Certified Registered Nurse Anesthetist

Fort Harrison, MT
Nov 16, 2018
Dec 16, 2018
Contract Type
Full Time
This position is in direct support of the Pain Management Team and will involve meeting the sedation needs of patients undergoing pain management procedures. Additionally, this position will also work in the Operating room, Endoscopy Suite, Anesthesia Preoperative Clinic, will perform Inpatient Anesthesia procedures and will be a member of the anesthesia call team.

Clinical Responsibilities include (but are not limited to):
- Completes and documents preoperative assessment.
- Orders and reviews related radiological, laboratory, and other diagnostic studies prior to surgery.
- Formulates an appropriate anesthesia plan based on both surgical case requirements and individual patient needs
- Records relevant information according to established documentation guidelines
- Administers and manages a variety of anesthetics including general anesthesia, regional anesthesia, and monitored anesthesia care
- Skilled in general invasive monitoring, airway management under both emergent and non-emergent circumstances
- Ability to practice independently
- Place and manage regional anesthetic techniques that include:
  • Subarachnoid
  • Epidural
  • Intravenous regional anesthesia
  • Upper and lower extremity blocks
  • TAP Block
  • Insert and manage peripheral, arterial, or central venous lines and catheters

Administrative Duties include (but are not limited to):
- Participation in recruitment, resource management, and clinical practice management in the functional area of her/his employment
- Participation in local administrative, management, quality assurance, and other assignments, meetings or committees as appropriate, necessary or assigned
- Participation and leadership in the educational programs within the anesthesia section as well as other clinical staff
- Participation in monitoring the quality, safety and appropriateness of patient care
- Demonstration of ethical conduct and serving as a positive role model to others at all levels of the organization
- Participation in quality assurance programs and chart reviews
- Performance of other duties as assigned

Work Schedule: The tour of duty is generally 6:30am- 3:00pm Monday- Friday, with the exception of onA,­ call. The incumbent is expected to participate in the call schedule and be available for duty outside of the regular duty hours, including weekends, irregular work hours, shift work and extended hours.

Financial Disclosure Report: Not requiredBasic 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 Accreditation Commission for Education in Nursing (ACEN) or The Commission on Collegiate Nursing Education (CCNE).
  • Graduate of an accredited nurse anesthesia educational program approved by the American Association of Nurse Anesthetists (AANA) at the time the program was completed by the applicant.
  • 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 by the Council of Nurse Anesthetists.

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. 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 may include but are not limited to the following:
    • Ability to translate the principles of professional nursing practice in the care of assigned patients in order to provide appropriate care
    • Ability to do pre-anesthetic patient history and physical, which includes collecting pre-operative consults and data
    • Ability to formulate an anesthetic plan and describe the anesthetic risks, benefits and options to the patient
    • 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
    • Ability to respond to emergency situations by providing airway management, administration of emergency fluids and drugs, and using appropriate resuscitation procedures for patient care
    • Ability to provide patient care that is abreast of changing concepts and advancements in the profession
    • Ability to work effectively in an interdisciplinary environment for improvement of services for patient care
    • Ability to practice nurse anesthesia with colleagues and peers utilizing a collaborative team concept of anesthesia care
  • 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. Demonstrated Knowledge, Skills, and Abilities. Full Performance Level practice in nurse anesthesia includes but is not limited to the following:
    • 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
    • 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
    • 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
    • Ability to effectively blend technology, skills, and competency for the advancement of anesthesia techniques, pharmacology, and equipment
    • Ability to apply new developments and theories to develop and demonstrate the ability to recognize and solve various complex anesthesia situations
    • Ability to practice nurse anesthesia with colleagues and peers in a team concept of anesthesia care and blend management skills with technical experience
    • 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
    • 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
    • Ability to participate in the development of anesthesia patient care audit processes involving in depth review and analysis of anesthesia records
    • 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: This position requires a full range of physical activity, including lifting and carrying, pulling, pushing, reaching at and above the shoulders, use of both hands and fingers, walking, standing, sitting, kneeling, repeated bending, and ability for rapid mental and muscular coordination simultaneously. Adequate hearing (aid permitted), mental and emotional stability required.

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

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.

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
  • VA Fm 10-2850a
  • Resume
  • SF-15
  • Transcript

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