking to the charge nurse or unit management. Checks for expired products, and discards items with past expiration dates. Puts broken equipment out of service immediately, tags it as such, and submits a Maximo request for repair. Uses supplies and additional resources appropriately; makes suggestions to improve resource utilization. Promptly reports all accidents to the Charge Nurse or Nursing Management. Notifies responsible parties of unsafe or unhealthy environmental situations/conditions. Corrects safety hazards promptly. Complies with relevant environmental regulations, Executive Orders, and Green Environmental Management Systems (GEMS) initiatives. Adheres to the Medical Center policy on Abuse and Neglect, avoiding any act which could be construed as abuse, neglect, or mistreatment of patients and promptly reports any suspected or actual incidents of patient abuse and/or neglect to their immediate supervisor. Demonstrates compliance with infection control practices, such as hand washing and wearing of appropriate personal protective equipment. Dons the appropriate PPE based on the type of isolation precaution. Assists patient with activities of daily living (ADLs) such as personal hygiene, and daily nourishment independently and aids co-workers. Performs a variety of nursing care tasks, including assisting with changing clothes, specimen collection, positioning, turning and lifting patients. Adheres to Safe Patient Handling practices for safe body mechanics, use of mechanical devices. Uses sound judgement when requesting assistance from other staff when moving, lifting, or turning patients to prevent injury to patient, self or others. Assists with the rehabilitation of patients and in the prevention of deformities by correct position and assisting with activities of daily living to include ambulation. Performs range of motion activities. Assists with application of compression socks, tubi-grip and stump care. Takes patient vital signs to include temperature, pulse, respirations, blood pressure, height and weight, recording in the electronic medical record. Accurately measures intake and output Provides urinary and suprapubic catheter care to include perineal hygiene and the application of external catheters. Changes ostomy appliances and performs bowel and bladder training as outlined by treatment plan. Performs bladders scans, and collects urine, sputum, MRSA Nares or stool specimens per the RN's direction. Reports all patient critical glucose measurements immediately to nurse responsible. Applies safety devices as directed by the RN. Provides observation for veterans who are safety risks as directed by the Charge RN. Observes and reports patient complaints, results of treatments performed, change in patient's condition, behavior and/or attitude. Reports abusive, aggressive, threatening behaviors and documents such actions via Disruptive Behavior Reporting System. Observes and reports both obvious and subtle changes in patient's physical condition or emotional status, e.g., hemorrhage, cyanosis, respiratory distress, aspiration of mucous, or acute behavior changes or unusual behavior. Initiates cardio-pulmonary resuscitation in accordance with established Eastern Colorado Health Care System Center Policy. Patients on portable oxygen tanks are monitored to ensure that oxygen tanks maintain adequate supply of oxygen. Incumbent changes oxygen tanks as needed or requested; transfers veteran from portable tank to concentrator ensuring oxygen is set for ordered liter flow per minute; applies oxygen as directed by the RN. Actively participates in the interdisciplinary care plan meetings and makes suggestions to enhance the patient specific care plan. Demonstrates positive, effective communication skills and professional behaviors that promote cooperation and teamwork with internal and external customers. Treats self, patients, family and others with respect and dignity and can effectively intervene when there is a difficult situation. Work Schedule: Compressed 12 hr shifts available (six 12 hr shifts and one 8 hr shift in two week pay period) (1 daylight position & 1 evening position) Compressed/Flexible: Available Telework: Not Available Virtual: This is not a virtual position. Functional Statement #: 55671-A, 55672-A & 55673-A Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized Requirements Conditions of Employment You must be a U.S. Citizen to apply for this job. All applicants tentatively selected for VA employment in a testing designated position are subject to urinalysis to screen for illegal drug use prior to appointment. Applicants who refuse to be tested will be denied employment with VA. Selective Service Registration is required for males born after 12/31/1959. Must be proficient in written and spoken English. You may be required to serve a probationary period. Subject to background/security investigation. Selected applicants will be required to complete an online onboarding process. Must pass pre-employment physical examination. Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP). Participation in the Coronavirus Disease 2019 (COVID-19) vaccination program is a requirement for all Veterans Health Administration Health Care Personnel (HCP) - See "Additional Information" below for details. 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: U.S. Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. English Language Proficiency. Must be proficient in spoken and written English [Experience or] Education or Training. (1) Six months of general experience. Experience must demonstrate the ability to acquire the knowledge and skills to perform the work of a NA; OR, (2) One year of education above high school with courses related to the NA occupation; OR, (3) 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 Determination: GS-3 (Entry Level) Experiences 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: 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 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. AND, Demonstrated Knowledge, Skills, and Abilities (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 Preferred Experience: Nursing Assistant experience working with Geriatric, Dementia, and Behavioral Health residents. Knowledgeable in providing all aspects of care/ADL to residents including the collection of vital signs, input/output, weights, feeding, providing hygiene care, use of lift equipment. Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/. The full performance level of this vacancy is a GS-5. The actual grade at which an applicant may be selected for this vacancy is 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. It requires assisting with transferring patients to wheelchairs/litters and transporting them to other departments. In addition to the aforementioned duties, it may involve moving equipment/objects in excess of 40lbs. Transferring patients and objects may be required. Mechanical inpatient 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. 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 as a condition of employment. Education IMPORTANT: A transcript must be submitted with your application if you are basing all or part of your qualifications on education. Note: Only education or degrees recognized by the U.S. Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment. You can verify your education here: http://ope.ed.gov/accreditation/. 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. For further information, visit: https://sites.ed.gov/international/recognition-of-foreign-qualifications/. Additional Information During the application process you may have an option to opt-in to make your resume available to hiring managers in the agency who have similar positions. Opting in does not impact your application for this announcement, nor does it guarantee further consideration for additional positions. This job opportunity announcement may be used to fill additional vacancies. This position is in the Excepted Service and does not confer competitive status. 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. Pursuant to VHA Directive 1193.01, VHA health care personnel (HCP) are required to be fully vaccinated against COVID-19 subject to such accommodations as required by law (i.e., medical, religious or pregnancy). VHA HCPs do not include remote workers who only infrequently enter VHA locations. If selected, you will be required to be fully vaccinated against COVID-19 and submit documentation of proof of vaccination before your start date. The agency will provide additional information regarding what information or documentation will be needed and how you can request a legally required accommodation from this requirement using the reasonable accommodation process. If you are unable to apply online or need an alternate method to submit documents, please reach out to the Agency Contact listed in this Job Opportunity Announcement. Under the Fair Chance to Compete Act, the Department of Veterans Affairs prohibits requesting an applicant's criminal history prior to accepting a tentative job offer. For more information about the Act and the complaint process, visit Human Resources and Administration/Operations, Security, and Preparedness (HRA/OSP) at The Fair Chance Act.