Summary Nursing Assistants function as a member of the nursing care team and assist licensed nursing staff in the care of patients/residents receiving preventative, acute, sub-acute, chronic, maintenance, and hospice care. NA's, depending on assignment level, may address more complex nursing needs, which can vary within range of predictable to unpredictable requirements. Responsibilities This is an OPEN CONTINUOUS ANNOUNCEMENT and will remain open until September 30, 2026. The initial cut-off date for referral of eligible applications will be December 04, 2025 with subsequent cut-off dates bi-weekly. Eligible applications received after that date will be referred at regular intervals or as additional vacancies occur on an as-needed basis until positions are filled. Total Rewards of a Allied Health Professional The Nursing Assistant (NA): Utilizes glucose monitoring machine to collect glucose values on veterans when needed and refer deviations to appropriate nursing staff or other health care provider. Provides direct care for complex Veterans. Makes observations of subtle changes in resident's condition, i.e., behavior shifts, mood, skin coloring, etc. and takes action accordingly within the NAs 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. Administers complete tracheostomy care, including suctioning. Monitors 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 such procedures but not limited to: enemas, catheterization, colostomy care, skin care (simple dressing), application of braces and prosthetic devices. Works on small group activities with veterans/residents' treatment plan. Recognizes the residents' autonomy and promotes independence by means of respect, limit seeing 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. Serves as the unit safe patient handling liaison. Serves as preceptor and mentor to other NAs. Orients members of the health care team to the units as appropriate. Functions as a member of the unit base counsel. Operation of a government-owned or leased motor vehicle for patient transportation to medical appointments internal and external to VA facilities. Manages disturbed patient behavior and appropriately intervenes by requesting assistance from other health care members. Appropriately initiates basic life support, take appropriate actions. Work Schedule: Rotating Shifts, 06:00 AM -06:30 PM; 06:00 PM- 06:30 AM Recruitment Incentive (Sign-on Bonus): Not Authorized Permanent Change of Station (Relocation Assistance): Not Authorized Pay: Competitive salary and regular salary increases When setting pay, a higher step rate of the appropriate grade may be determined after consideration of higher or unique qualifications or special needs of the VA (Above Minimum Rate of the Grade). Paid Time Off: 37-50 days of annual paid time offer per year (13-26 days of annual leave, 13 days of sick leave, 11 paid Federal holidays per year) Selected applicants may qualify for credit toward annual leave accrual, based on prior 2) One year of education above high school with courses related to the NA occupation (must submit TRANSCRIPT with application); 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 meeting full the experience requirements for GS-3. Grade Determinations: In addition to the basic requirements for employment, the following criteria must be met when determining the grade of candidates. GS-3 NA (Entry Level) Experience and Education. None beyond the basic requirements GS-4 NA 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, healthcare 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; (must submit TRANSCRIPT with application); 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 NA (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. Specialized experience includes but is not limited to functioning as a member of the nursing care team and assisting licensed nursing staff and other members of the care team in the full range of nursing care of patients/residents receiving outpatient care, home, or community living care or other patients/residents who are receiving preventative, acute, sub-acute, chronic, maintenance, and hospice care. Education. Successful completion of 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; (must submit TRANSCRIPT with application); 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: One year of experience as a nurse aide in a hospital, nursing home, home health agency, hospice, or skilled nursing facility Completion of Certified Nurse Aide Program BLS certified, Adept at handling difficult or traumatic situations with complete courtesy and professionalism One-year experience in oral communication and documentation in a health care related field, requiring good reading, writing, math and computer skills Driver License requirement: A driver license is required for this position. Operation of a government-owned or leased motor vehicle will be used for patient transportation to medical appointments internal and external to VA facilities. Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/. The full performance level of this vacancy is GS-05. The actual grade at which an applicant may be selected for this vacancy is in the range of GS-03 to GS-05. Physical Requirements: There are no physical requirements for this occupation. 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/. NOTE: If your school has changed names or was accredited by a body recognized by the U.S. Department of Education at the time of graduation but is no longer listed on the DAPIP, U.S. Department of Education website http://ope.ed.gov/accreditation/., you must provide documentation of accreditation with your application packet. Additional Information Receiving 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. 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. 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.