Advance Practice Nurse (Nurse Anesthetist)

Advanced Practice Nurse (Nurse Anesthetist) - Madigan Army Medical Center, Tacoma, WashingtonThis is a Direct Hire Authority (DHA) solicitation utilizing the DHA for Certain Personnel of the DoD Workforce to recruit and appoint qualified candidates to positions in the competitive service.Joint Base Lewis-McChord, WAMadigan Army Medical Center is seeking an Advanced Practice Nurse (Nurse Anesthetist). The Madigan Army Medical Center NICU is a tight-knit, collaborative, interdisciplinary team focused on providing high quality care to critically ill children. The Department has low patient-staff ratios with many training and learning opportunities.The facility is one of four Level II Trauma Centers in Washington State and participates in unique partnerships with civilian facilities to provide care to non-beneficiary trauma victims beyond the gates of Joint Base Lewis-McChord.At Madigan you will practice alongside civilian and military health care experts and experience unique professional opportunities. Our staff serves by caring for our military but are not subject to military requirements. We operate within safe staffing standards - giving you time to provide exceptional care.Joint Base Lewis-McChord, its affiliated clinics and dental clinic are located at Fort Lewis, Washington, near the city of Tacoma. Madigan AMC is one of only three designated Level Two trauma centers within the U.S. Medical Command.Tacoma is a progressive city of 200,000 nestled between Seattle and the state capital of Olympia. The region offers the attractions of larger metropolitan areas, with a hometown feel. World-class museums, hotels and theaters draw thousands to downtown Tacoma while the shores of the Puget Sound and Mount Rainier inspire outdoor enthusiasts. The Broadway Center for the Performing Arts, Chihuly Bridge of Glass, Emerald Downs Racetrack, Emerald Queen Casino, Fort Nisqually Living History Museum, Lakewold Gardens, and the Mount Rainier Scenic Railroad represent a small sampling of the region's varied entertainment options. The city offers excellent schools, universities, parks, festivals and regional shopping centers.Located in the beautiful Pacific Northwest on the Puget Sound, in Washington State, Joint Base Lewis-McChord (JBLM) is near the city of Lakewood, 10 minutes from Tacoma and 20 minutes from Olympia, the state capitol. JBLM is situated in a key location along Interstate 5, allowing easy access to Sea-Tac Airport and to the deep-water ports of Tacoma and Seattle. Although the Army and Air Force missions have changed over the years, one thing has not changedthe natural setting of the base. Majestic Mount Rainier looms on the horizon, towering over the other peaks of the Cascade Range. From the mountains to the deep waters of Puget Sound and the Pacific Ocean, the local areas abound in natural beauty and outdoor recreation opportunities. Camping, hunting, fishing, hiking, boating and now sports are a way of life in Washington State.Working for the Department of Defense comes with an abundance of benefits and perks to include competitive compensation packages, paid-time off, medical benefits, student loan repayments, and retirement package with Thrift Savings Plan to include matching employer contributions.ResponsibilitiesMajor Duties:Provides the full range of anesthesia services, Monitored Anesthesia Care (MAC), General Anesthesia and Regional Anesthesia for surgical operations, medical procedures, and obstetric services within the clinical areas of the main operating room (MOR), labor and delivery ward, pre-operative clinic, post-anesthesia recovery unit (PACU), and all anesthetic procedures outside of the OR (including, but not limited to the endoscopy clinic, the interventional cardiovascular suite, stone center, pediatric radiology and the emergency room). Determines the optimal type and method of anesthesia care to administer for a broad range of surgical procedures at the MTF. Evaluates data, with respect to individualized anesthetic options and current practice guidelines, to determine and discuss the optimal anesthetic plan; obtains patient consent for the type of anesthesia to be utilized, expected outcomes and possible anesthetic complications. Gathers equipment, prepares, inspects, and ensures proper sanitation and function of equipment to be used in performance of work. Administers anesthesia via the most appropriate method for each patient's procedure. Incorporates the use of inhalational and pharmacological agents to provide safe, depths of anesthesia and analgesia to reduce negative side effects and the potential for complications. Provides continuous monitoring of vital signs, volume status, and patient positioning during medical/surgical procedures; maintains patient homeostasis via the use of parenteral fluids, blood products, and vasoactive pharmacologic agents as needed to support circulatory and cardiopulmonary function. Interprets and addresses abnormal diagnostic data and changes in signs and symptoms; modifies anesthetic plan accordingly. Identifies emergency situations and critical changes in patients' status; notifies surgeon and seeks