Aspire Medical Staffing is a leading healthcare staffing agency searching for dedicated and experienced Certified Registered Nurse Anesthetists (CRNAs) to join our team at Audie L. Murphy VA Medical Center. As a CRNA at Aspire Medical Staffing, you will have the opportunity to contribute to providing top-notch anesthesia care to veteran patients. Location: Audie L. Murphy VA Medical Center 7400 Merton Minter, San Antonio, TX 78229 Compensation: $195/hr 1099 $10/hr on-call $250.00/hr for call back Weekday Coverage: a) Day Shift 6:30 a.m. 4:00 p.m. b) Evening Shift 9:30 a.m. 6:00 p.m. c) Call Shift 11:30 a.m.-8:00 p.m., pager call from home 8 p.m.- 7 a.m. Weekend Coverage: 7:00 a.m. Sat. 7:00 a.m. Mon. (On Call) CRNA(s) must be available within 30 minutes from receiving notification. On-call is on an as needed basis. Responsibilities: Shall be responsible for providing the most effective delivery of anesthetic care throughout the hospital while meeting and exceeding compliance standards. The CRNA(s) has responsibility for providing a complete range of anesthetic care to patients including pre-operative assessment, with intra operative anesthetic administration and monitoring, and post anesthesia care in compliance with the national Joint Commission accreditation standards. The CRNA(s) provides anesthesia-related care in all functional areas of the OR, PACU, ICU ward and clinic settings as needed. The CRNA will examine patients, obtain medical history and use diagnostic tests to determine risk during surgical and other medical procedures. The Anesthesiologist will coordinate and direct work during medical procedures with CRNA(s). The CRNA(s) will administer anesthetic during medical procedures, using local, intravenous, spinal or caudal methods. The CRNA(s) will coordinate the administration of anesthetics with surgeons during procedures in operating rooms. The CRNA(s) will provide and maintain life support and airway management as needed and help prepare patients for emergency surgery. The CRNA(s) will decide when patients have recovered or stabilized enough to be sent to another room or ward or to be sent home following surgery. ADMINISTRATIVE: estimated 10% of time not involved in direct patient care. Quality Improvement Meetings: The Contractor s CRNA(s) shall participate in continuous quality improvement activities and meetings with committee participation as required by the VA facility Chief of Service, Chief of Staff, or designee. Staff Meetings: The Contractor s CRNA(s) shall attend staff meetings as required by the VA facility Chief of Service, Chief of Staff, or designee. Contractor to communicate with COR on this requirement and report any conflicts that may interfere with compliance with this requirement. Patient Safety Compliance and Reporting: CRNA(s) shall follow all established patient safety and infection control standards of care. CRNA(s)(s) shall make every effort to prevent medication errors, falls, and patient injury caused by acts of commission or omission in the delivery of care. All events related to patient injury, medication errors, and other breeches of patient safety shall be documented in the medical record of those impacted and disclosed to the patient or surrogate. As soon as practicable (but within 24 hours) Qualifications: Graduate of an accredited nurse anesthesia educational program, masters prepared, approved by the American Association of Nurse Anesthetists (AANA) at the time the program was completed by the applicant. Current National Board Certification as a Nurse Anesthetist (NBCRNA) Active and unrestricted nursing/CRNA license to practice in any State, Territory, or Commonwealth of the United States or the District of Columbia when services are performed onsite on VA property. All licenses held by the key personnel working on this BPA shall be full and unrestricted licenses. CRNA(s) who have current, full and unrestricted licenses in one or more states, but who have, or ever had, a license restricted, suspended, revoked, voluntarily revoked, voluntarily surrendered pending action or denied upon application will not be considered for the purposes of this BPA. BLS and ACLS certifications <img src="https://www.jobg8.com/Tracking.aspx?QCpNBDQkgIsEXEAbeYyUAwd" width="0" height="0" />

**Certified Registered Nurse Anesthetist (CRNA)**

Aspire Medical Staffing is a leading healthcare staffing agency searching for dedicated and experienced Certified Registered Nurse Anesthetists (CRNAs) to join our team at Audie L. Murphy VA Medical Center. As a CRNA at Aspire Medical Staffing, you will have the opportunity to contribute to providing top-notch anesthesia care to veteran patients.

