The Anesthesiologist will report directly to the Chief, Anesthesiology Service. The Critical Care Anesthesiologistduties will include, but not limited to, the provision of insensibility to pain during surgical, obstetric, therapeutic and diagnostic procedures, and the management of patients so affected; the monitoring and restoration of homeostasis in the critically ill, unconscious, injured, or otherwise seriously ill patient; the diagnosis and treatment of acute and chronic painful syndromes, in addition to perioperative pain management; the clinical management and teaching of cardiac and pulmonary resuscitation; the evaluation of respiratory function and application of respiratory therapy and mechanical ventilation in all its forms; the supervision of both medical and paramedical personnel involved in anesthesia, respiratory therapy, and critical care; and the conducting of research at the clinical and basic science levels to explain and improve the care of patients; the administrative management of all aspects of hospital operation, medical schools, teaching, resident training, and anesthesiology responsibility; responsibility to administer bed allocation, supervise quality assurance (chairing committees to improve quality and attending staff meeting to review), ensure JCAHO and other regulatory agency mandates are being met and ensure all relevant documentation related to the ICU is reported appropriately. Dutiesinclude:
Comprehensive medical management of patients to be rendered unconscious or insensitive to pain and stress during surgical, dental, and certain medical procedures including perioperative, intraoperative, and postoperative examination, consultation, management, monitoring, evaluation, and treatment.
Management of fluid, electrolyte, and metabolic parameters.
Resuscitation of patients of all ages.
Management of malignant hyperthermia.
Manipulation of body temperature.
Diagnostic and therapeutic management of acute and limited chronic pain.
Manipulation of cardiovascular parameters.
Management of hypovolemia ..
Provide monitored anesthesia care.
Deliver sedation and analgesia.
Management of unconscious patients.
Knowledge and expertise in: assessing, consulting, and preparing patients for anesthesia; rendering patients insensible to pain during surgical, therapeutic and diagnostic procedures; monitoring and restoring homeostasis in perioperative and critically ill patients; diagnosing and treating painful syndromes, managing cardiac and pulmonary resuscitation.
Ability to communicate effective orally/in writing with a diverse group of professional staff and management officials.
Responsible for the implementation and management of in-hospital therapeutic modalities and timely discharge planning and disposition.
Perioperative care of selected surgical patients including but not limited to Orthopedics, Otolaryngology, Plastics, Urology, Neurosurgery.
Administration of general anesthesia (inhalation and intravenous) including invasive monitoring and regional anesthesia including: spinal, epidural, and peripheral nerve blocks.
Placement of venous catheters, arterial lines, and chest tubes;arterial catheters and interpretation of arterial pressures and wave forms; and pulmonary artery catheters and interpretation of pressures/wave forms.
Diagnostic Echocardiography, including placement of ECHO probe.
Airway management including cricothyroidotomy.
Bronchoscopy and other routine ICU procedures.
Management of ventilator dependent patients and one lung ventilation.
Supervision of CRNA staff, physician residents, mid-level practitioners, and medical students in the comprehensive medical management of all patient care.
Accurate documentation of care in the medical record.
Providing guidance for the APNs on the Perioperative surgical service whose function it is to respond to facility wide Rapid Response Team (RRT) calls.
Teaching medical students, residents, fellows, and ACNP students as required.
Taking part in departmental Journal Club and MM&I activities.
Evaluation and supervision of mid-level practitioners.
Assisting with creation of policies and standard operating procedures for safe operations of the operating room, intensive care unit, and Perioperative Surgical Home.
Meet relevant service level and medical center performance measures
Serve on TVHS, VISN, and/or National VA committees or task forces specifically relating to assessment, and/or intervention issues associated with the Health Promotion and Disease Prevention.
Represents Anesthesiology on decision-making committees with the Healthcare System.
Actively participates in leadership roles on local, state, and/or national professional organizations specific to Anesthesiology, Pain Management, and Critical Care.
Comprehensive perioperative care of the surgical patient.
English Language Proficiency: Must be proficient in spoken and written English.
Citizenship: Citizen of the United States. (Non-citizens may be appointed when no qualified citizens are available in accordance with regulations issued by the Under Secretary for Health or designee).
