Certified Registered Nurse Anesthetist
Department Of Veterans Affairs - Pittsburgh, PA

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Vacancy Identification Number (VIN): 836361

To fulfill President Lincoln's promise - "To care for him who shall have borne the battle, and for his widow, and his orphan" - by serving and honoring the men and women who are America's Veterans.

How would you like to become a part of a team providing compassionate care to Veterans?

As a VA professional nurse, your opportunities are endless. With many openings in the multiple functions of VA, you will have a wide range of opportunities at your fingertips. Not only is it the largest, most technologically advanced integrated health care system in the nation, but we also provide many other services to Veterans through the Benefits Administration and National Cemeteries.

Special Employment Consideration: VA encourages persons with disabilities to apply. KEY REQUIREMENTS

U.S. Citizenship
Full unrestricted Licensure, Certification, or Registration required.
Must pass pre-employment examination.
Designated and/or Random Drug Testing required.
Background and/or Security Investigation required.

English Language Proficiency required. DUTIES:
DUTIES:
As a Nurse Anesthetist (and under the direction of the anesthesiologist), performs a pre-anesthetic assessment evaluation of the patient and develops an anesthetic plan; initiates the planned anesthetic technique, which may include general and local anesthesia and IV sedation; administers the anesthetic, adjuvant drugs, accessory drugs and fluids necessary to manage the anesthetic and to maintain the patient's physiologic homeostasis and correct abnormal responses to the anesthesia or the surgery; manages the patient's airway and pulmonary status including induce endotracheal intubation, mechanical ventilation, administers pharmacological support, respiratory therapy and performs intubation; manages emergence and recovery from anesthesia; applies inserts appropriate non-invasive and invasive monitoring modalities for collecting and interpreting patient physiological data; releases patients to post-anesthesia care providers; responds to emergency situations by providing airway management, administration of emergency fluids and drugs or using basic or advanced cardiac life support techniques.

QUALIFICATIONS REQUIRED:
Citizen of the United States.

EDUCATION : 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) or The Commission on Collegiate Nursing Education (CCNE); 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 by the applicant.

REGISTRATION : 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. 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.

CERTIFICATION : On and after May 4, 1993, certification by the Council on Certification of Nurse Anesthetists is a requirement for employment. Additionally, nurse anesthetists will maintain recertification by meeting the Council on Recertification of Nurse Anesthetist's requirements as a condition of employment.

Must be proficient in spoken and written English

Applicant'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. Experience as a 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. The criteria are as follows: Practice: practice, ethics and resource utilization, Professional Development: performance, education/career development, Collaboration; collaboration, collegiality, Scientific Inquiry: quality of care, research. Education/Experience Requirements:

( 1) Entry Level Requirement:
(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.

IN DESCRIBING YOUR EXPERIENCE, PLEASE BE CLEAR AND SPECIFIC. WE WILL NOT MAKE ASSUMPTIONS REGARDING YOUR EXPERIENCE.

Reference: VA Handbook 5005/27, Part II, Appendix G-NURSE ANESTHETIST QUALIFICATION STANDARD

PHYSICAL REQUIREMENTS: VA HANDBOOK 5019

APPLICANTS PLEASE NOTE: 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 (particularly positions with a positive education requirement.) Therefore, applicants must report only attendance and/or degrees from schools accredited by accrediting institutions recognized by the U.S. Department of Education. Applicants can verify accreditation at the following website: http://www.ed.gov/admins/finaid/accred/index.html All education claimed by applicants will be verified by the appointing agency accordingly. 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.

Veterans' Preference:
When applying for Federal Jobs, eligible Veterans should claim preference on their application or résumé. Applicants claiming preference based on service-connected disability, or based on being the spouse or mother of a disabled or deceased Veteran, must complete an SF 15, Application for 10-Point Veteran Preference. Veterans who are still in the service may be granted tentative preference on the basis of information contained in their applications, but they must produce a DD Form 214 or other proof prior to appointment to document entitlement to preference. For more information on Veterans' Preference, please visit http://www.fedshirevets.gov/job/veterans.aspx . HOW YOU WILL BE EVALUATED:

Your application, résumé and/or supporting documentation will be verified. Please follow all instructions carefully. Errors or omissions may affect consideration for employment. You may also be evaluated based upon the question responses you provide during a structured interview. In responding to structured interview questions you should be sure to cite specific examples of experience, explain exactly what you did, and the outcome. BENEFITS:

Working for the Department of Veterans Affairs offers a comprehensive benefits package that includes, in part, paid vacation, sick leave, holidays, life insurance, health benefits, thrift savings plan, and participation in the Federal Employees Retirement System. In addition to traditional "dollars and cents" benefits, we offer a range of benefits to help balance work and life. For more information please visit us at

http://www.va.gov/JOBS/Job_Benefits/benefits.asp .

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

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

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The United States Department of Veterans Affairs (VA) is a government-run military veteran benefit system with Cabinet-level status. It is...