**Location**

Audie L. Murphy VA Medical Center  
7400 Merton Minter, San Antonio, TX 78229

**Compensation**

- $195/hr 1099
- $10/hr on-call
- $250.00/hr for call back

**Job Description**

- Weekday Coverage:
  - Day Shift 6:30 a.m. - 4:00 p.m.
  - Evening Shift 9:30 a.m. - 6:00 p.m.
  - Call Shift 11:30 a.m. - 8:00 p.m., pager call from home 8 p.m. - 7 a.m.
  
- Weekend Coverage:
  - 7:00 a.m. Saturday to 7:00 a.m. Monday (On Call)

- CRNA(s) must be available within 30 minutes from receiving notification.
- On-call is on an as-needed basis.

- Responsibilities:
  - Provide the most effective delivery of anesthetic care throughout the hospital while meeting and exceeding compliance standards.
  - Responsible for providing a complete range of anesthetic care to patients including pre-operative assessment, intra-operative anesthetic administration and monitoring, and post-anesthesia care in compliance with the national Joint Commission accreditation standards.
  - Provide anesthesia-related care in all functional areas of the OR, PACU, ICU ward, and clinic settings as needed.
  - Examine patients, obtain medical history, and use diagnostic tests to determine risk during surgical and other medical procedures.
  - Coordinate and direct work during medical procedures with anesthesiologists.
  - Administer anesthetic during medical procedures using local, intravenous, spinal, or caudal methods.
  - Coordinate the administration of anesthetics with surgeons during procedures in operating rooms.
  - Provide and maintain life support and airway management as needed and help prepare patients for emergency surgery.
  - Decide when patients have recovered or stabilized enough to be sent to another room or ward or to be sent home following surgery.

**Administrative Responsibilities**

- Estimated 10% of time not involved in direct patient care.

**Quality Improvement Meetings**

- Participate in continuous quality improvement activities and meetings with committee participation as required by the VA facility Chief of Service, Chief of Staff, or designee.

**Staff Meetings**

- Attend staff meetings as required by the VA facility Chief of Service, Chief of Staff, or designee. Communicate with COR on this requirement and report any conflicts that may interfere with compliance.

**Patient Safety Compliance and Reporting**

- Follow all established patient safety and infection control standards of care.
- Make every effort to prevent medication errors, falls, and patient injury caused by acts of commission or omission in the delivery of care.
- Document all events related to patient injury, medication errors, and other breaches of patient safety in the medical record of those impacted and disclose to the patient or surrogate as soon as practicable (but within 24 hours).

**Qualifications**

- Graduate of an accredited nurse anesthesia educational program, masters prepared, approved by the American Association of Nurse Anesthetists (AANA) at the time the program was completed by the applicant.
- Current National Board Certification as a Nurse Anesthetist (NBCRNA).
- Active and unrestricted nursing/CRNA license to practice in any State, Territory, or Commonwealth of the United States or the District of Columbia when services are performed onsite on VA property.
- All licenses held by key personnel working on this BPA shall be full and unrestricted licenses. CRNA(s) who have current, full and unrestricted licenses in one or more states but who have ever had a license restricted, suspended, revoked, voluntarily revoked, voluntarily surrendered pending action or denied upon application will not be considered for the purposes of this BPA.
- BLS and ACLS certifications.

Certified Registered Nurse Anesthetist (CRNA)

