Summary The LTC Charles S. Kettles VA Medical Center is seeking a Full-Time, Nursing Assistant at the Ann Arbor VA Medical Center. Responsibilities The Nursing Assistant will function as a member of the nursing care team and assist higher grade Nursing Assistants and licensed nursing staff in the care of patients. Duties include, but are not limited to: Adheres to VA and Nursing policies, procedures and standards. Delivers care to patients in a respectful, non-judgmental manner. Maintains patient privacy/confidentiality and patient rights to privacy/confidentiality. Sets limits within the Nursing Assistant/patient relationship, which are clearly defined. Participates in selected Performance Improvement (PI) activities as directed. Assists with selected activities related to patient admission/transfer and discharge. Collects patient information including observation of overall condition. Recognizes and reports obvious changes in patient condition including emergencies. Takes appropriate actions in response to patient emergent situations. Accurately documents patient information on flow sheets and a Computerized Patient Reporting System (CPRS). Provides patient information to the accountable RN for inclusion in the patient's plan of care. Completes assignments, reports to the accountable RN when assignment has been completed, or when unable to complete activities. Uses appropriate lifting/moving/transfer techniques/devices. Utilizes infection control and universal standard precautions. Participates in the interdisciplinary team care planning and delivery of care process. Is knowledgeable of stages of adult development and how it may relate to nursing care; provides input to RN related to patient's stage of adult development and provides care to patients in a variety of stages of adult development. Safely performs the following functions: Provides routine hygienic/activities of daily living care. Performs actions targeted to the maintenance/restoration of skin integrity. Collects patient specimens. Administers a variety of comfort measures. Takes vital signs after completion of orientation and competency validation. Follows seizure precautions as directed. Transports patients with oxygen. Appropriately uses protective/restraining devices. Feeds patients orally including those who are at risk for aspiration, after appropriate training. Reports situations including, but not limited to: Changes in behavior. Wandering Sun-downing Sleep disturbances Inappropriate sexual behavior Aggressive behavior Hallucinations (visual/auditory) Incontinence Swallowing problems Abnormal vital signs Recognizes communication barriers. Promotes correct use of ambulation devices. Monitors patients on 1:1 observation using worksheets and assignment sheets. Assists with toileting activities as appropriate. Applies and provides routine care for a condom catheter. Performs finger stick blood glucose using the blood glucose monitor. Completes purposeful rounding of patients, assisting with any care needs, keeping team lead and charge nurse informed of any patient issues/concerns. Maintains a safe/clean/stocked work environment. Demonstrates appropriate actions in environmental emergencies. Utilizes equipment in a safe manner. Reports unsafe equipment and working conditions to appropriate individuals. Completes mandatory safety training/annual reviews. Interacts in a courteous/respectful manner with with patients, families and visitors as well as with co-workers/members of other services. Uses appropriate channels of communication. Follows verbal and/or written directions. Adheres to uniform policy. Maintains appropriate boundaries when dealing with patients/significant others/families and all staff. Assumes an appropriate amount of work/responsibility for group projects. Works within the current workflow processes to improve timeliness of patient care. Stocks, replenishes patient rooms and care areas with appropriate equipment and supplies necessary for patient care. Work Schedule: Monday - Friday 7:30 AM - 8:00 PM, Rotating Holidays and Weekends. Compressed/Flexible: Authorized Recruitment Incentive (Sign-on Bonus): Not Authorized Telework: Not Available Virtual: This is not a virtual position. 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. Acceptable form(s) of identification will be required to complete pre-employment requirements (https://www.uscis.gov/i-9-central/form-i-9-acceptable-documents). Effective May 7, 2025, driver's licenses or state-issued dentification cards that are not REAL ID compliant cannot be utilized as an acceptable form of identification for employment. 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 Basic Requirements: United States Citizenship: Citizen of the United States. Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. [Experience or] Education or Training. Six months of general experience. Experience must demonstrate the ability to acquire the knowledge and skills to perform the work of a NA; OR, One year of education above high school with courses related to the NA occupation; OR, 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. Grade Determinations: GS-3 (Entry Level) Experience 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, 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; 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 (Full Performance Level) Experience. One year of progressively responsible assignments and experience equivalent to the GS-4 level which demonstrates knowledge, skills, and abi
