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Certified Registered Nurse Anesthetist (CRNA)

VA Medical Center


Location:
Ann Arbor, MI
Date:
11/28/2017
2017-11-282017-12-28
Categories:
  • Medical/Surgical
  • Education
  • Case Manager
  • Cardiology
  • Director of Nursing
  • Faculty
  • Infection Control
  • Long Term Care
  • Operating Room/PACU
  • Psychiatric/Behavioral Health
  • Radiology
  • IV Therapy
  • Emergency Services
  • Respiratory care
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Job Details


The incumbent performs a pre-anesthetic patient assessment based on patient interview, patient history, lab results, and type of surgical procedure to be performed. Patient assignments per Chief Nurse Anesthetist or designed person.

Select and administer pre-anesthetic medication according to established protocol.

Request and evaluate pertinent laboratory studies, pulmonary function studies, including blood gases, respiratory therapy, and other appropriate studies under established protocol.

Insert intravenous catheters, according to established protocol.

Insert Swan-Ganz catheters and central venous pressure catheters under medical supervision.

Insert arterial catheters; perform puncture for blood gases.

Utilize all current techniques in monitoring.

Perform endotracheal intubation and extubation.

Select and administer anesthetic techniques (intravenous, regional, various field blocks, or inhalational), medications and adjunct drugs appropriate to the individual patient's condition and procedure (surgical or non-surgical) within established protocols in the operating suite and any off-site location (ie. Endoscopy, Radiology, Cardiology, MRI, etc.).

Manage fluid, blood and electrolyte therapy within a medical care plan.

Initiate and modify therapies, including drug and pain therapy within established protocols.

Examine patients in post-anesthesia recovery and other hospital units to assess patient's reaction to anesthetic management. Identify any complications or abnormal patient responses to anesthesia or to adjunctive medication and implement appropriate management techniques.

Assist in the treatment and management of emergency airway problems as needed throughout the hospital. Participate in cardiopulmonary resuscitation by performing airway management including endotracheal intubations when necessary. Serve as code captain in the absence of a physician according to established protocols.

Provide anesthetic consultation to physicians, nurses, and other hospital staff as necessary.

Make post-operative rounds and record on the patient's permanent record the presence or absence of anesthesia-related-complications.

Take an active role through the attendance and participation in the departmental in-service program.

Take emergency call as assigned per the Chief Nurse Anesthetist or another designed person and respond in a timely fashion.

Responsible for patient care activities for adult and geriatric patients. Responsible for understanding the aging process and to modify treatment plans to accommodate the changes that occur with aging.

In the performance of official duties, the employee has regular access to printed and electronic files containing sensitive data which must be protected under the provisions of the Privacy Act of 1974 and other applicable laws, federal regulations. VA statutes and policies. The employee is responsible for a) protecting data from unauthorized release or from loss, alteration, or unauthorized deletion and b) following applicable regulations and instruction regarding access to computerized files, release of access codes, etc. as set out in a computer access agreement which the employee signs.

Incumbent sets up, uses, reprocesses and maintains all department-specific equipment that is designed by the manufacturer to be reused for multiple patients. All steps and activities for preparing, reprocessing and maintenance will be completed in accordance with steps outlined in the equipment Standard Operating Procedure (SOP).

Incumbent participates in training for preparing, using, reprocessing and the maintenance of their department-specific equipment leading to the initial competency and validation of on-going competency at least annually.

Incumbent uses equipment appropriately and demonstrates and/or verbalizes the proper use, reprocessing and maintenance. The reprocessing may be done by the individual on the unit (as in wiping down a piece of equipment with an approved disinfectant wipe between patients) or may require the equipment to be sent to SPD for a higher level of disinfection and/or sterilization. Incumbent must demonstrate knowledge of use and reprocessing according to equipment SOP's.

Incumbent uses proper personal protection equipment per hospital policy. Completes required TMS training modules related to safety, environment of care and infection control.

Requirements: Current BLS/ACLS certification.

Preferred Qualifications: Current AANA membership. Current A.V.A.N.A. membership.

Work Schedule: Monday - Friday (Day Shift - 7a-3:30p)

Functional Statement Title/#: CRNA








graph of estimated pay ranges
$117,907

$189,950





Job Details



Application Open Date

11/16/2017



Application Close Date

11/30/2017




Organization

Veterans Affairs, Veterans Health Administration



Who May Apply

United States Citizens



Status

Full Time




























  • More About VAOpen More About VA SectionClose More About VA Section

    • Demonstrated Knowledge, Skills and Abilities for Full Performance Level (Nurse III). Full Performance Level practice in nurse anesthesia includes but is not limited to:

      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 progressively acuity required for anesthesia care.

