Certified Registered Nurse Anesthetist

Summary

The VA NWIHCS is hiring one, full time Certified Registered Nurse Anesthetist.

VA NWIHCS is an integrated system that serves more than 148,000 Veterans in 101 counties in Nebraska, western Iowa, Kansas, and Missouri. It includes a tertiary medical center in Omaha, 2 larger clinics in Lincoln and Grand Island (which includes a Community Living Center), 5 community-based outpatient clinics, and one contract clinic.

Duties

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The VA Midwest Health Care Network advocates for a Whole Health System of care in each of the Medical Centers. This is an approach to healthcare that empowers and equips people to take charge of their health and well-being and live their lives to the fullest. As an employee operating in a Whole Health System of care, you will operate in a model with three core elements, seeking to create a personalized health plan for each Veteran. This is done in the context of healing relationships and healing environments and a connection back to the Veteran's community. This aligns with the Veterans Health Administration (VHA) Mission Statement to Honor America's Veterans by providing exceptional health care that improves their health and well-being.

VA offers a comprehensive total rewards package : VA Nurse Total Rewards

Nebraska Western Iowa VA Health Care System is currently seeking a CRNA to join Surgical Care which includes general surgery, vascular surgery, ophthalmology, audiology, cardiology, dentistry, orthopedics, podiatry, and urology. Special procedure anesthesia care is also provided to other service lines. The incumbent ensures quality and timeliness of services provided, customer satisfaction, and compliance with standards of accrediting bodies such as Joint Commission and Inspector General's Combined Assessment Program. CRNA is authorized to perform routine duties on a regular, repetitive basis. These duties include, but are not restricted to :

• Provision of care in the most complex surgical procedures.
• Perform and document a preanesthetic evaluation of the patient before surgery including requesting consultations, additional diagnostic and / or laboratory studies within the scope of practice, consulting with the anesthesiologist for further preoperative work up when necessary.
• Initiation of the planned anesthetic technique that may include general, regional, MAC, or local anesthesia. Interventions include administration of fluids, medications, ventilator support, provision of homeostasis, provision of adequate pain relief and management of anesthesia and surgical side effects.
• Induction of general anesthesia and initial airway management.
• Endotracheal intubation for surgical or procedural cases.
• Placement of endobronchial tubes or blockers for procedures requiring one lung ventilation or lung isolation.
• Central line placement; Pulmonary artery (Swan-Ganz) catheter placement
• Peripheral nerve blocks. Central neuroaxial blocks.
• Epidural blood patches.
• Adjustment of anesthetic drugs and techniques utilized in the maintenance of anesthesia.
• Sedation for field blocks or MAC as discussed in the anesthetic care plan.
• Manages emergence from anesthesia and transition to the post anesthesia care unit.
• Provide anesthetic for : electroconvulsive therapy not requiring intubation; routine eye surgery not requiring general anesthesia; elective cardioversions; ICD checks.
• May participate on the Code Blue Team, primarily to manage the patient's airway, but also to perform other tasks which they are qualified to perform, as directed by the Code Team Leader.
• Emergency airway management throughout the facility, following the ASA Difficult Airway Algorithm and department protocols, as requested.

Work Schedule : Monday -Friday 0700-1530

Financial Disclosure Report : Not required

Requirements

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Conditions of employment

Qualifications

Advanced Practice Nurse (Certified Nurse Anesthetist) Basic Requirements

License. All APN (CNAs) must maintain an active, current, full and unrestricted license to practice as a CNA or equivalent, in a State, Territory or Commonwealth of the United States or in the District of Columbia.

NOTE : Grandfathering Provision - All persons currently employed in VHA in 0610 series and an APN (CNA) assignment that are also performing the duties as described in the qualification standard on the effective date of the standard (1 / 29 / 2024) are considered to have met all qualification requirements for the grade held including positive education and licensure / certification.

The following Education, Experience, and Knowledge, Skills and Abilities must be met for Advanced Practice Nurse (Certified Nurse Anesthetist) II :

Exception to Licensure for Graduate Nurse Technicians. Candidates who otherwise meet the basic requirements, but do not possess the required APN (CNA) licensure and / or certification, may be appointed at the entry step of the Nurse II, as a Nurse Anesthetist on a temporary appointment up to any period not-to-exceed one year and a day under the authority of 38 U.S.C. § 7405(c)(2)(B).

Ability to translate into anesthesia care the principles of professional nursing practice including the patients' rights to autonomy, dignity, privacy, and safety.

The following Education, Experience, and Knowledge, Skills and Abilities must be met for Advanced Practice Nurse (Certified Nurse Anesthetist) III :

Ability to plan, administer and manage anesthesia for a broad range of complex surgical procedures skillfully employing continuous assessment and anesthetic adaptation based on patient response and comorbidities. Work assignments will vary by facility.

Physical Requirements : You will be asked to participate in a pre-employment examination or evaluation as part of the pre-employment process for this position. Questions about physical demands or environmental factors may be addressed at the time of evaluation or examination

Additional information

Reference : For more information on this qualification standard, please visit

During the application process you may have an option to opt-in to make your resume available to hiring managers in the agency who have similar positions. Opting in does not impact your application for this announcement, nor does it guarantee further consideration for additional positions.

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

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

VA encourages persons with disabilities to apply. The health-related positions in VA are covered by Title 38, and are not covered by the Schedule A excepted appointment authority.

If you are unable to apply online or need an alternate method to submit documents, please reach out to the Agency Contact listed in this Job Opportunity Announcement.

Under the Fair Chance to Compete Act, the Department of Veterans Affairs prohibits requesting an applicant's criminal history prior to accepting a tentative job offer. For more information about the Act and the complaint process, visit Human Resources and Administration / Operations, Security, and Preparedness (HRA / OSP) at The Fair Chance Act.

Candidates should be committed to improving the efficiency of the Federal government, passionate about the ideals of our American republic, and committed to upholding the rule of law and the United States Constitution.

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Eligibility for benefits depends on the type of position you hold and whether your position is full-time, part-time or intermittent. Contact the hiring agency for more information on the specific benefits offered.