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Certified Registered Nurse Anesthetist (CRNA)


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  • Duties
    Help Duties Summary

    The Certified Registered Nurse Anesthetist (CRNA) position is located in the Surgery/Specialty Care Service Line at the VA Black Hills Health Care System.
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    Responsibilities

    The CRNA performs pre-anesthesia evaluations, collaborates with the interdisciplinary team to prepare the anesthesia plan, delivers all forms of anesthesia and provides pre-operative, intra-operative and post-operative care of patients. Provides emergency airway and resuscitation management throughout the facility and establishes working relationships with all levels of staff throughout the VA Black Hills Health Care System. The CRNA translates the principles of professional nurse anesthesia practice into appropriate patient care. 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. The CRNA provides patient care that is 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.

    Work Schedule: Monday through Friday, 7:00 am-3:30 pm with on-call rotation
    Financial Disclosure Report: Not required

    Travel Required
    Occasional travel - Between VA Black Hills Health Care System Facilities

    Supervisory status
    No

    Promotion Potential
    3

  • Job family (Series)
    0605 Nurse Anesthetist (Title 38)

    Similar jobs
    • Anesthetists, Nurse
    • Nurse Anesthetists


  • Requirements
    Help Requirements Conditions of Employment
    • You must be a U.S. Citizen to apply for this job
    • Designated and/or random drug testing required
    • Selective Service Registration is required for males born after 12/31/1959
    • You may be required to serve a probationary period
    • Subject to a background/security investigation
    • Must be proficient in written and spoken English
    • Selected applicants will be required to complete an online onboarding process
    • Must pass pre-employment physical examination

    Qualifications
    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.
    • 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), an accrediting arm of the National League for Nursing, or The Commission on Collegiate Nursing Education ( CCNE ), an accrediting arm of the American Association of Colleges of Nursing (AACN). 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.
    • 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. Any nurse anesthetist who leaves VA employment or vacates the nurse anesthetist occupation for another VA position must meet the current requirement of certification for re-appointment as a nurse anesthetist. The CCNA and the Council on Recertification of Nurse Anesthetists have designed the AANAs website as a display agent for their information.
    • 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.
    • Physical Requirements. See VA Directive and Handbook 5019
    • English Language Proficiency. Nurse anesthetists must be proficient in spoken and written English in accordance with chapter 2, section D, paragraph 5a, this part.
    Grade Determinations: The following criteria must be met in determining the grade assignment of candidates, and if appropriate, the level within a grade:

    (1) 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.

    (2) Full Performance Level: (Nurse III)

    (a) Experience and Education. 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.

    (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.

    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: Heavy Lifting (45 lbs and over); Heavy Carrying (45 lbs and over); Straight Pulling (up to 4 hrs); Pushing (up to 4 hrs); Reaching above shoulder; Use of fingers; Both hands required; Walking (up to 7-8 hrs); standing (7-8 hrs); Repeated bending (up to 7-8 hrs); Both legs required; Ability for rapid mental and muscular coordination simultaneously; Specific visual requirement to be able to read typed characters; Ability to distinguish basic colors; Ability to distinguish shades of color; Hearing (aid permitted); Emotional and mental stability required.

    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 .

    Additional information

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

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

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

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

    United States Citizenship Required; non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy.

    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.

    Veterans and Transitioning Service Members: Please visit the VA for Vets site for career-search tools for Veterans seeking employment at VA, career development services for our existing Veterans, and coaching and reintegration support for military service members.

    If you are unable to apply online view the following link for information regarding an Alternate Application .

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    How You Will Be Evaluated

    You will be evaluated for this job based on how well you meet the qualifications above.

    IN DESCRIBING YOUR EXPERIENCE, PLEASE BE CLEAR AND SPECIFIC. WE MAY NOT MAKE ASSUMPTIONS REGARDING YOUR EXPERIENCE. Your application, résumé, C.V., and/or supporting documentation will be verified. Please follow all instructions carefully. Errors or omissions may affect consideration for employment.

    NOTE: Candidate's education and length of nursing practice (experience) will be considered by a Nurse Professional Standards Board in determining the grade and salary of the applicant selected. The recommended salary may be at any point in the range listed for this vacancy.

    Experience as an RN will be evaluated to determine if the experience is of an acceptable level of quality with regard to the following four dimensions of nursing: Practice, Professional Development, Collaboration and Scientific Inquiry. Each dimension of practice has criteria that demonstrate essential core competencies for VHA Nursing Personnel.

    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.

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    Background checks and security clearance

    Security clearance
    Other

    Drug test required
    Yes

  • Required Documents
    Help Required Documents

    To apply for this position, you must provide a complete Application Package which includes:

    • 10-2850A - Application for Nurses and Nurse Anesthetists
    • Resume
    • Transcript


    VA Form 10-2850a - Application for Nurses and Nurse Anesthetists can be found at: http://www.va.gov/vaforms/search_action.asp?FormNo=2850&tkey=&Action=Search . This form must be complete, signed and dated on both pages 3 and 4, and submitted with this application package in order to be considered.