      3. Ability to respond to emergency situations by providing airway management, administration of emergency fluids or drugs, and 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.

      It is the policy of the VA to not deny employment to those that have faced financial hardships or periods of unemployment.

      This job opportunity announcement may be used to fill additional vacancies.

      This position is in the Excepted Service and does not confer competitive status.





  • QualificationsOpen Qualifications SectionClose Qualifications Section

    • BASIC REQUIREMENTS:
      • U.S. citizenship. Non-citizens may 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 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.
        • 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)
      • 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.

      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 - A BSN with approximately 2-3 years of nursing practice/experience; OR ADN or Diploma in Nursing and a Bachelor's degree in a related field and approximately 2-3 year's of nursing practice/experience; OR a Master's degree in nursing or related field with a BSN and approximately 1-2 year's of nursing practice/experience; OR a Doctoral degree in nursing or meets basic requirements for appointment and has doctoral degree in a related field with no additional nursing practice/experience required.
      • Nurse III - Master's degree in nursing or related field with BSN and approximately 2-3 year's of nursing practice/experience; OR a Doctoral degree in nursing or related field and approximately 2-3 year's of nursing practice/experience.

      Preferred Experience: Current BLS/ACLS certification, Current AANA membership. Current A.V.A.N.A. membership.

      Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religions; spiritual; community; student; social). Volunteer work helps build critical competencies, knowledge, and skills and can provide valuable training and experience that translates directly to paid employment. You will receive credit for all qualifying experience, including volunteer experience.

      Physical Requirements: This position requires Heavy Lifting, 45 pounds heavy carrying, 45 pounds straight pulling (4 hours); pushing (4 hours); use of fingers; both hands required; walking & standing 8-12 hours; repeated bending 8 hours; both legs required; ability for rapid mental & muscular coordination simultaneously; near vision correctable @ 13" to 16" to Jaeger 1 to 4; far vision correctable in one eye to 20/20 and to 20/40 in the other; depth perception; ability to distinguish shades of colors; hearing (aide permitted). 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.





  • BenefitsOpen Benefits SectionClose Benefits Section

    • VA offers a comprehensive benefits package. This link provides an overview of the benefits currently offered: http://www.vacareers.va.gov/why-choose-va/benefits/index.asp.

      Annual leave shall accrue for full-time Nurses, and Nurse Anesthetists at the rate of 8 hours for each full biweekly pay period.




  • How To ApplyOpen How To Apply SectionClose How To Apply Section

    • All applicants are encouraged to apply online.

      To apply for this position, you must complete the View Occupational Questionnaire and submit the documentation specified in the Required Documents section below.

      The complete application package must be submitted by 11:59 PM (EST) on Thursday, November 30, 2017 to receive consideration.

      1. To begin, click Apply Online to create a USAJOBS account or log in to your existing account. Follow the prompts to select your USAJOBS resume and/or other supporting documents and complete the occupational questionnaire.

      2. Click Submit My Answers to submit your application package.

      NOTE: It is your responsibility to ensure your responses and appropriate documentation is submitted prior to the closing date.

      To verify your application is complete, log into your USAJOBS account, https://my.usajobs.gov/Account/Login, select the Application Status link and then select the more information link for this position. The Details page will display the status of your application, the documentation received and processed, and any correspondence the agency has sent related to this application. Your uploaded documents may take several hours to clear the virus scan process.

      To return to an incomplete application, log into your USAJOBS account and click Update Application in the vacancy announcement. You must re-select your resume and/or other documents from your USAJOBS account or your application will be incomplete.




  • Additional DetailsOpen Additional Details SectionClose Additional Details Section

    • Series: 0605-Nurse Anesthetist (Title 38)


      Job Pay Type: Per Year


      Job Openings: 2


      Job Position: AD-18-NMB-2024155-BU




      The incumbent performs a pre-anesthetic patient assessment based on patient interview, patient history, lab results, and type of surgical procedure to be performed. Patient assignments per Chief Nurse Anesthetist or designed person.

      Select and administer pre-anesthetic medication according to established protocol.

      Request and evaluate pertinent laboratory studies, pulmonary function studies, including blood gases, respiratory therapy, and other appropriate studies under established protocol.

      Insert intravenous catheters, according to established protocol.

      Insert Swan-Ganz catheters and central venous pressure catheters under medical supervision.

      Insert arterial catheters; perform puncture for blood gases.

