CRNA - PRN

Overview This position provides anesthetic care for all types of patients and procedures in cooperation with the supervising or medically directing physician and in accordance with hospital policies and procedures. It administers anesthesia to patients rendering them insensitive to pain during surgery/procedures, provides continuous vigilant observation of patients by monitoring physical reactions to sedatives, analgesics, and anesthetic agents, and informs the surgeon/anesthesiologist of any adverse condition that potentially threatens the safety or care of the patient. Minimum Qualifications Current licensure as a Registered Nurse in the State of West Virginia, or applicable state where services will be performed. Board certified or recertified by the National Board of Certification and Recertification for Nurse Anesthetists. Core Duties and Responsibilities Maintains patient safety at all times. Maintains excellence in airway management and shall be familiar in the usage of all airway adjuncts (e.g., bullard, fiberoptic scope, ILMA, etc.). CRNAs shall work within their scope of delineated clinical privileges. Takes appropriate precautions to minimize risks of infection of patients and other health care professionals. Maintains the appropriate confidentiality of patient information at all times. Participates in the pre‑anesthetic evaluation of the patients and the selection of anesthetic agents and techniques. Performs appropriate techniques of the anesthetic plan such as, but not limited to, insertion of intravenous catheters, insertion of invasive monitoring catheters according to established protocol; endotracheal intubation and extubation; performing arterial punctures for interpretation of arterial blood gases. Monitors the patient’s physical response to the anesthetic and informs the surgeon and/or anesthesiologist of any adverse condition. Manages the anesthesia process to include induction, maintenance, and emergence of general, regional, and monitored anesthesia cases. Recognizes abnormal patient responses to anesthesia or to any adjunctive medication or form of therapy. Initiates corrective measures. Determines the need for additional laboratory tests and provides resuscitative care as necessary. Evaluates and manages the patient in the immediate postoperative period. Administers IV fluids relative to the patient’s medical history and surgical procedure. Administers blood products after obtaining a hematocrit and then consultation with the surgeon and/or anesthesiologist. Documents the patient status in the anesthesia record appropriately. Performs all required safety and performance checks on anesthesia‑related equipment and verifies the appropriate supplies before initiating care. Procures and assembles equipment and supplies as indicated if anesthesia tech is not available. Reviews appropriate documentation for informed consent and identifies the appropriate surgical site during SBAR with circulating RN and holding room RN. Participates in surgical pause in the OR with the entire surgical team in accordance with departmental and regulatory compliance standards. Communicates appropriately with all individuals involved in the peri‑operative and post‑operative care of the patient. In a life‑threatening emergency, functions responsibly by providing anesthesia care in the absence of an anesthesiologist. Assists with the teaching and evaluation of newly hired CRNAs, GRNAs, SRNAs in the clinical area. Assumes responsibility and is accountable for controlled substances according to department and hospital policy and state and federal guidelines. Maintains a level of professionalism at all times. Physical Requirements Ability to see details at close range (within a few feet of the observer). Must deal calmly and effectively with high‑stress situations; ability to maintain composure. Requires being reliable, responsible, and dependable, and fulfilling obligations. Being open to change (positive or negative) and to considerable variety in the workplace. Ability to work congenially with individual differences, inability, personality, and interests. Working Environment May be in close contact with individuals who have infectious diseases and with toxic, harmful, or potentially hazardous compounds, solutions, and medications. Must observe rigid, standardized guidelines to guard against disease and other dangers, such as those posed by radiation, accidental needle sticks, chemicals used to sterilize instruments, and anesthetics. In addition, may be vulnerable to back injury when moving patients. May be required to be on call or work nights, weekends, and/or holidays. Equal Opportunity Employer West Virginia University Health System and its subsidiaries(collectively "WVUHS") is an equal opportunity employer and complies with all applicable federal, state, and local fair employment practices laws. WVUHS strictly prohibits and does not tolerate discrimination against employees, applicants, or any other covered persons because of race, color, religion, creed, national origin or ancestry, ethnicity, sex (including gender, pregnancy, sexual orientation, and gender identity), age, physical or mental disability, citizenship, past, current, or prospective service in the uniformed services, genetic information, or any other characteristic protected under applicable federal, state, or local law. All WVUHS employees, other workers, and representatives are prohibited from engaging in unlawful discrimination. This policy applies to all terms and conditions of employment, including, but not limited to, hiring, training, promotion, discipline, compensation, benefits, and termination of employment. #J-18808-Ljbffr