A qualified Certified Registered Nurse Anesthetist shall be involved in the administration of anesthesia and related services in the Operating Room and Non-Operating Room setting. Incumbent would work in a team care model of practice to provide care for patients undergoing a variety of surgical procedures. 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: A degree in nursing from 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 National League for Nursing Accrediting Commission (NLNAC), an accrediting arm of the National League for Nursing located at 61 Broadway, 33rd Floor, New York, New York 10006.Additional information may be obtained from the NLNAC Web site; or The Commission on Collegiate Nursing Education (CCNE), an accrediting arm of the American Association of Colleges of Nursing (AACN). The CCNE accredits bachelor's and master's degree programs and is located at One Dupont Circle, N.W., Suite 530, Washington, DC 20036. Additional information may be obtained from the CCNE Web site. and Must be a 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. The AANA has compiled current listings of approved training institutions, which are published annually in the December issue of the American Association of Nurse Anesthetists Journal. The American Hospital Association in their "Guide to the Health Care Field" also publishes listings of approved training institutions annually in August. Registration: 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. Nurse anesthetists must maintain a current, full, active and unrestricted registration to continue employment with VA. The appointing official may waive this requirement if the nurse anesthetist is to serve in a country other than the United States and has registration in that country. (e.g. Philippines). Certification: Certification by the Council on Certification of Nurse Anesthetists. Nurse Anesthetists will maintain recertification by meeting the Council on Recertification of Nurse Anesthetist's requirements as a condition of employment. Grade Determination: Nurse III (Full Performance Level): In addition to meeting the requirements for Entry Level, the CRNA has had progressively responsible experience in the administration of anesthetics as indicated in the knowledge, skills and abilities listed below. 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. References: VA Handbook 5005/37, Part II, Appendix G7 dated 8/24/2010 Physical Requirements: Heavy lifting, 45 pounds and over; Straight pulling (1-2 hours); pushing (1-2 hours); reaching above shoulder; use of fingers; both hands required; walking (3 hours); standing (1 hour); repeated bending (1-2 hours); both legs required; Ability for rapid mental and muscular coordination simultaneously; Near vision correctable at 13" to 16" to Jaeger 1 to 4; Hearing (aid permitted); sitting up to 6 hours ["This is an OPEN CONTINUOUS ANNOUNCEMENT and will remain open until September 7, 2022. The initial cut-off date for referral of eligible applications will be 9/30/2021, with subsequent cut-off dates every two weeks. 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. Duties include but are not limited to: Performing anesthetic history and physical assessment of patients and documenting in CPRS and/or the Preanesthetic Evaluation and Anesthetic record. Developing and implementing an anesthetic plan in discussion with an anesthesiologist and documenting in the CPRS patient file and on the Preanesthetic evaluation and Anesthetic record. Initiating the anesthetic technique which may include general, regional, local and sedation. Provide direct professional observation and resuscitation until the patient has regained control of his/her functions. Performing the postoperative evaluation and physical assessment of postoperative patients and documenting in CPRS and Anesthetic Record. Performs other duties as assigned. Work Schedule: Required to work nights, weekends, holidays and on-call to meet the needs of the Service.\nTelework: Not Available\nVirtual: This is not a virtual position.\nRelocation/Recruitment Incentives: Not Authorized\nPermanent Change of Station (PCS): Not Authorized\nFinancial Discloser 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.