Nurse Anesthetist

Entity: Owensboro Health Medical Group

Department: Anesthesiology

Work Hours: Vary

Weekend Requirements: As Needed

1.0 FTE Job Summary:

Collaborates with the anesthesiologist, the surgeon, and the healthcare team in providing a comprehensive pre-procedure evaluation and initiates appropriate diagnostic procedures and physician referrals.

Job Responsibilities:

Pre-anesthesia evaluation and preparation, administration of general and regional anesthesia and all levels of sedation techniques, and post-anesthesia care for children, adolescent, and adult patients. Select, obtain, order, and administer pre-anesthetic medications or treatment related to the care of the patient and seek consultation when appropriate. Conduct an appropriate physical screening assessment to obtain an appropriate health history and documenting the pre-anesthetic evaluation to obtain a comprehensive informed consent for anesthesia and related services. Recommend, request and evaluate pertinent diagnostic studies. Insert and manage arterial lines, peripheral lines, central intravenous catheters or pulmonary artery catheters. Manage emergency situations, including initiating or participating in cardiopulmonary resuscitation. Manage interventional pain therapy utilizing drugs, regional anesthetic techniques or other accepted pain relief modalities. Perform arterial puncture to obtain arterial blood samples. Provide consultation and implementation of respiratory and ventilator care. Select, obtain, or administer the anesthetics, adjuvant drugs, accessory drugs, fluids, and blood products necessary to manage the anesthetic. Evaluate patient response during emergence from anesthesia and institute pharmacological or supportive treatment to ensure patient stability during transfer. Obtain, prepare, and use all equipment, monitors, supplies, and drugs used for the administration of anesthesia and sedation techniques, perform and order safety checks as needed. Perform all aspects of airway management, including fiberoptic intubation. Perform and manage regional anesthetic techniques including, but not limited to, subarachnoid, epidural, and caudal blocks; plexus, major, and peripheral nerve blocks; intravenous regional anesthesia; transtracheal, topical, and local infiltration blocks; intra capsular, intercostal, and ocular blocks. Provide appropriate invasive and non-invasive monitoring modalities utilizing current standards and techniques. Recognize abnormal patient response during anesthesia, select and implement corrective action, and request consultation whenever necessary. Recommend or request and evaluate pertinent diagnostic studies. Discharge patient from a post-anesthesia care area in accordance with policy. Initiate and administer pharmacological or fluid support of the cardiovascular system. Initiate and administer respiratory support to ensure adequate ventilation and oxygenation in the post-anesthesia period. Provide post-anesthesia follow-up; evaluate the patient’s response to anesthesia and surgery, take appropriate corrective actions, and obtain consultation as indicated.

Skills and Attributes:

Requires critical thinking skills and decisive judgment. Works under direct supervision. Must be able to work in a stressful environment and take appropriate action.

Position Requirements:

Work Experience No experience required

Education Master's degree or higher in Nursing required upon hire OR Master's degree or higher in Science with a focus in Nurse Anesthesia required upon hire

Licensure/Certification/Registration RN - Licensed as a Registered Nurse. Eligible to practice nursing in the State of Kentucky required upon hire AND APRN - Licensed as an Advanced Practice Registered Nurse in the state of Kentucky required upon hire AND CRNA - Certified Registered Nurse Anesthetist certification through National Board of Certification and Recertification for Nurse Anesthetists (NBCRNA) required upon hire

Organizational Responsibilities:

Supports Owensboro Health’s Mission, Vision, Core Commitments, and business interests. Adheres to all organizational policies and procedures. Executes all tasks and behaves in a manner consistent with a culture of compliance, safety and a high reliability organization.

Additional Job Information:

This job description describes the general nature and level of work required by the position. It is not intended to be an all-inclusive list of qualifications, skills, duties, responsibilities or working conditions of the job. Specific duties and responsibilities consistent with the general nature and level of work described may vary by department and additional related duties may be assigned as needed. Some duties listed may not apply to all employees with this job description. The job description is subject to change with or without notice, and Management reserves the right to add, modify or remove any qualification or duty. Nothing in this job description changes the existing at-will employment relationship between the Organization and the employee occupying the position.

Standard ADA Settings:

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.

• (Clinical-Office/Clinic) Standing: 75% Walking: 75% Sitting: 50% Lifting 0-25 lbs: 25% Lifting 25-75 lbs: 25% Lifting over 75 lbs: 25% Carrying 0-25 lbs: 25% Carrying 25-75 lbs: 25% Carrying over 75 lbs: 25% Pushing/Pulling 0-25 lbs: 75% Pushing/Pulling 25-75 lbs: 50% Pushing/Pulling over 75 lbs: 50% Climbing: 50% Bending/Stooping: 75% Kneeling: 50% Crouching/Crawling: 50% Reaching: 75% Talking: 75% Hearing: 75% Repetitive Foot/Leg Movements: 25% Repetitive Hand/Arm Movements: 75% Keyboard Data Entry: 75% Running: 25% Vision: Depth Perception: 75% Vision: Distinguish Color: 75% Vision: Seeing Far: 75% Vision: Seeing Near: 75% Hazardous Drug Risk Exposure: Risk Level: High-Risk

Owensboro Health Core Commitments

• INTEGRITY - We conduct ourselves with a high level of responsibility, reliability and honesty because we take seriously the trust of our patients and coworkers.
• RESPECT - We value and accept the unique talents and contributions of every patient, customer and team member in the Owensboro Health community.
• TEAMWORK - We build a spirit of connectivity and fellowship by striving together to overcome obstacles, surpass goals, celebrate accomplishments and plan the future.
• INNOVATION - We foster original ideas and creative solutions that improve our daily work and promote the mission of Owensboro Health.
• SERVICE - We focus on service to patients, customers and team members by anticipating their needs, thoughtfully meeting those needs and continually improving the quality of everything we do.
• EXCELLENCE - We reach beyond basic expectations to expand our knowledge and awareness, produce exceptional work and provide outstanding service.

Owensboro Health is a nonprofit health system with a mission to heal the sick and to improve the health of the communities we serve in Kentucky and Indiana. The system includes Owensboro Health Regional Hospital, nationally recognized for design, architecture and engineering; Owensboro Health Muhlenberg Community Hospital; Owensboro Health Twin Lakes Medical Center; the Owensboro Health Medical Group comprised of over 200 providers at more than 30 locations; three outpatient Healthplex facilities, a certified medical fitness facility, the Healthpark; a surgical weight loss center and program, and the Mitchell Memorial Cancer Center.