Details Posted:

27-Jul-26

Location:

Bonham, Texas Categories:

Nursing Support Internal Number:

866697300 Summary The primary purpose of the position is :

The Nurse Assistants 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 preventive

acute
sub-acute chronic
maintenance
and hospice care.

Qualifications Basic Requirements:

Citizenship Citizen of the United States (Non-citizens may be appointed when it is not possible to recruit qualified citizens in accordance with chapter 3

section A
paragraph 3g
this part.) 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. English Language Proficiency Nursing Assistants must be proficient in spoken and written English in accordance with VA Handbook 5005
part II
chapter 3
section A
paragraph 3j Grandfathering Provisions All NAs employed in VHA on the effective date of this qualification standard are considered to have met all qualification requirements for the series and grade held that are part of the basic requirements of the occupation For employees who do not meet all the basic requirements required in this standard
but who met the qualifications applicable to the position at the time they were appointed to it
the following provisions apply:(1) Employees who are appointed on a temporary basis prior to the effective date of the qualification standard may not have their temporary appointment extended or be reappointed
on a temporary or permanent basis
until they fully meet the basic requirements of the standard.(2) If an employee who was retained (grandfathered) under this provision leaves the occupation
the employee loses protected status of the grandfathering provision and must meet the full VA qualification standard basic requirements in effect at the time of re-entry to the occupation Grade Determinations In addition to the basic requirements for employment
the following criteria must be met when determining the grade of candidates

GS-03 NA

(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-04 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
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 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-05 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 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 AND Demonstrated 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:

Direct Patient Care experience Long-Term Care experience

Nursing Assistant Certification 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 03 to 05

Physical Requirements:

Moderate lifting

15•44 pounds Moderate carrying•15•44 pounds Pulling hand over hand (8•12 hours) Reaching above shoulder Walking (8-12 hours) Standing (8•12 hours) Kneeling (8•12 hours) Use of fingers Both hands required Far vision correctable in one eye to 20/20 and to 20/40 in the other•Both eyes required•Ability to distinguish basic colors•Hearing (aid may be permitted)•May be exposed to infected or combative patients.

Duties This is an

OPEN CONTINUOUS

ANNOUNCEMENT and will remain open until April 23

2027 .The initial cut-off date for referral of eligible applications will be May 04
2026
with subsequent cut-off dates every two weeks until 04/23/2027 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 Applicants who are referred will be considered for 90 days
after 90 days applicants will have to reapply The NA may perform theses duties in a variety of health care settings such as outpatient
inpatient
home or community living care
acute
sub-acute The NA will care for patients/residents with acute to chronic conditions 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 NA's
Orients members of the health care team to the units as appropriate Functions as a member of the unit base counsel 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 Utilizes glucose monitoring machine to receive glucose readings for veterans refers deviation to appropriate health care staff 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 acts 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 personal Administers complete tracheostomy care
including suctioning 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: enemas
catheterization
colostomy care
skin care simple dressing
application of braces and prosthetic devices 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

Work Schedule:

12 Hour Shifts

with every other weekend and holidays May be required to work other shifts
be on call
work weekends and/or holidays as patient care and needs of the service require Should operational needs dictate
candidates must be willing to work within other units to assist and support continuation of the provision of care/services Recruitment Incentive (Sign-on Bonus): Authorized Permanent Change of Station (Relocation Assistance):

Not Authorized Pay:

Competitive salary and regular salary increases

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 [work experience] or military service experience

Parental Leave:

After 12 months of employment

up to 12 weeks of paid parental leave in connection with the birth
adoption
or foster care placement of a child

Child Care Subsidy:

After 60 days of employment

full time employees with a total family income below $144
000 may be eligible for a childcare subsidy up to 25% of total eligible childcare costs for eligible children up to the monthly maximum of $416.

Retirement:

Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by

VA Insurance:

Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement)

Telework:

Not Available Virtual:

This is not a virtual position Functional Statement #: 52804-F 52795-F 52871-F Permanent Change of Station (PCS): Not Authorized Create a Job Match for Similar Jobs Logo About Veterans Affairs, Veterans Health Administration The Veterans Health Administration (VHA) is the largest integrated health care system in the United States, providing care at 1,321 health care facilities, including 172 VA Medical Centers and 1,138 outpatient sites of care of varying complexity (VHA outpatient clinics) to over 9 million Veterans enrolled in the VA health care program. VHA Medical Centers provide a wide range of services including traditional hospital-based services such as surgery, critical care, mental health, orthopedics, pharmacy, radiology and physical therapy. In addition, most of our medical centers offer additional medical and surgical specialty services including audiology & speech pathology, dermatology, dental, geriatrics, neurology, oncology, podiatry, prosthetics, urology, and vision care. Some medical centers also offer advanced services such as organ transplants and plastic surgery. 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