PRN CRNA

Job Title

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This position provides anesthetic care for all types of patients and procedures in cooperation with the supervising or medically directing physician and in accordance with hospital policies and procedures. This position administers anesthesia to patients rendering them insensitive to pain during surgery/procedures. Provide continuous vigilant observation of patients by monitoring the patient's physical reaction to sedatives, analgesics, and anesthetic agents and informs the surgeon/anesthesiologist of any adverse condition that potentially threatens the safety or care of the patient.

Minimum Qualifications

Education, Certification, and/or Licensure:

• Current licensure as a Registered Nurse in the State of West Virginia, or applicable state where services will be performed.
• Board certified or recertified by the National Board of Certification and Recertification for Nurse Anesthetists.

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.

• Maintains patient safety at all times.
• Maintains excellence in airway management and shall be familiar in the usage of all airway adjuncts. i.e., bullard, fiberoptic scope, ILMA, etc.
• CRNAs shall work within their scope of delineated clinical privileges.
• Takes appropriate precautions to minimize risks of infection of patients, and other health care professionals.
• Maintains the appropriate confidentiality of patient information at all times.
• Participates in the pre-anesthetic evaluation of the patients and the selection of anesthetic agents and techniques.
• Performs appropriate techniques of the anesthetic plan such as, but not limited to, insertion of intravenous catheters, insertion of invasive monitoring catheters according to established protocol; endotracheal intubation and extubation; performing arterial punctures for interpretation of arterial blood gases.
• Monitors the patient's physical response to the anesthetic and informs the surgeon and/or anesthesiologist of any adverse condition. Manage the anesthesia process to include induction, maintenance, and emergence of general, regional, and monitored anesthesia cases. Recognize abnormal patient responses to anesthesia or to any adjunctive medication or form of therapy. Initiate corrective measures. Determine the need for additional laboratory tests and provide resuscitative care as necessary. Evaluate and manage the patient in the immediate post-operative period.
• Administers IV fluids relative to the patient's medical history and surgical procedure. Administer blood products after obtaining a hematocrit and then consultation with the surgeon and/or anesthesiologist.
• Documents the patient status in the anesthesia record appropriately.
• Performs all required safety and performance checks on anesthesia-related equipment and verify the appropriate supplies before initiating care. Procure and assemble equipment and supplies as indicated if anesthesia tech is not available.
• Reviews appropriate documentation for informed consent and identify appropriate surgical site during SBAR with circulating RN and holding room RN. Participates in surgical pause in the OR with entire surgical team in accordance with departmental and regulatory compliance standards.
• Communicates appropriately with all individuals involved in the peri-operative and post-operative care of the patient.
• In a life-threatening emergency, functions responsibly by providing anesthesia care in the absence of an anesthesiologist.
• Assists with the teaching and evaluation of newly-hired CRNAs, GRNAs, SRNAs in the clinical area.
• Assumes responsibility and is accountable for controlled substances according to department and hospital policy and State and federal guidelines.
• Maintains a level of professionalism at all times

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 calmly and effectively with high stress situations; ability to maintain composure.
• Requires being reliable, responsible, and dependable, and fulfilling obligations.
• Being open to change (positive or negative) and to considerable variety in the workplace.
• Ability to work congenially with individual differences in ability, personality, and interests.

Working Environment

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• May be in close contact with individuals who have infectious diseases and with toxic, harmful, or potentially hazardous compounds, solutions, and medications.
• Must observe rigid, standardized guidelines to guard against disease and other dangers, such as those posed by radiation, accidental needle sticks, chemicals used to sterilize instruments, and anesthetics. In addition, may be vulnerable to back injury when moving patients.
• May be required to be on call or work nights, weekends, and/or holidays.

Skills and Abilities

Additional Job Description: