Certified Registered Nurse Anesthetist

Overview

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.

• 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
• Work Schedule:
  
  Monday
  -Friday
• Financial Disclosure Report:
  Not required

• Certified Registered Nurse Anesthetist (CRNA)