We are seeking a dedicated and highly skilled Psychiatry Nurse Practitioner to join our multidisciplinary mental health team at the Branch Health Clinic-Oceana. The ideal candidate will possess a comprehensive understanding of psychiatric care, demonstrate exceptional patient assessment skills, and have experience managing a broad spectrum of mental health conditions across diverse populations. As a Psychiatry Nurse Practitioner, you will deliver high-quality, patient-centered care through clinical evaluation, medication management, and collaborative treatment planning. Your expertise will contribute to improving mental health outcomes within our community and support our mission to provide accessible, compassionate psychiatric services.Schedule: Monday through Friday, between the hours of 0730 and 1600 hours.<ul><li>Shifts will normally be scheduled for an eight and half (8.5) hour period, to include an uncompensated thirty (30) minute lunch break. In no instance will you be required to provide services in excess of eighty (80) hours per two-week period.</li></ul>Location: Branch Health Clinic Oceana620 JOHN PAUL JONES CIRPORTSMOUTH, VA 23708Qualifications:<ul><li>Education: at minimum a Master's degree in Nursing. Graduate from an academic program, within the nursing specialty field of study that is accredited by a regional or national nursing accrediting agency recognized by the Accreditation Commission for Education in Nursing (ACEN) or the Commission on Collegiate Nursing Education (CCNE).</li><li>License: Current, full, active, and unrestricted license as a Registered Nurse Practitioner</li><li>Certifications: BLS certification, and Possess and maintain current certification as an Adult or Family Psychiatric-Mental Health Practitioner by the American Nurses Credentialing Center (ANCC).</li><li>Experience: Possess a minimum of one (1) year of full-time experience as a Psychiatric Nurse Practitioner within the preceding three (3) years.</li><li>Have successfully completed thirty (30) hours of education in pharmacology for advance nursing practice.</li><li>Have the ability and training to prescribe to and manage patients on psychiatric medications.</li></ul>DutiesShall provide services within the scope of their competencies, the applicable duties provided in the basic contract, and the following:<ul><li>A. Analyze the results of the health care plan, modify the health care plan as needed, and implement and participate in follow-up.</li><li>B. Participate in the review and evaluate the care provided to patients, identify opportunities to improve the care delivered, and recommend corrective action when problems exist. Should a meeting occur outside of the HCW s regular working hours, the HCW shall be required to read and initial the minutes of the meeting.</li><li>C. Adhere to departmental and hospital safety guidelines.</li><li>D. Obtain and accurately documents a relevant health history, with an emphasis on mental history.</li><li>E. Perform comprehensive mental health assessments and psychiatric evaluations.</li><li>F. Analyze the relationship between normal physiology and specific system alterations associated with mental health problems, psychiatric disorders, and treatment.</li><li>G. Identify and analyzes factors that affect mental health such as genetics, family environment trauma, psychodynamics, culture & ethnicity, etc.</li><li>H. Conduct a comprehensive multigenerational family assessment.</li><li>I. Assess the impact of acute and/or chronic physical illness, psychiatric disorders, and stressors on the family system.</li><li>J. Performs and accurately documents appropriate systems and symptom-focused physical examinations, with emphasis on the mental status exam and neurological exam.</li><li>K. Develop a treatment plan for mental health problems and psychiatric disorders based on biopsychosocial theories, evidence-based standards of care, and practice guidelines.</li><li>L. Conduct individual, group, and/or family psychotherapy.</li><li>M. Treat acute psychiatric disorders and mental health problems.</li><li>N. Obtain patient health and developmental history and perform/record a health appraisal including physical assessment and evaluation.</li><li>O. Differentiate between normal findings and those that require consultation and/or referral.</li><li>P. Diagnose and treat patients with common acute conditions, illnesses or minor trauma within legally accepted protocols, Nurse Practice Acts, in collaboration with a physician</li><li>Q. Order diagnostic tests as applicable.</li><li>R. Formulate a health care plan for patients presenting for treatment to the emphasizing self-care responsibility through the participation of the patient, family, physician and other health care professionals.</li><li>S. Collaborate with the physician in the health care of patients with chronic illnesses.</li><li>T. Request consultation or referrals with appropriate physicians, clinics, or other health resources as indicated.</li><li>U. Prescribe and dispense medications as delineated by the Pharmacy and Therapeutics Committee.</li><li>V. Promote preventive and health maintenance care, including annual physicals, positive health behaviors, and self-care skills through education and counseling.</li><li>W. Implement and participate in patient follow-up and modify the health care plan as needed.</li><li>X. Maintain patient records in accordance with Military Treatment Facility (MTF) requirements.</li><li>Y. Collect and record all examination data in proper format for review, approval and/or recommendation by physician.</li></ul>Call Trinese Barnett at for more information regarding this amazing opportunity.<img src="https://www.jobg8.com/Tracking.aspx?1KvIdD9kOeeYO%2fDJwAfXDgi" width="0" height="0" />

**Psychiatry Nurse Practitioner**

We are seeking a dedicated and highly skilled Psychiatry Nurse Practitioner to join our multidisciplinary mental health team at the Branch Health Clinic-Oceana. The ideal candidate will possess a comprehensive understanding of psychiatric care, demonstrate exceptional patient assessment skills, and have experience managing a broad spectrum of mental health conditions across diverse populations. As a Psychiatry Nurse Practitioner, you will deliver high-quality, patient-centered care through clinical evaluation, medication management, and collaborative treatment planning. Your expertise will contribute to improving mental health outcomes within our community and support our mission to provide accessible, compassionate psychiatric services.

