Certified Registered Nurse Anesthetist - Garrett Regional Medical Center

This position provides anesthetic care for all types of patients and procedures in cooperation with the supervising or medically directing physician and in accordance with hospital policies and procedures. The role administers anesthesia to patients, rendering them insensitive to pain during surgery or procedures, and provides continuous vigilant observation to monitor physical reactions to sedatives, analgesics, and anesthetic agents while informing the surgical team of any adverse conditions that threaten patient safety.

• Current licensure as a Registered Nurse in the State of West Virginia, or applicable state where services will be performed.
• Board certified or recertified by the National Board of Certification and Recertification for Nurse Anesthetists.

• Maintain patient safety at all times.
• Maintain excellence in airway management and be familiar with the use of all airway adjuncts such as bullard, fiber optic scope, ILMA, etc.
• Work within scope of delineated clinical privileges.
• Takes appropriate precautions to minimize risks of infection of patients and other health‑care professionals.
• Maintain the appropriate confidentiality of patient information at all times.
• Participate in the pre‑anesthetic evaluation of patients and the selection of anesthetic agents and techniques.
• Perform appropriate techniques of the anesthetic plan, including 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.
• Monitor the patient’s physical response to the anesthetic and inform 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 postoperative period.
• Administer IV fluids relative to the patient’s medical history and surgical procedure. Administer blood products after obtaining a hematocrit and consulting with the surgeon and/or anesthesiologist.
• Document the patient status in the anesthesia record appropriately.
• Perform 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.
• Review appropriate documentation for informed consent and identify appropriate surgical site during SBAR with circulating RN and holding room RN. Participate in surgical pause in the OR with entire surgical team in accordance with departmental and regulatory compliance standards.
• Communicate appropriately with all individuals involved in the peri‑operative and postoperative care of the patient.
• In a life‑threatening emergency, function responsibly by providing anesthesia care in the absence of an anesthesiologist.
• Assist with the teaching and evaluation of newly‑hired CRNAs, GRNAs, SRNAs in the clinical area.
• Assume responsibility and be accountable for controlled substances according to department and hospital policy and state and federal guidelines.
• Maintain a level of professionalism at all times.

• Ability to see details at close range (within a few feet).
• Must deal calmly and effectively with high‑stress situations; ability to maintain composure.
• Requires being reliable, responsible, and dependable, and fulfilling obligations.
• Being open to change (positive or negative) and to considerable variety in the workplace.
• Ability to work congenially with individual differences in personality and interests.

• May be in close contact with individuals who have infectious diseases and with toxic, harmful, or potentially hazardous compounds, solutions, and medications.
• Must observe rigid, standardized…