Education: Degree of doctor of medicine or equivalent degree resulting from a course of education in medicine or osteopathic medicine. The degree must have been obtained from one of the schools approved by the Secretary of Veterans Affairs for the year in which the course of study was completed. Approved schools are: Schools of medicine holding regular institutional membership in the Association of American Medical Colleges for the year in which the degree was granted, schools of osteopathic medicine approved by the American Osteopathic Association for the year in which the degree was granted, schools (including foreign schools) accepted by the licensing body of a State, Territory, or Commonwealth (i.e., Puerto Rico) or in the District of Columbia as qualifying for full or unrestricted licensure.
Licensure: Current, full, and unrestricted license to practice medicine or surgery in a State, Territory, or Commonwealth of the United States, or in the District of Columbia. The physician must maintain current registration in the state of licensure if this is a requirement for continuing active, current licensure.
First-Year Residency (Internship): Completed a first-year residency, or its equivalent, approved by the Secretary of Veterans Affairs for the year in which it was completed. For a VA resident, the appropriate Deans Committee and Resident Review Board may recommend appointment on the basis of the candidate's acceptability for residency training.
Approved residencies are:
(1) Those approved by the Council on Medical Education and Hospitals, American Medical Association, in the list published for the year the residency was completed,
(2) Other residencies or their equivalents which the Professional Standards Board determines to have provided an applicant with appropriate professional training. The Board may determine that the residency requirement has been met if the candidate has completed 1 year of postgraduate education.
Must be board certified or eligible
1. Board Certifiedin Anesthesiology.
2.Residency in Anesthesiology.
3. Fellowship in Critical Care.
2. American Heart Association Basic Life Support Certificate (AHA-BLS) and Advanced Cardiovascular Life Support (ACLS).
Loss of Credential. An employee in this occupation who fails to obtain licensure/certification/registration within the required time frame, or who fails to maintain the required licensure/certification/registration must be removed from the occupation, which may also result in termination of employment.
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; religions; spiritual; community; student; social). Volunteer work helps build critical competencies, knowledge, and skills and can provide valuable training and experience that translates directly to paid employment. You will receive credit for all qualifying experience, including volunteer experience.
Reference: VA Handbook 5005/27, Part II, Appendix G-2 PHYSICIAN QUALIFICATION STANDARD. This can be found in the local Human Resources Office.
DESIGNATED DRUG-TESTING POSITION: 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. Applicants will not be appointed to the position if a verified positive drug test result is received. [If applicable]
Physical Demands: This position may require prolonged standing and/or sitting for greater than 4 hours and repetitive stooping, bending, squatting, and or carrying items from one area to another.?, Lifting 30 pounds or more may be required.
Work Environment: Work environment involves everyday risks or discomforts of a medical center/hospital environment that require normal safety precautions typical of places such as offices, meeting and training rooms, or libraries. The workspace is adequately lighted, heated and ventilated.
You must provide a complete Application Package which includes:
* Occupational Questionnaire.
* Copy of your transcript when using education to qualify. (An official college transcript will be required before being hired)
* Copy of your professional license.
* Evidence of your eligibility to apply for this vacancy (please see checklist).
***If you are selected, you will be required to complete and return a Declaration for Federal Employment (OF 306) and the Application for Associated Health Occupations (VA 10-2850) - you may include them with your application package.
Please use this checklist to ensure you have included other documents required for your application, such as a copy of your transcript (if using education to qualify), documentation to support Veterans Preference claims, or ICTAP/CTAP documentation (for displaced Federal employees). You will not be contacted for additional information.
Veterans' Preference:When applying for Federal Jobs, eligible Veterans should claim preference for 5pt (TP), or 10pt (CP/CPS, XPP, XP), or for Sole Survivor Preference (SSP), on the Occupational Questionnaire in the section(s) provided. A legible copy of your DD214(s) indicating character of service, disability certification, SF-15 (if claiming 10 pt. preference) or if you are currently serving on active duty and expected to be released or discharged within 120 days; documentation related to your active duty service which reflects the dates of service, character of service (honorable, general, etc.), or dates of impending separation. Documentation is required for eligibility verification. For more information, please review the information for disabled Veterans in the application checklist or visit http://www.fedshirevets.gov/job/vetpref/index.aspx .
Faxing Applications or Supporting Documents: You are encouraged to apply online. Applying online will allow you to review and track the status of your application. If you are unable to apply online or unable to upload your supporting documents to your online application, follow the directions located at the following site: Fax Options. The Vacancy ID of the job opportunity announcement is 1984684.
NOTE: If you applied online and your application is complete, do not fax the paper application (1203-FX) as this will overwrite your prior online responses and may result in you being found ineligible.