Performs pre-anesthetic evaluations, collaborates with the interdisciplinary team to prepare the anesthesia plan, delivers of all forms of anesthesia, and provides intra and post-operative care of patients. Provides emergency airway and resuscitation management throughout the facility and establishes effective working relationships with all levels of staff throughout the VAPSHCS. 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. OR The completion of coursework equivalent to a nursing degree in a MSN Bridge Program that qualifies for professional nursing registration constitutes the completion of an approved course of study of professional nursing. Students should submit the certificate of professional nursing to sit for the NCLEX to the VA along with a copy of the MSN transcript. (Reference VA Handbook 5005, Appendix G6) OR In cases of graduates of foreign schools of professional nursing, possession of a current, full, active and unrestricted registration will meet the requirement for 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. Preferred Experience: 1 year experience as a CRNA Grade Determinations: The following criteria must be met in determining the grade assignment of candidates, and if appropriate, the level within a grade: Nurse II - Entry level. Experience and Education: None beyond the basic requirements. 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. 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. 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: Light carrying (under 15lbs); Reaching above shoulder, Pushing ( 1-2 hours),Use of fingers; Both hands required, Walking ( 1-4 hours) Standing 1-4 hours), Repeated bending ( 1-2 hours), Ability for rapid mental and muscular coordination simultaneously, Near vision correctable at 13" to 16" to Jaeger 1 to 4, Hearing (aid permitted), Depth perception, Ability to distinguish basic colors, Ability to distinguish shades of colors, Mental and Emotional Stability. ["VA offers a comprehensive total rewards package: VA Nurse Total Rewards Applicants will be referred every two weeks and the announcement can close at any time after selection is made. The duties and responsibilities are, but not limited to: Performs the pre-anesthetic patient history and physical, including the collection of preoperative consults and data, from which an appropriate anesthetic plan is formulated. The anesthetic risks, benefits, and options are described to the patient. Administers inhalation, regional, intravenous, local, and topical anesthetics and continuously evaluates the patient's physical status and response to anesthesia. Performs post-anesthetic management of patients in order to optimize the recovery from anesthesia and minimize pain. Provides patient care that is a abreast of changing concepts and advancements in the profession while working effectively in an interdisciplinary environment for improvement of services for patient care. Practices with colleagues and peers utilizing a collaborative team concept of anesthesia care while demonstrating effective communication skills and professional behaviors that promote cooperation and interdisciplinary teamwork. Demonstrates skill in conducting and managing anesthesia for a broad range of surgical procedures and the ability to adapt and modify anesthesia techniques in order to optimize patient care. Demonstrates the ability to perform the clinical and technical aspects of anesthesia care and has in-depth knowledge of anesthesia methods and techniques. Effectively blends technology, skills, and competency for the advancement of anesthesia techniques, pharmacology, and equipment. Applies new developments and theories to recognize and solve various complex anesthesia situations. Demonstrates the ability to share expertise within or beyond the facility through leadership or as an active participant in interdisciplinary groups (e.g. committees, task-forces, projects, formal teaching, publications or other professional activities). Participates in the development of the anesthesia patient care audit processes which involves the in depth review and analysis of anesthesia records. Additional Duties: Emergency Duties: Responds to emergency situations by providing airway management, administration, of emergency fluids and medications and using appropriate resuscitation procedures for patient care. Administration: Assists in the development of policies, procedures, and protocols related to anesthesia within the institution and contributes to other policies, procedures, and protocols as appropriate. Participates in ad hoc committees as needed. Education: Formal and informal teaching of clinical staff, patients, and families. Demonstrates leadership by sharing knowledge with colleagues and/or students to enhance professional growth, development and practice. Performs as a mentor, preceptor, or nurse educator providing didactic and clinical instruction for graduate-level nurse anesthesia students and/or anesthesia care providers. The individual is responsible for maintaining competencies by attending relevant continuing education programs and maintaining active professional involvement within the academic community. Research: Applies current research data by contributing to Healthcare Care System policies, procedures, and protocols. Participation in clinical research as appropriate Pay: Competitive salary, annual performance bonus, regular salary increases Paid 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) Retirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA Insurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement) Licensure: 1 full and unrestricted license from any US State or territory Work Schedule: Monday - Friday; 6:00am - 3:30pm Compressed/Flexible: NO Telework: NOT eligible Virtual: This is NOT a virtual position. Relocation/Recruitment Incentives: Authorized Financial Disclosure Report: Not required EDRP: Contact V20CompensationTeam@vgov and VHAEDRPProgramSupport@VA.gov, the EDRP Coordinators for questions/assistance. Learn more."]
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