PRN CRNA

Job Summary

The CRNA provides anesthesia for all types of pediatric patients undergoing surgical or other procedures requiring anesthesia as part of the anesthesia care team with an anesthesiologist. Anesthesia is delivered in accordance with the standards of care and the Department of Anesthesiology, following hospital policies and procedures. The CRNA is responsible for the patient from the preoperative through the postoperative destination, continuously observing and monitoring the patient’s status in response to administered anesthetics and making necessary adjustments. The CRNA provides timely notification to the attending anesthesiologist regarding any critical events, changes in status, or conditions that threaten patient safety.

Minimum Qualifications

• Current licensure as a Registered Nurse in the State of West Virginia, or the applicable state where services will be performed.
• Board certified or recertified by the National Board of Certification and Recertification for Nurse Anesthetists.

Core Duties and Responsibilities

The statements described here are intended to describe the general nature of work being performed by people assigned to this position. They are not intended to be a complete list of all responsibilities and duties. Other duties may be assigned.

• Maintains patient safety at all times.
• Maintains excellence in airway management and is familiar with all airway adjuncts, e.g., bullard, fiberoptic scope, ILMA, etc.
• CRNAs shall work within their scope of delineated clinical privileges.
• Takes appropriate precautions to minimize infection risks to patients and other health care professionals.
• Maintains the appropriate confidentiality of patient information at all times.
• Participates in pre‑anesthetic evaluation of patients and selection of anesthetic agents and techniques.
• Performs appropriate techniques of the anesthetic plan such as, but not limited to, insertion of intravenous catheters, insertion of invasive monitoring catheters according to protocol; endotracheal intubation and extubation; performing arterial punctures for interpretation of arterial blood gases.
• Monitors the patient’s physical response to anesthesia and informs the surgeon and/or anesthesiologist of any adverse condition. Manages induction, maintenance, and emergence of general, regional, and monitored anesthesia cases; recognizes abnormal responses to anesthesia or adjunctive medication; initiates corrective measures; determines the need for additional laboratory tests and provides resuscitative care as necessary; evaluates and manages the patient in the immediate postoperative period.
• Administers IV fluids relative to the patient’s medical history and surgical procedure. Administers blood products after obtaining a hematocrit and consulting with the surgeon and/or anesthesiologist.
• Documents the patient status in the anesthesia record appropriately.
• Performs all required safety and performance checks on anesthesia‑related equipment and verifies appropriate supplies before initiating care; procures and assembles equipment and supplies as indicated if an anesthesia tech is not available.
• Reviews appropriate documentation for informed consent, identifies the surgical site during SBAR with circulating RN and holding room RN, and participates in the surgical pause in the OR with the entire surgical team in accordance with departmental and regulatory compliance standards.
• Communicates appropriately with all individuals involved in the peri‑operative and postoperative care of the patient.
• In a life‑threatening emergency, functions responsibly by providing anesthesia care in the absence of an anesthesiologist.
• Assists with teaching and evaluation of newly‑hired CRNAs, GRNAs, SRNAs in the clinical area.
• Assumes responsibility and is accountable for controlled substances according to department and hospital policy and state and federal guidelines.
• Maintains a level of professionalism at all times.

Physical Requirements

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Ability to see details at close range (within a few feet).
• Must manage calmly and effectively in high‑stress situations and maintain composure.
• Requires being reliable, responsible, and dependable, and fulfilling obligations.
• Open to change (positive or negative) and to considerable variety in the workplace.
• Ability to work congenially with individual differences in ability, personality, and interests.

Working Environment

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• May be in close contact with individuals who have infectious diseases and with toxic, harmful, or potentially hazardous compounds, solutions, and medications.
• Must observe rigid, standardized guidelines to guard against disease and other dangers, such as radiation, accidental needle sticks, chemicals used to sterilize instruments, and anesthetics. May also be vulnerable to back injury when moving patients.
• May be required to be on call or work nights, weekends, and/or holidays.

Equal Opportunity Employer

University Health Associates and its subsidiaries (collectively "UHA") is an equal opportunity employer and complies with all applicable federal, state, and local fair employment practices laws. UHA strictly prohibits and does not tolerate discrimination against employees, applicants, or any other covered persons because of race, color, religion, creed, national origin or ancestry, ethnicity, sex (including gender, pregnancy, sexual orientation, and gender identity), age, physical or mental disability, citizenship, past, current, or prospective service in the uniformed services, genetic information, or any other characteristic protected under applicable federal, state, or local law. All UHA employees, other workers, and representatives are prohibited from engaging in unlawful discrimination. This policy applies to all terms and conditions of employment, including, but not limited to, hiring, training, promotion, discipline, compensation, benefits, and termination of employment.