Certified Registered Nurse Anesthetist-Intermittent

The Advanced Practice Nurse (Certified Nurse Anesthetist (CRNA)) provides comprehensive, specialized anesthesia care to Veterans. The CRNA performs pre-anesthesia assessments, develops and implements individualized anesthesia care plans, administers and manages anesthesia, continuously monitors patients, and provides post-anesthesia and acute pain management. The CRNA provides anesthesia services for surgical and diagnostic procedures, including procedures at the San Francisco VA Medical Center.

**This is an OPEN CONTINUOUS ANNOUNCEMENT and will remain open until December 18, 2026. The initial cut-off date for referral of eligible applications will be November 3, 2026 with subsequent cut-off dates every 2 weeks. Eligible applications received after that date will be accepted on an ongoing basis and qualified candidates will be considered as vacancies become available.** VA offers a comprehensive total rewards package: VA Nurse Total Rewards The CRNA collaborates with anesthesiologists, surgeons, proceduralists, nurses, and other members of the interdisciplinary healthcare team to ensure safe, effective, evidence-based, and Veteran-centered care. The position requires sound clinical judgment in managing patients with varying levels of medical complexity and responding appropriately to changes in patient condition and perioperative emergencies. Duties include: Performs comprehensive pre-anesthesia assessments, including review of the Veteran's medical history, medications, allergies, laboratory and diagnostic results, physical status, and surgical/procedural needs. Develops individualized anesthesia plans of care based on the patient's condition, procedure, risk factors, and clinical needs. Provides anesthesia services for inpatient and outpatient surgical and procedural patients. Administers and manages general, regional, local, intravenous, and monitored anesthesia care/sedation, within the provider's approved scope of practice and clinical privileges. Performs anesthesia induction, maintenance, emergence, and recovery while continuously assessing the patient's physiologic response. Selects and administers appropriate anesthetic agents, analgesics, adjunct medications, intravenous fluids, and other medications necessary for safe anesthesia care. Establishes and maintains appropriate non-invasive and invasive monitoring to continuously evaluate cardiovascular, respiratory, neurologic, and other physiologic parameters. Performs and manages airway assessment and management, including intubation, ventilation, extubation, and emergency airway interventions as clinically indicated. Recognizes and promptly manages changes in the patient's condition, anesthesia-related complications, and other perioperative emergencies. Provides emergency response, including airway management, resuscitation, and BLS/ACLS interventions when required. Provides post-anesthesia care, including assessment of recovery from anesthesia, pain management, nausea and vomiting management, hemodynamic stability, and appropriate disposition. Performs post-anesthesia follow-up and evaluates patients for complications or additional anesthesia-related needs. Provides anesthesia services both inside and outside the operating room, as appropriate to the facility's services and the CRNA's clinical privileges. Collaborates with anesthesiologists, surgeons, proceduralists, nurses, and other interdisciplinary healthcare professionals to promote safe, coordinated, Veteran-centered care. Functions as a member of the anesthesia care team and contributes to perioperative decision-making based on education, experience, competency, and scope of practice. Prescribes or orders appropriate preoperative, intraoperative, and postoperative medications and treatments when authorized by applicable VA policy, state licensure, and clinical privileges. Maintains accurate and timely documentation of anesthesia assessments, care plans, medications, procedures, monitoring, interventions, and patient outcomes. Pay: Competitive salary, regular salary increases, potential for performance awards Licensure: 1 full and unrestricted license from any US State or territory Work Schedule: Not to Exceed one-year; intermittent schedule Telework: Not Available Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized EDRP: Not Authorized

U.S. Citizenship; non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. All applicants tentatively selected for VA employment in a testing designated position are subject to urinalysis to screen for illegal drug use prior to appointment. Applicants who refuse to be tested will be denied employment with VA. English Language Proficiency. In accordance with 38 U.S.C. 7402(f), no person shall serve in direct patient care positions unless they are proficient in basic written and spoken English. Selective Service Registration is required for males born after 12/31/1959. Subject to background/security investigation. Selected applicants will be required to complete an online onboarding process. Acceptable form(s) of identification will be required to complete pre-employment requirements (https://www.uscis.gov/i-9-central/form-i-9-acceptable-documents). Effective May 7, 2025, driver's licenses or state-issued identification cards that are not REAL ID compliant cannot be utilized as an acceptable form of identification for employment. Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP). You may be required to serve a probationary period. Complete all application requirements detailed in the "Required Documents" section of this announcement.

IMPORTANT: A transcript must be submitted with your application if you are basing all or part of your qualifications on education. Note: Only education or degrees recognized by the U.S. Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment. You can verify your education here: http://ope.ed.gov/accreditation/. If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education. For further information, visit: https://sites.ed.gov/international/recognition-of-foreign-qualifications/.