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Veterans Affairs, Veterans Health Administration Nursing Assistant in Fort Harrison, Montana


As a Nursing Assistant (NA) on a Medical/Surgical inpatient Service Line of Fort Harrison VA Medical Center, you will serve adult and elderly Veterans with acute Medical, Surgical, or Psychiatric care needs. Patients may present with multiple chronic medical conditions, mental illness, or in need of pre- and post-operative care.


Direct and Indirect patient care activities for the NA are appropriately assigned by the RN or LPN. These Patient care activities are in support of the health care team. Adhere to the most current VA and Nursing policies, procedures and standards. Deliver compassionate care to patients in a respectful, non-judgmental manner. Maintain patient privacy/confidentiality and patient rights to privacy/confidentiality. Set limits within the Nursing Assistant/patient relationship, which are clearly defined. Participate in selected Continuous Improvement (CI) activities as directed. Assist with selected activities related to patient admission/transfer and discharge. Collect patient information including observation of overall condition. Recognize and report obvious changes in patient condition including emergencies. Take appropriate action in response to emergent patient situations. Accurately document patient information in CPRS. Provide patient information to the accountable RN for inclusion in the patient's plan of care. Complete assignment, report to the accountable RN when assignment has been completed or if unable to complete assignment. Use appropriate lifting/moving/transfer techniques/devices. Utilize current, established infection prevention control and universal precautions. Adjust to assignment changes. Participate in the interdisciplinary team care planning and delivery of care process. Assist in the implementation of the psychiatric treatment care plan. Related to stages of adult development the NA will communicate the following: Describe relationship of developmental stages to provision of nursing care. Identify selected developmental tasks, related stages of adult development and approximate age range of each stage. Provide input to RN related to patient's stage of adult development. Provide care to patients in a variety of stages of adult development. Support the health care team through the reinforcement of patient education. The NA will safely perform the following functions: Provide routine hygienic/activities of daily living care. Perform actions targeted to the maintenance/restoration of skin integrity. Collect patient specimens. Administer a variety of comfort measures. Take vital signs after completion of orientation and competency validation. Follow seizure precautions as directed. Transport patients with oxygen. Appropriately use protective/restraining devices. Work Schedule: Work schedule is Full Time; Variable A.M. and P.M. rotating shifts as determined by the needs of the Med/Surg Service Line.

Financial Disclosure Report: Not required


Conditions of Employment


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: United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. Education or Training. One year above high school with courses related to the [NA] occupation. Completion of an intensive, specialized, occupation-related course of study of less than one year as a nursing assistant may also meet in full the experience requirements for GS-3. English Language Proficiency. NAs must be proficient in spoken and written English in accordance with VA Handbook 5005, part II, chapter 3, section A, paragraph 3j. Preferred Experience: Experience with adult and elderly patients preferred.

Creditable Experience Knowledge of Current Practice. To be creditable, the experience must have required the use of knowledge, skills, and abilities associated with the current practice. Quality of Experience. To be creditable, [NA] experience must be documented on the application or resume and verified in an employment reference, or through other independent means. Part-Time Experience. Part-time experience as a [NA] is creditable according to its relationship to the full-time workweek. For example, a [NA] employed 20 hours a week, or on a 1/2-time basis, would receive 1 full-time workweek of credit for each 2 weeks of service.United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. Grade Determinations: Grade Determinations: GS-3 Nursing Assistant (Entry Level) Experience and Education. None beyond the basic requirements. GS-4 Nursing Assistant Experience. One year of specialized experience as a Nursing Assistant 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 Nursing Assistant (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 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. References: VA Handbook 5005/71, Part II, Appendix G46. The full performance level of this vacancy is 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, kneeling, sitting, bending, pulling, and pushing. Transferring patients and objects may be required. The incumbent may be exposed to infected patients and contaminated materials and may be required to don protective clothing in isolation situations or operative/invasive procedures. 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.


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: 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:

Additional Information

This job opportunity announcement may be used to fill additional vacancies. It is the policy of the VA to not deny employment to those that have faced financial hardships or periods of unemployment. 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. 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. If you are unable to apply online view the following link for information regarding an Alternate Application.