CRNA

Job Title

The Land of Enchantment…Here's Your Invitation

The Community – Albuquerque, New Mexico

Immerse yourself in Albuquerque's painted skies, abundant space, and more than 310 days of sunshine, which make it possible to ski the slopes of Sandia Mountains and play a round at one of their award-winning golf courses, all in the same day. Come and experience Albuquerque viewing your own world in a whole new light. At the heart of New Mexico beats the pulse of a vibrant city. In Albuquerque, diverse cultures, authentic art, and dynamic traditions have helped shape the centuries-old story. No matter your interests, the city has countless opportunities for you to explore. Sample traditional New Mexican cuisine that takes mere minutes to make and hundreds of years to prepare, experience world-class museums, stroll along Central Avenue under vintage neon glow of Route 66 or soar high above the city in the hot air ballooning capital of the world – a sight sure to change your perspective. Explore the city here!

About the Facility – ABQ VAMC

The Albuquerque Veterans Affairs Medical Center (VAMC) is a Level 1 tertiary referral center with a 24-hour Emergency Room located in the heart of the Land of Enchantment. The medical center is authorized to operate 310 beds, which include 184 acute hospital beds (including a 26 bed Spinal Cord Injury Center), 90 residential rehabilitation treatment program beds (including a 26 bed Psychosocial Residential Rehabilitation Treatment Program [PRRTP], a 24 bed Substance Abuse Residential Rehabilitation Treatment Program [SARRTP], a 40 bed Domiciliary RRTP), and a 36-bed Nursing Home Care Unit. The NMVAHCS is a proud member of Veterans Integrated Service Network. Specialty programs included in the facility are: Cardiovascular Surgery, Cochlear Baja Implant Program, Compensated Work Therapy, Da Vinci S Robotic Surgical System, Endovascular Implants, Lithoptriptor, Home-Based Primary Care, Magnetic Resonance Imaging, Magnetoencephalography, Mental Health Intensive Case Management, Positron Emission Topography Imaging, Psychosocial Residential Rehabilitation Treatment Program, Spinal Cord Injury Center, and the Veterans Outreach Program. Facility Address: 1501 San Pedro Dr SE, Albuquerque NM 87108

Responsibilities

• Provide clinical anesthesiology services and patient care pre and post op.
• Provision of care in the most complex surgical procedures.
• Perform and document a preanesthetic evaluation of the patient before surgery including requestion consultations, additional diagnostic and/or laboratory studies in consultation with the anesthesiologist.
• After concurrence with the plan by the anesthesiologist, initiation of the planned anesthetic technique that may include general, regional, MAC, or local anesthesia.
• Interventions include administration of fluids, medication, ventilator support, provision of homeostasis, provision of adequate pain relief and management of anesthesia and surgical side effects.
• Induction of general anesthesia and initial airway management.
• Endotracheal intubation for surgical or procedural cases.
• Placement of endobronchial tubes or blockers for procedures requiring one lung ventilation or lung isolation.
• Central line placement; pulmonary artery (Swan-Ganz) catheter placement.
• Peripheral nerve blocks.
• Central neuraxial blocks.
• Epidural blood patches.
• Adjustment of anesthetic drugs and techniques utilized in the maintenance of anesthesia.
• Sedation for field blocks or MAC as discussed in the anesthetic care plan.
• Manages emergence from anesthesia after discussion and concurrence from the anesthesiologist.
• Provide anesthetic for: electroconvulsive therapy not requiring intubation; elective cardioversions; ICD checks.
• Participates on the Code Blue Team, primarily to manage the patient's airway, but also to perform other tasks which they are qualified to perform, as directed by the Code Team Leader.
• Emergency airway management throughout the facility, follow the ASA Difficult Airway Algorithm and department protocols, as requested.
• Administer sedation or local anesthesia to facilitate urgent/emergent endotracheal intubation.
• Placement of intravenous lines throughout the facility, as requested.
• Management of epidural catheters for post-op pain relief within a protocol guideline ordered by the anesthesiologist.
• Placement of arterial lines as requested by the ICU's.
• Initiations of an anesthetic in an emergency that threatens the patient with loss of life or limb prior to the arrival of the anesthesiologist on-call.
• Maintain anesthesia equipment in constant readiness and cleans equipment in accordance with hospital guidelines.
• Prepare drugs properly for use in anesthesia administration per department's procedures.
• Ensure that OR/anesthesia safety regulations and procedures and infection control policies and procedures are observed.
• Complies with Joint Commission National Patient Safety Goals.
• Label specimens according to medical center policy.
• Conducts in-service programs for the department and other services within the medical center.

Requirements

• Graduate from an approved School of Nursing and hold an unencumbered current state licensure as an Advanced Practice Registered Nurse.
• Must have reserved a Board Certification.
• Shall have a current license to practice medicine in any State, Territory, or Commonwealth of the United States or the District of Columbia.
• Should have at least one full year (12 months) experience as a CRNA.

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