certified registered nurse anesthetist - Loma Linda, CA , USA, United States - Department of Veterans Affairs

Description

Summary

The CRNA provides a full range of services emphasizing quality, timeliness, and the advancement of the VA mission. Practices to the full extent of their education, training, and certification.

Core functions are outlined in the clinical privileges or scope of practice that correspond with this position and determined locally within the limits of the individual's state license and the local VA medical facility bylaws.

The CRNA provides advanced clinical practice, consultation, and management

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Overview

• Accepting applications
• Open & closing dates

05/02/2024 to 05/07/2024

• Salary

$212,269 - $284,600 per year

• Pay scale & grade

VN 00

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Location

1 vacancy in the following location:

• Loma Linda, CA 1 vacancy
• Remote job

No

• Telework eligible

No

• Travel Required

Not required

• Relocation expenses reimbursed

No

• Appointment type

Permanent -* Work schedule

Full-time -* Service

Excepted

• Promotion potential

None

• Job family (Series)

0610 Nurse

• Supervisory status

No

• Security clearance

Other

• Drug test

Yes

• Position sensitivity and risk

Non-sensitive (NS)/Low Risk

• Trust determination process

Credentialing

Suitability/Fitness

• Announcement number

CBSX SW

• Control number

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This job is open to

• Internal to an agency

Current federal employees of this agency.

Clarification from the agency

Current permanent employees of Loma Linda VA Health Care System. SF-50 must be submitted as proof of current employment. If you do not submit SF-50, you will not be given consideration.

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Duties

Duties include but not limited to: The CRNA who administers anesthesia in both inpatient and outpatient settings to patients of all health complexities.

The aspects of practice include direct patient care, administration, education, and research activities:

• Collaborate with a variety of health care professionals to achieve common goals for care, safety, and welfare of patients.
• Foster high levels of confidence and satisfaction among patients and staff, as well as meet and exceed compliance standards.
• Provide anesthetic services within five general categories to include: pre-anesthesia evaluation and preparation; anesthesia induction, maintenance, and emergence; post anesthesia care; peri-anesthetic and clinical support functions; and emergency response techniques.
• Develops and implements a comprehensive anesthesia plan of care for patients requiring local, regional, general, and monitored anesthesia both inside and outside the Operating Room (OR) suite.
• Ensures anesthetic services delivered throughout the facility are of the highest quality to promote patient safety, satisfaction, and improve outcomes and efficiencies.
• Functions as resource for staff education and is willing to be a preceptor and adjunct clinical faculty for health care trainees rotating through the facility.
• Develops and implements evidence-based practices that are essential to the delivery of the highest quality anesthesia care.
• Prescribe appropriate preoperative, intra-operative and postoperative orders and medications.
• Exemplifies the ICARE core values of-Integrity, Commitment, Advocacy, Respect, and Excellence.

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:
Full-Time; 4x10hrs or 5x8hrs. Days and Tour based on needs of the facility.


Telework:
Not Available


Virtual:
This is not a virtual position.


Relocation/Recruitment Incentives:
Not Authorized


Financial Disclosure Report:
Not required

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Requirements

Conditions of Employment

• U.S. Citizenship; non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy.
• All applicants tentatively selected for VA employment in a testing designated position are subject to urinalysis to screen for illegal drug use prior to appointment. Applicants who refuse to be tested will be denied employment with VA.
• Selective Service Registration is required for males born after 12/31/1959.
• You may be required to serve a probationary period.
• Subject to background/security investigation.
• Selected applicants will be required to complete an online onboarding process.
• Must pass pre-employment physical examination.
• Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP).
• Participation in the Coronavirus Disease 2019 (COVID-19) vaccination program is a requirement for all Veterans Health Administration Health Care Personnel (HCP) - See Additional Information below for details.

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.
• 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 masters or doctoral degree in nurse anesthesia.
• Education Accreditation Requirement.

Nursing education must be from a school of professional nursing anesthesia accredited by the following accrediting organization at the time the program was completed by the applicant:

• The Council on Accreditation of Nurse Anesthesia Education Programs (COA). The COA is currently located at 222 South Prospect Avenue, Park Ridge, IL Additional information may be obtained from the COA website at Council on Accreditation - Supporting Quality Assessment and Improvement in Nurse Anesthesia Education ).
• Graduate of a school of professional nursing.

Nursing education must be from a school of professional nursing accredited by one of the following accrediting organizations 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)

• Licensure and Certification. The following licensure and certification requirements are considered conditions of employment.
• License. All APNs (CNAs) must maintain an active, current, full and unrestricted license to practice as a CNA or equivalent, in a State, Territory or Commonwealth of the United States or in the District of Columbia.
• Basic Certification. All APNs (CNAs) must maintain full and current Certification by the National Board of Certification and Recertification for Nurse Anesthetists (NBCRNA) or an equivalent Nurse Anesthetist certification recognized by the COA.

Grade Determinations:

In addition to the basic qualification requirements, the grade level of an APN (CNA) is based on a combination of education and experience.

Beyond the minimum education requirements, grade determination for appointment, advancement and promotion will be based on the following specific requirement for the APN (CNA).

The level of practice that an APN (CNA) may perform at is based upon a combination of many factors.

Beyond the minimum educational requirements, grade determination, upon appointment and advancement, is dependent upon aspects such as continued professional development (formal and/or informal education,) clinical performance, judgment, outcomes (at the service level and beyond), leadership and interpersonal skills that influence, inspire and motivate others within their program/service or beyond.

As the APN (CNA) acquires the knowledge, skills and judgment that accrues with experience, the privilege of increased authority for patient care and service in administrative roles is expanded as applicable:

APN (Certified Nurse Anesthetist) II.

