CRNA - Anesthesia (14803)

Job Details

Job Location: Schoolcraft Memorial Hospital - Manistique, MI 49854.

Position Type: Full Time.

Education Level: 4 Year Degree.

Travel Percentage: None.

Job Shift: Day.

Position Summary

A Certified Registered Nurse Anesthetist (CRNA) has the main responsibilities of administering anesthesia and monitoring patients throughout the surgical process including pre-anesthetic preparation and evaluation; anesthesia induction, maintenance, and emergence; post-anesthesia care; and peri-anesthetic/clinical support functions.

Duties & Responsibilities

Pre-anesthetic Preparation and Evaluation

• Obtains an appropriate health history.
• Conducts an appropriate physical screening assessment.
• Recommends or requests pertinent diagnostic studies.
• Selects, obtains, orders and administers pre-anesthetic medications.
• Documents the pre-anesthetic evaluation and obtains a comprehensive informed consent for anesthesia and related services.

Intra-operative Care

• Obtaining, preparing and using all equipment, monitors, supplies and drugs used for the administration of anesthesia and sedation techniques, performing and ordering safety checks as needed.
• Selects, obtains or administers the anesthetics, adjuvant drugs, accessory drugs, fluids and blood products necessary to manage the anesthetic.
• Performing all aspects of airway management, including fiber optic intubations.
• Performing and managing regional anesthetic techniques.
• Providing appropriate invasive and non-invasive monitoring modalities utilizing current standards and techniques.
• Recognizes abnormal patient response during anesthesia, selecting and implementing corrective action and requests consultation whenever necessary.
• Evaluates patient response during emergence from anesthesia and institutes pharmacological or supportive treatment to ensure patient stability.

Post-anesthesia Care

• Provides post-anesthesia follow up and evaluation of the patient’s response to anesthesia and surgical experience, taking appropriate corrective actions and requests consultation when indicated.
• Initiating and administering respiratory support to ensure adequate ventilation and oxygen in the post-anesthesia period.
• Initiating and administering pharmacological or fluid support of the cardiovascular system during the post-anesthesia period to prevent morbidity and mortality.
• Initiating acute post-anesthesia pain management techniques.
• Discharging patients from a post-anesthesia care area according to policy.

Clinical Support Functions

• Inserting arterial catheters and performing arterial puncture to obtain arterial blood samples.
• Managing emergency situations, including initiating or participating in cardiopulmonary resuscitation.
• Providing consultation and implementation of respiratory and ventilatory care.
• Management of interventional pain therapy utilizing drugs, regional anesthetic techniques or other accepted pain relief modalities.
• Using consultation appropriate, selecting, obtaining, ordering and/or administering medications or treatments related to the care of the patient.
• Accepting additional responsibilities which are within the expertise of the CRNA.

Special Requests

• Diagnostic and therapeutic injections with or without fluoroscopic guidance; including epidural, spinal, facet joint, selective nerve and sympathetic blocks.

Non-clinical Responsibilities

Administrative/Management

• Scheduling, material and supply management.
• Supervision of staff, students or ancillary personnel.
• Development of policies and procedures.
• Fiscal management, preventative maintenance and billing and data management.

Quality Assessment

• Data collection, reporting mechanism, trending, compliance, committee meetings, departmental review, problem-focused studies, problem solving, interventions, documentation and process oversight.

Educational

• Performs clinical and didactic teaching, in-services and facility continuing education.
• Maintains knowledge of current scientific theories, principles and techniques related to the field of anesthesia and its current practice.

Committee Appointments

• Assignment to committees, committee responsibilities, coordination of committee activities.

Interdepartmental Liaison

• Interface with other departments such as nursing, surgery, outpatient surgery, pharmacy, etc.

Member of AANA (American Association of Nurse Anesthetists)

Demonstrate appropriateness in meeting objectives in age-specifics.

Other Duties

• Performs other duties as assigned.

Qualifications

• Graduate from an accredited school of professional nursing.
• Graduate from a program of master’s degree nurse anesthesia education accredited by the Council on Accreditation of Nurse Anesthesia Educational Programs.
• Minimum of 5 years of work experience as a CRNA.
• Current MI Licensure as a registered professional nurse.
• Current MI Licensure as a registered nurse anesthetist.
• Current NBCRNA (National Board of Certification and Recertification of Nurse Anesthetists) Certification.
• Current BLS, ACLS and PALS certifications.