PRN CRNA

Crna Position

The CRNA provides anesthesia for all types of pediatric patients undergoing surgical or other procedures necessitating anesthesia as part of the anesthesia care team with an anesthesiologist. Anesthesia will be provided according to standards of care and the standards of the Department of Anesthesiology in accordance with hospital policies and procedures. The CRNA will provide care for the patient from the preoperative through postoperative destination.

The CRNA will provide continuous vigilant observation and monitoring of the patient's status in response to any administered anesthetic and makes necessary adjustments. Provides timely notification to attending anesthesiologist regarding any and all critical events, changes in status, or any condition that threatens the safety or care of the patient.

Minimum Qualifications:

Education, Certification, and/or Licensure:

1. Current licensure as a Registered Nurse in the State of West Virginia, or applicable state where services will be performed.

2. Board certified or recertified by the National Board of Certification and Recertification for Nurse Anesthetists.

Core

Duties and Responsibilities:

1. Maintains patient safety at all times.

2. Maintains excellence in airway management and shall be familiar in the usage of all airway adjuncts. i.e., bullard, fiber optic scope, ILMA, etc.

3. CRNAs shall work within their scope of delineated clinical privileges.

4. Takes appropriate precautions to minimize risks of infection of patients, and other health care professionals.

5. Maintains the appropriate confidentiality of patient information at all times.

6. Participates in the pre-anesthetic evaluation of the patients and the selection of anesthetic agents and techniques.

7. 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.

8. Monitors the patient's physical response to the anesthetic and informs the surgeon and/or anesthesiologist of any adverse condition. Manage the anesthesia process to include induction, maintenance, and emergence of general, regional, and monitored anesthesia cases. Recognize abnormal patient responses to anesthesia or to any adjunctive medication or form of therapy. Initiate corrective measures. Determine the need for additional laboratory tests and provide resuscitative care as necessary.

Evaluate and manage the patient in the immediate post-operative period.

9. Administers IV fluids relative to the patient's medical history and surgical procedure. Administer blood products after obtaining a hematocrit and then consultation with the surgeon and/or anesthesiologist.

10. Documents the patient status in the anesthesia record appropriately.

11. Performs all required safety and performance checks on anesthesia-related equipment and verify the appropriate supplies before initiating care. Procure and assemble equipment and supplies as indicated if anesthesia tech is not available.

12. Reviews appropriate documentation for informed consent and identify appropriate surgical site during SBAR with circulating RN and holding room RN. Participates in surgical pause in the OR with entire surgical team in accordance with departmental and regulatory compliance standards.

13. Communicates appropriately with all individuals involved in the peri-operative and post-operative care of the patient.

14. In a life-threatening emergency, functions responsibly by providing anesthesia care in the absence of an anesthesiologist.

15. Assists with the teaching and evaluation of newly-hired CRNAs, GRNAs, SRNAs in the clinical area.

16. Assumes responsibility and is accountable for controlled substances according to department and hospital policy and State and federal guidelines.

17. Maintains a level of professionalism at all times

Physical Requirements:

1. Ability to see details at close range (within a few feet of the observer).

2. Must deal calmly and effectively with high stress situations; ability to maintain composure.

3. Requires being reliable, responsible, and dependable, and fulfilling obligations.

4. Being open to change (positive or negative) and to considerable variety in the workplace.

5. Ability to work congenially with individual differences in ability, personality, and interests.

Working Environment:

1. May be in close contact with individuals who have infectious diseases and with toxic, harmful, or potentially hazardous compounds, solutions, and medications.

2. 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.

3. May be required to be on call or work nights, weekends, and/or holidays.

Skills and…