SummaryThis position is located in the Eastern Colorado Health Care System under Patient Care Services, Inpatient Nursing, Acute Care. The purpose of this position is to provide a range of direct patient care in collaboration with the inpatient nursing team. The incumbent will serve as a member of the nursing team. All work is reviewed by a Registered Nurse (RN).This job is open toFederal employees - Competitive serviceCurrent or former competitive service federal employees.Federal employees - Excepted serviceCurrent excepted service federal employees.Internal to an agencyCurrent federal employees of this agency. Clarification from the agencyThis announcement is open to VA Eastern Colorado Health Care System Employees, VA Employees Nationwide, and all other Federal Employees. If you are not a current federal employee, please apply to vacancy CBSU-12506175-24-DAP.This is an open continuous announcement until December 31, 2024. Qualified applicants will be referred every two weeks until vacancies are filled.VideosDutiesMajor duties include, but are not limited to:Performs and fulfills a variety of nursing care tasks in support of safe and effective patient care with the appropriate level of training. All tasks, assignments, and activities will be under the direction, guidance, and supervision of a RN.Contributes to a safe, clean, and therapeutic environment for patients and staff by maintaining clean equipment, patient's rooms and ward areas.Cares for patients with communicable diseases for which various isolations precautions may be required. Don the appropriate PPE based on the type of isolation precaution.Uses sterile techniques with treatments and simple dressings that do not require packing, irrigation, debridement, or medications. Wrap stumps, irrigates and stabilizes ostomies, changes ostomy appliances and performs bowel and bladder training as outlined by treatment plan.Observes PIV/CVC for redness, swelling, or pain and reports findings to RN.Provides urinary/catheter care to include perineal hygiene and the application of external catheters.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.Measures and records vital signs to include temperature, pulse, respirations, blood pressure and measuring height and weight. Measures and records intake and output. Recognizes overt abnormal signs and symptoms and/or changes in patients' condition and responds appropriately. Self-directed in seeking out RN, Lead Nurse, or Charge Nurse to report patient-related information.Observes and reports patient complaints, results of treatments performed, change in patient's condition, behavior and/or attitude.Observes and reports both obvious and subtle changes in patient's physical condition or emotional status, e.g. signs of post-operative shock, hemorrhage, cyanosis, respiratory distress, aspiration of mucous, infiltration of IV, or acute behavior changes or unusual behavior.Utilizes the Computerized Patient Record System (CPRS) and Clinicomp/Essentris per policy. Documentation is consistent, accurate, concise, and timely.Applies safety devices as directed to include soft ankle and wrist restraints, Twice-as-Tough Restraints and padded side rails. Reports abusive, aggressive, threatening behaviors and documents such actions via Disruptive Behavior Reporting System (DBRS). At the RN's direction, initiates Code Yellow as necessary.Assists with the admission, discharge, and transfer of patients according to medical center or nursing service policies. Responsible for timely implementation of orders and nursing interventions.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 in supervising patients in transfer activities, personal hygiene, preventing the spread of infectious diseases and in preventative and rehabilitative aspects of care.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.Performs bladders scans, EKGs, and collects urine, sputum, MRSA Nares or stool specimens per the RN's direction.Reports all patient critical glucose measurements immediately to nurse responsible for patient's care.When indicated, assists RN by placing patients on telemetry monitoring. Verifies proper patient and placement with telemetry technician. Changes telemetry batteries in Philips IntelliVue MX40 as requested by RN or telemetry technician.Initiates cardio-pulmonary resuscitation (CPR) or activates Code Blue in accordance with established medical center policy for patients found unresponsive and/or not breathing.Monitors patient's compliance and use of oxygen with guidance from the RN to ensure adequate perfusion and proper flow settings. Performs oral suctioning on selected patients as directed by the RN.Participates in patient care conferences and contributes to the formulation of nursing care plans.Work Schedule: VariesTelework: Not AvailableVirtual: Not AvailableFunctional Statement #: 554-51164-ARelocation/Recruitment Incentives: Not AuthorizedFinancial Disclosure Report: Not requiredRequirements Conditions of EmploymentYou 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. QualificationsBasic Requirements:Citizenship. Be a citizen of the United States.English Language Proficiency. Candidates must be proficient in spoken and written English to be appointed.Education or Experience.The individual must