Peds CRNA

CRNA Position

The CRNA provides anesthesia for all types of pediatric patients undergoing surgical or other procedures necessitating anesthesia as part of the anesthesia care team with an anesthesiologist. Anesthesia will be provided according to standards of care and the standards of the Department of Anesthesiology in accordance with hospital policies and procedures. The CRNA will provide care for the patient from the preoperative through postoperative destination. The CRNA will provide continuous vigilant observation and monitoring of the patient's status in response to any administered anesthetic and makes necessary adjustments. Provides timely notification to attending anesthesiologist regarding any and all critical events, changes in status, or any condition that threatens the safety or care of the patient.

Minimum Qualifications

Education, Certification, and/or Licensure:

• Graduate of an accredited School of Nurse Anesthesia.
• Current licensure as a Registered Nurse in West Virginia.
• Current licensure as an Advanced Practice Registered Nurse in West Virginia.
• Current certification with National Board of Certification and Recertification for Nurse Anesthetists.
• Active membership in American Association of Nurse Anesthetists.

Experience:

• One (1) year of experience as a CRNA.
• Completion of a minimum 15 pediatric anesthesia cases <6yrs of age.
• Must maintain 15 Class A credits with pediatric focus every two years.

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 constructed as an all-inclusive list of all responsibilities and duties. Other duties may be assigned.

• Works within their scope of practice and the scope of practice as delineated by WVUH clinical privileges.
• Takes appropriate precautions to minimize risk of infection to patients, families, and coworkers.
• Participates in the pre-anesthetic evaluation, anesthetic plan, and management of any unforeseen physiologic changes.
• Performs techniques such intravenous catheter placement, ultrasound guided intravenous or arterial catheter placement.
• Monitors patient's physiologic response to anesthetic and recognize abnormal patient responses to anesthesia while informing anesthesiologist of any adverse events, changes, or critical events in a timely fashion.
• Manages anesthetics starting in pre-operative through induction, maintenance, and emergence from anesthesia and or delivery to ICU or appropriate recovery area with report given to receiving team.
• Administers intravenous fluids, blood, and blood products as indicated for patient's condition.
• Excluding emergencies, necessary blood and blood products transfused after Hct or Hgb are known and plan discussed with anesthesiologist.
• Appropriately documents all necessary data points in the patient's electronic health record/anesthesia record.
• Performs all required safety checks on anesthesia equipment and verify presence of necessary supplies before case, including procuring and assembling supplies as indicated if anesthesia technician is not available.
• In accordance with departmental policies and regulatory standards, CRNA will receive report from pre-op RN to review informed consents, ID correct surgical site, and review any pre-op antibiotics or medications during SBAR report with OR RN in pre-operative area.
• Participates in surgical pause in the intraoperative phase of care.
• Communicates effectively and professionally with all members of the perioperative team.
• In a life-threatening emergency, functions to provide care in the absence of an anesthesiologist.
• Participates in the orientation, and/or teaching of a variety of learners including SRNA's, residents, medics, nurses, etc.
• Obtains, administers, wastes, and documents accurately any controlled substances according to hospital and departmental policy as well as state and federal guidelines.
• Depending on departmental needs, may work nights, weekends, or holidays.
• Depending on departmental needs, may be on call.
• Routinely assigned to pediatric patients.
• May be assigned to adult patients for part or all of a work day.
• Participates in departmental educational activities not limited to grand rounds, pediatric lectures, journal club, in-services, or any other educational sessions provided through WVUH or WVU Children's Hospital.

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 of the observer.
• Must deal with high stress situations and dying or newly deceased individuals.
• Working around biohazards, infectious diseases, and potential electrical hazards.
• Working closely with others, in somewhat limited space.
• Working in rooms heated or cooled for patient benefit, in dimly lit rooms, or rooms with wet floors.
• Standing for long hours, sometimes in high-level personal protective equipment and/or xray gown.
• Standing, lifting, stooping, reaching, positioning and moving patients, beds, stretchers, carrying and moving equipment up approximately 40 pounds.

Skills and Abilities

1. Proficiency with computers for case charting, viewing and management of schedule, benefits review and changes, CE completion, etc.

2. Excellent intrapersonal communication skills with patients, families, coworkers, etc.

3. Ability to work effectively as a professional and anesthesia team member.

4. Desire and/or willingness to participate in lifelong learning through departmental educational opportunities.

5. Maintains familiarity and proficiency in airway management and with departmental airway equipment (CMAC, fiberoptic bronchoscopes, ILMA's, cricothyrotomy kits, difficult airway cart, etc)

6. Maintains familiarity with departmental equipment such as ultrasound devices, fluid warming devices, pediatric line cart, FloTrac, etc.

Additional Job Description

Scheduled Weekly Hours: 40

Shift: Varied (United States of America)

Exempt/Non-Exempt: United States of America (Exempt)

Company: UHA University Health Associates

Cost Center: 8000 UHA Anesthesiology

Address: 1 Medical Center Drive Morgantown West Virginia

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.