This position is located within Surgical Services at the Mann-Grandstaff VA Medical Center in Spokane, Washington.

Duties

The CRNA responsibilities include, but are not limted to the following: Develop and implement a comprehensive anesthesia plan of care for patients requiring local, regional, general, and monitored anesthesia both inside and outside the operation room suite. Collaborate with others involved in the operative care of patients to meet and exceed compliance standards. Assure the delivery of anesthetic care, including preoperative consultation, procedures, daily preoperative clinic, perioperative care, and sedation throughout the hospital is of the highest quality to promote patient safety and satisfaction. Support life functions during the administrating of anesthesia, including induction and intubation. Emergent code/floor intubations, Run ACLS Code as certified until physician arrives. Act as resource for staff education. Willing to be an active preceptor and adjunct clinical faculty for Health Care trainees rotating through the Medical Center. Establish and promotes an atmosphere of unity through collaborative practice and effective communication between all staff disciplines within the hospital. Through collaborative practice foster a high level of confidence and satisfaction with patients and staff. Work with multiple Services and Departments throughout the facility to improve outcomes and efficiencies. Develop and implement through program planning, the philosophy, objectives, policies, and standards that are essential to the delivery of high quality anesthetic care. Compliance with relevant requirements for continuing education, competence in advanced life support, and listing pertinent education, training or expertise in specialty areas. Other duties as assigned. Work Schedule: Monday to Friday, 7:00am to 3:30pm Telework: Available on an ad hoc basis only, as determined by the needs of the service Virtual: This is not a virtual position Education Debt Reduction Program: Not authorized Permanent Change of Station (PCS): Not authorized Financial Disclosure Report: Not required 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

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: United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. 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. Graduate of a school of professional nursing approved 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). The approving official may authorize a waiver of the requirement for ACEN or CCNE accreditation of any degree in nursing provided the college or university has regional accreditation from an accrediting body recognized by the Department of Education at the time of the candidate's graduation and the composite qualifications of the applicant warrant such consideration. 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. OR The completion of coursework equivalent to a nursing degree in a MSN Bridge Program that qualifies for professional nursing registration constitutes the completion of an approved course of study of professional nursing. Students should submit the certificate of professional nursing to sit for the NCLEX to the VA along with a copy of the MSN transcript. (Reference VA Handbook 5005, Appendix G6) OR In cases of graduates of foreign schools of professional nursing, possession of a current, full, active and unrestricted registration will meet the requirement for graduation from an approved school of professional nursing. Nurse Anesthetist: Graduate of an accredited nurse anesthesia educaton program approved by the American Association of Nurse Anesthetists (AANA) at the time the program was completed by the applicant. Certification: Certification by the Council on Certificaton of Nurse Anesthetists(CCNA). Maintaining recertification by the CCNA is a condition of employment. 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. Preferred Experience: 5 years Nurse Anesthetist experience Experience with regional anesthesia (epidurals, spinals and peripheral nerve block) Grade Determinations: The level the nurse anesthesia practie may be performed is based on a combination of education and experience. Beyond the minimum education requirements, grade determination upon appointment and advancement is dependent more on acquired knowledge, skills and abilities than the baseline education. 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 practice 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 a 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 in 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 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 Performnace 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 techniquies for the practice and anesthesia. Ability to perform as a mentor, preceptor, or nurse educator providing didactic and clincal instruction for graduate level nurse anesthesia students and/or other anesthesia care providers. Ability to participate in the development of anesthesia patient care audit process involving in depth review and analysis of anesthesia records. Ability to provide guidance and instruction in preparing others for positions of leaderhip and ethical practices with 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: Light lifting (under 15 pounds), light carrying (under 15 pounds), pushing (5 hours), reaching above shoulder, use of fingers, both hands required, waling (5 hours), standing (5 hours), ability for rapid mental and muscular coordination simultaneously, near vision correctable at 13" to 16' to Jaeger 1 to 4, specific visual requirement:see computer screen, depth perception, ability to distinguish basic colors, hearing (aid may be permitted), mental and emotional stability.

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 Mann-Grandstaff Department of Veterans Affairs Medical Center 4815 North Assembly Street Spokane, WA 99205 US
• Name: Jaimie Tappert
• Phone: (503) 220-8262 X31540
• Email: [email protected]