Advanced Practice Nurse - (Nurse Anesthetist)

VA Detroit; Ann Arbor (MI); On-site; USD 125,000 - 194,000; Part time

Job summary

The VA Detroit is looking for a part-time Advanced Practice Nurse (Nurse Anesthetist) to join their team. The role involves patient assessment and anesthesia administration, along with managing emergency situations. Candidates should have a master's degree in nurse anesthesia, be licensed to practice in the US, and possess BLS certification.

Benefits

50 days of paid time off per year

Traditional federal pension and 401K plan

Federal health/vision/dental insurance

Qualifications

• Masters or doctoral degree in nurse anesthesia required.
• Full and unrestricted license to practice as a nurse anesthetist in a US State.
• Basic Life Support (BLS) certification must be obtained before starting.

Responsibilities

• Perform pre-anesthetic patient assessments.
• Administer anesthesia and monitor patient responses.
• Manage emergency airway problems and participate in CPR.

Skills

Anesthesia Administration

Patient Assessment

Emergency Response

Education

Master's or Doctoral degree in Nurse Anesthesia

Job description

Advanced Practice Nurse - (Nurse Anesthetist)

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Advanced Practice Nurse - (Nurse Anesthetist)

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Summary

The Lieutenant Colonel (LTC) Charles S. Kettles VA Medical Center is seeking a Part-Time Advanced Practice Nurse (Nurse Anesthetist).

Summary

The Lieutenant Colonel (LTC) Charles S. Kettles VA Medical Center is seeking a Part-Time Advanced Practice Nurse (Nurse Anesthetist).

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Duties

The Advanced Practice Nurse (Nurse Anesthetist) is an advanced practice nurse who utilizes specialized clinical nursing skills and is prepared to administer anesthesia care. As independently licensed health professionals, Advanced Practice - Nurse Anesthetist's are responsible and accountable for their practice. The scope of practice includes direct patient care, administration, educational, and research activities.

Duties and responsibilities include, but are not limited to, the following:

• Performs a pre-anesthetic patient assessment based on patient interview, patient history, lab results, and type of surgical procedure to be performed. Patient assignments per Chief Nurse Anesthetist or another designed person.
• Selects and administers pre-anesthetic medication according to established protocol.
• Requests and evaluates pertinent laboratory studies, pulmonary function studies, including blood gases, respiratory therapy, and other appropriate studies under established protocol.
• Inserts intravenous catheters, according to established protocol, Swan-Ganz catheters and central venous pressure catheters under medical supervision, and arterial catheters; perform puncture for blood gases.
• Utilizes all current techniques in monitoring.
• Performs endotracheal intubation and extubation.
• Selects and administers anesthetic techniques (intravenous, regional, various field blocks, or inhalational), medications/ adjunct drugs appropriate to the individual patient's condition and procedure (surgical or non-surgical) within established protocols in the operating suite and any off-site location (i.e. Endoscopy, Radiology, Cardiology, MRI, etc.).
• Manages fluid, blood and electrolyte therapy within a medical care plan.
• Initiates and modifies therapies, (i.e. drug and pain therapy) within established protocols.
• Examines patients in post-anesthesia recovery/hospital units to assess patient's reaction to anesthetic management. Identifies any complications or abnormal patient responses to anesthesia or to adjunctive medication and implement appropriate management techniques.
• Assists in the treatment and management of emergency airway problems throughout the hospital. Participates in cardiopulmonary resuscitation by performing airway management including endotracheal intubations. Serves as code captain in the absence of a physician.
• Provides anesthetic consultation to physicians, nurses, and other hospital staff.
• Makes post-operative rounds and records to patient's permanent record the presence or absence of anesthesia-related-complications.
• Takes an active role in the departmental in-service program.
• Takes emergency calls assigned by Chief Nurse Anesthetist or another designated person
• Responsible for patient care activities for adult and geriatric patients, modifying treatment plans to accommodate the changes that occur with aging.
• Safeguards sensitive data per provisions of the Privacy Act of 1974 and other applicable laws, federal regulations. VA statutes and policies.
• Sets up, properly uses, reprocesses, and maintains all unit/department-specific equipment in accordance with equipment Standard Operating Procedure, with validation of ongoing competency at least annually.
• Demonstrates the knowledge and ability to implement The Joint Commission standards to improve patient care outcomes.
• Provides guidance and instruction in preparing others for positions of leadership and ethical practices which impact patient care.
• Participates in the development of anesthesia patient care audit processes involving in depth review and analysis of anesthesia records.
• Performs as a mentor, preceptor, or nurse educator providing didactic and clinical instruction for graduate-level nurse anesthesia students and/or other anesthesia care providers.
• Recognizes clinical and technical aspects of anesthesia care and has in-depth knowledge of anesthesia methods and techniques for the practice of anesthesia.
• Practices nurse anesthesia concepts within a team to deliver anesthesia care and blend management skills with technical experience.
  
