CRNA Brenham

Certified Registered Nurse Anesthetist (CRNA)

Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well.

Our core values are:

• We serve faithfully by doing what's right with a joyful heart.
• We never settle by constantly striving for better.
• We are in it together by supporting one another and those we serve.
• We make an impact by taking initiative and delivering exceptional experience.

Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include:

• Immediate eligibility for health and welfare benefits
• 401(k) savings plan with dollar-for-dollar match up to 5%
• Tuition Reimbursement
• PTO accrual beginning Day 1

Note: Benefits may vary based upon position type and/or level.

The Certified Registered Nurse Anesthetist (CRNA) is a licensed nurse with advanced training in anesthesia. The CRNA administers, monitors, and adjusts anesthetic doses for patients of all ages during surgery and other procedures. Limited to select locations based on unique workplace dynamics.

Essential functions of the role include:

• Interprets physician's pre-anesthetic evaluation and lab data.
• Reviews health history, including psychosocial as well as biophysical. Reviews all current laboratory data.
• Performs pre-induction examination and inspection of body parts or organ systems related to an anesthetic plan. Reviews the proposed surgery with the patient.
• Perform a brief physical assessment of the patient, dentures, prosthetic devices, allergies, and NPO status. Verify that all prescribed safety standards have been met before anesthesia induction. Check the machine checklist, functional suction equipment, airway management equipment, proper placement of monitoring and electrosurgical electrodes, and physical positioning.
• Induces and maintains general anesthesia at safe levels. Uses techniques prescribed by the staff anesthesiologist or customary department methods.
• Selects and administers anesthetic techniques, medications, and adjunctive drugs according to accepted departmental guidelines.
• Performs intratracheal intubation and extubation protecting the patient at all times.
• Identifies and manages emergency situations according to departmental policies and procedures.
• Performs regional anesthesia using techniques customarily used within the department.
• Selects and administers regional anesthetic techniques, medications, and adjunctive drugs according to accepted departmental guidelines.
• Monitors life support functions, recording various data, and verifies equipment is working. All available noninvasive monitoring equipment will be used on patients receiving general anesthesia (i.e., BP, EKG, oximeter, pre-cardial stethoscope/esophageal stethoscope, temperature, oxygen analyzer, and SARA). All data will be recorded. BP and pulse will be recorded every 5 minutes. Other pulses will be recorded every 15 minutes. A pre-anesthetic machine checklist will be performed and documented for every procedure involving the Department of Anesthesia.
• Manage fluid, blood, and electrolyte loss and replacement within the guidelines of the Department of Anesthesia policies and procedures.
• Performs basic perioperative diagnostic testing and documents it in the anesthetic record. Closely helps and monitors life functions. In case of an adverse drug response, takes corrective action and consults the senior Staff Anesthesiologist promptly. Records all important events during the procedure, including tourniquet time and pressure, changes in the operation site, and drug injections by the surgeon. All unusual events must be clearly documented in the anesthetic record.
• Terminates anesthesia in a timely fashion, ensuring patient safety to post-anesthetic recovery room. Reverses anesthetic according to departmental guidelines.
• Protects the patient during transportation to the Recovery Room. Gives a detailed report to the assigned Recovery Room personnel. Follows the post-anesthetic course to recognize anesthetic-related complications. Documents post-anesthetic visits in the Progress Note form up to 24 hours post-anesthetic. This note includes the date, time, patient status information, and the visitor's signature.

Key success factors include:

• Obtains 40 CEUs every two years.
• Maintains certification and registration.
• Keeps informed of current trends and updated procedures.
• Knows about the current concepts of cardiopulmonary resuscitation.
• Demonstrates ability to accept and initiate change.
• Demonstrates ability to communicate effectively and work collaboratively with others.
• Functions as part of a health care/anesthesia team.
• Ability to work variable hours.
• Ability to share "on call" duties and be able to respond in the acceptable time frame.

We believe that all people should feel welcomed, valued, and supported.