Certified Registered Nurse Anesthetist- Intermittent PRN
The Certified Registered Nurse Anesthetist (CRNA) is responsible for providing anesthesia care coverage within a variety of clinical settings and contributing to the clinical education of nurse anesthesia students. Duties of this position include but are not limited to:
Responsible for the assessment, consultation and preparation of stable, critically ill, injured, or otherwise seriously ill patients in a collaborative relationship with physician anesthesia providers. Reviewing the medical record; interviews and examines the patient; obtains or reviews tests and consultations necessary to the conduct of anesthesia; and determines the appropriate prescription of pre-operative medications as necessary to the conduct of anesthesia. Providing a broad range of anesthetic techniques (general, total intravenous anesthesia, regional blockade, MAC/local) to render varying degrees of sedation, comfort, and insensibility to pain during surgical, non-surgical therapeutic, palliative, and diagnostic procedures in a variety of settings such as Cardiac Cath, Gastroenterology(GI), Radiology, Psychiatry, Pulmonary, and Emergency departments. Monitoring patients during the anesthetic, perioperative or periprocedural period using the VA anesthesia record keeping system (ARK) and electronic health records(VISTA,CPRS). Preparing and checking equipment, monitors, infusions, airway management devices, supplies, hemodynamic instruments and medications prior to the administration of anesthesia; reporting damaged or malfunctioning equipment to supervisors. Work Schedule:
Intermittent Financial Discloser Report:
Not required 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. Education:
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), previously known as the National League for Nursing Accrediting Commission (NLNAC) OR The Commission on Collegiate Nursing Education (CCNE). OR 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. AND Graduate of an accredited nurse anesthesia educational program approved by the American Association of Nurse Anesthetists (AANA) at the time the program was completed by the applicant. The AANA has compiled current listings of approved training institutions, which are published annually in the December issue of the American Association of Nurse Anesthetists Journal. The American Hospital Association in their Guide to the Health Care Field also publishes listings of approved training institutions annually in August. Registration:
A registered nurse (RN) will have a current, full, active and unrestricted registration as a graduate professional nurse in a State, Territory, or Commonwealth (i.e., Puerto Rico) of the U.S. or in the District of Columbia. The appointing official may waive this registration if the RN is to serve in a country other than the U.S. and the RN has registration in that country (e.g., Philippines). The RN must maintain a current, full, active and unrestricted registration to continue employment with VA. Certification:
On and after May 4, 1993, certification by the Council on Certification of Nurse Anesthetists is a requirement for employment. This requirement does not apply to non-certified nurse anesthetists employed by VA as a nurse anesthetist prior to May 4, 1993 and continuously thereafter. Any nurse anesthetist who leaves VA employment or vacates the nurse anesthetist occupation for another VA position, must meet the current requirement of certification for re-appointment as a nurse anesthetist. The CCNA and the Council on Re-certification of Nurse Anesthetists have designated the AANA's web site as a display agent for their information. Nurse Anesthetists will maintain re-certification by meeting the Council on Re-certification of Nurse Anesthetist's requirements as a condition of employment. English Language Proficiency:
RNs appointed to direct patient care positions must be proficient in spoken and written English as required by 38 U.S.C. 7402(d) and 7407(d). Recent Graduates:
A graduate nurse anesthetist who has applied to take the national Certification Examination and has been declared Certification Eligible may be given a temporary appointment for a period not to exceed one year as a graduate nurse anesthetist under the authority of 38 U.S.C. 7405(a)(1)(D). The graduate nurse anesthetist must take the national Certification Examination at the earliest schedulable date following the date of their temporary appointment. At the time of appointment as a graduate nurse anesthetist, the Chief, Anesthesia Section or Service Chief/Product Line Manager will provide the graduate nurse anesthetist a copy of this section of the qualification standard and make clear the consequences for not becoming certified during the 1-year temporary appointment. Upon certification by the CCNA, the graduate nurse anesthetist will be converted to an appointment under 38 U.S.C. 7401(1). Failure to become certified within the one year period will result in removal as a nurse anesthetist and may result in termination from employment. Grandfather Provision:
All nurse anesthetists employed in VHA on the effective date of this qualification standard are considered to have met all qualification requirements for the title, series and grade held, including positive education and licensure/certification/registration that are part of the basic requirements of the occupation. Nurse anesthetists who are grandfathered under the provisions of this subparagraph may be reassigned, promoted up to and including the full performance (journey) level (Nurse III), but may not be promoted beyond the journey level or placed in supervisory or managerial positions. Grade Determinations:
Entry Level - (Nurse II) Experience and Education. None beyond the basic requirements. Full Performance Level:
(Nurse III) 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. References:
VA Handbook 5005, Part II, Appendix G-7 Nurse Anesthetist Qualification Standard. Physical Requirements:
This position requires visual acuity (including depth perception), keen hearing (aide permitted), clear distinctive speech, and manual dexterity in both hands. This position requires potentially long periods of continued walking (8 hours), standing (8 hours), stooping, sitting, bending, pulling (4 hours), and pushing (4 hours). lifting (>45 pounds), carrying (>45 pounds). Transferring patients and objects may be required. Mechanical inpatient lifts are provided. The incumbent may be exposed to infected patients and contaminated materials and may be required to don protective clothing in isolation situations, operative/invasive procedures. The incumbent may be exposed to patients who are combative secondary to delirium, dementia, or psychiatric disorders. Ability for rapid mental and muscular coordination simultaneously. The incumbent must be a mature, flexible, sensible individual capable of working effectively in stressful situations, able to shift priorities based on patient needs. Must complete annual Employee Health requirements, such as annual TB screening or testing, as a condition of employment. Must be able to work closely with others. Must be compliance with the use of ergonomic exercises and employee safety requirements
Estimated Salary: $20 to $28 per hour based on qualifications.
