Certified Registered Nurse Anesthetist (CRNA)

Position Description


As a TGTG employee, the Certified Registered Nurse Anesthetist (CRNA) will provide medical assistance and support to the Defense Health Agency. The services that are required are under the following program and serves as consultant to Military Treatment Facilities.  More specifically, the provider will perform these duties at Nellis AFB (Las Vegas):


Core Duties:

  • Manage patient anesthesia experience, perform preoperative evaluations and preparations, administer monitored anesthesia care, regional and general anesthesia, monitor and manage patient reactions to anesthesia and surgery, manage fluid therapy, perform and manage invasive monitoring, and perform post-operative evaluations as privileged by the MTF Credentials Committee.

  • Perform a pre-anesthetic assessment and evaluation of the patient. This includes obtaining an informed consent from the patient, requesting consultations and/or diagnostic studies and ordering pre-anesthetic medications.

  • Develop and implement an anesthetic plan of care.

  • Perform an assessment immediately prior to induction of anesthesia of the patient. This shall include a review of the medical record with regard to completeness, pertinent laboratory data, time of administration and dosage of pre-anesthesia medication, together with an appraisal of any changes in the patient's condition from that noted on previous visits. This note shall include any previous anesthetic experiences and complications thereof noted in the medical record.

  • Maintain the patient's physiologic homeostasis and corrects abnormal responses to the anesthesia and/or surgery.

  • Collect and interpret patient physiological data by selecting, applying or inserting noninvasive monitoring modalities.

  • Manage the patient's airway and pulmonary status.

  • Manage the patient's emergence and recovery from anesthesia by maintaining homeostasis, providing relief from pain and anesthesia side effects and preventing and managing complications through selecting, obtaining, ordering and administrating medications, fluids or ventilator support.

  • Record all pertinent events taking place during the introduction of, maintenance of and emergence from anesthesia, including the dosage and duration of all anesthetic agents, other drugs, intravenous fluids and blood or blood components on all patients that have received anesthesia care.

  • Record post-anesthetic visits, including at least one note describing the presence or absence of anesthesia related complications of the procedure.

  • PATIENT SENSITIVITY. All licensed health care providers shall provide patients with the utmost care and attention. All patients shall be assured of their privacy and personal dignity.

  • APPEARANCE. Contractor personnel shall present a professional, conservative, and neat appearance. Contractor personnel shall report for duty in a professional manner, in appropriate attire befitting a health care setting, and having complied with socially acceptable standards of personal hygiene expected of health care workers.

  • ORIENTATION. The Contractor shall ensure that all contract employees participate in the MTF orientation procedures for newly assigned medical employees to include regulations specific to their professional specialty, hospital and Air Force policy and procedures. Contract employee training will include any in-processing and out processing, CHCS, ADS or job specific data training as required by the 99th Medical Group.



  • Experience: As required to meet clinical competency requirements specified in the Service-specific credentialing instructions.

  • Licensure: Current, full, active and unrestricted license to practice as a Registered Nurse Anesthetist in the United States State of Nevada, USA.

  • Education: Master’s Degree in Nursing. Graduate from an academic program approved by the Council on Accreditation of Nurse Anesthesia Programs (COA).

  • Certifications in addition to Basic Life Support; Certified/Trained in ACLS, PALS, and NRP

  • Experience: As required to meet clinical competency requirements specified in the Service-specific credentialing instructions. Must have seen patients within their specialty within the last two years.

  • Board Certification: Requirements for board certification are as follows: Current Registered Nurse Anesthetist from the American Association of Nurse Anesthetists (AANA) or the National Board for Certification and Recertification for Nurse Anesthetists (NBCRNA), AND a current Registered Nursing (RN) License.

  • Preferred Training: Armed Forces Health Longitudinal Technology Application (AHLTA) is the electronic medical record documentation system designed for DoD MTFs (a.k.a, Composite Health Care Systems)/Composite Health Care System (CHCS). Essentris, Innovian, MH Genesis, Internet Explorer, Adobe, Microsoft Office, Adobe.

Salary: $160K

Place of Performance: 99 Medical Group, Las Vegas, NV

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