Certified Registered Nurse Anesthetist SH; CRNA

Certified Registered Nurse Anesthetist SH (CRNA)

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Job Summary

Selects and administers intravenous, spinal and other anesthetics prior to and during surgical or medical procedures, as a member of the anesthesia care team and in accordance with Kaiser Permanente policies and procedures. Monitors patient reactions and vital signs during and after anesthesia and takes remedial action when warranted. Submits postoperative report on patient condition, and maintains records of anesthetics administered.

Performs procedures outside of the OR, in accordance with KP policies and procedures, established competency, and MD order.

Essential Responsibilities

• Conducts and/or reviews anesthetic evaluation of patients prior to surgical proceedings, deliveries or other pertinent medical procedures in hospital setting; consults with anesthesiologists and/or surgeons.
• Reviews patients' charts, including permits, pre-operative medications, lab work, and any other significant variations (e.g., hearing aids, dentures, contact lenses, or other prostheses) in accordance with KP policies and procedures and the departmental policy.
• Evaluates patients to identify apparent difficulties with airway control, ensures all pre‑anesthesia evaluations are documented thoroughly according to policies and standards, explains tests, procedures and disease processes to patients and their family as indicated, and documents that the risks are explained to patients.
• Develops the care regimen of assigned patients, reviews the regimen with the supervising physician and gains concurrence, implements the anesthesia plan, starts IV solution, administers selected anesthetic in accordance with patient safety, surgical need, possible postoperative complications, and patients' history and conditions, and evaluates and manages the patient according to departmental policy.
• Participates with post‑anesthesia care unit personnel in a patient safety‑oriented interface when patients are transferred from the surgery suite; monitors vital signs such as blood pressure, observes significant physical changes, informs anesthesiologist and/or surgeon of patient condition, and takes remedial action such as infant resuscitation when necessary; mixes solutions to required concentrations (e.g., pentothal, succinylcholine, vaso‑active drugs).
• Maintains current, accurate and complete records of procedures performed and patients' conditions immediately prior to the administration of anesthesia according to established standards.
• Performs procedures outside of the OR, such as intubation and arterial line placement, in accordance with policies and procedures, competencies, and physician order; charts details of procedures on progress notes.
• Kaiser Permanente conducts compensation reviews of positions on a routine basis. At any time, the organization reserves the right to reevaluate and change job descriptions, or to change such positions from salaried to hourly pay status; such changes are generally implemented only after notice is given to affected employees.

Experience

Basic Qualifications

• N/A

Education

• Graduate of an accredited registered nursing program.
• Graduate of an accredited school of anesthesia by date of hire.
• High School Diploma or General Education Development (GED) required.

License, Certification, Registration

• Certified Registered Nurse Anesthetist (California) required at hire.
• Registered Nurse License (California) required at hire from Centers for Medicare & Medicaid Services.
• National Provider Identifier required at hire.
• Basic Life Support.
• Advanced Cardiac Life Support.

Additional Requirements

• Demonstrated understanding of all regulatory requirements and legal consequences of anesthesia care.
• Proven ability to exercise professional prerogatives based on sound clinical judgment.
• Demonstrated track record of following precautionary and preventive measures in giving patient care.
• Demonstrated ability to work in teams and have proven communication and listening skills.
• Demonstrated knowledge of and skill in interpersonal relations, customer service, adaptability and change management.
• Must be able to work in a Labor/Management Partnership environment.
• Must be eligible for Medicare/Medi‑Cal enrollment. Medicare enrollment requires current certification by one of the following organizations:
  Council on Certification of Nurse Anesthetists or the Council on Recertification of Nurse Anesthetists.

Preferred Qualifications

• N/A

Seniority Level

• Entry level

Employment Type

• Full-time

Job Function

• Health Care Provider

Industries

• Hospitals and Health Care