CRNA Children's Hospital

Current sign on bonus - $75,000 for 3-year commitment Job Summary The Certified Registered Nurse Anesthetist (CRNA) is a licensed registered nurse with advanced specialized training in the administration of anesthesia. The CRNA administers, monitors, and adjusts anesthetic doses to individual patients, from neonatal through geriatrics, during surgery and other procedures. Limited to select locations based on unique workplace dynamics. Essential Functions Of The Role Interprets physician's pre-anesthetic evaluation and lab data. Reviews health history, including psychosocial as well as biophysical. Reviews all current laboratory data. Performs pre-induction examination and inspection of anatomical parts or organ systems related to a formulated anesthetic plan. Reviews with the patient the proposed surgery. Performs a brief physical assessment of the patient, dentures, prosthetic devices, allergies, and NPO status. Verifies that all prescribed safety standards (i.e., machine check list, functional suction equipment, airway management equipment, proper placement of monitoring and electrosurgical electrodes, physical positioning) have been complied with before induction of anesthesia. Induces and maintains general anesthesia at required and safe levels, using techniques prescribed by the assigned staff anesthesiologist or techniques customarily used within the department. Selects and administers anesthetic techniques, medications, and adjunctive drugs according to accepted departmental guidelines. Performs intratracheal intubation and extubation protecting the patient at all times. Identifies and manages emergency situations according to departmental policies and procedures. Performs regional anesthesia using techniques prescribed by the assigned staff anesthesiologist or techniques commonly used within the department. Selects and administers regional anesthetic techniques, medications, and adjunctive drugs according to accepted departmental guidelines. Identifies and manages emergency situation according to departmental policies and procedures. Monitors life support functions, recording various data, and verifies equipment is in working order. Uses all available noninvasive monitoring equipment on all patients receiving general anesthesia (e.g., BP, EKG, oximeter, stethoscope/eophageal stethoscope, temperature, oxygen analyzer, and SARA). All data will be recorded; BP and pulse at least every 5 minutes; other pulses at least every 15 minutes. Pre-anesthetic machine checklist will be performed and documented for every procedure involving the Department of Anesthesia. Manages fluid, blood and electrolyte loss and replacement within the guidelines of the Department of Anesthesia policies and procedures. Performs basic perioperative diagnostic testing and documents to the anesthetic record. Closely assists and monitors life functions. In case of adverse drug response, takes corrective action and seeks consultation from the senior Staff Anesthesiologist in a timely fashion. Records all pertinent events during the procedure, including tourniquet time and pressure, change in site of operation, and any injection of drugs into the operative site by the surgeon. All unusual events must be concisely documented on the Anesthetic record. Terminates anesthesia in a timely fashion, ensuring patient safety to the post-anesthetic recovery room. Reverses anesthetic according to departmental guidelines. Protects the patient during transportation to Recovery Room. Provides a detailed report to the Recovery Room personnel. Informs the Recovery Room Anesthesiologist and assigned Staff Anesthesiologist of any complications. Follows the post-anesthetic course as long as necessary to recognize the presence or absence of anesthetic-related complications. Documentation of post-anesthetic visits on the Progress Note form up to 24 hours post anesthetic, including date/time of visit and status information. Key Success Factors Obtains 40 CEUs every two years. Maintains certification and registration. Keeps informed of current trends and updated procedures. Knows about the current concepts of cardiopulmonary resuscitation. Demonstrates ability to accept and initiate change. Demonstrates ability to communicate effectively and work collaboratively with others. Functions as part of a health care/anesthesia team. Ability to work variable hours. Ability to share "on call" duties and respond in the acceptable time frame. Benefits Our competitive benefits package includes the following Immediate eligibility for health and welfare benefits 401(k) savings plan with dollar-for-dollar match up to 5% Tuition Reimbursement PTO accrual beginning Day 1 Note: Benefits may vary based on position type and/or level Qualifications EDUCATION - Bachelor's EXPERIENCE - Less than 1 Year of Experience CERTIFICATION/LICENSE/REGISTRATION - Nurse Anesthetists (CRNA) ACLS (ACLS): ACLS in 30 days of hire or transfer. Basic Life Support (BLS): BLS in 30 days of hire or transfer. #J-18808-Ljbffr