This is for an INTERMITTENT CRNA position at the Edward Hines Jr. VA Medical Center.

Duties

VISN 12 is committed to fostering and sustaining an environment which celebrates diversity, provides equitable opportunities for employment and promotion, and supports inclusiveness in our culture. Together, we strive to create and maintain working and learning environments that promote professional growth and teamwork, and are inclusive, equitable and welcoming. We embrace our differences as individuals and unite as a team toward a common goal: to serve our nation's Veterans. The Advance Practice Nurse: 1) Establishes a medical diagnosis based on comprehensive assessment, 2) Makes advanced clinical decisions, 3) Uses prescriptive authority, procedures, referrals, treatments and therapies in accordance with state and federal and laws and regulations 4) Is credentialed as a provider in accordance with the regulations of the VA system, 5) provides leadership in coordination of multidisciplinary health care for an integrated delivery of care of the veteran, 6) facilitates/coordinates use of systems/community resources to implement and enhance care across the continuum, 7) Analyzes outcomes (related to organizational care delivery and populations served) to make recommendations for improvements in care delivery systems across the care settings, 8) Conducts, critically appraises or synthesizes research that discovers, examines and evaluates knowledge, theories, criteria and creative approaches to improve health care practices, 9) Provides leadership in developing care models to manage chronic care issues. Duties include: 1. Preanesthetic Evaluation - Obtain an appropriate health history. - Conduct an appropriate physical exam. - Request pertinent diagnostic studies. - Select, obtain, order and administer preanesthetic medications. - Obtain informed consent for anesthesia, anesthesia induction, maintenance, and emergence. - Document informed consent along with preanesthetic evaluation in the Hines VAH 2. Preoperative and Intraoperative Care, including Operating Rooms and Out of Operating Room Procedures - Obtain, prepare and use all equipment, monitors, supplies and drugs for the administration of anesthesia, performing and ordering safety checks, as needed. - Select, obtain, or administrate the anesthetics (General, MAC, Regional), adjuvant drugs, accessory drugs, fluids and blood products as necessary to manage the anesthetic. - Perform all aspects of airway management. - Perform BLS/ACLS management. - Insert peripheral and central venous catheters. - Insert arterial catheters and performing arterial punctures to obtain arterial blood - Insert pulmonary artery catheters. - Perform and manage regional anesthesia techniques including, but not limited to subarachnoid, epidural, major and peripheral nerve blocks, intravenous regional anesthesia, trans-tracheal, topical, local infiltration blocks, and bilateral superior laryngeal nerve blocks. - Provide appropriate invasive and non-invasion monitoring modalities utilizing current standards and techniques. - Recognize abnormal patient responses during anesthesia, selecting and implementing appropriate corrective action and requesting consultation from the assigned collaborating attending anesthesiologist, as needed. - Evaluate patient response during emergence from anesthesia and instituting pharmacological or supportive treatment to insure patient stability during transfer. 3. Postoperative Care - Provide post anesthesia follow-up and evaluation of the patient's response to anesthesia and surgical experience and notifying the attending anesthesiologist, as needed. - Deliver a full report to the recovery room nurse. - Select and prescribing medication, and writing postoperative orders related to the care of the patient as necessary, in consultation with the attending anesthesiologist. - Initiate and administer respiratory support to ensure adequate ventilation and oxygenation in the post-anesthesia period. - Initiate and administer pharmacological or fluid support of the cardiovascular system during the post anesthetic period to prevent morbidity and mortality, in collaboration with the attending anesthesiologist. VA offers a comprehensive total rewards package: VA Nurse Total Rewards Pay: Competitive salary, regular salary increases, potential for performance awards Paid 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) Retirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA Insurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement) Licensure: 1 full and unrestricted license from any US State or territory Work Schedule: INTERMITTENT - Monday - Friday 6:00am - 2:30pm or TBD by Section Needs. Telework: Not Available Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized Financial Disclosure Report: Not required

Requirements

Qualifications

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: Citizenship. Citizen of the United States. (Non-citizens may be appointed when it is not possible to recruit for qualified citizens) 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. Education: A degree in nursing from 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 located at 61 Broadway, 33rd Floor, New York, New York 10006. Additional information may be obtained from the NLNAC Web site. OR The Commission on Collegiate Nursing Education (CCNE), an accrediting arm of the American Association of Colleges of Nursing (AACN). The CCNE accredits bachelor's and master's degree programs and is located at One Dupont Circle, N.W., Suite 530, Washington, DC 20036. Additional information may be obtained from the CCNE Web site. In cases of graduates of foreign schools of professional nursing, possession of a current, full, 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. 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. 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. The nurse anesthetist must maintain a current, full, active and unrestricted registration to continue employment with VA. The appointing official may waive this requirement if the nurse anesthetist is to serve in a country other than the United States and has registration in that country (e.g. Philippines). 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. 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 designated the AANA's web site as a display agent for their information. Nurse Anesthetists will maintain recertification by meeting the Council on Recertification of Nurse Anesthetist's requirements as a condition of employment. Preferred Experience: 1-2 years CRNA experience Grade Requirements: Entry Level: (Nurse II) 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 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, 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. Reference: VA Handbook 5005/37, Part II, Appendix G7 NURSE ANESTHETIST QUALIFICATION STANDARD. This can be found in the local Human Resources Office.

Education

IMPORTANT: A transcript must be submitted with your application if you are basing all or part of your qualifications on 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.

Contacts

• Address Edward Hines Junior Hospital 5000 South 5th Avenue Hines, IL 60141 US
• Name: Michael Schneider
• Phone: 989-497-2500 X13073
• Email: [email protected]