The Scope of Practice is specific to the duties and responsibilities of the Certified Registered Nurse Anesthetist (CRNA). The CRNA functions as a licensed practitioner within a defined/approved Scope of Practice performed under the collaboration of an Anesthesiologist. The Certified Registered Nurse Anesthetist is authorized to perform the following duties on a regular basis. The CRNA will recognize and report abnormal patient responses during anesthesia to the collaborating physician. In the absence of the anesthesiologist, review clinic chart, perform and document a pre-anesthetic assessment and recommend specific type of anesthesia. Interview patients to discuss type of anesthesia to be used and reassure patient. Administer and manage General Anesthesia. Administer and manage Spinal Anesthesia. Administer and manage Epidural Anesthesia in the following: (1) Placement of lumbar epidural catheter. (2) Placement of thoracic epidural catheter under direct observation of the Anesthesiologist. Administer and manage peripheral nerve blocks. Administer and manage Intravenous Regional Anesthesia. Administer intravenous sedatives, tranquilizers, antiemetics, narcotics, other analgesics, beta blockers, vasopressors, bronchodilators, antihypertensives or other pharmacologic agents as may be required. Determine need for and administer parenteral fluids to include blood and blood products. Assist on post-anesthetic care as it pertains to respiratory problems or anesthesia-related problems. Function as member of CPR team to perform intubations, and when necessary cardiac resuscitation. Arterial line insertion and central line placement may be performed. Arterial puncture may be performed. Other duties as assigned. Work Schedule: Monday-Friday, Variable Shifts: 8hrs, 10hrs or 12hrs for 24-hour coverage. Financial Disclosure Report: Not required
Internal Number: 599810200
About Veterans Affairs, Veterans Health Administration
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.