Summary

The VA NWIHCS is hiring one - full time Certified Registered Nurse Anesthetist. VA NWIHCS is an integrated system that serves more than 148 -000 Veterans in 101 counties in Nebraska - western Iowa - Kansas - and Missouri. It includes a tertiary medical center in Omaha - 2 larger clinics in Lincoln and Grand Island (which includes a Community Living Center) - 5 community-based outpatient clinics - and one contract clinic.

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
• VA offers a comprehensive total rewards package: VA Nurse Total Rewards 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
• 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: Monday - Friday - 0700-1530 Telework: Not available Virtual: This is not a virtual position
• Relocation/Recruitment Incentives: Not authorized Permanent Change of Station (PCS): Not authorized PCS Appraised Value Offer (AVO): Not authorized