Certified Nurse Anesthetist

Qualifications Applicants pending the completion of educational requirements may be referred and tentatively selected but may not be hired until the education requirements are met. Basic Requirements: All applicants must meet the following basic qualifications United States Citizenship: Must be a US Citizen Education A master's or doctoral degree in nurse anesthesia Nursing education must be from a school of professional nursing anesthesia accredited by Council on Accreditation of Nurse Anesthesia Education Programs (COA) at the time the program was completed by the applicant License Active, current, full and unrestricted CNA license to practice as a CNA or equivalent, in a State, Territory or Commonwealth of the United States or in the District of Columbia Certification Must possess and maintain full and current board certification by the National Board of Certification and Recertification for Nurse Anesthetists (NBCRNA) or an equivalent Nurse Anesthetist certification recognized by the COA English Language Proficiency In accordance with 38 U.S.C. 7403(f), no person shall serve in direct patient care positions unless they are proficient in basic written and spoken English NOTE: Grandfathering Provision - All persons currently employed in VHA in 0610 series and an APN (CNA) assignment that are also performing the duties as described in the qualification standard on the effective date of the standard (1/29/2024) are considered to have met all qualification requirements for the grade held including positive education and licensure/certification Grade Determination: In addition to the basic qualification requirements, the grade level of a CNA is based on a combination of education, experience, and knowledge, skills and abilities Exception to Licensure for Graduate Nurse Technicians Candidates who otherwise meet the basic requirements, but do not possess the required APN (CNA) licensure and/or certification, may be appointed at the entry step of the Nurse II, as a Nurse Anesthetist on a temporary appointment up to any period not-to-exceed one year and a day under the authority of 38 U.S.C. § 7405(c)(2)(B) Certified Nurse Anesthetist) II: Education and Experience Requirement Nurse II is considered the entry grade level for APN (CNAs) no experience is required Demonstrated Knowledge, Skills, and Abilities The following list of knowledge, skills and abilities present the minimum skill set expected of an Entry Level CNA Entry level into practice may include but are not limited to the following: 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 Certified Nurse Anesthetist III: Education and Experience Requirement: One year of specialized APN (CNA) experience equivalent to the APN (CNA) II grade level Demonstrated Knowledge, Skills, and Abilities: Progressively responsible experience in the administration of anesthetics as indicated in the knowledge, skills and abilities listed below 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 Work assignments will vary by facility 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 Reference: For more information on this qualification standard, please visit The full performance level of this vacancy is Grade III The actual grade at which an applicant may be selected for this vacancy is in the range of Grade II to III Physical Requirements: Must pass a pre-employment physical examination as required by VA Handbook 5019 This examination is administered by VA Occupational Health This position requires moderate lifting up to 44 lbs., carrying objects up to 15 lbs., frequent reaching above shoulder, use of fingers, hands and legs, use of cranes and motor vehicles, walking & standing up to 8 hours, bending and climbing and able to hear whisper The incumbent must be physically, emotionally and mentally stable in order to efficiently perform the essential functions of this position without hazard to themselves or others. ]]]]>