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Outstanding Certified Registered Nurse Anesthetist, CRNA, Per Diem Opportunity at Fort Belvoir Community Hospital, Fairfax, VA.

Come Join Our Team of exceptional health care providers at Fort Belvoir Community Hospital - Northern Virginia’s newest home for world-class military healthcare and experience the immense pride other shave discovered in caring for Military Members, their Families and Retired Military Veterans! 

* Elevate your career by applying for our Per Diem CRNA opportunity in support of Fort Belvoir Community Hospital!

* Excellent Compensation!

* Per Diem Position Days!

* Malpractice Insurance Provided!

DUTIES: The duties include, but are not limited to the following:

* Development of comprehensive treatment plans when indicated.

* Delivery of treatment within the personnel and equipment capabilities of the Military Treatment Facility (MTF), provision of mandated nursing surveillance and preventive services.

* The quality and timeliness of treatment records and reports required to document procedures performed and care provided.

* Patients frequently have overlapping, multiple symptoms and often require multidisciplinary long-term treatment. The anesthesia provider shall refer patients to staff specialist for consultative opinions and continuation of care and shall see the patients of other Government staff health care providers who have been referred for consultation and treatment.

* Pre-anesthetic evaluation of the patient. Interviews patient and discusses type of anesthesia to be used and explains the outcome and possible anesthetic complications.

* Selection of anesthetic agent and technique with an appropriate concurrence.

* Induction and maintenance of anesthesia and management of pain relief in the post-operative period.

* Performance of supportive life functions, including endotracheal, intubations, management of blood, fluid and electrolyte loss and replacement in maintenance of cardiovascular and respiratory functions.

* Anesthesia provider should be able to have a recognition of abnormal patient response to anesthesia or to any adjunctive medication or other form of therapy, and taking corrective action including notifying the supervising physician and/or oral surgeon immediately.

* Inspects all anesthetic equipment and supplies to ensure proper function, type and quantity prior to beginning of operation.

* Completes anesthesia provider’s portion of all clinical records and reports associated with each episode of anesthesia.

* Ensure the provisions of professional observation and resuscitative care and requesting consultation whenever appropriate during the post-operative period.

* The Chief, Anesthesia and the Chief CRNA will identify the specifics of the working relationship and changes in the function and scope of practice. Additional acts, which the consulted surgeon and anesthesia provider agree, are within the skills and which are appropriate to the specialty. Individual privileges may be expanded, modified or revoked, and reviewed as needed.

These individual privileges may include, but not be limited to, the following:

• Obtaining a complete health history including psycho-social as well as biophysical aspects.

• Conducting a complete physical screening assessment utilizing techniques of observation, inspection, auscultation, palpitation and percussion, as well as proper use of instruments to aid in the evaluation.

• Selecting and administering pre-anesthetic medication according to established protocol.

• Requesting and evaluating pertinent laboratory studies, pulmonary function studies, including blood gases, respiratory therapy and other appropriate studies under established protocol.

• Insert peripheral intravenous catheters.

• Inserting arterial catheters, and performing arterial puncture for selected blood gases.

• Utilizing all current techniques in monitoring.

• Performing regional anesthetics, including spinals, epidurals, inter-scalene blocks, femoral nerve blocks, bracial plexus blocks, axillary blocks, ankle blocks, other extremity nerve blocks, Bier blocks, tran-tracheal and superior laryngeal nerve blocks.

• Perform endotracheal intubations and extubations.

• Identifying and managing emergency situations, including assessment of adequacy of recovery or antagonism of muscle relaxants, narcotics and other agents, and implementing appropriate management techniques.

• Recognize abnormal patient response to anesthesia or to adjunctive medication and implementing corrective action.

• Manage fluid, blood and electrolyte therapy within an anesthetic care plan.

Provide acute pain management.

* Managing post-op pain requirement for surgical patient including but not limited to patient controlled analgesics, epidural infusions, IV, and oral analgesics.

* Initiate and modify therapies, including drugs and pain therapy within established protocols.

* Discharges patient from the Recovery Room according to established protocols.

* Participates in cardiopulmonary resuscitation and instituting cardiopulmonary resuscitation in absence of a physician according to established protocols.

* Providing consultation, management and implementation of respiratory and ventilator care.

* Continues to keep abreast of current techniques appropriate to the conduct of anesthesia and implementing these techniques within established protocols.

* CRNA providers will ensure all records are returned to the appropriate location as defined by the MTF within a timely manner.

* Must be able to type and document patient record of care into electronic medical record.

* Ensure quality of care issues are documented and reported to appropriate personnel and corrective action is taken.

* Education: 1) Graduate of a school of professional nursing, approved by a legally designated state accrediting agency and hold current registration as a registered professional nurse. Copy of certification and license required.  2) Be a graduate of an approved program of nurse anesthesia accredited by the Council on Accreditation of Nurse Anesthesia Education Program and Schools or its predecessor.

* Licensure: Possess current, active, valid, unrestricted license in at least one U.S. State, District of Columbia, Commonwealth, Territory, or jurisdiction.

* Certification: 1) Be certified by the National Board of Certification and Re-certification for Nurse Anesthetists (NBCRNA). Maintain re-certification according to NBCRNA.  Possess evidence of continuing nursing education as required by NBCRNA which maintains skills and knowledge in the nursing specialty.  2) Maintain Basic Cardiac Life Support (BCLS), Advanced Cardiac Life Support (ACLS), and Neonatal Resuscitation Program (NRP) certification by the American Heart Association. These certifications shall be maintained at no cost to the government.

* Experience: 1) Have at least two (2) years’ experience within the past three years and has routinely practiced as a CRNA.  2) Must have at least two(2) years’ experience within the past 3 years in obstetrics anesthesia in order to work in obstetrics. 3) CRNA’s must have experience working independently and capable of performing regional anesthesia such as spinals, epidurals, inter-scalene blocks, femoral nerve blocks, axillary blocks, and other extremity nerve blocks independent of supervision.

* Must be a U.S citizen and Have the ability to pass a background check/security clearance. Fully comprehend and be fluent in speaking and writing the English language.

STAFFING & SCHEDULING:

* Services shall be provided on a per diem basis at Fort Belvoir Community Hospital, Fort Belvoir, VA. The CRNA shall perform services in General OR Suites between the hours of 6am - 6pm Monday - Friday for an eight hour shift (40 hours per week) - to include an uncompensated 30 or 60 minutes lunch break.

* Staff Orientation: CRNAs shall participate in all staff orientation or training that may be required as a precondition to performance as may be prescribed by the hospital Director or designee. Such orientation may include instruction on automated processing, standing operating procedures (SOP), local in-services, quality improvement programs, safety programs. This shall be conducted during the CRNAs regularly scheduled shift.