CRNA, Healthcare Nursing

Certified Registered Nurse Anesthetist (CRNA)

A Certified Registered Nurse Anesthetist (CRNA) in an advanced practice registered nurse (APRN) who practices both autonomously and in collaboration with a variety of health providers on the interprofessional team to deliver high-quality, holistic, evidence-based anesthesia and pain care services. The CRNA cares for patients at all acuity levels across the lifespan in a variety of settings for procedures including, but not limited to, surgical, obstetrical, diagnostic, therapeutic, and pain management.

Schedule:

• Monday – Friday PRN coverage with varied start/stop times.
• No weekends, no holidays, and no on-call.
• Float position. Must be able to commute to our Avon and Brecksville Surgery Centers.

Qualifications:

• Holds current active state licensure as a registered nurse in the state of Ohio and complies with any applicable state statutory and regulatory requirements concerning CRNAs.
• Graduate of a nurse anesthesia educational program accredited by the Council on Accreditation of Nurse Anesthesia Educational Programs or its predecessor.
• Is currently certified or recertified by the National Board of Certification and Recertification for Nurse Anesthetists.
• Insurable by an appropriate medical malpractice insurer for the limits required by this institution or state.
• Demonstrates current competency in the clinical responsibilities specified below.

Clinical responsibilities of the CRNA are delineated by his or her clinical privileges and may include:

• Perform and document the preanesthesia assessment and evaluation of the patient.
• Review, request, and order (as permitted by state law), laboratory/diagnostic studies.
• Obtain informed consent for anesthesia and related services.
• Select, obtain, order, and administer preanesthetic medication or treatment.
• Develop and implement an anesthesia care plan.
• Select, obtain, prepare, and use equipment, invasive and non-invasive monitors, supplies, and drugs for the administration of sedation, anesthesia, and pain management services; perform safety checks as needed.
• Select, order, obtain, and administer analgesic and anesthetic agents, adjuvant drugs, accessory drugs, fluids, or blood products necessary to provide anesthesia services.
• Perform all aspects of airway management, including fiber optic intubation.
• Facilitate emergence and recovery from anesthesia by evaluating patient response, and selecting, ordering, and administering medications, fluids, and ventilator support to maintain patient stability during transfer.
• Initiate and administer post-anesthesia pharmacological or fluid support of the cardiovascular system.
• Initiate and administer respiratory support to ensure adequate ventilation and oxygenation in the postanesthesia period.
• Evaluate the patient's response to anesthesia and surgery; take appropriate corrective action during the postanesthesia period.
• Provide postanesthesia follow-up evaluation and care.
• Discharge the patient from the postanesthesia care unit.
• Implement acute and chronic pain management modalities.
• Manage emergency situations by assessing, stabilizing, and determining disposition of patients, including providing airway management, administration of emergency drugs and fluids, and using basic and advanced cardiac life support techniques.
• Insert and manage peripheral, arterial, pulmonary catheter, or central venous lines and catheters.
• Provide patient and caregiver education.
• Perform arterial puncture to obtain arterial blood samples.
• Consult with respiratory care providers and implement respiratory and ventilator care.

Additional nonclinical responsibilities of the CRNA may include, but are not limited to:

• Quality assessment and quality assurance.
• Didactic and clinical education of students and staff.
• Appointment to facility committees and related activities.
• Interdepartmental liaison responsibilities.
• Clinical or administrative oversight of other departments (e.g., respiratory therapy, PACU).

Patient Safety:

• Supports patient safety when performing his or her job functions and through participation in facility, department or unit patient safety initiatives.
• Takes action to correct observed risks to patient safety.
• Reports…