The incumbent will provide experienced anesthesia support for patients presenting for services requiring anesthesia involvement. The Certified Registered Nurse Anesthetist (CRNA) will provide a vital role in patient care and in the anesthesia care team (CRNA and Anesthesiologist) approach to problem solving using the perioperative anesthesia care team model.
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Incumbent administers anesthesia to surgical patients as assigned by the Chief Certified Registered Nurse Anesthetist (CRNA) or Anesthesiologist according to the operating schedule of the day. Acquires familiarization with the case he/she is assigned to by making visits to the patient or communicating with the anesthesia personnel who evaluated the patient.
This includes checking of the medical preoperative records. The incumbent discusses the anesthesia plan and pertinent data with the anesthesiologist. Inspects equipment before administering anesthesia.
Positions patient on the operating table and administers anesthetic as planned. Advises surgeons of patient condition and in case of severe adverse reaction calls for the anesthesiologist and/or another member of the anesthesia team. Initiates and continues remedial measures.
Maintains accurate anesthesia records and accompanies patient to Post Anesthesia Care Unit or Intensive Care Unit. Gives advice or assists the Post Anesthesia Care Unit nurses regarding post- anesthesia problems, and if necessary, relieves anesthesiologist from his/her operative assignment if he/she is needed in the recovery area. Requires BCLS and ACLS.
Delegated the duties of keeping the anesthesia service area clean and in functioning order.
Nurse Anesthetists will maintain recertification by meeting the Council on Recertification of Nurse Anesthetist's requirements as a condition of employment.
Work Schedule: 07:00 am to 3:30 pm with on call duties, also includes weekends and holidays. (Subject to change based on agency needs)
Financial Discloser Report: Not required
HelpRequirements Conditions of Employment
You must be a U.S. Citizen
Designated and/or random drug testing required
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 a background/security investigation
Must pass pre-employment physical examination
United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy.
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 National League for Nursing Accrediting Commission (NLNAC) 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 and the possession of a Certificate from the Commission on Graduates of Foreign Nursing Schools (CGFNS) will meet the requirement of graduation from an approved school of professional nursing.
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.
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.
Certification by the Council on Certification of Nurse Anesthetists.
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. You must be proficient in basic written and spoken English in order to meet the requirements of this position.Grandfathering Provision.
All nurse anesthetists employed in VHA on the effective date of this qualification standard are considered to have met all qualification requirements for the title, series and grade held, including positive education and licensure/certification/registration that are part of the basic requirements of the occupation. Nurse anesthetists who are grandfathered under the provisions of this subparagraph may be reassigned, promoted up to and including the full performance (journey) level (Nurse III), but may not be promoted beyond the journey level or placed in supervisory or managerial positions.
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 -
(a) Experience and Education. None beyond the basic requirements.
(b) 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:
1.Ability to translate the principles of professional nursing practice in the care of assigned patients in order to provide appropriate care.
2.Ability to do a pre-anesthetic patient history and physical, which includes collecting pre-operative consults and data.
3.Ability to formulate an anesthetic plan and describe the anesthetic risks, benefits and options to the patient.
4.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.
5.Ability to respond to emergency situations by providing airway management, administration of emergency fluids and drugs, and using appropriate resuscitation procedures for patient care.
6.Ability to provide patient care that is abreast of changing concepts and advancements in the profession.
7.Ability to work effectively in an interdisciplinary environment for improvement of services for patient care.
8.Ability to practice nurse anesthesia with colleagues and peers utilizing a collaborative team concept of anesthesia care.
Full Performance Level: Nurse III -
(a) 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.
(b) Demonstrated Knowledge, Skills, and Abilities. Full Performance Level practice in nurse anesthesia includes but is not limited to the following:
1.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.
2.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.
3.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.
4.Ability to effectively blend technology, skills, and competency for the advancement of anesthesia techniques, pharmacology, and equipment.
5.Ability to apply new developments and theories to develop and demonstrate the ability to recognize and solve various complex anesthesia situations.
6.Ability to practice nurse anesthesia with colleagues and peers in a team concept of anesthesia care and blend management skills with technical experience.
7.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.
8.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.
9.Ability to participate in the development of anesthesia patient care audit processes involving in depth review and analysis of anesthesia records.
10. Ability to provide guidance and instruction in preparing others for positions of leadership and ethical practices which impact patient care.
Please provide documentation to support your level of Education and Experience listed above.
References: VA Regulations, specifically VA Handbook 5005/37, Part II, Appendix G-7 Nurse Anesthetist Qualification Standard. This can be found in the local Human Resources Office.
Moderate lifting (15-44 lbs.), straight pulling up to 4 hours, pushing up to 4 hrs., reaching above shoulder, use of fingers, both hands required, walking up to 2 hrs., standing up to 7 hrs., repeated bending, both legs required; near vision correctable at 13" to 16" to Jaeger 1 to 4; far vision correctable in one eye to 20/50 and 20/100 in the other; ability to distinguish basic colors; hearing aid permitted; mental & emotional stability required.
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: http://ope.ed.gov/accreditation/. 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: http://www.ed.gov/about/offices/list/ous/international/usnei/us/edlite-visitus-forrecog.html.
Department Of Veterans Affairs