CRNA, Emergency Medicine

Job Details:

Job Location:

Harrisonville, MO 64701, Position Type:
Full Time,

Job Shift: Day, Primary

Purpose:

Administer local, inhalation, intravenous and other anesthetics to induce total or partial loss of sensation or consciousness in patients during surgery. Administer anesthesia for surgical, diagnostic, and therapeutic procedures across the continuum of care.

Formal Policy-Setting Responsibilities:
Contributes to policy development for the anesthesia department in collaboration with Anesthesia Medical Director.

Routine Decision Making:
Evaluation of patient’s physical condition (before, during, and after anesthesia), ordering of pre-op lab and testing and evaluation of values. Postoperative pain management, anesthetic technique selection, and intraoperative adjustments.

Formal Supervisory Responsibility:
No formal supervisory responsibility.

Unusual

Working Conditions:

Exposure to communicable disease and chemicals.

Age Specific

Competencies:

Provides anesthesia care for patients across the lifespan: neonatal, pediatric, adolescent, adult, and geriatric.

Assess patient’s condition to receive anesthesia and determine method of anesthesia. (15% of time).

• Performs chart preparation and evaluation prior to evaluation of patient (in advance if not urgent/emergent add-on surgery/procedure.
• Evaluates equipment prior to each anesthesia activity for proper functioning.
• Performs and documents a pre-anesthesia assessment/evaluation including a physical/oral airway assessment in pre-op holding area.
• Formulates a safe anesthetic plan of care agreed upon by patient. CRNA and surgeon.
• Obtains Informed Consent prior to the administration of an anesthetic.
• Reviews informative/assessment again immediately prior to the administration of anesthesia agents.
• Notifies surgeon of need for medical clearance for patients identified as high risk.

• Utilizes aseptic teaching in preparation of anesthesia solutions prior to administration.
• Maintains accurate records of controlled substances prior to drug administration.
• Documents wastes of controlled substances immediately and obtains witness co-signature.
• Informs pharmacy and administration of any discrepancies immediately

• Continuously monitors patient’s vital signs and oxygenation status during anesthesia.
• Documents results on anesthesia record within fifteen minutes.
• Notifies surgeon immediately of significant trends or vital signs outside of acceptable norms and provides feedback regarding assessment to surgeon after intervention.
• Communicates with surgeon aspects of care during the care which would enhance the safety of the anesthetic for the patient.
• Prepare and acts immediately with therapeutic emergency agents to support physiologic functions.

• Is prepared with available emergency medications to be utilized immediately for any adverse event encountered.
• Titrates anesthetic agents including vasoactive substances, adjuvant drugs and fluids necessary to manage the anesthetic.

• Selects and administers medications, fluids and respiratory support appropriate for transfer to PACU, ICU or transport to another facility.
• Guides patient care during the recovery process by utilizing PACU order sets.
• Assesses readiness and discharges patient from post-anesthesia care area per established criteria.
• Provides post-anesthesia follow-up evaluation and care if appropriate.

• Responds to code blues immediately when available…