assistance from the perioperative and anesthesia teams as needed. Collects data through patient interviews, observation, physical examination, and review of medical records, prior to scheduled surgery; consults with surgical or treatment team on identified anomalies and concerns. Determines necessity for laboratory studies, coordinates ordering of lab tests and evaluates results. Provides immediate, post-operative care to patients transported to the PACU, ICU or recovery area; ensures patient airway, hemodynamic stability, optimal pain control and appropriate level of consciousness. Gives full report to receiving nursing and medical staff, detailing patient's intraoperative course and steps utilized to attenuate or reduce any adverse reactions. Renders life-saving care and procedures in emergency situations; provides immediate and appropriate interventions to include advanced life support (ALS) and cardiopulmonary resuscitation (CPR) according to guidelines and within the scope of practice. Discriminates between normal and abnormal findings to treat underlying causes and conditions and stabilize the patient for transport to a higher level of care. Documents assessments, orders, and interventions, appropriately, in the medical record. (60%)Serves as an anesthesia resource consultant to a wide variety of medical, surgical, and nursing specialties to delineate the latest advances in anesthesia practice. Evaluates data, with respect to anesthesia and evolvements within the field, to determine and discuss type of anesthesia to be used, and to explain expected outcomes and possible anesthetic complications. Reviews and evaluates current professional journals, anesthesia-related literature and peer-reviewed data to facilitate discussion and aid in the determination of the optimal anesthetic plan, explaining expected outcomes and possible anesthetic complications to stakeholders. Collaborates with the anesthesia, surgical and multidisciplinary care team to deliver high-quality, holistic, evidence-based care. (20%)Formulates and evaluates clinical care standards and treatment programs for effectiveness in meeting patient needs. Recommends methods and processes to reduce resource consumption, ensuring the patient receives quality care at the most appropriate level. Participates in departmental Quality Assurance and Quality Improvement (QA/QI) initiatives and continuous improvement programs to validate standard of care delivery following an adverse patient safety event as well as to mitigate health risks when a new procedure or pharmaceutical agent is developed; evaluates patient care processes and outcomes, maintains and/or improves the quality of care delivered, and improves patient outcomes within the Anesthesia Service. Participates in the Peer Review (PR) and Ongoing Professional Practice Evaluation (OPPE) processes to ensure standard of care and provider performance criteria are met. Complies with the Joint Commission (TJC) accreditation standards. Maintains professional education recertification and privileging requirements as prescribed by the National Board of Certification & Recertification for Nurse Anesthetists (NBCRNA). Participates in the DoD Outcomes Management Initiative to improve long-term and continuing health care outcomes for the patient population served. (10%)Conducts and participates in educational programs that improve anesthesia nursing practice. Provides oversight and instruction to other CRNAs, students, and ancillary workers in the field of anesthesia, in both clinical and administrative areas. Provides feedback and evaluations (verbal and written) to the student and appropriate school/residency program. Plans and sets up programs for weekly staff meetings; arranges for guest and consultant speakers for educational programs. Delivers in-services and educational lectures, workshops, and case studies for the purpose of providing knowledge, skill, and introduce the latest initiatives in the evolving anesthesiology field, to other CRNAs, anesthesiology staff, nurses, and health care professionals and paraprofessionals. (10%)Perform other duties as assigned.QualificationsWho May Apply: US CitizensIn order to qualify, you must meet the education and experience requirements described below. Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religious; spiritual; community; student; social). You will receive credit for all qualifying experience, including volunteer experience. Your resume must clearly describe your relevant experience; if qualifying based on education, your transcripts will be required as part of your application. Additional information about transcripts is in this document.Basic Requirement for Advanced Practice Nurse (Nurse Anesthetist): Degree: A graduate or higher level degree from an accredited professional nursing educational program in Anesthesia is required. This education must have been accredited by the Commission on Collegiate Nursing Education, Council on Accreditation of Nurse Anesthesia Educational Programs, Accreditation Commission for Midwifery Education, or an accrediting body recognized by the U.S. Department of Education at the time the degree was obtained. (Note