Certified Registered Nurse Anesthetist

CRNA – Locum

Minne is an understatement. The Community – Minneapolis, MN. Meet the biggest underestimated place in the north. A dramatic riverfront skyline, three professional sports stadiums within 1.3 miles, so much art you're literally surrounded by it and a theater on almost every corner. A culture committed to perfecting the craft of the brew, one of the best park systems in the nation, and a foodie paradise where you can get Nordic cuisine for breakfast, Ethiopian for lunch and this thing called a "Jucy Lucy" for dinner – and oh yeah, cocktails on a Ferris wheel. A place to bring your dancing shoes and party at festivals all year round, enjoy four gorgeous seasons surrounded by 22 lakes, the Mississippi River and a waterfall, and meet friendly locals who can't wait to show you why they love living here. Explore Minneapolis – here.

Minneapolis VAMC. The Minneapolis VA Health Care System is an affiliated teaching hospital which serves as the tertiary referral center for the Veterans Integrated Service Network 23. It has 309 beds. The medical center provides primary, specialty, mental and behavioral health, and extended care and rehabilitative care to over 80,000 veteran patients. It has one of the largest education and training programs in the VA system. Are affiliated with the University of Minnesota Schools of Medicine and Dentistry. In conjunction with affiliations, residency-training programs exist in all of the medical, surgical, psychiatric, oral surgery and diagnostic specialties and subspecialties. The medical center has their own accredited hospital-based training programs for Radiology Technicians and Dental residents.

Overview

The Minneapolis VA Anesthesia Service provides veteran patients with anesthesia procedures for both ambulatory and inpatient surgical procedures. The services include: rendering patients insensate for surgical procedures (general anesthesia), major neuraxial blocks for surgical procedures (spinal and epidural anesthesia), nerve block for surgical procedures, monitored anesthesia care, procedures to alleviate post-operative pain and resuscitation services. Anesthesia services are available 24 hours a day 7 days a week. The department utilizes anesthesiologists (physicians who specialize in anesthesiology) and nurse anesthetists (nurses who specialize in anesthesia). We work in an anesthesia team to provide anesthesia and critical care services to the patients who are undergoing surgical procedures at the Minneapolis VAMC. At the Minneapolis VA, the physician anesthesiologist directs the anesthesia care team.

Basic Responsibilities:

Provision of care in the most complex surgical procedures. Perform and document a preanesthetic evaluation of the patient before surgery including requesting 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, medications, 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, following 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. Initiation 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. Participation in staff meetings, mortality and morbidity conferences and other committees as assigned by the Chief Nurse Anesthetist or Chief Anesthesiologist. Maintains anesthesia equipment in constant readiness and cleans equipment in accordance with hospital guidelines, SOPs, manufacturer's recommendations and CDC guidelines. Prepares drugs properly for use in anesthesia administration per department SOP. Precepts CRNA students. Ensures that OR/anesthesia safety regulations and procedures and infection control policies and procedures are observed. Complies with Joint Commission National Patient Safety Goals. Fully complies with medical center Correct Site/Universal Protocol requirements, including pausing activities during pre-operative time-out. Complies with VA and Joint Commission documentation requirements. Labels specimens according to medical center policy. Participates in continuous improvement activities. Participates in outcomes evaluation and recommendations for practice improvements. Conducts in-service programs for the department and other services within the medical center.

Qualifications:

• Graduate from an approved School of Nursing and hold an unencumbered current state licensure as an Advanced Practice Registered Nurse.
• CRNA 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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