CRNA Hourly Sg Anestheslgy GSMC Longview A

Certified Registered Nurse Anesthetist (CRNA)

The CRNA has the responsibility and accountability for providing advanced nurse practice while administering anesthesia to patients. This job is responsible for preparing and administering anesthesia agents to surgical and obstetrical patients under a delegating physician. Responsibility and accountability of anesthesia services lies with the Medical Director.

The CRNA will perform the following duties:

• Assess patients peri-operatively, perform patient history and physical, review patient records to determine health status, review results of diagnostic tests, treatments, and orders as appropriate
• Make post-op rounds
• Provide patient and family education
• Perform routine procedures including: draw venous/arterial blood, administer general, regional, and local anesthesia, administer injections, place NG tubes, administer local infiltrative anesthesia, placement of central venous lines and Swan Ganz lines
• Provide regional anesthesia under a delegating physician to include: topical, infiltration, spinal, epidural, intravenous, upper, and lower body blocks, and other peripheral blocks
• Initiate orders and transcribe orders of collaborating physician
• Intravenous catheter placement and administration of fluids, blood and/or blood products, muscle relaxants, vasoactive and cardiac drugs
• Other responsibilities include mechanical ventilation, resuscitation techniques, cardiopulmonary bypass technique, auto transfusion, hypotensive and hypertensive care, and hypothermia

This job requires the full understanding and active participation in fulfilling the Mission of CHRISTUS Health. It is expected that the associate demonstrate behavior consistent with the Core Values. The Associate shall support the CHRISTUS Health strategic plan and the Performance Improvement Plan's (PIP) goals and direction.

Responsibilities:

• Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
• Assesses the physical, psycho-social, spiritual, cultural, functional, and high risk needs of the patient.
• Performs patient history and physical reviews patient record to determine health status.
• Reviews results of diagnostic tests, treatments, and orders.
• Collaborates plan of care with the patient care team.
• Monitors patient Peri-Operatively.
• Rounds on patients as requested draw venous/arterial blood.
• Placement of central venous lines.
• Placement of Swan Ganz.
• Performs venipuncture and manages fluids.
• Inserts nasogastric and orogastric tubes.
• Ability to manage and initiate mechanical ventilator.
• Ability to manage and initiate auto transfusion techniques.
• Provides anesthesia including general, regional, local, and moderate sedation.
• Consistently monitors patients according to standards.
• Peri-Operatively provides regional anesthesia.
• Provides spinal, epidural, and IV regional blocks.
• Obtains knowledge of and demonstrates compliance with infection control and safety.
• Practices standard precautions practice appropriate disease specific isolation.
• Appropriately handles and disposes of unused medications.
• Keeps work area clean and cares for equipment at completion of case.
• Takes measures to ensure a safe patient environment.
• Obtains training prior to initial use of equipment.
• Assures equipment is working properly.
• Participates in time-out procedure.
• Demonstrates the ability to administer medication safely and competently.
• Understands actions, side effects, contra-indications of drugs.
• Adheres to medication policies, practices, and standards.
• Safely administers fluids, blood and blood products, muscle relaxants, vasoactive drugs, cardiac drugs.
• Assures the rights of the patient/family are respected and maintained.
• Allows for privacy.

Job Requirements:

Education/Skills

• Master of Science in Nursing required

Experience

• 2 - 3 years of experience preferred

Licenses, Registrations, or Certifications

• APRN License in state of employment required
• CRNA certification from NBCRNA required
• ACLS required
• PALS required
• BLS required

Work Schedule:

PRN

Work Type:

Per Diem As Needed