The Certified Registered Nurse Anesthetist (CRNA) is an advanced practice nurse who utilizes specialized clinical skills and education to administer anesthesia care throughout the medical center. The practice of nurse anesthesia is a recognized specialty within the profession of nursing. As independently licensed health professionals, CRNAs are responsible and accountable for their practice. Perform 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. Select and administer pre-anesthetic medication according to established protocol. Request and evaluate pertinent laboratory studies, pulmonary function studies, including blood gases, respiratory therapy, and other appropriate studies under established protocol. Insert intravenous catheters, according to established protocol. Insert Swan-Ganz catheters and central venous pressure catheters under medical supervision. Insert arterial catheters; perform puncture for blood gases. Utilize all current techniques in monitoring. Perform endotracheal intubation and extubation. Select and administer anesthetic techniques (intravenous, regional, various field blocks, or inhalational), medications and 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.). Manage fluid, blood and electrolyte therapy within a medical care plan. Initiate and modify therapies, including drug and pain therapy within established protocols. Examine patients in post-anesthesia recovery and other hospital units to assess patient's reaction to anesthetic management. Identify any complications or abnormal patient responses to anesthesia or to adjunctive medication and implement appropriate management techniques. Assist in the treatment and management of emergency airway problems as needed throughout the hospital. Participate in cardiopulmonary resuscitation by performing airway management including endotracheal intubations when necessary. Serve as code captain in the absence of a physician according to established protocols. Provide anesthetic consultation to physicians, nurses, and other hospital staff as necessary. Make post-operative rounds and record on the patient's permanent record the presence or absence of anesthesia-related-complications. Take an active role through the attendance and participation in the departmental in-service program. Take emergency call as assigned per the Chief Nurse Anesthetist or another designed person and respond in a timely fashion. Responsible for patient care activities for adult and geriatric patients. Responsible for understanding the aging process and to modify treatment plans to accommodate the changes that occur with aging. In the performance of official duties, the employee has regular access to printed and electronic files containing sensitive data which must be protected under the provisions of the Privacy Act of 1974 and other applicable laws, federal regulations. VA statutes and policies. The employee is responsible for 1) protecting data from unauthorized release or from loss, alteration, or unauthorized deletion and 2) following applicable regulations and instruction regarding access to computerized files, release of access codes, etc. as set out in a computer access agreement which the employee signs. Incumbent sets up, uses, reprocesses and maintains all unit/department-specific equipment that is designed by the manufacturer to be reused for multiple patients. All steps and activities for set ups, reprocessing and maintenance will be completed in accordance with steps outlined in the equipment Standard Operating Procedure (SOP). Incumbent participates in training in the set-up, use, reprocessing and maintenance of their unit/department-specific equipment leading to the initial competency and validation of ongoing competency at least annually. Incumbent uses equipment appropriately and demonstrates and/or verbalizes the proper use, reprocessing and maintenance. The reprocessing may be done by the individual on the unit (as in wiping down a piece of equipment with an approved disinfectant wipe-such as Caviwipes- between patients) or may require the equipment to be sent to SPD for a higher level of disinfection and/or sterilizing. Incumbent must demonstrate knowledge of use and reprocessing according to equipment SOP's. Work Schedule: Monday through Friday, 7:00 a.m. to 3:30 p.m. Schedule may vary as deemed necessary to meet the needs of the Veterans and the Medical Center. Financial Disclosure Report: Not required
Providing Health Care for Veterans: The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,255 health care facilities, including 170 medical centers and 1,074 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.