CRNA- Brooke Army Medical Center

Salary: 191,048.37 / Yearly	Location: San Antonio, TX
Type: Full-Time

CRNA- Brooke Army Medical Center

Dept. of Anesthesia and Operative Srvs
Brooke Army Medical Center, Fort Sam Houston, Texas.

Provide the services of full time Certified Registered Nurse Anesthetist (CRNA) for the Department of Anesthesia and Operative Services at Brooke Army Medical Center, Fort Sam Houston, Texas.

All CRNAs shall give the highest regard to patient dignity and observe the precepts of the American Hospital Association’s “Bill of Rights for Patients”. The Contract CRNAs shall abide by MTF rules, regulations, and bylaws, including the Medical Staff Bylaws, as well as applicable Army Regulations governing such things as medical records, etc. The Federal Government will provide medical liability insurance.

QUALIFICATIONS

•All CRNAs shall have and maintain current certification in BCLS and ACLS. The CRNA shall be responsible for obtaining and maintaining the necessary re-certification. While providing services under this contract, the CRNA shall maintain a current license to practice nursing in at least one state in the United States. The contract CRNA is required to comply with any applicable state laws concerning their profession.

•Be a graduate of an approved anesthesia program accredited by the Council on Accreditation of Nurse Anesthetist Education Program Schools or its predecessors.

•Must have experience in the delivery of and monitoring of all types of anesthesia utilized in the delivery of surgical anesthesia to include but not limited to general endotracheal, subarachnoid block and epidural, and intravenous regional techniques.

•Must have current experience in the past year (three months or more in the last twelve months) providing epidural anesthesia.

•Be certified every two years by the Council of Re-certification of Nurse Anesthetist.

•Certification/Re-certification: It is a condition of this contract that all certifications required in the PBWS remain current during the life of the contract.

•The CRNA shall be able to read, write, and speak English well enough to effectively communicate with all patients and other healthcare providers.

•Contract HCPs shall be required to meet Continuing Medical Education (CME) requirements. The government will not reimburse for these costs.

•The contractor shall ensure contract HCPs have received Occupational Safety and Health Administration (OSHA) required training for the position in which they will perform, and that training currency is maintained. Documentation of such training shall be provided to the Contracting Officer’s Representative (COR).

Composite Health Care System (CHCS). The government will provide training to contract HCPs in the CHCS and/or other procedures that the medical activity's staff is required to use. Access to such patient data systems is an "Automated Data Processing Sensitive" position requiring compliance with AR 380-19 and AR 380-67

HOURS OF PERFORMANCE

Contractor CRNA (Certified Registered Nurse Anesthetist) shall perform services on a schedule established by the Chief, Anesthesia Nursing Services of the MTF. Duty hours will average 50 hrs per week. Duty schedule shifts will range from 0001 to 2359. Scheduled hours will include federal holidays, training holidays, and some weekends. Anticipate an average of 1 weekend per month.

The majority of Anesthesia services shall be performed in the area of emergent and non-emergent surgical anesthesia.

The contract CRNA shall not leave a scheduled shift without a suitable replacement already present for duty. If the contract CRNA is in the midst of a procedure at the end of his/her shift, the contract CRNA shall not be released from duty if his/her departure would result in a decrease in the continuity of care to the patient. The CRNA will be compensated for working beyond scheduled hours through schedule adjustments in subsequent shifts.

The government reserves the right to verify the hours worked by contract CRNAs by whatever means it deems necessary.

Emergency Essential Personnel. This position has been designated as Emergency Essential Personnel and shall be required to report to work IAW MTF policy.

SPECIFIC TASKS

The quality of CRNA practice shall meet or exceed reasonable standards of professional practice for the health care concerned as determined by the same authority that governs military medical professionals in the same discipline. The CRNA shall:

Monitor anesthesia care, and manage patient anesthesia experience, perform preoperative evaluations and preparations, administer spinal, epidural, local bier block, peripheral regional nerve blocks and general anesthetics, monitor patient reactions to anesthesia and surgery, manage fluid therapy, and perform post operative evaluations.

Take appropriate actions as directed or required for adverse reactions; collaborate with anesthesiologists or other specialists as necessary.

Maintain all records as required at MTF.

Ensure cleanliness and maintenance of anesthesia equipment.

Serve as a resource person and assist with the training of other staff personnel, act as clinical adjunctive faculty for student nurse anesthetists in their clinical phase, to include phase II anesthesia students, in vein puncture and intravenous therapy, respiratory care, and anesthesia.

Indicate responsibility for the contents and correctness of all prepared reports/forms by affixing his/her own signature to the documents and validating their contents.

Attend and participate in MTF professional staff conferences and other appropriate professional activities as follows: (1) Professional staff meetings, (2) Surgical services meetings, and (3) Anesthesia service meetings as requested by the Chief, Department of Surgery. Meetings are held during scheduled work hours.

Comply with all safety procedures and practices associated with the facility and OSHA.

Serve as adjunctive clinical instructors/faculty members in the phase II U.S. Army Nurse Anesthesia Program.

Prepare service reports and collect data as required by MTF.

Time to accomplish this will be scheduled during regular working hours.

Department quality improvement activities as assigned by the department chief will include, but not limited to occurrence screening checklist, patient care chart audits, and special studies on quality of care within the Anesthesia Service.

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