Certified Registered Nurse Anesthetist

2 weeks ago


Omaha, Nebraska, United States Veterans Health Administration Full time

The VA Midwest Health Care Network advocates for a Whole Health System of care in each of the Medical Centers.

This is an approach to healthcare that empowers and equips people to take charge of their health and well-being and live their lives to the fullest.

As an employee operating in a Whole Health System of care, you will operate in a model with three core elements, seeking to create a personalized health plan for each Veteran.

This is done in the context of healing relationships and healing environments and a connection back to the Veteran's community.

This aligns with the Veterans Health Administration (VHA) Mission Statement to Honor America's Veterans by providing exceptional health care that improves their health and well-being.


Nebraska Western Iowa VA Health Care System is currently seeking a CRNA to join Surgical Care which includes general surgery, vascular surgery, ophthalmology, audiology, cardiology, dentistry, orthopedics, podiatry, and urology.

Special procedure anesthesia care is also provided to other service lines.

The incumbent ensures quality and timeliness of services provided, customer satisfaction, and compliance with standards of accrediting bodies such as Joint Commission and Inspector General's Combined Assessment Program.

CRNA is authorized to perform routine duties on a regular, repetitive basis.

These duties include, but are not restricted to:
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 within the scope of practice, consulting with the anesthesiologist for further preoperative work up when necessary.

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 and transition to the post anesthesia care unit.

Provide anesthetic for:
electroconvulsive therapy not requiring intubation; routine eye surgery not requiring general anesthesia; elective cardioversions; ICD checks.

May participate 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.

Work Schedule:
Monday-Friday, , Rotating On Call schedule/Weekend coverage. Additional information may be provided during the interview process.

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