      Utilize all current techniques in monitoring.

      Perform endotracheal intubation and extubation.

      Select and administer anesthetic techniques (intravenous, regional, various field blocks, or inhalational), medications and adjunct drugs appropriate to the individual patient's condition and procedure (surgical or non-surgical) within established protocols in the operating suite and any off-site location (ie. Endoscopy, Radiology, Cardiology, MRI, etc.).

      Manage fluid, blood and electrolyte therapy within a medical care plan.

      Initiate and modify therapies, including drug and pain therapy within established protocols.

      Examine patients in post-anesthesia recovery and other hospital units to assess patient's reaction to anesthetic management. Identify any complications or abnormal patient responses to anesthesia or to adjunctive medication and implement appropriate management techniques.

      Assist in the treatment and management of emergency airway problems as needed throughout the hospital. Participate in cardiopulmonary resuscitation by performing airway management including endotracheal intubations when necessary. Serve as code captain in the absence of a physician according to established protocols.

      Provide anesthetic consultation to physicians, nurses, and other hospital staff as necessary.

      Make post-operative rounds and record on the patient's permanent record the presence or absence of anesthesia-related-complications.

      Take an active role through the attendance and participation in the departmental in-service program.

      Take emergency call as assigned per the Chief Nurse Anesthetist or another designed person and respond in a timely fashion.

      Responsible for patient care activities for adult and geriatric patients. Responsible for understanding the aging process and to modify treatment plans to accommodate the changes that occur with aging.

      In the performance of official duties, the employee has regular access to printed and electronic files containing sensitive data which must be protected under the provisions of the Privacy Act of 1974 and other applicable laws, federal regulations. VA statutes and policies. The employee is responsible for a) protecting data from unauthorized release or from loss, alteration, or unauthorized deletion and b) following applicable regulations and instruction regarding access to computerized files, release of access codes, etc. as set out in a computer access agreement which the employee signs.

      Incumbent sets up, uses, reprocesses and maintains all department-specific equipment that is designed by the manufacturer to be reused for multiple patients. All steps and activities for preparing, reprocessing and maintenance will be completed in accordance with steps outlined in the equipment Standard Operating Procedure (SOP).

      Incumbent participates in training for preparing, using, reprocessing and the maintenance of their department-specific equipment leading to the initial competency and validation of on-going competency at least annually.

      Incumbent uses equipment appropriately and demonstrates and/or verbalizes the proper use, reprocessing and maintenance. The reprocessing may be done by the individual on the unit (as in wiping down a piece of equipment with an approved disinfectant wipe between patients) or may require the equipment to be sent to SPD for a higher level of disinfection and/or sterilization. Incumbent must demonstrate knowledge of use and reprocessing according to equipment SOP's.

      Incumbent uses proper personal protection equipment per hospital policy. Completes required TMS training modules related to safety, environment of care and infection control.

      Requirements: Current BLS/ACLS certification.

      Preferred Qualifications: Current AANA membership. Current A.V.A.N.A. membership.

      Work Schedule: Monday - Friday (Day Shift - 7a-3:30p)

      Functional Statement Title/#: CRNA







Best Care / Best Careers

To care for him who shall have borne the battle and for his widow and his orphan." These words, spoken by Abraham Lincoln during his Second Inaugural Address, reflect the philosophy and principles that guide VA in everything we do, and are the focus of our endeavors to serve our Nation's veterans and their families.

 The Department of Veterans Affairs (VA) has one of the most diverse, challenging, and rewarding missions in the United States Government. We strive to meet the needs of the Nation's veterans and their families today and in the future.

VA manages one of the largest health care systems in the world and the nation's leading employer of registered nurses. Nurses in Veterans Health Administration (VHA) are engaged in a variety of roles and have multiple opportunities for career and professional development. The VHA provides veterans and their dependents with many other services such as benefits and education, and also provides burial benefits.

Our goal is to provide excellence in patient care, veterans' benefits and customer satisfaction. We can provide you with challenging, interesting, meaningful work to care for the veterans who have risked their lives to protect our freedom.

 As the Department of Veterans Affairs heads into the 21st century, we will strive to meet the needs of the Nation's veterans today and tomorrow. We are a more customer-focused organization, functioning as "One-VA" and delivering seamless service to our customers.

We benchmark our service with the best in business. We use innovative means and high technology to deliver "World-Class Customer Service". We foster partnerships with our customers and stakeholders, making them part of the decision-making process.

Department of Veterans Affairs is an Equal Opportunity Employer.

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