• Education and Experience Requirement. Meets basic education requirement for an APN (CNA). Nurse II is considered the entry grade level for APNs (CNAs); no experience is required.
• Demonstrated Knowledge, Skills and Abilities. The following list of knowledge, skills and abilities present the minimum skill set expected of an Entry Level CNA.

Entry level into practice may include but are not limited to the following:

• Ability to translate into anesthesia care the principles of professional nursing practice including the patients' rights to autonomy, dignity, privacy and safety.
• Knowledge of current research and practice guidelines to frame anesthesia practice including up to date techniques, pharmacology and equipment.
• Ability to obtain, document and verify informed anesthesia consent and perform a pre-anesthetic patient history and physical, which includes managing pre-operative consults and interpreting data.
• Ability to formulate a patient-specific anesthetic plan and describe salient anesthetic risks, benefits and options to the patient.
• Ability to administer inhalational, regional, intravenous, local and topical anesthetics.
• Skill in detecting and treating anesthesia or surgically related physiologic changes and ability to treat accordingly in order to maintain homeostasis.
• Skill in assessing patient status for appropriateness of transfer of care to another healthcare provider and communicating essential patient information to other providers effectively.
• Ability to participate in collaborative responsibility for proper patient positioning, physiologic monitoring, infection control and anesthesia documentation.
• Skill in responding to emergency situations by providing airway management, fluid and medication administration, invasive line insertion and management and the use of advanced cardiac life support techniques.
• Ability to provide patient care that is abreast of changing concepts and advancements in the profession, (e.g., ultrasound techniques.)
• Ability to practice anesthesia in an interdisciplinary environment utilizing a collaborative concept of anesthesia care.
• Knowledge of quality improvement processes to maintain ongoing review and evaluation of anesthesia care to improve outcomes.
• Ability to demonstrate a practice emphasis on safety, current established guidelines and protocols while recognizing the duty to report unsafe conditions or errors.

APN (Certified Nurse Anesthetist) III.

• Education and Experience Requirement.
• Meets basic education requirement for an APN (CNA)
• One year of specialized APN (CNA) experience equivalent to the APN (CNA) II grade level.
• Demonstrated Knowledge, Skills and Abilities. Progressively responsible experience in the administration of anesthetics as indicated in the knowledge, skills and abilities listed below.
• Ability to plan, administer and manage anesthesia for a broad range of complex surgical procedures skillfully employing continuous assessment and anesthetic adaptation based on patient response and comorbidities. Work assignments will vary by facility.
• Ability to participate in assignments that are technically challenging, encompass a variety of anesthetizing locations and utilize advanced equipment and procedures while adapting techniques to solve various complex anesthesia problems including the development of individualized programs of post-op anesthesia care.
• Skill in responsibility and accountability to perform to the extent of the CNA standards of practice as a licensed healthcare professional in any model of anesthesia practice.
• Ability to contribute to the educational mission as a mentor or preceptor providing didactic and clinical instruction in anesthesia to student nurse anesthetists, medical and dental residents and other health care trainees.
• Knowledge to participate in the development, implementation and maintenance of auditing processes that ensure and improve the quality and consistency of anesthesia and associated documentation.
• Ability to contribute to departmental administrative processes through quality assurance, shared governance or committee representation as applicable. vii Ability to serve as a representative on interdisciplinary teams to establish and maintain guidelines and communication.
• Skill demonstrated in the ability to embrace the safety culture emphasis by continuously assessing for safety risks, actively reporting safety concerns and maintaining a just culture by identifying faults in systems rather than individuals.

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.

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:
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:

Foreign Education Graduates of foreign schools of professional nursing who possess a current, full, active and unrestricted registration (see paragraph 3c) will meet the requirement of graduation from an approved school of professional nursing to warrant appointment as a Nurse who has completed an associate degree level Nursing education program.

In order to grant credit towards an appointment based on foreign nursing education higher than the associate degree level, formal degree equivalency validation from a recognized degree equivalency evaluation agency accepted by VA such as the International Consultants of Delaware (ICD) must be obtained.

Additional information

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

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.

Pursuant to VHA Directive , VHA health care personnel (HCP) are required to be fully vaccinated against COVID-19 subject to such accommodations as required by law (i.e., medical, religious or pregnancy).

VHA HCPs do not include remote workers who only infrequently enter VHA locations.

If selected, you will be required to be fully vaccinated against COVID-19 and submit documentation of proof of vaccination before your start date.

The agency will provide additional information regarding what information or documentation will be needed and how you can request a legally required accommodation from this requirement using the reasonable accommodation process.

If you are unable to apply online or need an alternate method to submit documents, please reach out to the Agency Contact listed in this Job Opportunity Announcement.

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• Benefits

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A career with the U.S. government provides employees with a comprehensive benefits package.

As a federal employee, you and your family will have access to a range of benefits that are designed to make your federal career very rewarding.

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Eligibility for benefits depends on the type of position you hold and whether your position is full-time, part-time or intermittent.

Contact the hiring agency for more information on the specific benefits offered.

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, resume, 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, scope, and length of nursing practice (experience) will be considered 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 five dimensions of nursing: Practice, Veteran/Patient Driven Care, Leadership, Professional Development, and Evidence/Based Practice/Research.

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.

The Department of Veterans Affairs performs pre-employment reference checks as an assessment method used in the hiring process to verify information provided by a candidate (e.g., on resume or during interview or hiring process); gain additional knowledge regarding a candidate's abilities; and assist a hiring manager with making a final selection for a position.

It is the policy of the VA to not deny employment to those that have faced financial hardships or periods of unemployment.

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.