Advanced Practice Nurse (Nurse Anesthetist) - Madigan Army Medical Center, Tacoma, Washington

This is a Direct Hire Authority (DHA) solicitation utilizing the DHA for Certain Personnel of the DoD Workforce to recruit and appoint qualified candidates to positions in the competitive service.

About the Position: These positions are located in the Department of Surgery, Anesthesiology Service at the Madigan Army Medical Center in Tacoma, WA.

• A relocation incentive may be authorized.
• Salary negotiation may be available for those candidates who are new to Federal service.

Joint Base Lewis-McChord, WA

Madigan Army Medical Center is seeking a Advanced Practice Nurse (Nurse Anesthetist).  The Madigan Army Medical Center NICU is a tight-knit, collaborative, interdisciplinary team focused on providing high quality care to critically ill children. The Department has low patient-staff ratios with many training and learning opportunities. 

The facility is one of four Level II Trauma Centers in Washington State and participates in unique partnerships with civilian facilities to provide care to non-beneficiary trauma victims beyond the gates of Joint Base Lewis-McChord.

At Madigan you will practice alongside civilian and military health care experts and experience unique professional opportunities. Our staff serves by caring for our military but are not subject to military requirements. We operate within safe staffing standards - giving you time to provide exceptional care. 

Joint Base Lewis-McChord, its affiliated clinics and dental clinic are located at Fort Lewis, Washington, near the city of Tacoma. Madigan AMC is one of only three designated Level Two trauma centers within the U.S. Medical Command.

Tacoma is a progressive city of 200,000 nestled between Seattle and the state capital of Olympia. The region offers the attractions of larger metropolitan areas, with a hometown feel. World-class museums, hotels and theaters draw thousands to downtown Tacoma while the shores of the Puget Sound and Mount Rainier inspire outdoor enthusiasts. The Broadway Center for the Performing Arts, Chihuly Bridge of Glass, Emerald Downs Racetrack, Emerald Queen Casino, Fort Nisqually Living History Museum, Lakewold Gardens, and the Mount Rainier Scenic Railroad represent a small sampling of the region's varied entertainment options. The city offers excellent schools, universities, parks, festivals and regional shopping centers.


Madigan Army Medical Center
Joint Base Lewis McChord

Located in the beautiful Pacific Northwest on the Puget Sound, in Washington State, Joint Base Lewis-McChord (JBLM) is near the city of Lakewood, 10 minutes from Tacoma and 20 minutes from Olympia, the state capitol. JBLM is situated in a key location along Interstate 5, allowing easy access to Sea-Tac Airport and to the deep-water ports of Tacoma and Seattle. Although the Army and Air Force missions have changed over the years, one thing has not changed—the natural setting of the base. Majestic Mount Rainier looms on the horizon, towering over the other peaks of the Cascade Range. From the mountains to the deep waters of Puget Sound and the Pacific Ocean, the local areas abound in natural beauty and outdoor recreation opportunities. Camping, hunting, fishing, hiking, boating and now sports are a way of life in Washington State.

Working for the Department of Defense comes with an abundance of benefits and perks to include competitive compensation packages, paid-time off, medical benefits, student loan repayments, and retirement package with Thrift Savings Plan to include matching employer contributions. For more information, please visit the following link: https://www.usajobs.gov/Help/working-in-government/benefits/

MAJOR DUTIES:

1. Anesthetizes patients for a broad range of surgery extending from the simplest to the most complex of surgical procedures (e.g., neonate, major vascular, neurosurgery, etc.). Evaluates patient's physical and mental status with respect to anesthesia, consulting with the anesthesiologist, if necessary, to evaluate patient's condition and desired anesthetic course of action. Reviews type of anesthesia to be utilized with the patient, explains expected outcomes and possible anesthetic complications.

2. Determines appropriate techniques, drugs, and equipment for use in the administration of anesthesia to all patients undergoing any and all forms of surgical and/or diagnostic procedures. Administer anesthesia by inhalation, endotracheal intubation, intravenous, hypobaric and hyperbaric subarachnoid block, axillary block, intravenous block, trans-tracheal and superior laryngeal block, local infiltration, and topical application. Induces anesthesia to proper levels and manage patient's anesthetic care throughout surgery. Determines need for and administers parental fluids, including blood, and plasma. Set up intravenous solutions and maintain proper flow rate. Performs invasive monitoring techniques and interprets the information obtained through the use of these monitors. Administers vasopressor and hypotensive drugs as required. Observe the patient during surgery for signs to accomplish and maintain the proper stage of anesthesia and to prevent overdose. Adjusts the level of administration of anesthetic agents and adjunctive drugs and utilize proper methods to support patient's respiratory, circulatory, and renal functions. Gives immediate postanesthetic care to patients for the extent of time required to provide patient airway, adequate fluid volume and urinary output, and freedom from possibility of shock or other adverse reactions during transport to and stay in the recovery room. In emergency situations, when a physician is not present or immediately available, initiates appropriate measures, to include resuscitative measures during cardiac or respiratory arrest. Assumes responsibility for care, sanitation and inspection to ensure proper functioning of all equipment used.

3. Routinely administers, manages, evaluates and reports action of new anesthetic agents and drugs as well as experimental drugs. Participates as an Adjunct faculty member facilitating the conduct of approved research by students, and residents, designed to obtain and assess the conduct of anesthesia at MAMC. Assists in reporting finding which are statistically significant or represent improvements in national anesthesia practice. Supports research by direct or indirect participation to include data collection, interpretation and computation, preparation for publication, etc. (20%)

4. Provides clinical instruction to nursing students, interns and residents rotating through Anesthesia, and for other students learning venipuncture and airway management. Participates in weekly anesthesia conferences; arranges for guest and consultant speakers for in-service educational programs; prepares and presents in-service lectures and case studies for the purpose of providing knowledge and skills to certified registered nurse anesthetists, anesthesiologists, student nurses and other health care professionals and paraprofessionals.

5. Participates and cooperate with the anesthesia quality assurance committee to maintain and/or improve quality of care within the Department of Anesthesia. Participates in continuing professional education programs as prescribed by the Council on Recertification to meet the Army's requirement for mandatory biannual recertification. This is accomplished through seminars, conventions, university courses, in-service conferences, etc.

Perform other duties as assigned.