This nursing position provides a full range of anesthesia services, emphasizing quality and timeliness, to advance the Veterans Affairs (VA) mission. The Certified Registered Nurse Anesthetist (CRNA) practices to the full extent of their education, training, and certification, administering anesthesia in both inpatient and outpatient settings to patients of all health complexities.
Responsibilities
Collaborate with a variety of health care professionals to achieve common goals for the care, safety, and welfare of patients
Foster high levels of confidence and satisfaction among patients and staff, as well as meet and exceed compliance standards
Provide anesthetic services within five general categories: pre-anesthesia evaluation and preparation; anesthesia induction, maintenance, and emergency; post anesthesia care; peri-anesthetic and clinical support functions; and emergency response technique
Develop and implement a comprehensive anesthesia plan of care for patients requiring local, regional, general, and monitored anesthesia both inside and outside the Operating Room (OR) suite
Ensure anesthetic services delivered throughout the facility are of the highest quality to promote patient safety, satisfaction, and improve outcomes and efficiencies
Prescribe appropriate preoperative, intra-operative and postoperative orders and medications
Exemplify the ICARE core
Translate into anesthesia care the principles of professional nursing practice including the patients' rights to autonomy, dignity, privacy and safety
Apply knowledge of current research and practice guidelines to frame anesthesia practice including up-to-date techniques, pharmacology, and equipment
Detect and treat anesthesia or surgically related physiologic changes and treat accordingly in order to maintain homeostasis
Requirements
U.S. Citizenship; non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy
English Language Proficiency
Selective Service Registration is required for males born after 12/31/1959
Subject to background/security investigation
Must pass pre-employment physical evaluation/examination
Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP)
Master's or doctoral degree in nurse anesthesia from a school of professional nursing anesthesia accredited by Council on Accreditation of Nurse Anesthesia Education Programs (COA)
Maintain an active, current, full and unrestricted license to practice as a CNA or equivalent, in a State, Territory or Commonwealth of the United States or in the District of Columbia
Maintain full and current certification by the National Board of Certification and Recertification for Nurse Anesthetists (NBCRNA) or an equivalent Nurse Anesthetist certification recognized by the COA
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Ability to translate into anesthesia care the principles of professional nursing practice including the patients' rights to autonomy, dignity, privacy, and safety
Knowledge of current research and practice guidelines to frame anesthesia practice including up-to-date techniques, pharmacology, and equipment
Ability to obtain, document and verify informed anesthesia consent and perform a pre-anesthetic patient history and physical, which includes managing pre-operative consults and interpreting data
Ability to formulate a patient-specific anesthetic plan and describe salient anesthetic risks, benefits, and options to the patient
Ability to administer inhalational, regional, intravenous, local, and topical anesthetics
Skill in detecting and treating anesthesia or surgically related physiologic changes and ability to treat accordingly in order to maintain homeostasis
Skill in assessing patient status for appropriateness of transfer of care to another healthcare provider and communicating essential patient information to other providers effectively
Ability to participate in collaborative responsibility for proper patient positioning, physiologic monitoring, infection control and anesthesia documentation
Skill in responding to emergency situations by providing airway management, fluid and medication administration, invasive line insertion and management and the use of advanced cardiac life support techniques
Ability to provide patient care that is abreast of changing concepts and advancements in the profession (e.g., ultrasound techniques)
Ability to practice anesthesia in an interdisciplinary environment utilizing a collaborative concept of anesthesia care
Knowledge of quality improvement processes to maintain ongoing review and evaluation of anesthesia care to improve outcomes
Ability to demonstrate a practice emphasis on safety, current established guidelines and protocols while recognizing the duty to report unsafe conditions or errors
For Advanced Practice Nurse (Certified Nurse Anesthetist) III:
One year of specialized APN (CNA) experience equivalent to the APN (CNA) II grade level
Progressively responsible experience in the administration of anesthetics