meet at least one of the following requirements below:(Six months of general experience. Experience must demonstrate the ability to acquire the knowledge and skills to perform the work of a Nursing Assistant; OR,)One year of education above high school with courses related to the Nursing Assistant occupation; OR,Completion of an intensive, specialized, occupation-related (training) course of study (or program) of less than one year as a Nursing Assistant.Grade Determinations: In addition to the basic requirements for employment, the following criteria must be met when determining the grade of candidates.GS-3 Nursing Assistant (Entry Level)Experience and Education. None beyond the basic requirements.Assignments. Individuals assigned as GS-3 NAs are considered to be at the entry level and are closely supervised.GS-4 Nursing AssistantExperience. 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; ANDDemonstrated 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.Assignment.Individuals assigned as GS-4 NAs are considered to be at the intermediate or developmental level and are closely supervised. NAs at this grade level function as a member of the nursing care team and assist higher graded NAs, 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 NAs or other health care professionals.In this role, the NA functions as a member of the nursing care team and assists higher graded NAs, 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 NA in this role provides care under close supervision and refers issues/questions to supervisors, higher graded NAs, or other health care professionals.GS-5 Nursing AssistantExperience. 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,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; ANDDemonstrated Knowledge, Skills, and Abilities. In addition to the experience above, the candidate must demonstrate all of 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.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.Preferred Experience. Inpatient hospital experience preferred. Medical-surgical or post-surgical experience preferred.Reference: VA Handbook 5005, Staffing, Part II, Appendix G17Physical 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. The position may require the incumbent to go up and down several flights of stairs in response to all emergency codes. 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.EducationIMPORTANT: 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: 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: informationReceiving Service Credit or 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. Selected applicants may qualify for credit toward annual leave accrual, based on prior work experience or military service experience. This credited service can be used in determining the rate at which they earn annual leave. Such credit must be requested and approved prior to the appointment date and is not guaranteed. 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.BenefitsReview our benefitsHow You Will Be EvaluatedYou will be evaluated for this job based on how well you meet the qualifications above.IN DESCRIBING YOUR EXPERIENCE, PLEASE BE CLEAR AND SPECIFIC. WE MAY NOT MAKE ASSUMPTIONS REGARDING YOUR EXPERIENCE. Your application, résumé, C.V., and/or supporting documentation will be verified. Please follow all instructions carefully. Errors or omissions may affect consideration for employment.Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religions; spiritual; community; student; social). Volunteer work helps build critical competencies, knowledge, and skills and can provide valuable training and experience that translates directly to paid employment. You will receive credit for all qualifying experience, including volunteer experience.The Department of Veterans Affairs performs pre-employment reference checks as an assessment method used in the hiring process to verify information provided by a candidate (e.g., on resume or during interview or hiring process); gain additional knowledge regarding a candidate's abilities; and assist a hiring manager with making a final selection for a position.It is the policy of the VA to not deny employment to those that have faced financial hardships or periods of unemployment.Veterans and Transitioning Service Members: Please visit the VA for Vets site for career-search tools for Veterans seeking employment at VA, career development services for our existing Veterans, and coaching and reintegration support for military service members.BenefitsReview our benefitsRequired DocumentsAs a new or existing federal employee, you and your family may have access to a range of benefits. Your benefits depend on the type of position you have - whether you're a permanent, part-time, temporary or an intermittent employee. You may be eligible for the following benefits, however, check with your agency to make sure you're eligible under their policies.To apply for this position, you must provide a complete Application Package which includesResumeSF-50/ Notification of Personnel ActionThe following documents are accepted, and may be required if applicable to your eligibility and/or qualifications for this position. Please use this checklistto ensure you have included all documents