Certified Registered Nurse Anesthetist (CRNA)
- Employer
- USAJobs
- Location
- Baltimore, Maryland
- Closing date
- Sep 24, 2020
View more
- Industry
- Government and Public Services, Federal
- Function
- Nurse
- Hours
- Full Time
- Career Level
- Experienced (Non-Manager)
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Duties
Summary
Be a member of a team providing compassionate healthcare to Veterans. We are an employer of choice who is a center of excellence in patient care, education and research. We value trust, respect, commitment, compassion, and excellence; we value you. Go to http://www.va.gov/ for more information on the Department of Veterans Affairs.
Learn more about this agency
Responsibilities
At least one full-time position exists for full-time Certified Registered Nurse Anesthetist (CRNA) in the Department of Anesthesiology at the Baltimore VA Medical Center, VA Maryland Health Care System (VAMHCS). The certified Registered Nurse Anesthetist (CRNA) is an advanced practice nurse who utilizes specialized education and clinical nursing skills to administer anesthesia care throughout the medical center. The practice of nurse anesthesia is a recognized specialty within the profession of nursing. As an independently licensed health professional, the CRNA is responsible and accountable for his/her practice. The scope of practice includes direct patient care, administration, educational and research activities.
The CRNA practices within an anesthesia care team model to achieve common goals for care, safety and welfare of VA patients and provide anesthetic services under the medical direction and supervision of an anesthesiologist within four general categories:
1. Pre-anesthesia preparation and evaluation
2. Anesthesia induction, maintenance and emergence in the operating room (OR) and out-of-OR environments
3. Post anesthesia care, including pain management
4. Peri-anesthetic and clinical support functions in the OR and out-of-OR environments.
The CRNA works with diverse age groups to include adult and geriatric patients and is able to meet age specific needs of the patient population served. He/she demonstrates the knowledge and clinical skills necessary to perform his/her duties in providing anesthetic care appropriate to the VA patient. He/she demonstrates knowledge of age-associated changes, illnesses and potential disabilities in order to work with geriatric patients. He/she posses the ability to communicate, assess, and/or interpret data and information reflective of a geriatric patient's status to identify patient's requirements in providing the care needed as described in policies, procedures and following sound practices. He/she involves the patient's family or significant other in decision making related to the patient's plan of care when appropriate.
Work Schedule: The tour of duty is variable and includes coverage on nights, weekends, and holidays. A compressed tour of duty is possible. On-site call coverage and home call may be required depending on service needs.
Functional Statement:
Nurse II - 000000
Nurse III - 000000
Financial Disclosure Report: Not required
Travel Required
Occasional travel - You may be expected to travel for this position for training and/or patient care needs.
Supervisory status
No
Promotion Potential
00
Requirements
Conditions of Employment
Qualifications
Basic Requirements:
Grade Determinations: The Professional Standards Board will determine the grade assignment of candidates, and if appropriate, the level within a grade. The following criteria must be met in determining the grade assignment of candidates, and if appropriate, the level within a grade:
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.
Reference: VA Regulations, specifically VA Handbook 5005, Part II, Appendix G-6 Nurse Qualification Standard. This can be found in the local Human Resources Office.
Physical Requirements: Physical Requirements: It is VA policy to ensure that all selected applicants and employed personnel are physically, mentally and emotionally fit to perform the duties of the position to which assigned. A pre-placement physical examination is required for all fulltime, part-time and intermittent employees identified by VA Directive and Handbook 5019. The pre-placement physical examination shall be completed prior to appointment to determine the physical and mental fitness for candidates for appointment in VA. The examination will be concerned with the mental and physical ability of the applicant to satisfactorily perform the duties of the proposed assignment and will include requisite laboratory and other screening as required by Federal regulatory agencies.
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 .
Additional information
Annual leave shall accrue for full-time Nurses, and Nurse Anesthetists at the rate of 8 hours for each full biweekly pay period.
This job opportunity announcement may be used to fill additional vacancies.
It is the policy of the VA to not deny employment to those that have faced financial hardships or periods of unemployment.
This position is in the Excepted Service and does not confer competitive status.
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.
Veterans and Transitioning Service Members: Please visit the VA for Vets site for career-search tools for Veterans seeking employment at VA, career development services for our existing Veterans, and coaching and reintegration support for military service members.
If you are unable to apply online view the following link for information regarding an Alternate Application .