Ability to plan, administer and manage anesthesia for a broad range of complex surgical procedures skillfully employing continuous assessment and anesthetic adaptation based on patient response and comorbidities
Ability to participate in assignments that are technically challenging, encompass a variety of anesthetizing locations and utilize advanced equipment and procedures while adapting techniques to solve various complex anesthesia problems including the development of individualized programs of post-op anesthesia care
Skill in responsibility and accountability to perform to the extent of the CNA standards of practice as a licensed healthcare professional in any model of anesthesia practice
Ability to contribute to the educational mission as a mentor or preceptor providing didactic and clinical instruction in anesthesia to student nurse anesthetists, medical and dental residents, and other health care trainees
Knowledge to participate in the development, implementation and maintenance of auditing processes that ensure and improve the quality and consistency of anesthesia and associated documentation
Ability to contribute to departmental administrative processes through quality assurance, shared governance, or committee representation as applicable
Ability to serve as a representative on interdisciplinary teams to establish and maintain guidelines and communication
Skill demonstrated in the ability to embrace the safety culture emphasis by continuously assessing for safety risks, actively reporting safety concerns, and maintaining a just culture by identifying faults in systems rather than individuals
Benefits
Education Debt Reduction Program (EDRP) eligibility (up to $200,000 over one to five years)
Regular salary increases
Potential for performance awards
50 days of paid time off per year (26 days of annual leave, 13 days of sick leave, 11 paid Federal holidays per year)
Traditional federal pension (5 years vesting)
Federal 401K with up to 5% in contributions by VA
Federal health/vision/dental/term life/long-term care insurance (many federal insurance programs can be carried into retirement)
1 full and unrestricted license from any US State or territory
Important Details
Schedule: 06:30-17:00 for 4 days a week (Monday-Friday) with rotating day off (rotates monthly) or 06:30-15:00 Monday - Friday (applicant's choice)
No call, weekends, or Holidays
Appointment type: Permanent
Application deadline: 10/30/2026
Physical Requirements
Work that requires regular and recurrent bending, lifting 30 pounds or more, stooping, climbing, twisting and/or bending, standing and/or walking almost constantly during the course of the day, reaching above the shoulder, stretching, and similar activities supporting various weights
Emotional stability (ability to care for Veterans with various medical and psychiatric illnesses who at times may exhibit unpredictable behavior and may have the potential to be physically or verbally assaultive)
Near vision correctable at 13" to 16" / far vision correctable in one eye to 20/50 and to 20/100 in the other / both eyes required with ability to distinguish basic colors
Hearing aid permitted in order to sufficiently hear various alarms and respond immediately
Application Process
Complete the full questionnaire and submit the documentation specified in the Required Documents section
Submit a CV or Resume containing identifiable information (name, address, email, phone number), full employment history (employer name, month/year for beginning and ending of each employment entry), schools attended (name, city, state, month/year graduated, type of degree), and license information (state, license number, expiration date)
Provide a legible copy of your DD214(s) which shows dates and character of service (honorable, general, etc.) if claiming Veterans' Preference
If currently serving on active duty and expecting to be released or discharged within 120 days, submit documentation related to active duty service reflecting dates of service, character of service, and dates of impending separation
Disabled veterans and others eligible for 10-point preference must also submit an SF-15 "Application for 10 Point Veteran Preference" with required proof
If relying on education to meet qualification requirements, provide only attendance and/or degrees from schools accredited by accrediting institutions recognized by the U.S. Department of Education
Tentatively selected applicants for a testing designated position are subject to urinalysis to screen for illegal drug use prior to appointment
Selected applicants will be required to complete an online onboarding process
Must pass pre-employment physical evaluation/examination
Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP)
You may be required to serve a probationary period
The Department of Veterans Affairs performs pre-employment reference checks
About the Company
The Department of Veterans Affairs (VA) provides a comprehensive total rewards package for its employees. A career with the U.S. government provides employees with a comprehensive benefits package.
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