The position of APN (Nurse Anesthetist) is located in one of the
hospitals in the Billings Area Indian Health Service. Position
reports to Supervisory Physician (Surgery) or designee.
This position is being announced concurrently under Excepted
Service/Merit Promotion Plan procedures. Please review vacancy
announcement number IHS-21-BI-11011810-ESEP/MP for eligibility
requirements. NOTE: Applicants must apply separately for each
announcement in order to be considered.
Learn more about this agency
- Assess the pre-operative physical status by evaluating the
patient's clinical history, conduct physical exam to determine risk
involved for planned procedure.
- Administer regional and general anesthesia to either induce the
patient to the proper state of insensitivity or to induct narcosis
utilizing a variety of drugs and techniques.
- Manage the patient's condition throughout surgery to include:
interpret and utilize data from a variety of monitoring devices and
determine the need of applying appropriate supportive therapy.
- Manage post-anesthesia care of patient by direct assessment and
conduct interview to determine presence of or absence of
Occasional travel - You may be expected to travel for this
- Anesthetists, Nurse
Conditions of Employment
Must pass pre-employment examination.
Selectee may be subject to a probationary/trial period
ESEP appointees typically serve a two year trial period
U.S. Citizenship is required
Selective Service Registration is required for males born after
This is a designated position covered by Public Law 101-630,
requiring contact or control over Indian children. Due to this
requirement, the agency must ensure that persons hired for these
positions have not been found guilty of or pleaded nolo contendere
or guilty to certain crimes.
Measles and Rubella immunization required for selectees born
after 1957. Seasonal Influenza immunization is required for
civilian health care facility staff working in Indian Health
Service health care facilities.
On-call hours and/or rotating shifts may be required.
Selectee(s) are required to have a viable bank account at a
financial institution for electronic direct deposit of salary
Successfully pass the E-Verify employment verification check. To
learn more about E-Verify, including your rights and
responsibilities, visit www.dhs.gov/E-Verify/.
Background Investigation: If you are selected for this vacancy,
you must undergo a pre-employment fingerprint check and background
investigation. Fingerprint results and background investigation
documentation must be cleared prior to hire. After you begin your
employment, your continued employment is contingent upon the
outcome of a complete background investigation as determined by the
sensitivity level of your position. The investigation must find
that you are suitable for Federal employment in your position. If
you are found not suitable, you will be terminated after you begin
work. If you make a false statement in any part of your
application, you may not be hired; you may be fired after you begin
work; or subject to possible criminal charges. You may be subject
to a credit check as a part of the background investigation
Fingerprinting, as part of the background investigation process,
may be delayed due to COVID-19. All other background investigation
procedures will apply. Be advised that your continued employment
will require you to complete a fingerprint check within 60 days
after notification of return to full operations and successfully
obtaining a favorable background investigation.
To qualify for this position, your resume must state sufficient
experience and/or education, to perform the duties of the specific
position for which you are applying.
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; religious; spiritual; community; social). You will
receive credit for all qualifying experience, including volunteer
and part time experience. You must clearly identify the duties and
responsibilities in each position held and the total number of
hours per week.
Education: A graduate or higher level degree, bachelor's degree,
associate degree, or diploma from an accredited professional
nursing educational program is required. This education must have
been accredited by the Commission on Collegiate Nursing Education ,
Council on Accreditation of Nurse Anesthesia Educational Programs,
or an accrediting body recognized by the U.S. Department of
Education at the time the degree was obtained.
Degree from Foreign Nursing School: Official certification from
the Commission on Graduates of Foreign Nursing Schools is required
for individuals who graduated from foreign nursing schools.
Advanced Practice Nurse Positions: For Advanced Practice Nurse
(APN) positions, applicants must possess a graduate or higher level
degree in nursing from an accredited educational program in the
area of expertise or specialty indicated by the position.
Licensure: For all grade levels and positions, applicants must
have passed the National Council Licensure Examination . In
addition, they must possess a current, active, full, and
unrestricted license or registration as a professional nurse from a
State, the District of Columbia, the Commonwealth of Puerto Rico,
or a territory of the United States.
Additional License Requirements for Advanced Practice Nurse
Positions: Applicants for Advanced Practice Nurse positions must be
licensed or registered by a State, the District of Columbia, the
Commonwealth of Puerto Rico, or a territory of the United States in
the clinical specialty required by the position.
In addition to the Basic Requirements, you must also meet the
Minimum Qualifications stated below.
Your resume must demonstrate at least one (1) year of
specialized experience equivalent to at least the next lower grade
level in the Federal service obtained in either the private or
public sector performing the following type of work and/or
Basic Requirements for the GS-13 (or equivalent) Grade Level: In
addition to the mandatory license and education described above
under Basic Requirements applicants must have at least one or more
full years of professional nursing experience that is equivalent to
the next lower grade level. Example of Specialized Experience:
Administer anesthesia and monitor patients through their surgeries;
Complete physical assessments of each patient; Discuss the surgery
and recovery with the patient prior to the procedure; Prepare and
administer the patient-specific amount of anesthesia needed for the
procedure; Maintain the patient's anesthesia levels during surgery;
Ensure proper anesthesia recovery for patients until patients are
transferred to care units; Perform and document the pre anesthesia
assessment and evaluation of the patient; Select, obtain, order,
and administer preanesthetic medication or treatment; Select,
obtain, prepare, and use equipment, invasive and non invasive
monitors, supplies, and drugs for the administration of sedation,
anesthesia, and pain management services; perform safety checks as
The selected individual is required to obtain and maintain
medical staff clinical privileges, including any licensure
requirements. If privileges are not obtained or maintained during
employment, the employee will be subject to adverse actions, up to
and including removal from Federal service.
Time In Grade
Federal employees in the competitive service are also subject to
the Time-In-Grade Requirements: Merit Promotion (status) candidates
must have completed one year of service at the next lower grade
level. Time-In-Grade provisions do not apply under the Excepted
Service Examining Plan (ESEP).
For positions requiring positive education requirements, you
MUST submit a copy of your transcripts or an itemized list of
college courses which includes equivalent information from the
transcript (course title, semester/quarter hours, and grade/degree
earned) in your resume.
When there is a positive education requirement, or you are using
education to qualify as a substitution for experience, transcripts
(unofficial) are required at the time of application to verify that
you meet the educational requirement or substitution.
Only attendance and/or degrees from schools accredited by
accrediting institutions recognized by the U.S. Department of
Education may be credited. Applicants can verify accreditation at
the following website: https://www.ed.gov/accreditation
Foreign Education: If you are using education completed in
foreign colleges or universities to meet the qualification
requirements, you must show that the education credentials have
been evaluated by a private organization that specializes in
interpretation of foreign education programs and such education has
been deemed equivalent to that gained in an accredited U.S.
education program; or full credit has been given for the courses at
a U.S. accredited college or university. For further information,