required for your application, such as a copy of your transcript (if using education to qualify), SF-50's (current/former Federal employees), etc.Cover LetterDD-214/ Statement of ServiceDisability Letter (Schedule A)Disability Letter (VA)LicenseOther Supporting DocumentsPCS OrdersPerformance AppraisalProfessional CertificationResumeSeparation Notice (RIF)SF-15SF-50/ Notification of Personnel ActionTranscriptIf you are relying on your education to meet qualification requirements: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. Therefore, provide only the attendance and/or degrees fromschools accredited by accrediting institutions recognized by the U.S. Department of Education.Failure to provide all of the required information as stated in this vacancy announcement may result in an ineligible rating or may affect the overall rating.How to ApplyAll applicants are encouraged to apply online. To apply for this position, you must complete the full questionnaire and submit the documentation specified in the Required Documents section below. The complete application package must be submitted by 11:59 PM (ET) on 12/31/2024 to receive consideration. To preview the questionnaire click begin, click Apply Online to create a USAJOBS account or log in to your existing account. Follow the prompts to select your USA JOBS resume and/or other supporting documents and complete the occupational questionnaire.Click Submit My Answers to submit your application package.NOTE: It is your responsibility to ensure your responses and appropriate documentation is submitted prior to the closing date. To verify your application is complete, log into your USA JOBS account, select the Application Status link and then select the more information link for this position. The Details page will display the status of your application, the documentation received and processed, and any correspondence the agency has sent related to this application. Your uploaded documents may take several hours to clear the virus scan process. To return to an incomplete application, log into your USA JOBS account and click Update Application in the vacancy announcement. You must re-select your resume and/or other documents from your USA JOBS account or your application will be incomplete.Agency contact informationVISN 19 HR Contact Eastern Colorado Health Care System1700 N Wheeling StAurora, CO 80045USNext stepsOnce your online application is submitted you will receive a confirmation notification by email. After we receive application packages (including all required documents) and the vacancy announcement closes, we will review applications to ensure qualification and eligibility requirements are met. After the review is complete, a referral certificate(s) is issued and applicants will be notified of their status by email. Referred applicants will be notified as such and may be contacted directly by the hiring office for an interview. All referred applicants receive a final notification once a selection decision has been made.You may check the status of your application at any time by logging into your USA Jobs account and clicking on Applications. Information regarding your application status can be found in the USAJobs Help Center.NOTE: Participation in the seasonal influenza program is a condition of employment and a requirement for all Department of Veterans Affairs Health Care Personnel (HCP). It is a requirement that all HCP to receive annual seasonal influenza vaccination or obtain an exemption for medical or religious reasons. Wearing a face mask is required when an exemption to the influenza vaccination has been granted. HCP in violation of this directive may face disciplinary action up to and including removal from federal service. HCP are individuals who, during the influenza season, work in VHA locations or who come into contact with VA patients or other HCP as part of their duties. VHA locations include, but are not limited to, VA hospitals and associated clinics, community living centers (CLCs), community-based outpatient clinics (CBOCs), domiciliary units, Vet centers and VA-leased medical facilities. HCP include all VA licensed and unlicensed, clinical and administrative, remote and onsite, paid and without compensation, full- and part-time employees, intermittent employees, fee basis employees, VA contractors, researchers, volunteers and health professions trainees (HPTs) who are expected to perform any or all of their work at these facilities. HPTs may be paid or unpaid and include residents, interns, fellows and students. HCP also includes VHA personnel providing home-based care to Veterans and drivers and other personnel whose duties put them in contact with patients outside VA medical facilities.Fair and TransparentThe Federal hiring process is set up to be fair and transparent. Please read the following guidance.Criminal history inquiriesEqual Employment Opportunity (EEO) PolicyFinancial suitabilityNew employee probationary periodPrivacy ActReasonable accommodation policySelective ServiceSignature and false statementsSocial security number requestRequired DocumentsTo apply for this position, you must provide a complete Application Package which includesResumeSF-50/ Notification of Personnel ActionThe following documents