CRNA - PRN

Job Summary

Responsible for the administration of anesthesia and anesthesia-related care in (1) Pre‑Anesthetic preparation and evaluation; (2) Anesthesia induction, maintenance and emergence; (3) Post‑Anesthesia Care; (4) Peri‑Anesthetic and clinical support functions. Works collaboratively under the anesthesiologist and the overall direction of the OR Manager, Director of Surgical Services and Vice President of Patient Care Services.

Education

Graduate of a Nurse Anesthesia Educational Program accredited by the Council on Accreditation of Nurse Anesthetist.

Certification & Licensures

• Current licensure to practice as a CRNA in the state of Missouri
• BLS certification
• ACLS certification
• PALS certification

Experience

N/A

Additional Job Description

Blood & Bodily Fluids: Employee can reasonably anticipate skin, mucous membrane, parenteral contact with blood or other potential infectious materials that may result from the performance of the employee's duties.

Knowledge & Skills

• Experience and evidence of clinical competencies for acceptance into role
• Demonstrates good written and verbal communication skills

Annual Requirements

• Annual Physical
• BLS certification – must be maintained
• ACLS certification – must be maintained
• PALS certification – must be maintained
• ORCCs
• Education Hours

Physical Qualifications

• Weight Demands – lifting, carrying, pushing/pulling, sliding/transferring 26‑50 lbs – occasionally
• Standing – frequently
• Sitting – occasionally
• Walking – frequently
• Talking – frequently
• Driving – rarely
• Balancing/Climbing – rarely
• Stooping/Kneeling – frequently
• Crouching/Crawling – rarely
• Reaching – frequently
• Hearing – frequently
• Seeing – frequently
• Turning/Twisting/Leaning – frequently

Mental Demands

• Problem Solving – frequently
• Supervise – frequently
• Organize – frequently
• Plan – frequently
• Decision Making – frequently
• Interpret Data – frequently
• Write – frequently
• Reading – frequently

Working Conditions

• Indoor – frequently
• High Temperatures – rarely
• Loud Noise – frequently
• Confined Areas – frequently
• Outdoor – N/A
• Cold Temperatures – rarely
• Fumes – rarely

Equipment Use

• Telephone – occasionally
• Computer (Beginner Level) – frequently
• Computer (Intermediate Level) – frequently
• Computer (Advanced Level) – occasionally
• Copier – occasionally
• Patient Testing Equipment – frequently
• Patient Transport Equipment – frequently
• Fax – occasionally

Core Responsibilities

• Maintains the standards of anesthesia care and implements the related policies and procedures of the medical center and the Surgery department.
• Organizes and sets priorities when performing anesthesia duties. Performs psychological evaluations to assist in the development of rehabilitation plans for outpatients and inpatients.
• Reviews and follows the anesthesiologist’s plan of care, including the pre‑anesthetic assessment and evaluation, anesthetic type and risk classification. Reviews the patient’s current health status and medical history, including pertinent lab work before administering any anesthetic. Refers any questions/concerns to the supervising anesthesiologist and ensures they are notified of induction and emergence.
• Demonstrates proficiency in all modes of administering general anesthesia. Competent to perform and/or monitor any procedure involving regional anesthesia, including labor epidural analgesia. Administers the anesthetics, adjuvant drugs, accessory drugs, and fluids necessary to manage the anesthetic, to maintain the patient’s physiologic homeostasis, and correct abnormal responses. Manages emergence and recovery from anesthesia by administering medications, fluids, or ventilator support to maintain homeostasis, alleviate pain and side effects, or prevent or manage complications. Responds to emergency situations with airway management, emergency fluids or drugs, or basic or advanced cardiac life support techniques.
• Checks all anesthesia equipment, e.g., gas machines, monitors, etc., prior to use to ensure integrity and documents troubleshooting. Provides a comfortable environment, maintains patient dignity, and identifies unsafe situations for reporting. Confers with surgeon/supervising anesthesiologist regarding positioning. Adheres to department policies, procedures, and standards for technical skills, including monitoring equipment, drawing ABGs, hanging blood, etc., and is competent in performance of technical skills. Ensures a “Time Out” occurs with active participation from the OR team.
• Reports pertinent patient data, observations, and reactions to supervising anesthesiologist and documents observations accurately. Notifies supervising anesthesiologist and surgeon of any undue responses, e.g., hypotension, cardiac dysrhythmias, etc., and assists as needed. Provides legible documentation of anesthesia care, patient responses, and relevant times; ensures co‑signing of anesthetic record; completes anesthesia patient charges consistently. Reports specific patient data to appropriate health care providers, e.g., OR circulators, PACU.
• Demonstrates knowledge and skills to perform safe and effective patient care and interaction with all age groups. Evaluates age‑appropriate motor skills and psychological norms, recognizes patient development, uses interview/communication techniques appropriate to age, assesses safety needs, and employs appropriate sized equipment. Completes age‑specific newsletters and associated tests.
• Provides a clean and safe patient environment/work area. Keeps OR room organized, removes and stores all equipment properly, and participates in the “WHO” checklist.

Behavioral Expectations

• Safety : Understands and follows all safety practices; does not take shortcuts; looks for unsafe practices and takes responsibility to address them.
• Communication : Communicates effectively and appropriately; uses good judgment to choose, deliver, and receive information; listens and allows others to speak.
• Accountability : Prioritizes tasks, manages time, plans and sticks to schedules; prevents or manages interruptions; takes responsibility for actions; arrives on time and prepared.
• Conflict Resolution : Handles sensitive or difficult issues with grace and confidence; remains clear‑headed and objective.
• Interpersonal Skills : Demonstrates genuine interest in co‑workers and customers; respects differences; avoids disrespectful behavior.
• Responsiveness : Prioritizes external/internal customers, anticipates and prevents delays, informs customers about status, and seeks satisfaction.
• Teamwork : Effective team player; communicates openly; fulfills commitments to others.

Saint Francis Healthcare System provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability, sexual orientation, gender identity, or genetics. The company complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, transfer, leaves of absence, compensation, and training. In compliance with the ADA Amendments Act (ADAAA), please call 573‑331‑5152 or email to request an accommodation for a disability.