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    Advance Practice Nurse - Seattle, WA, United States - Department of Veterans Affairs

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    Description

    Staff CRNA is a nurse anesthetist who reports to the Chief CRNA and the Chief of Anesthesiology and Perioperative Care Services.

    The incumbent provides anesthesia services for a diverse Veteran population and a broad range of situations throughout the medical center.

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    Accepting applications

    • Education and length of practice will be considered in determining salary (grade and step).
    • Help
    Travel Required
    Relocation expenses reimbursed
    Permanent -* Full-time -* Service
    Security clearance
    Position sensitivity and risk
    Non-sensitive (NS)/Low Risk

    • Credentialing
    Suitability/Fitness

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    Performs pre-anesthetic evaluations, collaborates with the interdisciplinary team to prepare the anesthesia plan, delivers of all forms of anesthesia, and provides intra and post-operative care of patients.

    Provides emergency airway and resuscitation management throughout the facility and establishes effective working relationships with all levels of staff throughout the VAPSHCS.

    The Full Performance Level CRNA translates the principles of professional nurse anesthesia practice into appropriate patient 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 response to anesthesia.
    • Provides patient care that is a 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.
    • Demonstrates skill in conducting and managing anesthesia for a broad range of surgical procedures and the ability to adapt and modify anesthesia techniques in order to optimize patient care.
    • Demonstrates the ability to perform the clinical and technical aspects of anesthesia care and has in-depth knowledge of anesthesia methods and techniques.
    • Effectively blends technology, skills, and competency for the advancement of anesthesia techniques, pharmacology, and equipment. Demonstrates the ability to share expertise within or beyond the facility through leadership or as an active participant in interdisciplinary groups (e.g. committees, task-forces, projects, formal teaching, publications or other professional activities).
    • Participates in the development of the anesthesia patient care audit processes which involves the in depth review and analysis of anesthesia records.

    Responds to emergency situations by providing airway management, administration, of emergency fluids and medications and using appropriate resuscitation procedures for patient care.

    Assists in the development of policies, procedures, and protocols related to anesthesia within the institution and contributes to other policies, procedures, and protocols as appropriate.


    • Formal and informal teaching of clinical staff, patients, and families.
    • Performs as a mentor, preceptor, or nurse educator providing didactic and clinical instruction for graduate-level nurse anesthesia students and/or anesthesia care providers.
    • The individual is responsible for maintaining competencies by attending relevant continuing education programs and maintaining active professional involvement within the academic community.
    • Applies current research data by contributing to Healthcare Care System policies, procedures, and protocols.
    • Participation in clinical research as appropriate.

    Work Schedule:
    Monday - Friday; Relocation/

    Recruitment Incentives:
    NOT authorized

    Financial Disclosure Report:
    Not required.
    This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program.

    You must meet specific individual eligibility requirements in accordance with VHA policy and submit your EDRP application within four months of appointment.

    Approval, award amount (up to $200,000) and eligibility period (one to five years) are determined by the VHA Education Loan Repayment Services program office after complete review of the EDRP application.

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    Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy.


    • Selective Service Registration is required for males born after 12/31/1959.
    • Must be proficient in written and spoken English.
    • Selected applicants will be required to complete an online onboarding process.
    • 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.

    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. 7402(d), no person shall serve in direct patient care positions unless they are proficient in basic written and spoken English.
    Nurse II is considered the entry grade level for APNs (CNAs); no experience is required.

    • 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 assessing patient status for appropriateness of transfer of care to another healthcare provider and communicating essential patient information to other providers effectively. viii Ability to participate in collaborative responsibility for proper patient positioning, physiologic monitoring, infection control and anesthesia documentation.
    • 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.
    • 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.
    • 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.
    This can be found in the local Human Resources Office.
    specific visual requirement (see computer screen); working alone

    Annual leave shall accrue for full-time Nurses, and Nurse Anesthetists at the rate of 8 hours for each full biweekly pay period.

    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.

    01, 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).

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

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

    Your application, resume, C.V.

    , NOTE:

    Candidate's education, scope, and length of nursing practice (experience) will be considered in determining the grade and salary of the applicant selected.

    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.

    Peace Corps, AmeriCorps) and other organizations (e.g., spiritual; community; Volunteer work helps build critical competencies, knowledge, and skills and can provide valuable training and experience that translates directly to paid employment.

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

    Veterans' Preference Note:

    Preference eligible candidates and other Veterans will be given preference when qualification of candidates are approximately equal for Title 38 positions in VHA.

    When applying for Federal Jobs, eligible Veterans should claim preference for 5pt (TP), 10pt (CP/CPS/XP), or for Sole Survivor Preference (SSP) in the questionnaire.

    Additionally, disabled veterans and others eligible for 10-point preference (such as widows or mothers of eligible Veterans) must also submit an SF-15 "Application for 10 Point Veteran Preference" with required proof as stated on the form.

    For more information on Veterans' Preference, please visit Feds Hire Vets - Veterans - Job Seekers - Veterans' Preference.
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