are accepted, and may be required if applicable to your eligibility and/or qualifications for this position. Please use this checklistto ensure you have included all documents required for your application, such as a copy of your transcript (if using education to qualify), SF-50's (current/former Federal employees), etc.Cover LetterDD-214/ Statement of ServiceDisability Letter (Schedule A)Disability Letter (VA)LicenseOther Supporting DocumentsPCS OrdersPerformance AppraisalProfessional CertificationResumeSeparation Notice (RIF)SF-15SF-50/ Notification of Personnel ActionTranscriptIf you are relying on your education to meet qualification requirements: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. Therefore, provide only the attendance and/or degrees fromschools accredited by accrediting institutions recognized by the U.S. Department of Education.Failure to provide all of the required information as stated in this vacancy announcement may result in an ineligible rating or may affect the overall rating.How to ApplyAll applicants are encouraged to apply online. To apply for this position, you must complete the full questionnaire and submit the documentation specified in the Required Documents section below. The complete application package must be submitted by 11:59 PM (ET) on 12/31/2024 to receive consideration. To preview the questionnaire click begin, click Apply Online to create a USAJOBS account or log in to your existing account. Follow the prompts to select your USA JOBS resume and/or other supporting documents and complete the occupational questionnaire.Click Submit My Answers to submit your application package.NOTE: It is your responsibility to ensure your responses and appropriate documentation is submitted prior to the closing date. To verify your application is complete, log into your USA JOBS account, select the Application Status link and then select the more information link for this position. The Details page will display the status of your application, the documentation received and processed, and any correspondence the agency has sent related to this application. Your uploaded documents may take several hours to clear the virus scan process. To return to an incomplete application, log into your USA JOBS account and click Update Application in the vacancy announcement. You must re-select your resume and/or other documents from your USA JOBS account or your application will be incomplete.Agency contact informationVISN 19 HR Contact Eastern Colorado Health Care System1700 N Wheeling StAurora, CO 80045USNext stepsOnce your online application is submitted you will receive a confirmation notification by email. After we receive application packages (including all required documents) and the vacancy announcement closes, we will review applications to ensure qualification and eligibility requirements are met. After the review is complete, a referral certificate(s) is issued and applicants will be notified of their status by email. Referred applicants will be notified as such and may be contacted directly by the hiring office for an interview. All referred applicants receive a final notification once a selection decision has been made.You may check the status of your application at any time by logging into your USA Jobs account and clicking on Applications. Information regarding your application status can be found in the USAJobs Help Center.NOTE: Participation in the seasonal influenza program is a condition of employment and a requirement for all Department of Veterans Affairs Health Care Personnel (HCP). It is a requirement that all HCP to receive annual seasonal influenza vaccination or obtain an exemption for medical or religious reasons. Wearing a face mask is required when an exemption to the influenza vaccination has been granted. HCP in violation of this directive may face disciplinary action up to and including removal from federal service. HCP are individuals who, during the influenza season, work in VHA locations or who come into contact with VA patients or other HCP as part of their duties. VHA locations include, but are not limited to, VA hospitals and associated clinics, community living centers (CLCs), community-based outpatient clinics (CBOCs), domiciliary units, Vet centers and VA-leased medical facilities. HCP include all VA licensed and unlicensed, clinical and administrative, remote and onsite, paid and without compensation, full- and part-time employees, intermittent employees, fee basis employees, VA contractors, researchers, volunteers and health professions trainees (HPTs) who are expected to perform any or all of their work at these facilities. HPTs may be paid or unpaid and include residents, interns, fellows and students. HCP also includes VHA personnel providing home-based care to Veterans and drivers and other personnel whose duties put them in contact with patients outside VA medical facilities.Fair & TransparentThe Federal hiring process is set up to be fair and transparent. Please read the following guidance.Criminal history inquiriesEqual Employment Opportunity (EEO) PolicyFinancial suitabilityNew employee probationary periodPrivacy ActReasonable accommodation policySelective ServiceSignature and false statementsSocial security number request