Certified Registered Nurse Anesthetist

Certified Registered Nurse Anesthetist (CRNA)

This is a Stanford Health Care job. A brief overview:

The Certified Registered Nurse Anesthetist (CRNA) functions under the Nurse Anesthetist Job Description approved by the Interdisciplinary Practice Committee (IDPC). In collaboration with the attending physicians in the Department of Anesthesiology, and through implementation of standardized procedures, the CRNA is responsible for selecting and administering anesthesia to pediatric and adult patients undergoing surgical procedures in the Operating Room (OR), or to patients undergoing diagnostic or therapeutic procedures outside the OR under the supervision of an anesthesiologist.

Specific functions pertaining to the Department of Anesthesiology are established by the CRNA and his/her supervising physician(s), and approved by the appropriate medical and nursing administrators, the IDPC, the Credentials & Privileges Committee, the Stanford Hospital and Clinics (SHC) Medical Executive Committee and the SHC Board Credentials, Policies and Procedures Committee.

Locations: Stanford Health Care

What You Will Do:

• A. A CRNA may provide only those medical services which he/she is competent to perform, and which are consistent with the CRNA's education, training and experience, and which are performed under the supervision of an anesthesiologist who is responsible for the patients cared for by that CRNA.
• B. A CRNA shall consult with an anesthesiologist regarding any task, procedure or diagnostic problem which the CRNA determines exceeds his/her level of competence.
• C. Scope of Practice of the CRNA:
• Obtains complete histories and performs pertinent physical exams with assessment of normal and abnormal findings on patients, according to written standardized procedures.
• Performs or requests and evaluates diagnostic studies as indicated upon evaluation of the patient, according to written standardized procedures.
• Orders, obtains and administers pre-anesthetic and anesthetic agents, and adjuvant drugs for administration through general, regional or local techniques, according to written standardized procedures.
• Performs designated procedures after demonstrated competency, according to written standardized procedures where applicable.
• Obtains informed consent, as indicated.
• Evaluates patient to identify apparent or potential difficulties with airway management, if indicated.
• Discusses anesthesia and/or treatment plan based on identified assessments and physical findings.
• Explains tests, procedures and disease processes to patients and their families, as indicated.
• Obtains, prepares and uses all equipment, monitors, supplies and drugs used for the administration of anesthesia and sedation techniques, performs and orders safety checks as needed.
• Observes, monitors and records vital signs, respiratory stability, adequate gaseous exchange, types of fluids and/or blood loss evaluation and replacement and other critical parameters.
• Inserts invasive monitoring lines for an anesthetic and for interpretation of physiologic data.
• Performs all aspects of airway management.
• Recognizes abnormal patient response during anesthesia, selecting and implementing corrective action and requesting consultation whenever necessary. Provides airway management, administration of emergency fluids and drugs, and uses basic or advanced life support techniques.
• Keeps the surgeon/proceduralist and responsible anesthesiologist informed of patient's condition as needed.
• Documents anesthetic in accordance with legal and regulatory requirements; records type of anesthetic used.
• Evaluates patient response during emergence from anesthesia and instituting pharmacological or supportive treatment to insure patient stability during transfer.
• Performs post-anesthesia follow-up and evaluation of patient's response to anesthesia in the recovery room, taking appropriate corrective actions and requesting consultation when indicated.
• Communicates with the assigned anesthesia faculty member, as needed, before, during and after surgery.
• Performs designated procedures after demonstrated competency and according to written standardized procedures where applicable.
• Ensures compliance with legal, regulatory, and clinical policies and procedures.
• Performs other duties as assigned.

Education Qualifications:

• Master's degree in Nursing from an accredited college or university.
• Graduate of a CRNA program accredited by the Council on Accreditation of Nurse Anesthesia Educational Programs (COA).
• Doctoral degree in Nursing from an accredited college or university preferred.

Licenses and Certifications:

• RN - Registered Nurse - State Licensure And/Or Compact State Licensure and
• BLS - Basic Life Support and
• ACLS - Advanced Cardiac Life Support

These principles apply to ALL employees: SHC Commitment to Providing an Exceptional Patient & Family Experience Stanford Health Care sets a high standard for delivering value and an exceptional experience for our patients and families. Candidates for employment and existing employees must adopt and execute C-I-CARE standards for all of patients, families and towards each other. C-I-CARE is the foundation of Stanford's patient-experience and represents a framework for patient-centered interactions. Simply put, we do what it takes to enable and empower patients and families to focus on health, healing and recovery. You will do this by executing against our three experience pillars, from the patient and family's perspective:

• Know Me: Anticipate my needs and status to deliver effective care
• Show Me the Way: Guide and prompt my actions to arrive at better outcomes and better health
• Coordinate for Me: Own the complexity of my care through coordination

Equal Opportunity Employer Stanford Health Care (SHC) strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment. Accordingly, SHC does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity and/or expression, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements.

Base Pay Scale: Generally starting at $153.95 - $167.08 per hour

The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to, internal equity, experience, education, specialty and training. This pay scale is not a promise of a particular wage.