The Minneapolis VA is seeking a gifted Certified Registered Nurse Anesthetist to join our team of excellence. The Minneapolis VA is a teaching hospital, with a full range of patient care services and state-of-the-art technology. This is an open and continuous announcement. Applications will be reviewed and referred every two weeks until a selection is made or the announcement is closed. The Minneapolis VA Anesthesia Service provides veteran patients with anesthesia procedures for both ambulatory and inpatient surgical procedures. The services include: rendering patients insensate for surgical procedures (general anesthesia), major neuroaxial blocks for surgical procedures (spinal and epidural anesthesia), nerve block for surgical procedures, monitored anesthesia care, procedures to alleviate post-operative pain and resuscitation services. Anesthesia services are available 24 hours a day 7 days a week. The department utilizes anesthesiologists (physicians who specialize in anesthesiology) and nurse anesthetists (nurses who specialize in anesthesia). We work in an anesthesia team to provide anesthesia and critical care services to the patients who are undergoing surgical procedures at the Minneapolis VAMC. At the Minneapolis VA, the physician anesthesiologist directs the anesthesia care team. Duties and Responsibilities: - 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 in consultation with the anesthesiologist. - After concurrence with the plan by the anesthesiologist, 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 after discussion and concurrence from the anesthesiologist. - Provide anesthetic for: electroconvulsive therapy not requiring intubation; routine eye surgery not requiring general anesthesia; elective cardioversions; ICD checks. - Participates 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. - Administer sedation or local anesthesia to facilitate urgent/emergent endotracheal - Placement of intravenous lines throughout the facility, as requested. - Management of epidural catheters for post-op pain relief within a protocol guideline ordered by the anesthesiologist. - Off-shift cardioversions when an anesthesiologist is not in-house. - Placement of arterial lines as requested by the ICU's. - Initiation of an anesthetic in an emergency that threatens the patient with loss of life or limb prior to the arrival of the anesthesiologist on-call - Participation in staff meetings, mortality and morbidity conferences and other committees as assigned by the Chief Nurse Anesthetist or Chief Anesthesiologist. - Maintains anesthesia equipment in constant readiness and cleans equipment in accordance with hospital guidelines, SOPs, manufacturer's recommendations and CDC guidelines. - Prepares drugs properly for use in anesthesia administration - Precepts CRNA students - Ensures that OR/anesthesia safety regulations and procedures and infection control policies and procedures are observed. - Complies with Joint Commission National Patient Safety Goals - Fully complies with medical center Correct Site/Universal Protocol requirements, including pausing activities during pre-operative time-out - Complies with VA and Joint Commission documentation requirements - Labels specimens according to medical center policy - Participates in continuous improvement activities - Participates in outcomes evaluation and recommendations for practice improvements - Conducts in-service programs for the department and other services within the medical center - May assist or conduct approved research projects. - Eligible to take weekend call when all criteria are met Work Schedule: Monday - Friday. Days Requires rotating call coverage, weekdays, weekends and holidays
Providing Health Care for Veterans: The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,255 health care facilities, including 170 medical centers and 1,074 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.