This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific individual eligibility requirements in accordance with VHA policy and submit your EDRP application within four months of appointment. Approval, award amount (up to $200,000) and eligibility period (one to five years) are determined by the VHA Education Loan Repayment Services program office after complete review of the EDRP application. 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. AND Graduate of an accredited nurse anesthesia educational program approved by the American Association of Nurse Anesthetists (AANA) at the time the program was completed. 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. Licensure: 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. 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): 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: 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: 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. 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. Preferred Experience: None Physical Requirements: 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. ["NOTE: Please carefully read the vacancy announcement and adhere to the required documents instructions. NOTE: An incomplete application package will result in being rated ineligible for further consideration. NOTE: A complete application is: 1. USAJOBS resume or resume that meets Federal Employment Criteria with CRNA license information; 2. Application for Nurse and Nurse Anesthetist (VA Form 10-2850A); 3. Official College Transcripts with Degree Conferred Date; 4. Copy of Certification by the Council on Certification of Nurse Anesthetists; and 5. Most Recent Notification of Personnel Action SF-50 with Salary Information (Must have a 2021 effective date) (Required for Federal Employees only).\nScope of Duties: 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. Administer anesthesia to patients in compliance with his/her delineation of privileges granted by the Medical Staff of the WJB Dorn VAMC. Coordinate his/her daily anesthesia assignment with the Chief of Anesthesiology, Chief CRNA, or designee to provide services to patients and surgeons which are efficient, safe, and respectful. Provide clinical anesthesia assessment of individual patients, including discussion of informed consent, develop risk assessments based on presenting problems and implement an appropriate perioperative anesthesia care plan in conjunction with the supervising anesthesiologist. Document perioperative treatment plan. Provide effective interventions which are patient centered based on assessment. Maintain accurate and up to standard records of all patients. Ensure that perioperative anesthetic management strategies and content are based on up to-date scientific literature and best-practice Participate in a rotating emergency call schedule with other service CRNAs to assure CRNA availability at all times. Maintain proficiency in electronic medical records for documentation in, and retrieval of, patient records when required. Demonstrated ability to blend technology, skills, and competency for the advancement of anesthesia techniques, and pharmacology. Participate at perioperative in-service meetings to present and discuss relevant clinical information. Participate in the teaching program of medical students and residents who rotate through Anesthesiology. Develop and maintain close consultation and effective working relationships with other health care professionals. Develop and maintain coordinated case management and effective working relationships with referral sources. Develop and maintain effective working relationships and communication within the perioperative care team. Maintain compliance with the policies, procedure s and guidelines of the WJB Dorn VAMC and Anesthesiology Service. Review , evaluate, and set personal performance objectives and be responsible for own professional development. Promote dignity and respect of patients. Ability to participate in research as appropriate. VA offers a comprehensive total rewards package: VA Nurse Total Rewards Pay: Competitive salary, regular salary increases, potential for performance awards\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: Monday - Friday, 7:00am to 3:30pm w/Late shift and call day (tour of duty subject to change based on agency of the organization)\nVirtual: This is not a virtual position.\nRelocation/Recruitment Incentives: May be Authorized\nEDRP Authorized: Contact Debra Conyers, firstname.lastname@example.org, the EDRP Coordinator for questions/assistance. Learn more\nPermanent Change of Station (PCS): Not Authorized\nFinancial Disclosure Report: Not required"]
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