How You Will Be Evaluated
You will be evaluated for this job based on how well you meet the qualifications above.
IN DESCRIBING YOUR EXPERIENCE, PLEASE BE CLEAR AND SPECIFIC. WE MAY NOT MAKE ASSUMPTIONS REGARDING YOUR EXPERIENCE. Your application, résumé, C.V., and/or supporting documentation will be verified. Please follow all instructions carefully. Errors or omissions may affect consideration for employment.
NOTE: Candidate'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. The recommended salary may be at any point in the range listed for this vacancy.
Experience as an 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.
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.
Background checks and security clearance
Security clearance
Other
Drug test required
Yes
Position sensitivity and risk
Moderate Risk (MR)
Trust determination process
Suitability/Fitness
Required Documents
To apply for this position, you must provide a complete Application Package which includes:
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 . VA Form 10-2850a is required to be considered for this position. Please complete the form in its entirety, If you answer "Yes" to question items #15B and/or items #28 through #37, please attach a separate sheet of paper with a brief explanation for each question to which you answered "Yes". Information must be current and not older than six months . Outdated and/or incomplete application will be ineligible for consideration.
Resume:
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 (current/former Federal employees), etc.
If you are relying on your education to meet qualification requirements:
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. Therefore, provide only the attendance and/or degrees from schools accredited by accrediting institutions recognized by the U.S. Department of Education .
Failure to provide all of the required information as stated in this vacancy announcement may result in an ineligible rating or may affect the overall rating.
Summary
Be a member of a team providing compassionate healthcare to Veterans. We are an employer of choice who is a center of excellence in patient care, education and research. We value trust, respect, commitment, compassion, and excellence; we value you. Go to http://www.va.gov/ for more information on the Department of Veterans Affairs.
Learn more about this agency
Responsibilities
At least one full-time position exists for full-time Certified Registered Nurse Anesthetist (CRNA) in the Department of Anesthesiology at the Baltimore VA Medical Center, VA Maryland Health Care System (VAMHCS). The certified Registered Nurse Anesthetist (CRNA) is an advanced practice nurse who utilizes specialized education and clinical nursing skills to administer anesthesia care throughout the medical center. The practice of nurse anesthesia is a recognized specialty within the profession of nursing. As an independently licensed health professional, the CRNA is responsible and accountable for his/her practice. The scope of practice includes direct patient care, administration, educational and research activities.
The CRNA practices within an anesthesia care team model to achieve common goals for care, safety and welfare of VA patients and provide anesthetic services under the medical direction and supervision of an anesthesiologist within four general categories:
1. Pre-anesthesia preparation and evaluation
2. Anesthesia induction, maintenance and emergence in the operating room (OR) and out-of-OR environments
3. Post anesthesia care, including pain management
4. Peri-anesthetic and clinical support functions in the OR and out-of-OR environments.
The CRNA works with diverse age groups to include adult and geriatric patients and is able to meet age specific needs of the patient population served. He/she demonstrates the knowledge and clinical skills necessary to perform his/her duties in providing anesthetic care appropriate to the VA patient. He/she demonstrates knowledge of age-associated changes, illnesses and potential disabilities in order to work with geriatric patients. He/she posses the ability to communicate, assess, and/or interpret data and information reflective of a geriatric patient's status to identify patient's requirements in providing the care needed as described in policies, procedures and following sound practices. He/she involves the patient's family or significant other in decision making related to the patient's plan of care when appropriate.
Work Schedule: The tour of duty is variable and includes coverage on nights, weekends, and holidays. A compressed tour of duty is possible. On-site call coverage and home call may be required depending on service needs.
Functional Statement:
Nurse II - 000000
Nurse III - 000000
Financial Disclosure Report: Not required
Travel Required
Occasional travel - You may be expected to travel for this position for training and/or patient care needs.
Supervisory status
No
Promotion Potential
00
Requirements
Conditions of Employment
- You must be a U.S. Citizen to apply for this job
- Designated and/or random drug testing required
- Selective Service Registration is required for males born after 12/31/1959
- You may be required to serve a probationary period
- Subject to a background/security investigation
- Must be proficient in written and spoken English
- Selected applicants will be required to complete an online onboarding process
- Must pass pre-employment physical examination
Qualifications
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.
- 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 ). 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.
- Graduate of an accredited nurse anesthesia education program approved by the American Association of Nurse Anesthetists (AANA). (Reference VA Handbook 5005, Appendix G7)
- 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 on Certification of Nurse Anesthetist is a requirement for employment.
