Certified Registered Nurse Anesthetist - Anesthesiology Doral - Per Diem

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Per Diem

CRNA

Location:
Doral

UHealth at Doral has Per Diem opportunities for Per Diem Certified Registered Nurse Anesthetists (CRNA). All of following functions will be performed under either the medical direction or supervision of an Anesthesiologist using protocols developed by the Department of Anesthesiology, Perioperative Medicine and Pain Management. This applies to all subsequent details of the clinical work as set forth in the privileges, protocols, and the policies and procedures of the Department of Anesthesiology, Perioperative Medicine, and Pain Management's.

The physician will be available for consultation.

The physician's responsibilities of patient care will be in compliance with the Department of Anesthesiology, Perioperative medicine and Pain Management's protocols, policies, and procedures. CRNA/ARNP may manage the health care for those patients for which he/she has been educated and credentialed either under the medical direction or supervision of an Anesthesiologist using protocols developed by the Department of Anesthesiology, Perioperative medicine, and Pain Management.

This applies to all subsequent details of clinical work as set forth in privileges, protocols, and the policies and protocols of the Department of Anesthesiology, Perioperative Medicine, and Pain Management. Copies of privileges are available upon request.

Pre-Anesthetic Preparation and Evaluation

• Obtaining an appropriate examination and healthy history including biophysical and psychosocial data.
• Conducting an appropriate health history screening assessment.
• Recommending or requesting and evaluation pertinent diagnostic studies.
• Selecting, obtaining, ordering, or administering pre-anesthetic medications.
• Documenting the pre-anesthetic evaluation and obtaining informed consent for anesthesia.

Anesthesia Induction, Maintenance and Emergency:

• Obtain, prepare, or utilize all equipment, monitors, supplies and drugs used for the administration of anesthesia; perform or order safety checks as needed/
• Selecting, obtaining, or administering the anesthetics, adjuvant drugs, accessory drugs, and the fluids necessary to manage the anesthetic, to maintain the patient's physiologic homeostasis, and to correct abnormal responses to the anesthesia or surgery.
• Performing tracheal intubation and extubation; placing supraglottic airway providing mechanical ventilation.
• Managing regional anesthetic techniques including, but not limited to subarachnoid, epidural, and caudal blocks; plexus, major and peripheral nerve blocks; intravenous regional anesthesia; transtracheal, topical and local infiltration blocks. Performance of any block requires special demonstration of competency and is conferred individually on an annual basis by the Chief of Service at the site/ Performance of any plexus, major and peripheral nerve block also requires approval on any annual basis by the Chief of Regional Anesthesia in addition.
• Providing appropriate perianesthetic invasive and non-invasive monitoring utilizing current standards and techniques and responding to abnormal findings with corrective action
• Recognizing and treating cardiac dysrhythmias through the use of perianesthetic electrocardiogram monitoring.
• Recognizing abnormal patient response during anesthesia, selecting and implementing corrective action and requesting consultation whenever necessary.
• Managing the patient's fluid, blood, electrolyte, and acid-base balance.
• Evaluation patient response during emergency from anesthesia and instituting pharmacological or supportive treatment to ensure the adequacy of patient recovery from anesthesia and adjuvant drugs.
• Providing anesthesia care consistent with infection control and anesthetic safety principles in order to prevent the spread of disease and prevent harm to the patient, the anesthetist and others in the anesthetizing environment.
• Documenting as part of the medical record, all aspects of anesthesia-related care in thorough and timely fashion.

Post-Anesthesia Care:

• Providing a thorough report of the patient's psychological and physical condition, perianesthetic course and anticipated problems to the post-anesthetic nurse and physician who assume the patient's care following anesthesia.
• Providing post-anesthesia follow-up and evaluation of the patient's response to anesthesia and for potential anesthetic complications, taking appropriate corrective action and requesting consultation whenever indicated.
• Initiating and administering respiratory support to ensure adequate ventilation and oxygenation in the immediate post anesthesia period.
• Initiating and administering pharmacological or fluid support of the cardiovascular system during the immediate post anesthesia period as necessary to…