Certified Registered Nurse Anesthetist

Overview Azura Vascular Care is a national leader in vascular specialty services, and a division 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. We are hiring Certified Registered Nurse Anesthetist (CRNA) in Mishawaka. Visit our website to learn more about Azura Vascular Clinic: 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 and 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 preanesthetic 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; 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 and 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, administration of emergency place and manage regional anesthetic techniques, as delineated by clinical privileges or granted 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; take action to correct observed risks to patient safety; report adverse events and near misses to appropriate management authority; identify possible risks in processes, procedures, devices and communicate them. Utilize ultrasound, fluoroscopy, or other guidance as appropriate for regional anesthetic techniques and advanced interventional pain management. 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. Perform other duties as assigned. Physical Demands and Working Conditions Employee encounters a health care facility environment with controlled air temperature and moderate noise levels. May be exposed to infectious diseases, radiation, and required wearing protective gear in procedure rooms. Majority of time spent on feet; may require lifting and positioning of patients; ability to lift objects heavier than 50 pounds. Travel between locations primarily during business day; some out‑of‑area and overnight travel may be expected (~10‑15% travel). Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions. Education and Required Credentials Graduate of a nurse anesthesia educational program accredited by the Council on Accreditation of Nurse Anesthesia Educational Programs (or predecessor). Current appropriate state licensure and compliance with applicable state statutory and regulatory requirements concerning CRNAs. BLS and ACLS certification. National Board of Certification and Recertification for Nurse Anesthetists certification (currently certified or recertified). Insurable by an appropriate medical malpractice insurer for the limits required by this institution or state. Experience and Skills 8–12 years’ related experience or 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 for anesthesia care, perioperative, or operating room support to ensure patient safety. Effective verbal and written communication skills for collaboration with clinical staff and other disciplines. Knowledge of infection prevention and control techniques. Ability to maintain confidential records and implement/adhere to facility policies and procedures. Knowledge of growth and development across the lifespan and ability to assess data reflective of patient requirements relative to population‑specific and age‑specific needs. Equal Opportunity 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