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Lake City, Florida, Summary PLEASE READ THE COMPLETE ANNOUNCEMENT TO ENSURE YOU UNDERSTAND THE QUALIFICATION REQUIREMENTS AND SUBMIT A COMPLETE APPLICATION PACKET. This is an OPEN CONTINUOUS ANNOUNCEMENT. Applications will be accepted on an ongoing basis and will remain on file through Thursday - December 31 -2026. The first cut-off date is Monday - April 6 - 2026. Eligible applicants will then be referred every 2 weeks until positions are filled. Applications will only be accepted from The Public. Qualifications Applicants pending the completion of educational requirements may be referred and tentatively selected but may not be hired until the education requirements are met. Basic Requirements: All applicants must meet the following basic qualifications United States Citizenship: Must be a US Citizen Education A master's or doctoral degree in nurse anesthesia Nursing education must be from a school of professional nursing anesthesia accredited by Council on Accreditation of Nurse Anesthesia Education Programs (COA) at the time the program was completed by the applicant License Active - current - full and unrestricted CNA license to practice as a CNA or equivalent - in a State - Territory or Commonwealth of the United States or in the District of Columbia Certification Must possess and maintain full and current board certification by the National Board of Certification and Recertification for Nurse Anesthetists (NBCRNA) or an equivalent Nurse Anesthetist certification recognized by the COA English Language Proficiency In accordance with 38 U.S.C. 7403(f) - no person shall serve in direct patient care positions unless they are proficient in basic written and spoken English NOTE: Grandfathering Provision - All persons currently employed in VHA in 0610 series and an APN (CNA) assignment that are also performing the duties as described in the qualification standard on the effective date of the standard (1/29/2024) are considered to have met all qualification requirements for the grade held including positive education and licensure/certification Grade Determination: In addition to the basic qualification requirements - the grade level of a CNA is based on a combination of education - experience - and knowledge - skills and abilities Exception to Licensure for Graduate Nurse Technicians Candidates who otherwise meet the basic requirements - but do not possess the required APN (CNA) licensure and/or certification - may be appointed at the entry step of the Nurse II - as a Nurse Anesthetist on a temporary appointment up to any period not-to-exceed one year and a day under the authority of 38 U.S.C. § 7405(c)(2)(B) Certified Nurse Anesthetist) II: Education and Experience Requirement Nurse II is considered the entry grade level for APN (CNAs) no experience is required Demonstrated Knowledge - Skills - and Abilities The following list of knowledge - skills and abilities present the minimum skill set expected of an Entry Level CNA Entry level into practice may include but are not limited to the following: Ability to translate into anesthesia care the principles of professional nursing practice including the patients' rights to autonomy - dignity - privacy - and safety Knowledge of current research and practice guidelines to frame anesthesia practice including up to date techniques - pharmacology - and equipment Ability to obtain - document and verify informed anesthesia consent and perform a pre-anesthetic patient history and physical - which includes managing pre-operative consults and interpreting data Ability to formulate a patient-specific anesthetic plan and describe salient anesthetic risks - benefits - and options to the patient Ability to administer inhalational - regional - intravenous - local - and topical anesthetics Skill in detecting and treating anesthesia or surgically related physiologic changes and ability to treat accordingly in order to maintain homeostasis Skill in assessing patient status for appropriateness of transfer of care to another healthcare provider and communicating essential patient information to other providers effectively Ability to participate in collaborative responsibility for proper patient positioning - physiologic monitoring - infection control and anesthesia documentation Skill in responding to emergency situations by providing airway management - fluid and medication administration - invasive line insertion and management and the use of advanced cardiac life support techniques Ability to provide patient care that is abreast of changing concepts and advancements in the profession - (e.g. - ultrasound techniques.) Ability to practice anesthesia in an interdisciplinary environment utilizing a collaborative concept of anesthesia care Knowledge of quality improvement processes to maintain ongoing review and evaluation of anesthesia care to improve outcomes Ability to demonstrate a practice emphasis on safety - current established guidelines and protocols while recognizing the duty to report unsafe conditions or errors Certified Nurse Anesthetist III: Education and Experience Requirement: One year of specialized APN (CNA) experience equivalent to the APN (CNA) II grade level Demonstrated Knowledge - Skills - and Abilities: Progressively responsible experience in the administration of anesthetics as indicated in the knowledge - skills and abilities listed below Ability to plan - administer and manage anesthesia for a broad range of complex surgical procedures skillfully employing continuous assessment and anesthetic adaptation based on patient response and comorbidities Work assignments will vary by facility Ability to participate in assignments that are technically challenging - encompass a variety of anesthetizing locations and utilize advanced equipment and procedures while adapting techniques to solve various complex anesthesia problems including the development of individualized programs of post-op anesthesia care Skill in responsibility and accountability to perform to the extent of the CNA standards of practice as a licensed healthcare professional in any model of anesthesia practice Ability to contribute to the educational mission as a mentor or preceptor providing didactic and clinical instruction in anesthesia to student nurse anesthetists - medical and dental residents - and other health care trainees Knowledge to participate in the development - implementation and maintenance of auditing processes that ensure and improve the quality and consistency of anesthesia and associated documentation Ability to contribute to departmental administrative processes through quality assurance - shared governance - or committee representation as applicable Ability to serve as a representative on interdisciplinary teams to establish and maintain guidelines and communication Skill demonstrated in the ability to embrace the safety culture emphasis by continuously assessing for safety risks - actively reporting safety concerns - and maintaining a just culture by identifying faults in systems rather than individuals Reference: For more information on this qualification standard - please visit https://www.va.gov/ohrm/QualificationStandards/ The full performance level of this vacancy is Grade III The actual grade at which an applicant may be selected for this vacancy is in the range of Grade II to III Physical Requirements: Must pass a pre-employment physical examination as required by VA Handbook 5019 This examination is administered by VA Occupational Health This position requires moderate lifting up to 44 lbs. - carrying objects up to 15 lbs. - frequent reaching above shoulder - use of fingers - hands and legs - use of cranes and motor vehicles - walking & standing up to 8 hours - bending and climbing and able to hear whisper The incumbent must be physically - emotionally and mentally stable in order to efficiently perform the essential functions of this position without hazard to themselves or others. Duties ***THIS ANNOUNCEMENT HAS BEEN CHANGED TO UPDATE THE DECRIPTION OF THE WORK SCHEDULE *** The North Florida/ South Georgia VA Healthcare System Anesthesiology Service is seeking an experienced and dynamic Certified Nurse Anesthetist (CNA) Our ideal applicants are those who want to contribute to the achievement of quality care standards - as well as the growth and development of a VA academic hospital program This position is eligible for the Education Debt Reduction Program (EDRP) - a student loan payment reimbursement program You must meet specific eligibility requirements per VHA policy and submit your EDRP application within four months of appointment Program Approval - award amount (up to $200 -000) & eligibility period (one to five years) are determined by the VHA Education Loan Repayment Services program office after review of the EDRP application Former EDRP participants ineligible to apply As a Licensed Independent Provider - the Certified Nurse Anesthetist practices autonomously and in coordination with health care professionals and other individuals The incumbent collaborates closely with surgeons and other healthcare professionals to ensure safe and effective anesthesia delivery to patients Must be an excellent communicator and team player who is adaptable to the needs of a growing medical center Other duties and responsibilities include - but are not limited to: Performing pre-anesthesia evaluations - preparing anesthesia plan - delivering all forms of anesthesia - and following up on all general anesthesia cases Providing emergency airway and resuscitation management throughout the facility Performing pre-anesthetic patient history and physical - including the collection of preoperative consults and data from which an appropriate anesthetic plan is formulated Administering inhalation - regional - intravenous - local - and topical anesthetics and continuously evaluating the patient's physical status and responses to anesthesia Performing post-anesthetic management of patients to optimize the recovery from anesthesia and minimize pain Maintaining clear communication with surgeons - other healthcare providers - and patients regarding the anesthetic plan and any changes during the procedure Ensuring anesthetic services delivered throughout the facility are of the highest quality to promote patient