    The following documents are accepted, and may be required if applicable to your eligibility and/or qualifications for this position. Please use this checklist to ensure you have included all documents required for your application, such as a copy of your transcript (if using education to qualify), SF-50's, etc.
    • Cover Letter
    • DD-214
    • OF-306
    • 10-2850A - Application for Nurses and Nurse Anesthetists
    • Other Veterans Document
    • Resume
    • SF-15
    • SF-50
    • Transcript


    If you are relying on your education to meet qualification requirements:
    Education must be accredited by an accrediting institution recognized by the U.S. Department of Education in order for it to be credited towards qualifications. Therefore, provide only the attendance and/or degrees from schools accredited by accrediting institutions recognized by the U.S. Department of Education .

    Failure to provide all of the required information as stated in this vacancy announcement may result in an ineligible rating or may affect the overall rating.

  • Benefits
    Help Benefits

    A career with the U.S. Government provides employees with a comprehensive benefits package. As a federal employee, you and your family will have access to a range of benefits that are designed to make your federal career very rewarding. Learn more about federal benefits .

    Review our benefits

    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.

  • How to Apply
    Help How to Apply

    All applicants are encouraged to apply online. To apply for this position, you must complete the full questionnaire and submit the documentation specified in the Required Documents section below. The complete application package must be submitted by 11:59 PM (ET) on 09/21/2018 to receive consideration.
  • To begin, click Apply Online to create a USAJOBS account or log in to your existing account. Follow the prompts to select your USA JOBS resume and/or other supporting documents and complete the occupational questionnaire.
  • 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 USA JOBS 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 USA JOBS account and click Update Application in the vacancy announcement. You must re-select your resume and/or other documents from your USA JOBS account or your application will be incomplete.

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    Agency contact information Carol Best

    Phone
    605-720-7090
    Email
    [email protected]

    Address

    VA Black Hills Health Care System
    113 Comanche Road
    Fort Meade, SD 57741
    US

    Learn more about this agency
    Next steps

    Once your online application is submitted you will receive a confirmation notification by email. After we receive application packages (including all required documents) and the vacancy announcement closes, we will review applications to ensure qualification and eligibility requirements are met. After the review is complete, a referral certificate(s) is issued and applicants will be notified of their status by email. Referred applicants will be notified as such and may be contacted directly by the hiring office for an interview. All referred applicants receive a final notification once a selection decision has been made.

    You may check the status of your application at any time by logging into your USA Jobs account and clicking on Applications. Information regarding your application status can be found in the USAJobs Help Center .

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  • Fair & Transparent
    Fair & Transparent
    The Federal hiring process is setup to be fair and transparent. Please read the following guidance.
    Equal Employment Opportunity Policy

    The United States Government does not discriminate in employment on the basis of race, color, religion, sex (including pregnancy and gender identity), national origin, political affiliation, sexual orientation, marital status, disability, genetic information, age, membership in an employee organization, retaliation, parental status, military service, or other non-merit factor.
    • Equal Employment Opportunity (EEO) for federal employees & job applicants

    Read more Reasonable Accommodation Policy

    Federal agencies must provide reasonable accommodation to applicants with disabilities where appropriate. Applicants requiring reasonable accommodation for any part of the application process should follow the instructions in the job opportunity announcement. For any part of the remaining hiring process, applicants should contact the hiring agency directly. Determinations on requests for reasonable accommodation will be made on a case-by-case basis.

    A reasonable accommodation is any change to a job, the work environment, or the way things are usually done that enables an individual with a disability to apply for a job, perform job duties or receive equal access to job benefits.

    Under the Rehabilitation Act of 1973, federal agencies must provide reasonable accommodations when:
    • An applicant with a disability needs an accommodation to have an equal opportunity to apply for a job.
    • An employee with a disability needs an accommodation to perform the essential job duties or to gain access to the workplace.
    • An employee with a disability needs an accommodation to receive equal access to benefits, such as details, training, and office-sponsored events.


    You can request a reasonable accommodation at any time during the application or hiring process or while on the job. Requests are considered on a case-by-case basis.

    Learn more about disability employment and reasonable accommodations or how to contact an agency.

    Read more Legal and regulatory guidance
    • Financial suitability
    • Social security number request
    • Privacy Act
    • Signature and false statements
    • Selective Service
    • New employee probationary period



This job originated on www.usajobs.gov . For the full announcement and to apply, visit www.usajobs.gov/GetJob/ViewDetails/509612600 . Only resumes submitted according to the instructions on the job announcement listed at www.usajobs.gov will be considered.
Company
Veterans Affairs, Veterans Health Administration
Posted
09/06/2018
Type
Full time
Location
Fort Meade, SD, US