A Recruitment Incentive may be authorized for highly qualified candidate. The Certified Registered Nurse Anesthetist functions as a licensed practitioner within a defined/approved Scope of Practice performed under the collaboration of an Anesthesiologist. 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. English Language Proficiency. In accordance with 38 U.S.C. 7402(d), no person shall serve in direct patient care positions unless they are proficient in basic written and spoken English. Graduate of a school of professional nursing approved by the appropriate State-accrediting agency and accredited by one of the following accrediting bodies at the time the program was completed by the applicant: The Accreditation Commission for Education in Nursing (ACEN) or The Commission on Collegiate Nursing Education (CCNE). In cases of graduates of foreign schools of professional nursing, possession of current, full, active and unrestricted registration will meet the requirement of graduation from an approved school of professional nursing. Graduate of an accredited nurse anesthesia educational program approved by the American Association of Nurse Anesthetists (AANA) at the time the program was completed by the applicant. Current, full, active, and unrestricted registration as a graduate professional nurse in a State, Territory or Commonwealth (i.e., Puerto Rico) of the United States, or the District of Columbia. Certification. On and after May 4, 1993, certification by the Council on Certification of Nurse Anesthetists is a requirement for employment. This requirement does not apply to non-certified nurse anesthetists employed by VA as a nurse anesthetist prior to May 4, 1993 and continuously thereafter. Any nurse anesthetist who leaves VA employment or vacates the nurse anesthetist occupation for another VA position, must meet the current requirement of certification for re-appointment as a nurse anesthetist. Preferred Experience: Extensive experience providing anesthesia in a wide variety of surgical specialties and for high-acuity patient populations (i.e. ASA Classification 3-4). Proficiency in hemodynamic monitoring and support for vascular, thoracic and/or cardiac surgery patients. Accomplished in arterial line insertion and ultrasound guided peripheral IV placement. Experience in ultrasound guided regional anesthesia techniques. Grade Determinations: The following criteria must be met in determining the grade assignment of candidates, and if appropriate, the level within a grade: The level that nurse anesthesia practice may be performed is based on a combination of education and experience. Beyond the minimum education requirements, grade determination upon appointment and advancement is dependent more on acquired knowledge, skills, and abilities than baseline education. As the nurse anesthetist acquires the knowledge and judgment that accrues with experience, the privilege of increased authority for patient care is expanded. In addition to the basic requirements stated above, the following qualification criteria must be met in determining the appropriate grade assignments of candidates: Entry Level: Nurse II Experience and Education: None beyond the basic requirements. Demonstrated Knowledge, Skills and Abilities: The following list of knowledge, skills and abilities present the minimum skill set expected of an Entry Level Nurse Anesthetist. Entry level into nurse anesthesia practice may include but are not limited to the following: Ability to translate the principles of professional nursing practice in the care of assigned patients in order to provide appropriate care. Ability to do a pre-anesthetic patient history and physical, which includes collecting pre-operative consults and data. Ability to formulate an anesthetic plan and describe the anesthetic risks, benefits and options to the patient. Ability to administer inhalation, regional, intravenous, local, and topical anesthetics and to detect unfavorable reactions in order to continuously evaluate the patient's physical status. Ability to respond to emergency situations by providing airway management, administration of emergency fluids and drugs, and using appropriate resuscitation procedures for patient care. Ability to provide patient care that is abreast of changing concepts and advancements in the profession. Ability to work effectively in an interdisciplinary environment for improvement of services for patient care. Ability to practice nurse anesthesia with colleagues and peers utilizing a collaborative team concept of anesthesia care. Full Performance Level: Nurse III Experience and Education: In addition to meeting the requirements for Entry Level Nurse II, the CRNA has had progressively responsible experience in the administration of anesthetics as indicated in the knowledge, skills, and abilities listed below. These individuals must demonstrate the ability to participate in a program for nurse anesthesia care and demonstrate knowledge of anesthetizing locations, methods, equipment and procedures. At this level, the CRNA has experience in the administration of anesthetics that has demonstrated the nurse anesthetist's ability to participate in team programs that are technically challenging and/or complicated. Typically, candidates can demonstrate the knowledge, skills and abilities of Full Performance Level within 2 years from entering the occupation. Demonstrated Knowledge, Skills, and Abilities: Full Performance Level practice in nurse anesthesia includes but is not limited to the following: Skill in conducting and managing anesthesia for a broad range of complex surgical procedures. In addition, the CRNA must be able to adapt/modify anesthesia techniques in