CRNA (Casual)

Certified Registered Nurse Anesthetist

Scope of responsibilities and accountability:

• Practices within the scope for a CRNA that are regulated by state boards regarding the nurse anesthetist.
• Reviews and demonstrates knowledge of all approved center policies and procedures for patient care.
• Provides complete documentation in all areas of care.
• Maintains positive and respectful working relationships with physicians, manager, and peers.
• Knowledge of use and maintains equipment needed for patient safety within the endoscopy center.
• Completes in-service of emergency procedures and evacuation plans.
• Maintains BLS and ACLS.
• Provide proof of required Continuing Medical Education Units as well as completing required in-services for staff to maintain accreditation.
• Experience in the use of current anesthesia techniques and agents.
• Sound judgment and response to emergency situations whether actual or drills.
• Along with the RN, maintains record and count of all anesthetic medications prior to, and at the end of each shift.
• Reports directly to Director of Nursing.

Major activities and essential job functions:

• Supports the mission and goals of the organization as a whole.
• Responsible for direct patient care: assess the physical and psychosocial status of patients through review of data, direct observation, vital sign monitoring and/or consultation with other health care providers to provide optimal care pre-procedure, during procedure and for post-procedure.
• Responsible for protecting confidential and/or privileged information according to Center policy.
• Promotes and supports patient/family-centered care.
• Ability to assess and care for adult patients who are considered to be healthy as well of those who have comorbidities.
• Responsible to order needed CLIA waved test prior to or after anesthesia. (ex: pregnancy or glucose testing)
• Maintains a safe environment for the patient receiving anesthesia by assessing, monitoring, and evaluating condition of the patient pre-procedure, during the procedure and when transferring the patient to recovery.
• Provides report to the recovery nurse, and if needed, performs, and documents any post procedure visit to evaluate for complications related to receiving anesthesia.
• Responsible for maintaining anesthesia cart equipment and meds. Notifying Nurse Manager of needed meds or equipment whether though use or expiration.
• Have the knowledge to recognize and act on any potential or actual abnormal patient response to anesthesia.
• Documentation: maintains accurate and complete medical records which reflect the assessment, planning, implementation, and evaluation of care along with any other pertinent information related to the endoscopic procedure.
• Patient Education: identifies educational needs of patients and/of families related to understanding of anesthesia, its risks and benefits as well as obtaining an informed consent.
• Promotes compliance with treatment plan by answering questions and discussing patient's and/or families' concerns.
• Required to have language skills for high-level written and interpersonal communication in American English.
• Participates in orientation of newly hired CRNA employees and function as a preceptor.
• Adheres to infection control principles and applies universal precautions according to CDC regulations and center standards.
• Participates in peer review for quality of anesthesia care by the anesthesia staff.
• Supportive of Risk Management by participating in programs directed to patient and employee safety.
• Objectively evaluate any grievances or processes that can improve on patient care, relaying these to the Director of Nursing.
• Oversees CRNA staff schedule, PTO and CME requests and coordinates with Director of Nursing
• Participates in CRNA on boarding and annual evaluations
• Issues counseling as needed to CRNA's.
• Participate in committees for quality improvement.
• Performs all other duties as assigned

Position Qualifications:

• Graduate of an approved program of American Association of Nurse Anesthetists (ANNA) with current license to practice as a CRNA in the state of Ohio.
• American Association of Nurse Anesthetists (ANNA) certification required.
• Effective communication and listening skills.
• Effective understanding and use of the English language.
• Must be flexible with working schedule and have ability to work occasional overtime.
• Flexibility to travel to all center locations following the schedule approved by the Director of Nursing
• Ability to use modern business communication, and office systems.

Regulatory Requirements/Risks/Exposures:

• Works within the area of chemicals including, but not limited to, chlorine bleach, glutaraldehyde and fomalin
• Physical demand requirements meet those defined as HEAVY work, exerting 50100 pounds of force occasionally, 2550 pounds of force frequently, and/or 120 pounds of force constantly to move objects.

On-going job expectations & competency:

• In addition to the above, on-going job expectations of the CRNA are as follows:
• Maintain CEUs for licensure
• Orient to new procedures and equipment
• Responsible for maintaining current BCLS and ACLS.
• Maintain annual fire safety/general safety training
• Maintain annual HIPAA training
• Maintain annual OSHA Blood-borne Pathogen
• Maintain annual PPD skin test or TB Screening Form
• Participate in Continuous Quality Improvement Program

Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.