U.S. Department of Veterans Affairs

Summary

Vacancy Identification Number (VIN): 1735504

OUR MISSION: 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?

Grade/Step/Salary will be recommended by a Professional Standards Board and is based upon education and /or experience.

As a VA professional, your opportunities are endless. With many openings in the multiple functions of VA, you will have a wide range of opportunities and leadership positions 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.

VA professionals feel good about their careers and their ability to balance work and home life.  VA offers generous paid time off and variety of predictable and flexible scheduling opportunities.

For more information on the Department of Veterans Affairs, go to http://www.vacareers.va.gov/.

At the Columbus, VA we honor those who serve through our unwavering commitment to provide the Excellent Care that every Veteran deserves.  Columbus VA is a Veteran-centric medical center, where our doctors, nurses and staff fully consider the comprehensive needs of Every Veteran. At the Columbus VA, we consider it our mission to do everything we can, Every Time, to positively affect the lives of Veterans.

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.

Duties

The Chalmers P. Wylie Veterans Affairs (VA) Ambulatory Care Center (ACC) in Columbus, Ohio, is seeking a Intermittent Certified Registered Nurse anesthetist (CRNA) to provide anesthesia service associated with surgical procedures under the supervision of the anesthesiologist. The CRNA performs under the clinical supervision of a licensed physician. The Nurse Anesthetist performs pre-anesthesia evaluations, prepares anesthesia plan, delivers all forms of anesthesia and follows up on all general anesthesia cases. Provides emergency airway and resuscitation management throughout the facility. The Nurse Anesthetist assists with quality assurance activities facility wide and specific to the Surgery department and conducts routine maintenance and cleaning of anesthesia equipment.

The CRNA translates the principles of professional nurse anesthesia practice into appropriate patent 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 responses to anesthesia. Performs post-anesthetic management of patients in order to optimize the recovery from anesthesia and minimize pain. 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: This position is INTERMITTENT, FLEXIBLE – Day Shift, Monday – Friday (service performed without a regular scheduled tour of duty between 8:00 am to 4:30pm)
Functional Statement Title/#: Scope of Practice / Certified Nurse Anesthetist/000000

Travel Required

  • Not Required

Relocation Authorized

  • No

Job Requirements

Key Requirements

  • Must pass pre-employment examination.
  • Designated and/or Random Drug Testing required.
  • Background and/or Security Investigation required.
  • Must be proficient in written and spoken English.
  • Selective Service Registration is required for males born after 12/31/1959.

Qualifications

BASIC REQUIREMENTS:

  • U.S. citizenship.  Non-citizens may be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy.
  • Proficient in spoken and written English.  Nurse Anesthetists must be proficient in spoken and written English in accordance with VA Handbook, Part II, chapter 2, Section D, and Paragraph 5a.
  • Degree in nursing from a school of professional nursing approved by the appropriate accrediting agency and accredited by the National League for Nursing Accreditation Commission (NLNAC) or commission on Collegiate Nursing Education (CCNE).  In cases of graduates of foreign school 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.
  • Graduate of an accredited nurse anesthesia educational program approved by the American Association of Nurse Anesthetists (AANA) at the time the program was completed.
  • Current, full, active and unrestricted license 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 and unrestricted registration to continue employment with VA.
  • Certified by the council on Certification of Nurse Anesthetists.

Grade Determinations:  The Professional Standards Board will determine the grade assignment of candidates, and if appropriate, the level within a grade:

Education/Experience Requirements:  

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 patient 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 response 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 patent care that is abreast of changing concepts and advancement 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)

(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 breath 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 advances 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. 

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.

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.

Physical Requirements:  Moderate lifting (15-44 lbs); Light lifting, under 15 pounds; Moderate carrying (15-44); Light carrying, under 15 pounds; Straight Pulling (1hour); Pushing (1-3 hours); Reaching above shoulder; Use of fingers; Both hands required; Walking (4 hours); Standing (2-7); Kneeling(2hours); Repeated bending(2hours); Climbing, use of legs and arms; Both Legs required; Ability for rapid mental and muscular coordination simultaneously; Near vision correctable at 13″ to 16″ to Jaeger 1 to 4; specific visual requirement 20/40 DVA; corrected; Ability to distinguish basic colors; Hearing (aid permitted); Sitting (8 hours per day); Simple Grasping (2-4 hours per day); Fine Manipulation (4-6 hours, includes keyboarding per day); Twisting (2 hours per day); Mental and Emotional Stability.

Security Clearance

Public Trust – Background Investigation