Advanced Practice Nurse; Certified Nurse Anesthetist-Intermittent

Summary

The Advanced Practice Nurse (Certified Nurse Anesthetist (CRNA)) provides comprehensive - specialized anesthesia care to Veterans. The CRNA performs pre-anesthesia assessments - develops and implements individualized anesthesia care plans - administers and manages anesthesia - continuously monitors patients - and provides post-anesthesia and acute pain management. The CRNA provides anesthesia services for surgical and diagnostic procedures - including procedures at the San Francisco VA Medical Center.

• The CRNA collaborates with anesthesiologists - surgeons - proceduralists - nurses - and other members of the interdisciplinary healthcare team to ensure safe - effective - evidence-based - and Veteran-centered care
• The position requires sound clinical judgment in managing patients with varying levels of medical complexity and responding appropriately to changes in patient condition and perioperative emergencies
• Duties include:
  
  Performs comprehensive pre-anesthesia assessments - including review of the Veteran's medical history - medications - allergies - laboratory and diagnostic results - physical status - and surgical/procedural needs
• Develops individualized anesthesia plans of care based on the patient's condition - procedure - risk factors - and clinical needs
• Provides anesthesia services for inpatient and outpatient surgical and procedural patients
• Administers and manages general - regional - local - intravenous - and monitored anesthesia care/sedation - within the provider's approved scope of practice and clinical privileges
• Performs anesthesia induction - maintenance - emergence - and recovery while continuously assessing the patient's physiologic response
• Selects and administers appropriate anesthetic agents - analgesics - adjunct medications - intravenous fluids - and other medications necessary for safe anesthesia care
• Establishes and maintains appropriate non-invasive and invasive monitoring to continuously evaluate cardiovascular - respiratory - neurologic - and other physiologic parameters
• Performs and manages airway assessment and management - including intubation - ventilation - extubation - and emergency airway interventions as clinically indicated
• Recognizes and promptly manages changes in the patient's condition - anesthesia-related complications - and other perioperative emergencies
• Provides emergency response - including airway management - resuscitation - and BLS/ACLS interventions when required
• Provides post-anesthesia care - including assessment of recovery from anesthesia - pain management - nausea and vomiting management - hemodynamic stability - and appropriate disposition
• Performs post-anesthesia follow-up and evaluates patients for complications or additional anesthesia-related needs
• Provides anesthesia services both inside and outside the operating room - as appropriate to the facility's services and the CRNA's clinical privileges
• Collaborates with anesthesiologists - surgeons - proceduralists - nurses - and other interdisciplinary healthcare professionals to promote safe - coordinated - Veteran-centered care
• Functions as a member of the anesthesia care team and contributes to perioperative decision-making based on education - experience - competency - and scope of practice
• Prescribes or orders appropriate preoperative - intraoperative - and postoperative medications and treatments when authorized by applicable VA policy - state licensure - and clinical privileges
• Maintains accurate and timely documentation of anesthesia assessments - care plans - medications - procedures - monitoring - interventions - and patient outcomes
• Pay:
  Competitive salary - regular salary increases - potential for performance awards Licensure: 1 full and unrestricted license from any US State or territory
  
  Work Schedule:
  
  Not to Exceed one-year intermittent schedule Telework:
  Not Available Virtual:
  This is not a virtual position Relocation/Recruitment
  
  Incentives:
  
  Not Authorized EDRP:
  Not Authorized Permanent Change of Station (PCS):
  Not Authorized.