Advanced Practice Nurse (Nurse Anesthetist)

U.S. Department of Veterans Affairs; Omaha (NE); On-site; USD 170,000 - 230,000; Full time

Benefits offered by this job

EDRP Education Debt Reduction Program

Paid Time Off

Traditional federal pension

Federal health/vision/dental

Federal 401K up to 5%

Job summary

The U.S. Department of Veterans Affairs in Nebraska Western Iowa VA Health Care System is seeking a Certified Registered Nurse Anesthetist (CRNA) to join Surgical Care, covering general, vascular, ophthalmology, and other specialties.

You will provide anesthesia services and participate in preoperative assessment and perioperative care. This role emphasizes a Whole Health System, focused on personalized health plans for Veterans, collaborations with the anesthesiology team, compliance with Joint

Responsibilities

• Provide anesthesia for complex surgical procedures and manage the anesthesia plan during operations.
• Perform and document preanesthetic evaluations and coordinate with anesthesiologists as needed.
• Induction and maintenance of general, regional, MAC or local anesthesia as required.
• Manage emergence from anesthesia and transition to post-anesthesia care.
• Ensure patient safety, compliance with Joint Commission and VA guidelines.

Job description

This position is eligible for the Education Debt Reduction Program (EDRP) - a student loan payment reimbursement program. You must meet specific eligibility requirements per VHA policy and submit your EDRP application within four months of appointment. Program Approval – award amount (up to $200 000) & eligibility period (one to five years) are determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply.

Duties

• The VA Midwest Health Care Network advocates for a Whole Health System of care in each of the Medical Centers
• This is an approach to healthcare that empowers and equips people to take charge of their health and well-being and live their lives to the fullest
• As an employee operating in a Whole Health System of care - you will operate in a model with three core elements - seeking to create a personalized health plan for each Veteran
• This is done in the context of healing relationships and healing environments and a connection back to the Veteran's community
• This aligns with the Veterans Health Administration (VHA) Mission Statement to Honor America's Veterans by providing exceptional health care that improves their health and well-being
• Nebraska Western Iowa VA Health Care System is currently seeking a CRNA to join Surgical Care which includes general surgery - vascular surgery - ophthalmology - audiology - cardiology - dentistry - orthopedics - podiatry - and urology
• Special procedure anesthesia care is also provided to other service lines
• The incumbent ensures quality and timeliness of services provided - customer satisfaction - and compliance with standards of accrediting bodies such as Joint Commission and Inspector General's Combined Assessment Program
• CRNA is authorized to perform routine duties on a regular - repetitive basis
• These duties include - but are not restricted to: Provision of care in the most complex surgical procedures
• Perform and document a preanesthetic evaluation of the patient before surgery including requesting consultations - additional diagnostic and/or laboratory studies within the scope of practice - consulting with the anesthesiologist for further preoperative work up when necessary
• Initiation of the planned anesthetic technique that may include general - regional - MAC - or local anesthesia
• Interventions include administration of fluids - medications - ventilator support - provision of homeostasis - provision of adequate pain relief and management of anesthesia and surgical side effects
• Induction of general anesthesia and initial airway management
• Endotracheal intubation for surgical or procedural cases
• Placement of endobronchial tubes or blockers for procedures requiring one lung ventilation or lung isolation
• Central line placement
• Pulmonary artery (Swan-Ganz) catheter placement Peripheral nerve blocks
• Central neuroaxial blocks
• Epidural blood patches
• Adjustment of anesthetic drugs and techniques utilized in the maintenance of anesthesia
• Sedation for field blocks or MAC as discussed in the anesthetic care plan
• Manages emergence from anesthesia and transition to the post anesthesia care unit
• Provide anesthetic for: electroconvulsive therapy not requiring intubation
• routine eye surgery not requiring general anesthesia
• elective cardioversions
• ICD checks
• May participate on the Code Blue Team - primarily to manage the patient's airway - but also to perform other tasks which they are qualified to perform - as directed by the Code Team Leader
• Emergency airway management throughout the facility - following the ASA Difficult Airway Algorithm and department protocols - as requested
• Administer sedation or local anesthesia to facilitate urgent/emergent endotracheal intubation
• Placement of intravenous lines throughout the facility - as requested
• Management of epidural catheters for post‑op pain relief within a protocol guideline ordered by the anesthesiologist
• Placement of arterial lines as requested by the ICU's
• Maintains anesthesia equipment in constant readiness and cleans equipment in accordance with hospital guidelines - SOPs - manufacturer's recommendations and CDC guidelines
• Prepares drugs properly for use in anesthesia administration Precepts CRNA students Ensures that OR/anesthesia safety regulations and procedures and infection control policies and procedures are observed
• Complies with Joint Commission National Patient Safety Goals Complies with VA and Joint Commission documentation requirements Eligible to take weekend call when all criteria are met
• 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) Work Schedule: Monday - Friday - 0700-1530 Telework/Virtual: Not authorized Relocation/Recruitment Incentives: Not authorized EDRP Authorized: Former EDRP participants ineligible to apply for incentive
• Contact [e-mail] - the EDRP Coordinator for questions/assistance
• Learn more