safety - satisfaction - and improve outcomes and efficiencies Developing and implementing a comprehensive anesthesia plan of care for patients requiring local - regional - general - and monitored anesthesia both inside and outside the Operating Room (OR) suite Functioning as resource for staff education and is willing to be a preceptor and adjunct clinical faculty for health care trainees rotating through the facility Providing anesthetic services within five general categories to include: pre-anesthesia evaluation and preparation anesthesia induction - maintenance - and emergence post anesthesia care peri-anesthetic and clinical support functions and emergency response techniques Other related duties as assigned VA offers a comprehensive total rewards package: VA Nurse Total Rewards Pay: Competitive salary - regular salary increases - potential for performance awards Paid Time Off: 50 days of paid time off per year (26 days of annual leave - 13 days of sick leave - 11 paid Federal holidays per year) Retirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA Insurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement) Licensure: 1 full and unrestricted license from any US State or territory Work Schedule: Monday - Friday - 7:30 am - 4:00 pm (Note: Work schedules are determined and approved by the supervisor The incumbent may be required to work various shifts on a permanent or temporary basis based on facility/patient care needs) Telework: Not Available Virtual: This is not a virtual position Relocation/Recruitment Incentives: Not Authorized Education Debt Reduction Program (Student Loan Repayment): Authorized Former EDRP participants are not eligible to apply for EDRP Contact the VISN 8 Compensation Center of Excellence at VISN8CCOE@va.gov for questions/assistance Learn more Permanent Change of Station (PCS): Not Authorized

Hopkinsville, Kentucky, Summary The Nurse Practitioner practices in Primary Care Service to provide a full range of services emphasizing quality - timeliness - and the advancement of the Veterans Affairs (VA) mission. The NP provides advanced clinical practice - consultation - and management. Responsible for administrative tasks associated with clinic operations - provides leadership and direction to support staff assigned to their PACT (Patient Aligned Care Team). Duties NP NY60 pay scale The NP practices to the full extent of their education - training - and certification Core functions are outlined in the clinical privileges that correspond with this position The NP has prescriptive authority for a panel of patients or program as indicated by their position The NP is a licensed independent practitioner with advanced education and national certification who provides evidence-based care for a population of patients Major duties and responsibilities of the position: Independently manages a panel of patients with acute and chronic health conditions with an emphasis on health promotion and disease prevention using evidence-based practice Develops and implements an individualized plan to achieve optimal population health and disease management Demonstrates leadership and works collaboratively with Primary Care Team and other interdisciplinary team members Performs histories and physical exams Provides appropriates documentation to minimally include history - physical exam findings - diagnosis - definitive care plan and disposition of the patient Ensure that each patient is provided a list of current medications and an appointment list as close-out Ensure that patient encounters are appropriately closed-out including disposition that clearly indicates the next steps of care Communicates test results to patients Orders and interprets labs - tests - and diagnostic studies Prescribes pharmacologic and non-pharmacologic interventions Initiates referrals and consults to specialty services Provides education to patients and their families Assesses and adjusts the plan of care as needed to achieve optimal patient outcomes Exemplifies the ICARE core values of-Integrity - Commitment - Advocacy - Respect - and Excellence Must have an active drivers license and be able to drive a government car to Veteran's homes Other duties as assigned VA offers a comprehensive total rewards package: VA Nurse Total Rewards Pay: Competitive salary - regular salary increases - potential for performance awards Paid Time Off: 50 days of paid time off per year (26 days of annual leave - 13 days of sick leave - 11 paid Federal holidays per year) Retirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA Insurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement) Licensure: 1 full and unrestricted license from any US State or territory Work Schedule: 8am-4:30pm Telework: Available Virtual: This is not a virtual position Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized

Wichita, Kansas, Summary Robert J. Dole VA Medical Center is designated as a Pathway to Excellence facility! American Nurses Credentialing Center (ANCC) designates organizations that empower and give voices to nurses! JOIN OUR TEAM. Qualifications Basic Requirements: United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy English Language Proficiency In accordance with 38 U.S.C. 7402(d) - no person shall serve in direct patient care positions unless they are proficient in basic written and spoken English Education - Graduate of a school of practical or vocational nursing approved by the appropriate State agency and/or accredited by the National League for Nursing Accrediting Commission (NLNAC) at the time the program was completed by the applicant Exceptions include health care education in the military service or training in the military service which is accepted by the licensing body in the jurisdiction in which the individual is licensed as qualifying for full LPN/LVN licensure will be accepted as meeting the education requirements for VHA employment OR granted a license by a jurisdiction that does not require graduation from an approved school AND have at least one year of successful practice as an LPN/ LVN Licensure - Active - full - current and unrestricted licensure as a Graduate Licensed Practical or Vocational Nurse in a State - Territory - or Commonwealth (i.e. - Puerto Rico) - of the United States or the District of Columbia Grade Determinations: In addition to the basic requirements stated above - the following qualification criteria must be met for each grade The candidate's qualifications must clearly demonstrate the level of competence required for the grade GS-03 None beyond the basic requirements LPNs at this grade level are expected to perform all duties within the scope of their license (e.g. - medication administration) however - completed work may require routine or detailed higher level review depending upon the complexity of the duties involved GS-04 (a) Six months of qualifying experience as an LPN or LVN or (b) Graduation from an approved school (which may be waived as provided in paragraph 4 of Section C) and one year of experience that involved nursing care work in a hospital - outpatient clinic - nursing home - or other supervised medical - nursing - or patient care facility that provided a practical knowledge of human body structure and sterile techniques and procedures or (c) Graduation from an approved school of at least 24 months duration GS-05 Completion of at least 1 year of qualifying experience at the GS-4 level or equivalent AND must demonstrate the following: Demonstrated knowledge and ability to provide a full range of practical nursing care to patients with a variety of physical and/or behavioral problems [Works with the RN and/or MD/DO to appropriately orient/train less experienced LPNs/LVNs and/or Nursing Assistants (NAs)/Health Technicians (HTs) in relation to acceptable standards of practice in promoting optimal patient care delivery Provides effective education to patients and/or family members in relation to common disease processes - medication - and /or prescribed treatment regimes.] Demonstrated ability to serve as a responsible member of the nursing team and interact [in an appropriate manner] with patients - family members - professional and [other] supportive personnel [involved in the delivery of] patient care - [incorporating acceptable - established customer service standards into practice Knowledge and skill sufficient to prepare - administer - and appropriately document actions taken specific to commonly prescribed oral - topical - subcutaneous - intramuscular - and/or intravenous medications as permitted by approved local facility policies and procedures Observation and documentation will include patient's response to medication administered and the reporting of any noted change in patient's condition to RN or MD/DO Knowledge and ability to recognize the need for and to institute emergency measures when indicated - promptly seek the assistance of the RN or MD/DO - and assist in resuscitation procedures in cardiac and/or pulmonary arrest Recognizes and appropriately responds to breakage/malfunction or loss of equipment - safety hazards - and supply deficiencies - promptly reporting to appropriate personnel for corrective action Completed work is under the general supervision of an RN or MD/DO Individuals at this grade level are expected to have a broad working knowledge of practical nursing procedures However - completion of more complex practices or procedures may be subject to closer higher-level review GS-06 Completion of at least [one (1)] year of [additional] qualifying experience at the GS-5 level or equivalent [ - fully meeting all performance requirements for the GS-5 LPN/LVN AND must demonstrate the following: Technically proficient in initiating - performing and completing assigned duties in providing care to variable patient populations Knowledge and ability to appropriately carry out assigned patient care based on the patients' conditions to use judgment in selecting the appropriate order and sequence of procedures and treatments and to accurately recognize - report and record relevant] patient information Completed work [should need] only a general review by a registered nurse [(RN) or physician (MD/DO)] for appropriateness and conformity with established policies/procedures Ability to observe - identify and respond to the patient's needs for