  

VA offers a comprehensive total rewards package: VA Nurse Total Rewards

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: Part-Time, 9am - 5pm, rotating days

Compressed/Flexible: Unavailable

Telework: Unavailable

Virtual: This is not a virtual position.

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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.
• English Language Proficiency. In accordance with 38 U.S.C. 7402(f), no person shall serve in direct patient care positions unless they are proficient in basic written and spoken English.
• 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. Acceptable form(s) of identification will be required to complete pre-employment requirements (https://www.uscis.gov/i-9-central/form-i-9-acceptable-documents). Effective May 7, 2025, driver's licenses or state-issued dentification cards that are not REAL ID compliant cannot be utilized as an acceptable form of identification for employment.
• 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).
  
  

Qualifications

Advanced Practice Nurse (Certified Nurse Anesthetist) Basic Requirements

• Education. A masters or doctoral degree in nurse anesthesia. (Applicants pending the completion of educational requirements may be referred and tentatively selected but may not be hired until the education requirements are met.) Nursing education must be from a school of professional nursing anesthesia accredited by Council on Accreditation of Nurse Anesthesia Education Programs (COA) at the time the program was completed by the applicant.
• Licensure and Certification. The following licensure and certification requirements are considered conditions of employment.
• License. All APN (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 APN (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.

NOTE: Grandfathering Provision - All persons currently employed in VHA in 0610 series and an APN (CNA) assignment that are also performing the duties as described in the qualification standard on the effective date of the standard (1/29/2024) are considered to have met all qualification requirements for the grade held including positive education and licensure/certification.

The following Education, Experience, and Knowledge, Skills and Abilities must be met for Advanced Practice Nurse (Certified Nurse Anesthetist) II:

Exception to Licensure for Graduate Nurse Technicians. Candidates who otherwise meet the basic requirements, but do not possess the required APN (CNA) licensure and/or certification, may be appointed at the entry step of the Nurse II, as a Nurse Anesthetist on a temporary appointment up to any period not-to-exceed one year and a day under the authority of 38 U.S.C.The following Education, Experience, and Knowledge, Skills and Abilities must be met for Advanced Practice Nurse (Certified Nurse Anesthetist) III:

• 7405(c)(2)(B).
• Education and Experience Requirement. Meets basic education requirement for an APN (CNA). Nurse II is considered the entry grade level for APN (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.
• Education and Experience Requirement: Meets basic education requirement for an APN (CNA) AND 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.
• 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.
  
Physical Requirements: Physical and mental stamina sufficient to diligently monitor the anesthetized patient for prolonged periods of time and have the ability to manage many stressful situations.

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: https://sites.ed.gov/international/recognition-of-foreign-qualifications/.

Additional information

Note: Must have Basic Life Support (BLS) certification before the starting date of the position. The BLS requirement is satisfied by successfully completing an American Heart Association (AHA) BLS Healthcare Provider Course or Military Training Network (MTN). No online certifications will be accepted.

Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/.

During the application process you may have an option to opt-in to make your resume available to hiring managers in the agency who have similar positions. Opting in does not impact your application for this announcement, nor does it guarantee further consideration for additional positions.

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.

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.

Under the Fair Chance to Compete Act, the Department of Veterans Affairs prohibits requesting an applicant's criminal history prior to accepting a tentative job offer. For more information about the Act and the complaint process, visit Human Resources and Administration/Operations, Security, and Preparedness (HRA/OSP) at The Fair Chance Act.

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• Help Help 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. Opens in a new windowLearn more about federal benefits.
  
  
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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 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.

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Required Documents

To apply for this position, you must provide a complete Application Package which includes:


• Resume
  
  
The following documents are accepted, and may be required if applicable to your eligibility and/or qualifications for this position. Please 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.


• Cover Letter
• DD-214/ Statement of Service
• Disability Letter (Schedule A)
• Disability Letter (VA)
• License
• Other (1)
• Other (2)
• Other (3)
• Performance Appraisal
• Professional Certification
• Resume
• Separation Notice (RIF)
• SF-15
• SF-50/ Notification of Personnel Action
• Transcript
  
  
Please Note The Following Guidance Regarding Standard Form 50 (SF-50), Notification Of Personnel Action If Applicable For Time In Grade And/or Eligibility

• Please submit your most recent SF-50 if you are a current or former Federal employee (effective date must be within the last 365 days)
• If the most recent SF-50 has an effective date within the past year, it may not clearly demonstrate you possess one-year time-in-grade, as required by the announcement. In this instance, you must provide an additional SF-50 that clearly demonstrates one-year time-in-grade
• Examples of appropriate SF-50's include:
• Within grade increases at the highest grade held; or
• Promotions with an effective date more than one year old; or
• SF-50's at the highest grade held with an effective date more than one year old.
  

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.

Seniority level

• Seniority level

  Mid-Senior level

Employment type

• Employment type

  Part-time

Job function

• Job function

  Health Care Provider

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