Certified RN Anesthetist
Appalachian Regional Healthcare System
Certified Registered Nurse Anesthetist (CRNA)
The Certified Registered Nurse Anesthetist (CRNA) performs nurse anesthesia and peri-procedural activities in collaboration with an interdisciplinary team, including a physician, dentist, podiatrist, or other lawfully qualified health care provider. A nurse anesthetist shall not prescribe a medical treatment regimen or make a medical diagnosis except, under the supervision of a licensed physician. The individual nurse anesthetist shall be accountable for the outcome of his or her actions.
The CRNA provides direct and indirect patient care services that meet the psychosocial, physical, and restorative needs of each patient. The CRNA's decisions and actions with patients and families are determined in an ethical manner practicing compassion and respect for the inherent dignity, worth, and unique attributes of each person. Effectively communicates with patients/families, visitors, colleagues, physicians, leadership, and volunteers. All areas of nursing practice and care delivery are provided to achieve and maintain top decile results and outcomes for patient experience, quality, and patient safety. The CRNA follows and adheres to ARHS policies and procedures, regulatory requirements and standards of behavior. The CRNA practices within the nurse practice act for CRNA's and their license.
The CRNA demonstrates the ARHS Mission, Vision, and Values in action and approaches work in a way that reflects a bias for action, efficiency, and personal accountability. The CRNA demonstrates professional conduct, effective communication, and effective delegation of tasks. Effectively and professionally manages working relationships with coworkers, physicians, and all ARHS team members in a way that promotes a healthy work environment. Responds quickly and accurately to emergencies in the work environment and/or to changes in patient condition. Performs registered nursing duties under general supervision. Always assists coworkers, patients, families, and visitors regardless of the patient assignment, so long as the assistance is in-line with their scope of practice and license.
Minimum Education
- Graduate of an accredited Certified Registered Nurse Anesthetist
Experience
- Clinical hours performing in the role of CRNA
Required Registration/License/Certification
- Current licensure in the state of North Carolina as a Certified Registered Nurse Anesthetist
- Basic Life Support (BLS) from the American Heart Association is required at the time of hire
- All required certifications must be obtained within 1 year of hire date, except BLS
- BLS, Advanced Cardiac Life Support (ACLS) and Pediatric Advanced Life Support (PALS) certifications must be obtained from the American Heart Association
Knowledge, Skills and Abilities
- Ability to communicate courteously and effectively with the public, patients, family, staff, and physician and acts within the chain of command, utilizing positive verbal, and non-verbal skills
- Competent in delivering safe and effective patient care within legal limits of license and certifications and hospital policies and procedures
- Knowledge of the continuum of nursing care provided in the patient care department
- Ability to demonstrate exceptional customer service to patients, family, staff, and physicians
Physical Demands
- Lifts, positions, pushes, pulls, and/or transfers up to and greater than 50 pounds
- Manual dexterity and mobility
- Prolonged, extensive or considerable sitting/standing/walking
- Bending, squatting, twisting, and turning
- Near acuity: ability to see clearly at 20 inches or less
Working Conditions
- Regularly exposed to the risk of bloodborne diseases
- Frequently exposed to hazards from electrical/mechanical/power equipment, odorous chemicals and specimens, and unpleasant elements (accident, injury, slippery surfaces, uneven surfaces), etc.
- Subject to irregular hours (days, evenings, nights, weekends, holidays) and emergencies
- Continuous standing and walking long periods = to or greater than > 8 hours per shift
- Speaking, reading, and writing, expanded > 8 hours per day
- Exposed to vibration and cramped spaces > 1-hour day
- Frequently mobilizes patients > 4 hours per day
- Frequently per shift: lifts, carries, pushes, and/or pulls > 50 lbs.
- Frequently per hour: bends, squats, kneels, twists, turns, and reaches
- Frequently per minute: hand, finger, and wrist repetition and moderate dexterity
- Frequently per hour: exposed to soft voices > 3 feet away
- Frequently per hour: exposed to close eye work
- Frequently exposed to Ionizing/nonionizing radiation exposure, including x-ray and microwaves
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