Responsible for the assessment, consultation and preparation of stable, critically ill, injured, or otherwise seriously ill patients in a collaborative relationship with physician anesthesia providers. Reviewing the medical record; interviews and examines the patient; obtains or reviews tests and consultations necessary to the conduct of anesthesia; and determines the appropriate prescription of pre-operative medications as necessary to the conduct of anesthesia. Providing a broad range of anesthetic techniques (general, total intravenous anesthesia, regional blockade, MAC/local) to render varying degrees of sedation, comfort, and insensibility to pain during surgical, non-surgical therapeutic, palliative, and diagnostic procedures in a variety of settings such as Cardiac Cath, Gastroenterology(GI), Radiology, Psychiatry, Pulmonary, and Emergency departments. Monitoring patients during the anesthetic, perioperative or periprocedural period using the VA anesthesia record keeping system (ARK) and electronic health records(VISTA,CPRS). Preparing and checking equipment, monitors, infusions, airway management devices, supplies, hemodynamic instruments and medications prior to the administration of anesthesia; reporting damaged or malfunctioning equipment to supervisors. Work Schedule:
Intermittent Financial Discloser Report:
Not required 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. Education:
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), previously known as the National League for Nursing Accrediting Commission (NLNAC) OR The Commission on Collegiate Nursing Education (CCNE). OR 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. AND Graduate of an accredited nurse anesthesia educational program approved by the American Association of Nurse Anesthetists (AANA) at the time the program was completed by the applicant. The AANA has compiled current listings of approved training institutions, which are published annually in the December issue of the American Association of Nurse Anesthetists Journal. The American Hospital Association in their Guide to the Health Care Field also publishes listings of approved training institutions annually in August. Registration:
A registered nurse (RN) will have a current, full, active and unrestricted registration as a graduate professional nurse in a State, Territory, or Commonwealth (i.e., Puerto Rico) of the U.S. or in the District of Columbia. The appointing official may waive this registration if the RN is to serve in a country other than the U.S. and the RN has registration in that country (e.g., Philippines). The RN must maintain a current, full, active and unrestricted registration to continue employment with VA. Certification:
On and after May 4, 1993, certification by the Council on Certification of Nurse Anesthetists is a requirement for employment. This requirement does not apply to non-certified nurse anesthetists employed by VA as a nurse anesthetist prior to May 4, 1993 and continuously thereafter. Any nurse anesthetist who leaves VA employment or vacates the nurse anesthetist occupation for another VA position, must meet the current requirement of certification for re-appointment as a nurse anesthetist. The CCNA and the Council on Re-certification of Nurse Anesthetists have designated the AANA's web site as a display agent for their information. Nurse Anesthetists will maintain re-certification by meeting the Council on Re-certification of Nurse Anesthetist's requirements as a condition of employment. English Language Proficiency:
RNs appointed to direct patient care positions must be proficient in spoken and written English as required by 38 U.S.C. 7402(d) and 7407(d). Recent Graduates:
A graduate nurse anesthetist who has applied to take the national Certification Examination and has been declared Certification Eligible may be given a temporary appointment for a period not to exceed one year as a graduate nurse anesthetist under the authority of 38 U.S.C. 7405(a)(1)(D). The graduate nurse anesthetist must take the national Certification Examination at the earliest schedulable date following the date of their temporary appointment. At the time of appointment as a graduate nurse anesthetist, the Chief, Anesthesia Section or Service Chief/Product Line Manager will provide the graduate nurse anesthetist a copy of this section of the qualification standard and make clear the consequences for not becoming certified during the 1-year temporary appointment. Upon certification by the CCNA, the graduate nurse anesthetist will be converted to an appointment under 38 U.S.C. 7401(1). Failure to become certified within the one year period will result in removal as a nurse anesthetist and may result in termination from employment. Grandfather Provision:
All nurse anesthetists employed in VHA on the effective date of this qualification standard are considered to have met all qualification requirements for the title, series and grade held, including positive education and licensure/certification/registration that are part of the basic requirements of the occupation. Nurse anesthetists who are grandfathered under the provisions of this subparagraph may be reassigned, promoted up to and including the full performance (journey) level (Nurse III), but may not be promoted beyond the journey level or placed in supervisory or managerial positions. Grade Determinations:
Entry Level - (Nurse II) Experience and Education. None beyond the basic requirements. Full Performance Level:
(Nurse III) 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. References:
VA Handbook 5005, Part II, Appendix G-7 Nurse Anesthetist Qualification Standard. Physical Requirements:
This position requires visual acuity (including depth perception), keen hearing (aide permitted), clear distinctive speech, and manual dexterity in both hands. This position requires potentially long periods of continued walking (8 hours), standing (8 hours), stooping, sitting, bending, pulling (4 hours), and pushing (4 hours). lifting (>45 pounds), carrying (>45 pounds). Transferring patients and objects may be required. Mechanical inpatient lifts are provided. The incumbent may be exposed to infected patients and contaminated materials and may be required to don protective clothing in isolation situations, operative/invasive procedures. The incumbent may be exposed to patients who are combative secondary to delirium, dementia, or psychiatric disorders. Ability for rapid mental and muscular coordination simultaneously. The incumbent must be a mature, flexible, sensible individual capable of working effectively in stressful situations, able to shift priorities based on patient needs. Must complete annual Employee Health requirements, such as annual TB screening or testing, as a condition of employment. Must be able to work closely with others. Must be compliance with the use of ergonomic exercises and employee safety requirements
- Department:
0605 Nurse Anesthetist (Title 38) - Salary Range:
$147,873 to $214,367 per year
Estimated Salary: $20 to $28 per hour based on qualifications.
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