Registered Certified Nurse Anesthetist

Job Description Purpose and Scope

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.

• Perform and document the pre anesthesia 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, and fluids necessary to provide anesthesia services.
• Document a time-based record of events during peri-anesthetic care.
• 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 post anesthesia period.
• Evaluate the patient’s response to anesthesia and surgery; take appropriate corrective action post anesthesia.
• Provide post anesthesia follow-up evaluation care.
• Discharge the patient from the post anesthesia care unit.
• Implement acute and chronic pain management modalities.
• Manage emergency situations by assessing, stabilizing, and determining disposition of patients, including providing airway management and administration of emergency interventions.
• Place and manage regional anesthetic techniques, as delineated by clinical privileges or granted special privileges.
• Insert and manage peripheral, arterial, pulmonary catheter, or central venous lines and catheters.
• Provide patient and caregiver education.
• Consult with respiratory care providers and implement respiratory and ventilator care when appropriate.
• Support patient safety through job function execution and participation in facility, department, or unit patient safety initiatives.
• Take action to correct observed risks to patient safety.
• Report adverse events and near misses to appropriate management authority.
• Identify possible risks in processes, procedures, devices and communicate the same to those in charge.
• Use an interdisciplinary approach, including consultation or referral to another clinician, as appropriate.
• Perform advanced and interventional pain management using drugs, regional anesthetic techniques, or other accepted pain relief modalities with or without fluoroscopic guidance.
• Utilize ultrasound, fluoroscopy, as appropriate.
• Participate in center quality meetings, medical executive meetings, and other management meetings upon request from the Medical Director.
• Review and comply with the Code of Business Conduct and all applicable company policies and procedures, local state and federal laws and regulations.
• Other duties as assigned.

The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials and radiation. May be required to wear protective gear in procedure rooms for extended periods of time. Majority of the time spent on feet, may require lifting and positioning of patients. Position requires ability to lift objects heavier than 50 pounds.

Travels between locations primarily during the business day, although some out-of-the-area and overnight travel may be expected. This position may require approximately 10‑15% travel.

None

• Graduate of a nurse anesthesia educational program accredited by the Council on Accreditation of Nurse Anesthesia Educational Programs or its predecessor.
• Current appropriate state licensure and compliance with any applicable state statutory and regulatory requirements concerning CRNAs.
• BLS and ACLS certification.
• 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.

• 8–12 years related experience or an…