Certified Registered Nurse Anesthetist

Azura Vascular Care is a national leader in vascular specialty services, part of Fresenius Medical Care, the world’s largest dialysis provider. We treat a range of vascular disorders using minimally invasive techniques in state‑of‑the‑art outpatient centers to achieve optimal patient outcomes while delivering the best experience possible.

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 pre‑anesthetic 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 and perform safety checks as needed.
• Select, order, obtain, and administer analgesic and anesthetic agents, adjuvant drugs, accessory drugs, 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 care.
• Place and manage regional anesthetic techniques, as delineated by clinical privileges or 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 participation in facility, department, or unit patient safety initiatives and by reporting adverse events and near misses.
• Communicate identified risks in processes, procedures, and devices to those in charge.
• Utilize 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 and 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 role requires staying on feet majority of time, lifting and positioning patients, with ability to lift objects heavier than 50 pounds. The work environment is a health care facility with air temperature control and moderate noise levels. Exposure…