Certified Registered Nurse Anesthetist

Azura Vascular Care is a national leader in vascular specialty services, part of Fresenius Medical Care, the world’s largest dialysis provider. We treat a range of vascular disorders using minimally invasive techniques in state‑of‑the‑art outpatient centers to achieve optimal patient outcomes while delivering the best experience possible. Purpose and Scope A Certified Registered Nurse Anesthetist (CRNA) in an advanced practice registered nurse (APRN) who practices both autonomously and in collaboration with a variety of health providers on the interprofessional team to deliver high‑quality, holistic, evidence‑based anesthesia and pain care services. The CRNA cares for patients at all acuity levels across the lifespan in a variety of settings for procedures including, but not limited to, surgical, obstetrical, diagnostic, therapeutic, and pain management. Principal Duties & Responsibilities Perform and document the pre‑anesthesia assessment and evaluation of the patient. Review, request, and order (as permitted by state law), laboratory/diagnostic studies. Obtain informed consent for anesthesia and related services. Select, obtain, order, and administer pre‑anesthetic medication or treatment. Develop and implement an anesthesia care plan. Select, obtain, prepare, and use equipment, invasive and non‑invasive monitors, supplies, and drugs for the administration of sedation, anesthesia, and pain management services and perform safety checks as needed. Select, order, obtain, and administer analgesic and anesthetic agents, adjuvant drugs, accessory drugs, fluids, necessary to provide anesthesia services. Document a time‑based record of events during peri‑anesthetic care. Perform all aspects of airway management, including fiberoptic intubation. Facilitate emergence and recovery from anesthesia by evaluating patient response, and selecting, ordering, and administering medications, fluids, and ventilator support to maintain patient stability during transfer. Initiate and administer post‑anesthesia pharmacological or fluid support of the cardiovascular system. Initiate and administer respiratory support to ensure adequate ventilation and oxygenation in the post‑anesthesia period. Evaluate the patient’s response to anesthesia and surgery; take appropriate corrective action post‑anesthesia. Provide post‑anesthesia follow‑up evaluation care; discharge the patient from the post‑anesthesia care unit. Implement acute and chronic pain management modalities. Manage emergency situations by assessing, stabilizing, and determining disposition of patients, including providing airway management and administration of emergency care. Place and manage regional anesthetic techniques, as delineated by clinical privileges or special privileges. Insert and manage peripheral, arterial, pulmonary catheter, or central venous lines and catheters. Provide patient and caregiver education. Consult with respiratory care providers and implement respiratory and ventilator care when appropriate. Support patient safety through participation in facility, department, or unit patient safety initiatives and by reporting adverse events and near misses. Communicate identified risks in processes, procedures, and devices to those in charge. Utilize an interdisciplinary approach, including consultation or referral to another clinician as appropriate. Perform advanced and interventional pain management using drugs, regional anesthetic techniques, or other accepted pain relief modalities with or without fluoroscopic guidance; utilize ultrasound and fluoroscopy as appropriate. Participate in center quality meetings, medical executive meetings, and other management meetings upon request from the Medical Director. Review and comply with the Code of Business Conduct and all applicable company policies and procedures, local state and federal laws and regulations. Other duties as assigned. Physical Demands and Working Conditions The role requires staying on feet majority of time, lifting and positioning patients, with ability to lift objects heavier than 50 pounds. The work environment is a health care facility with air temperature control and moderate noise levels. Exposure to infectious diseases/materials and radiation may occur. Protective gear may be required in procedure rooms for extended periods. Travel to multiple locations is expected, approximately 10–15% of the time. Education and Required Credentials Graduate of a nurse anesthesia educational program accredited by the Council on Accreditation of Nurse Anesthesia Educational Programs or its predecessor. Current appropriate state licensure and compliance with applicable state statutory and regulatory requirements concerning CRNAs. BLS and ACLS certification. Current certification or recertification by the National Board of Certification and Recertification for Nurse Anesthetists. Insurable by an appropriate medical malpractice insurer for the limits required by this institution or state. Experience and Skills 8–12 years of related experience or an equivalent combination of education and experience. 5 years CRNA experience preferred. Ability to perform clinically as a nurse anesthetist in the facility setting on a regular basis. Ability to operate, use, and interpret data from a wide variety of equipment to perform anesthesia care and perioperative or operating room support. Effective verbal and written communication skills for collaboration with clinical staff and other disciplines. Demonstrated knowledge and skills necessary to provide care appropriate to the patient population(s) served. Knowledge of the principles of growth and development over the lifespan and ability to assess data reflective of the patient’s requirements relative to population‑specific and age‑specific needs. Knowledge of infection prevention and control techniques. Ability to maintain confidential records. Ability to implement and adhere to facility policies and procedures. Equal Opportunity Employment Fresenius Medical Care is an equal opportunity employer and does not discriminate on the basis of race, color, religion, sexual orientation, gender identity, parental status, national origin, age, disability, military service, or other non‑merit‑based factors. #J-18808-Ljbffr