CRNA - PRN

About this role

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JOB SUMMARY

Responsible for the administration of anesthesia and anesthesia-related care in (1) Pre-Anesthetic preparation and evaluation; (2) Anesthesia induction, maintenance and emergence; (3) Post Anesthesia Care: (4) Peri-Anesthetic and clinical support functions. Works collaboratively under the anesthesiologist and the overall direction of the OR Manager, Director of Surgical Services and Vice President of Patient Care Services. JOB DETAILS AND REQUIREMENTS

Education: Graduate of a Nurse Anesthesia Educational Program accredited by the Council on Accreditation of Nurse Anesthetist.

Certification & Licensures: Current licensure to practice as a CRNA in the state of Missouri. BLS Certification ACLS Certification PALS Certification

Experience: N/A

Additional Job Description

Blood & Bodily Fluids: Employee can reasonably anticipate skin, mucus membrane, parenteral contact with blood or other potential infectious materials that may result from the performance of the employee's duties.

Knowledge & Skills: Experience and evidence of clinical competencies for acceptance into role. Demonstrates good written and verbal communication skills.

Annual Requirements: Annual Physical BLS Certification-must be maintained ACLS Certification-must be maintained PALS Certification-must be maintained ORCCs Education Hours

Physical Qualifications: Weight Demands             Lifting 26 - 50 lbs - Occasionally  Carrying 26 - 50 lbs – Occasionally Pushing/Pulling 26 - 50 lbs - Occasionally               Sliding/Transferring 26 – 50 lbs- Occasionally                                                                                                                                                        Physical Demands:          Standing - Frequently     Sitting - Occasionally       Walking - Frequently      Talking - Frequently        Driving - Rarely Balancing/Climbing - Rarely Stooping/Kneeling - Frequently Crouching/Crawling - Rarely        Reaching - Frequently    Hearing - Frequently      Seeing - Frequently         Turning/Twisting/Leaning - Frequently  

Mental Demands:            Problem Solving - Frequently      Supervise - Frequently   Organize - Frequently    Plan - Frequently             Decision Making - Frequently     Interpret Data – Frequently Write - Frequently           Reading - Frequently     

Working Conditions:       Indoor - Frequently         High Temperatures - Rarely         Loud Noise - Frequently Confined Areas - Frequently Outdoor – N/A  Cold Temperatures - Rarely         Fumes – Rarely                 Equipment Use: Telephone - Occasionally              Computer (Beginner Level) - Frequently Computer (Intermediate Level) - Frequently        Computer (Advanced Level) – Occasionally           Copier - Occasionally       Patient Testing Equipment - Frequently Patient Transport Equipment – Frequently           Fax - Occasionally            

Core Responsibilities:     Maintains the standards of anesthesia care and implements the related policies and procedures of the medical center and the Surgery department. • Is able to organize and set priorities when performing anesthesia duties and responsibilities. Performs psychological evaluations to assist in the development of rehabilitation plans for outpatients and inpatients

Reviews and follows the Anesthesiologists plan of care including the pre-anesthetic assessment and evaluation, anesthetic type and risk classification. • Reviews the patient's current health status and medical history, including pertinent lab work before administering any anesthetic. Refers any questions/concerns to the supervising anesthesiologist. Ensures that the supervising anesthesiologist is notified of induction and emergence from anesthesia.

Demonstrates proficiency in all modes of administering general anesthesia. • Competent to perform and/or monitor any procedure involving regional anesthesia, including labor epidural analgesia.  Administers the anesthetics, adjuvant drugs, accessory drugs, and fluids necessary to manage the anesthetic, to maintain the patient's physiologic homeostasis, and corrects abnormal responses to the anesthesia or surgery. Capably manages the patient's airway and pulmonary status. Manages emergence and recovery from anesthesia by administering medications, fluids, or ventilator support in order to maintain homeostasis, to provide relief from pain and anesthesia side effects, or to prevent or manage complications. Capable of responding to emergency situations by providing airway management, administration of emergency fluids or drugs, or basic or advanced cardiac life support techniques.

Implementation of safe and appropriate care of the patient. • Checks all anesthesia equipment, i.e., gas machines, monitors, etc., prior to its use, to ensure the integrity of the system and documents. Capable of troubleshooting all anesthesia related equipment. Provides a comfortable environment for the patient and maintains patient dignity and identifies unsafe situations and reports to the appropriate person. Confers with the surgeon/supervising anesthesiologist as to the method of positioning to provide optimum safety for the patient and access for the surgeon. Adheres to all department policies, procedures and standards related to technical skills (i.e., application of monitoring equipment, drawing of ABG's, hanging blood, etc.) and is competent in performance of technical skills. Ensures that a "Time Out" occurs with active participation from the OR team.

Reports pertinent patient data, observations and reactions to supervising anesthesiologist and documents observations accurately.  • Notifies the supervising anesthesiologist and surgeon as appropriate of any undue responses, i.e., hypotension, cardiac dysrhythmias, etc. who will assist as needed. Provides legible documentation of anesthesia care given, patient responses and relevant times. Ensures supervisin

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