- Nurse Anesthetists will maintain recertification by meeting the Council on Recertification of Nurse
- Master's Degree in Nurse Anesthesia; preferred
Grade Determinations: The Professional Standards Board will determine the grade assignment of candidates, and if appropriate, the level within a grade. The following criteria must be met in determining the grade assignment of candidates, and if appropriate, the level within a grade:
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.
Reference: VA Regulations, specifically VA Handbook 5005, Part II, Appendix G-6 Nurse Qualification Standard. This can be found in the local Human Resources Office.
Physical Requirements: Physical Requirements: It is VA policy to ensure that all selected applicants and employed personnel are physically, mentally and emotionally fit to perform the duties of the position to which assigned. A pre-placement physical examination is required for all fulltime, part-time and intermittent employees identified by VA Directive and Handbook 5019. The pre-placement physical examination shall be completed prior to appointment to determine the physical and mental fitness for candidates for appointment in VA. The examination will be concerned with the mental and physical ability of the applicant to satisfactorily perform the duties of the proposed assignment and will include requisite laboratory and other screening as required by Federal regulatory agencies.
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 .
Additional information
Annual leave shall accrue for full-time Nurses, and Nurse Anesthetists at the rate of 8 hours for each full biweekly pay period.
This job opportunity announcement may be used to fill additional vacancies.
It is the policy of the VA to not deny employment to those that have faced financial hardships or periods of unemployment.
This position is in the Excepted Service and does not confer competitive status.
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.
Veterans and Transitioning Service Members: Please visit the VA for Vets site for career-search tools for Veterans seeking employment at VA, career development services for our existing Veterans, and coaching and reintegration support for military service members.
If you are unable to apply online view the following link for information regarding an Alternate Application .
How You Will Be Evaluated
You will be evaluated for this job based on how well you meet the qualifications above.
IN DESCRIBING YOUR EXPERIENCE, PLEASE BE CLEAR AND SPECIFIC. WE MAY NOT MAKE ASSUMPTIONS REGARDING YOUR EXPERIENCE. Your application, résumé, C.V., and/or supporting documentation will be verified. Please follow all instructions carefully. Errors or omissions may affect consideration for employment.
NOTE: Candidate'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. The recommended salary may be at any point in the range listed for this vacancy.
Experience as an 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.
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.
Background checks and security clearance
Security clearance
Other
Drug test required
Yes
Position sensitivity and risk
Moderate Risk (MR)
Trust determination process
Suitability/Fitness
Required Documents
To apply for this position, you must provide a complete Application Package which includes:
- VA Form 10-2850a - Application for Nurses and Nurse Anesthetists
- 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 . VA Form 10-2850a is required to be considered for this position. Please complete the form in its entirety, If you answer "Yes" to question items #15B and/or items #28 through #37, please attach a separate sheet of paper with a brief explanation for each question to which you answered "Yes". Information must be current and not older than six months . Outdated and/or incomplete application will be ineligible for consideration.
Resume:
- Your resume may be submitted in any format and must support the specialized experience described in this announcement.
- For qualifications determinations your resume must contain your name, hours worked per week and the dates of employment with a detailed description of the duties performed (i.e., HRS per week and month/year to month/year or month/year to present). If your resume does not contain this information, your application will be marked as incomplete and you will not receive consideration for this position.
- If you are claiming licensure, you must include the License Type, Expiration date, Licensure Number.
- If you are using education and or certifications, this information must be clearly stated in the body of your resume. You must include Name, School and type of Degree and Year of Graduation, certifications must include certifying body, certification number and expiration of certification. Credentials beside your name will not be used to meet best qualified qualifications.
- If your resume includes a photograph or other inappropriate material or content, it will not be used to make eligibility and qualification determinations and you may not be considered for this vacancy.
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 (current/former Federal employees), etc.
- DD-214/ Statement of Service
- Disability Letter (VA)
- OF-306
- VA Form 10-2850a - Application for Nurses and Nurse Anesthetists
- Professional Certification
- Resume
- SF-50/ Notification of Personnel Action
- Transcript
If you are relying on your education to meet qualification requirements:
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. Therefore, provide only the attendance and/or degrees from schools accredited by accrediting institutions recognized by the U.S. Department of Education .
Failure to provide all of the required information as stated in this vacancy announcement may result in an ineligible rating or may affect the overall rating.
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