This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific individual eligibility requirements in accordance with VHA policy and submit your EDRP application within four months of appointment. Approval, award amount (up to $200,000) and eligibility period (one to five years) are determined by the VHA Education Loan Repayment Services program office after complete review of the EDRP application. Learn more Applicants pending the completion of educational or certification/licensure requirements may be referred and tentatively selected but may not be hired until all requirements are met. Basic Requirements: United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. English Language Proficiency. In accordance with 38 U.S.C. 7402(d), no person shall serve in direct patient care positions unless they are proficient in basic written and spoken English. Education: (1) A degree in nursing from a school of professional nursing approved by the appropriate state-accrediting agency and accredited by one of the following accrediting bodies at the time the program was completed by the applicant: (a) The National League for Nursing Accrediting Commission (NLNAC), an accrediting arm of the National League for Nursing located at 61 Broadway, 33rd Floor, New York, New York 10006. Additional information may be obtained from the NLNAC Web site; or (b) The Commission on Collegiate Nursing Education (CCNE), an accrediting arm of the American Association of Colleges of Nursing (AACN). The CCNE accredits bachelor's and master's degree programs and is located at One Dupont Circle, N.W., Suite 530, Washington, DC 20036. Additional information may be obtained from the CCNE Web site. (c) In cases of graduates of foreign schools of professional nursing, possession of a current, full, and unrestricted registration (see basic requirement in subparagraph c below) and the possession of a Certificate from the Commission on Graduates of Foreign Nursing Schools (CGFNS) will meet the requirement of graduation from an approved school of professional nursing. (2) Graduate of an accredited nurse anesthesia educational program approved by the American Association of Nurse Anesthetists (AANA) at the time the program was completed by the applicant. The AANA has compiled current listings of approved training institutions, which are published annually in the December issue of the American Association of Nurse Anesthetists Journal. The American Hospital Association in their "Guide to the Health Care Field" also publishes listings of approved training institutions annually in August. Registration. (1) Condition of Employment. Current, full, active and unrestricted registration as a graduate professional nurse in a State, Territory or Commonwealth (i.e., Puerto Rico) of the United States or the District of Columbia. The nurse anesthetist must maintain a current, full, active and unrestricted registration to continue employment with VA. The appointing official may waive this requirement if the nurse anesthetist is to serve in a country other than the United States and has registration in that country (e.g. Philippines). Certification. (1) On and after May 4, 1993, certification by the Council on Certification of Nurse Anesthetists is a requirement for employment. This requirement does not apply to non-certified nurse anesthetists employed by VA as a nurse anesthetist prior to May 4, 1993 and continuously thereafter. Any nurse anesthetist who leaves VA employment or vacates the nurse anesthetist occupation for another VA position, must meet the current requirement of certification for re-appointment as a nurse anesthetist. The CCNA and the Council on Recertification of Nurse Anesthetists have designated the AANA's web site as a display agent for their information.(2) Nurse Anesthetists will maintain recertification by meeting the Council on Recertification of Nurse Anesthetist's requirements as a condition of employment. Preferred Experience: 1. Skill in conducting and managing anesthesia for a broad range of complex surgical procedures. In addition, the CRNA must be able to adapt/modify anesthesia techniques in order to optimize patient care. 2. Ability to complete work assignments selected to add depth and breadth to their technical knowledge & skill competence. 3. Ability to respond to emergency situations by providing airway management, administration of emergency fluids and drugs, and by the use of basic or advanced cardiac life support techniques in order to perform necessary resuscitation procedures. 4. Ability to effectively blend technology, skills, and competency for the advancement of anesthesia techniques, pharmacology, and equipment. 5. Ability to apply new developments & theories to develop and demonstrate the ability to recognize and solve various complex anesthesia situations .6. Ability to practice nurse anesthesia with colleagues & peers in a team concept of anesthesia care & blend management skills with technical experience. Grade Determinations: The following criteria must be met in determining the grade assignment of candidates, and if appropriate, the level within a grade: Nurse II - A BSN with approximately 2-3 years of nursing practice/experience; OR ADN or Diploma in Nursing and a Bachelor's degree in a related field and approximately 2-3 year's of nursing practice/experience; OR a Master's degree in nursing or related field with a BSN and approximately 1-2 year's of nursing practice/experience; OR a Doctoral degree in nursing or meets basic requirements for appointment and has doctoral degree in a related field with no additional nursing practice/experience required. Nurse III - Master's degree in nursing or related field with BSN and approximately 2-3 year's of nursing practice/experience; OR a Doctoral degree and approximately 2-3 year's of nursing practice/experience. Reference: VA Regulations, specifically VA Handbook 5005, Part II, Appendix G-6 Nurse Qualification Standard. This can be found in the local Human Resources Office. Physical Requirements: Requires lifting 15-44 pounds; pushing (approx. 2 hours); reaching above shoulder; use of fingers & both hands; walking & standing from 3-5 hours and kneeling. Ability for rapid mental & muscular coordination simultaneously. Near vision correctable at 13" to 16" to Jaeger 1 to 4. Far visions correctable in one eye to 20/20 & to 20/40 in the other. Must have depth perception & ability to distinguish basic colors & shades of colors. Hearing aid is permitted. This job opportunity announcement may be used to fill additional vacancies. ["**Recruitment/Relocation Incentive may be authorized to a highly qualified candidate** Truman VA is currently seeking Certified Registered Nurse Anesthetists (CRNA) to join our Surgery Service team. Working together, we provide outstanding health care to the Veterans in our service area. The position will be based at the Truman VA Medical Center in Columbia, MO. The Certified Registered Nurse Anesthetist (CRNA) safely provides anesthesia to surgical patients for a variety of operations and/or procedures. The CRNA performs pre-anesthesia patient evaluations/histories, prepares anesthesia plans, delivers all forms of anesthesia and follows up on anesthesia cases. The CRNA will consult and collaborate with the entire surgical care team. Performs routine maintenance and cleaning of anesthesia equipment. Demonstrated Knowledge, Skills and Abilities Ability to translate the principles of professional nursing practice in the care of assigned patients to provide appropriate care. Ability to perform a pre-anesthetic patient history and physical, which includes collecting pre-operative consults and data. Ability to formulate an anesthetic plan and describe the anesthetic risks, benefits and options to the patient. Ability to administer inhalation, regional, intravenous, local, and topical anesthetics and to detect unfavorable reactions to continuously evaluate the patient's physical status. Ability to respond to emergency situations by providing airway management, administration of emergency fluids and drugs, and using appropriate resuscitation procedures for patient care. Ability to provide patient care that is abreast of changing concepts and advancements in the profession. Ability to work effectively in an interdisciplinary environment for improvement of services for patient care. Ability to practice nurse anesthesia with colleagues and peers utilizing a collaborative team concept of anesthesia care. Ability to perform IV's. Outstanding interpersonal skills are essential, as the successful candidate will join a multidisciplinary staff in the delivery of excellent health care to our nation's Veterans. Truman VA provides cutting-edge surgical and procedural care to Veterans having standard surgical complexity procedures, including cardiothoracic, general surgical, ENT, orthopedic, ophthalmic, and podiatric surgery and others. Work Schedule: Monday - Friday, 7:30am - 4:00 pm; Weeknights/weekend call. Financial Disclosure Report: Not required"]

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