**Job Description**

- Schedule: Monday through Friday, between the hours of 0730 and 1600 hours.
- Shifts will normally be scheduled for an eight and half (8.5) hour period, to include an uncompensated thirty (30) minute lunch break. In no instance will you be required to provide services in excess of eighty (80) hours per two-week period.
- Location: Branch Health Clinic Oceana, 620 John Paul Jones Cir, Portsmouth, VA 23708.

**Requirements**

- Education: At minimum a Master's degree in Nursing. Graduate from an academic program within the nursing specialty field of study that is accredited by a regional or national nursing accrediting agency recognized by the Accreditation Commission for Education in Nursing (ACEN) or the Commission on Collegiate Nursing Education (CCNE).
- License: Current, full, active, and unrestricted license as a Registered Nurse Practitioner.
- Certifications: BLS certification, and possess and maintain current certification as an Adult or Family Psychiatric-Mental Health Practitioner by the American Nurses Credentialing Center (ANCC).
- Experience: Possess a minimum of one (1) year of full-time experience as a Psychiatric Nurse Practitioner within the preceding three (3) years.
- Have successfully completed thirty (30) hours of education in pharmacology for advanced nursing practice.
- Have the ability and training to prescribe to and manage patients on psychiatric medications.

**Duties**

- Analyze the results of the health care plan, modify the health care plan as needed, and implement and participate in follow-up.
- Participate in the review and evaluate the care provided to patients, identify opportunities to improve the care delivered, and recommend corrective action when problems exist. Should a meeting occur outside of the HCW's regular working hours, the HCW shall be required to read and initial the minutes of the meeting.
- Adhere to departmental and hospital safety guidelines.
- Obtain and accurately document a relevant health history, with an emphasis on mental history.
- Perform comprehensive mental health assessments and psychiatric evaluations.
- Analyze the relationship between normal physiology and specific system alterations associated with mental health problems, psychiatric disorders, and treatment.
- Identify and analyze factors that affect mental health such as genetics, family environment trauma, psychodynamics, culture & ethnicity, etc.
- Conduct a comprehensive multigenerational family assessment.
- Assess the impact of acute and/or chronic physical illness, psychiatric disorders, and stressors on the family system.
- Perform and accurately document appropriate systems and symptom-focused physical examinations, with emphasis on the mental status exam and neurological exam.
- Develop a treatment plan for mental health problems and psychiatric disorders based on biopsychosocial theories, evidence-based standards of care, and practice guidelines.
- Conduct individual, group, and/or family psychotherapy.
- Treat acute psychiatric disorders and mental health problems.
- Obtain patient health and developmental history and perform/record a health appraisal including physical assessment and evaluation.
- Differentiate between normal findings and those that require consultation and/or referral.
- Diagnose and treat patients with common acute conditions, illnesses or minor trauma within legally accepted protocols, Nurse Practice Acts, in collaboration with a physician.
- Order diagnostic tests as applicable.
- Formulate a health care plan for patients presenting for treatment emphasizing self-care responsibility through the participation of the patient, family, physician, and other health care professionals.
- Collaborate with the physician in the health care of patients with chronic illnesses.
- Request consultation or referrals with appropriate physicians, clinics, or other health resources as indicated.
- Prescribe and dispense medications as delineated by the Pharmacy and Therapeutics Committee.
- Promote preventive and health maintenance care, including annual physicals, positive health behaviors, and self-care skills through education and counseling.
- Implement and participate in patient follow-up and modify the health care plan as needed.
- Maintain patient records in accordance with Military Treatment Facility (MTF) requirements.
- Collect and record all examination data in proper format for review, approval and/or recommendation by physician.

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