care - including medication - equipment-assisted care and patient/family education In organizing and delivering care - the LPN/LVN recognizes and considers emotional - cultural - spiritual - socio-economic - and age-related factors Prepares and administers prescribed medications (oral - topical - subcutaneous - intramuscular and/or intravenous) and performs treatments according to established policies/procedures Observes for physical and/or emotional changes in patient's condition from prescribed medications/treatments - promptly and accurately documenting noted changes - and reporting any deviations from normal to RN or MD/DO Knowledge and ability to recognize urgent or emergent patient care situations - seek assistance of the RN and/or MD/DO - and initiate appropriate emergency interventions as directed Knowledge and understanding of human behavior - patient motivations and reactions to situations - and ability to appropriately utilize this knowledge in working effectively with patients - family members - and other staff Establishes constructive relationships with individual patients and their families to elicit feelings and attitudes - and to promote positive relationships - communication and socialization skills Fosters an environment of respect for individual patient and family rights to privacy and dignity in all aspects of care delivery Effectively incorporates knowledge and understanding of established customer service standards in all interactions with patients - family members - and/or other internal/external customers Knowledge and skill in performing support duties for complex diagnostic tests and/or specialized practices or procedures - which include preparing the patient - assisting in the diagnostic examination - preparing and handling specialized instruments or other specialized equipment - and monitoring the patient's condition before - during - and following the procedure Serves as a preceptor in orienting - educating - and training less experienced LPNs/LVNs or NAs/HTs related to support duties for these more complex - specialized tests/procedures Actively seeks out educational opportunities to enhance nursing knowledge and skills - sharing new knowledge gained with other staff to improve and advance nursing practice Preferred Experience: outpatient clinic experience is preferred Reference: For more information on this qualification standard - please visit https://www.va.gov/ohrm/QualificationStandards/ The full performance level of this vacancy is GS-06 The actual grade at which an applicant may be selected for this vacancy is in the range of GS-03 to GS-06. Duties The Robert J Dole VA Medical Center is seeking to hire an intermittent Licensed Practical Nurse to help serve our Veterans in our Specialty Care Department The primary purpose of the Licensed Practical Nurse (LPN) is to perform assigned duties in a manner that promotes quality health care - positive customer service and the maintenance of an environment committed to serving the Veteran.Duties include but not limited to: Performs assigned duties in a manner that promotes quality health care - outstanding customer service - and the maintenance of an environment committed to serving the veteran Functions as a member of the multidisciplinary team assisting with the delivery of care to patients in the outpatient clinic setting Provides a full range of services and nursing care to patients who present for or request assistance with a variety of mental - physical and/or behavior problems As an active member of the multidisciplinary care team this nurse understands the importance of reporting and recording - in the patient's computerized medical record - the care provided - pertinent interaction(s) and communication(s) with patients - family members - professional and supportive personnel Performs services requiring technical and manual skills and obtains basic patient data - e.g. - vital signs - weight - medication review - participates in planning - executes interventions in accordance with the treatment plan - and contributes to evaluation of individualized interventions related to treatment plan Will aid patients with various disabilities and levels of mobility utilizing appropriate safe patient handling equipment (lifts - slings - etc.) The LPN can recognize and report potential safety hazards and life-threatening emergencies and respond appropriately Participates in evaluating - planning - and executing interventions in accordance with the concept of good nursing care and per the patient's treatment plan Fosters/supports a learning environment by participation in the orientation of new employees - providing feedback as appropriate and seeking opportunities for self-improvement Primary commitment is to the patient Other duties as assigned Work Schedule: Intermittent - based on the needs of the clinics Salary will be pro-rated based on actual hours worked Recruitment Incentive (Sign-on Bonus): Not authorized Permanent Change of Station (Relocation Assistance): Not authorized Telework: Not available Virtual: This is not a virtual position Functional Statement #: 000000 Permanent Change of Station (PCS): Not authorized.