order to optimize patient care. Ability to complete work assignments selected to add depth and breadth to their technical knowledge and skill competence. Work assignments will vary at each facility depending on the progressive acuity required for anesthesia care. Ability to respond to emergency situations by providing airway management, administration of emergency fluids and drugs, and by the use of basic or advanced cardiac life support techniques in order to perform necessary resuscitation procedures. Ability to effectively blend technology, skills, and competency for the advancement of anesthesia techniques, pharmacology, and equipment. Ability to apply new developments and theories to develop and demonstrate the ability to recognize and solve various complex anesthesia situations. Ability to practice nurse anesthesia with colleagues and peers in a team concept of anesthesia care and blend management skills with technical experience. Ability to recognize clinical and technical aspects of anesthesia care and has in-depth knowledge of anesthesia methods and techniques for the practice of anesthesia. Ability to perform as a mentor, preceptor, or nurse educator providing didactic and clinical instruction for graduate-level nurse anesthesia students and/or other anesthesia care providers. Ability to participate in the development of anesthesia patient care audit processes involving in depth review and analysis of anesthesia records. Ability to provide guidance and instruction in preparing others for positions of leadership and ethical practices which impact patient care. Reference: VA Regulations, specifically VA Handbook 5005, Part II, Appendix G-7 Nurse Anesthetist Qualification Standard. This can be found in the local Human Resources Office. Physical Requirements: Moderate lifting, 15-44 pounds, Use of fingers, Walking ( 6 hours), Standing ( 2 hours), Repeated bending ( 6 hours), Ability to distinguish basic colors, Hearing (aid may be permitted). ["VA offers a comprehensive total rewards package: VA Nurse Total Rewards Recruitment Incentives: Authorized This is an OPEN CONTINUOUS ANNOUNCEMENT & will remain open until December 1, 2022. The first cut-off date is August 19, 2022. Eligible applications received after that date will be referred at regular intervals or as additional vacancies occur on a as-needed basis until positions are filled. Applicants will remain active for 3 months after their initial application is received and/or updated. After that time, you must update your application through your USAJobs account if you would like to be made active again for possible consideration during the open period. The Certified Registered Nurse Anesthetist is authorized to perform the following duties on a regular basis. The CRNA will recognize and report abnormal patient responses during anesthesia to the collaborating physician. In the absence of the anesthesiologist, review clinic chart, perform and document a pre-anesthetic assessment and recommend specific type of anesthesia. Interview patients to discuss type of anesthesia to be used and reassure patient. Administer and manage General Anesthesia. Administer and manage Spinal Anesthesia. Administer and manage Epidural Anesthesia in the following: Placement of lumbar epidural catheter. Placement of thoracic epidural catheter under direct observation of the Anesthesiologist. Administer and manage peripheral nerve blocks. Administer and manage Intravenous Regional Anesthesia. Administer intravenous sedatives, tranquilizers, antiemetics, narcotics, other analgesics, beta blockers, vasopressors, bronchodilators, antihypertensives or other pharmacologic agents as may be required. Determine need for and administer parenteral fluids to include blood and blood products. Assist in post-anesthetic care as it pertains to respiratory problems or anesthesia related problems. Functions as member of CPR team to perform intubations and when necessary cardiac resuscitation. Arterial line insertion and central line placement may be performed. Arterial puncture may be performed Enjoy a variety of cases including complex surgeries in an academic setting without the productivity pressures found in private practice. Opportunity to educate the next generation of providers through working daily with SRNAs and Residents Option to perform numerous procedures including arterial and central line insertions as well as placement of spinal anesthesia blocks and peripheral nerve blocks plus indwelling peripheral nerve catheters for post operative pain Work in a team environment with adequate staff while getting to take care of our nation's Veterans Access to Federal resources for equipment, supplies and ancillary needs Pay: Competitive salary, annual performance bonus, regular salary increases\nPaid Time Off: 50 days of paid time off per year (26 days of annual leave, 13 days of sick leave, 11 paid Federal holidays per year)\nRetirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA\nInsurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement)\nLicensure: 1 full and unrestricted license from any US State or territory Work Schedule: Rotating Shifts to include nights/weekends/holidays; 6:30am- 7:00pm, 6:30am- 5:00pm, 7:00am-3:30pm, 6:30pm-7:00am\nCompressed/Flexible: Available\nTelework: Not Available\nVirtual: This is not a virtual position.\nmay be authorized for highly qualified candidate.\nPermanent Change of Station (PCS): Not Authorized\nFinancial Disclosure Report: Not required"]
Providing Health Care for Veterans: The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,255 health care facilities, including 170 medical centers and 1,074 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.