CRNA - OB; PRN

Citizens Medical Center is a not-for-profit hospital known for compassionate patient care, clinical expertise, and advanced medical services in South Texas. Today, Citizens is a 338-bed acute care facility with over 1,000 dedicated employees.

Citizens offers a generous benefit package including retirement plans upon hire and an excellent medical plan with optional additional insurance plans.

The Certified Registered Nurse Anesthetist (CRNA) is an advanced practice registered nurse (APRN) who practices autonomously and collaborates with a variety of health providers to deliver high-quality anesthesia and pain care in a range of settings for procedures including surgical, obstetrical, diagnostic, therapeutic, and pain management.

• Perform and document 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, prepare, and use equipment, monitors, supplies, and drugs for sedation, anesthesia, and pain management; perform safety checks as needed.
• Select, order, and administer analgesic and anesthetic agents, adjuvant drugs, accessory drugs, fluids, or blood products necessary to provide anesthesia services for surgery and obstetrics.
• Perform all aspects of airway management, including fiber optic intubation.
• Facilitate emergence and recovery from anesthesia by evaluating patient response 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 and take appropriate corrective action during the post‑anesthesia period.
• Provide post‑anesthesia follow‑up evaluation and 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, administration of emergency drugs and fluids, and using basic and advanced cardiac life support techniques.
• Place and manage regional anesthetic techniques as delineated by clinical privileges or granted special privileges.

• Quality assessment and quality assurance.
• Didactic and clinical education of students and staff.
• Appointment to facility committees and related activities.
• Clinical or administrative oversight of other departments (e.g., respiratory therapy, PACU).
• Supports patient safety when performing job functions and through participation in facility, department, or unit patient safety initiatives.
• Takes action to correct observed risks to patient safety.
• Reports adverse events and near misses to appropriate management authority.
• Identifies possible risks in processes, procedures, devices and communicates the same to those in charge.
• Participates in patient education and counseling based on health needs.
• Maintains compliance with medical records documentation.

• Participates in required educational programs.
• Participates in departmental and team meetings.
• Seeks ongoing professional educational growth.

• Adheres to organization‑wide and other applicable policies and procedures.
• Day‑to‑day performance complies with the hospital’s Service Excellence Behavioral Expectations.
• Performs within the prescribed limits of the hospital’s Ethics, Compliance and Confidentiality Program guidelines.
• Performs within professional Scope of Practice at all times.

• Nothing in this job description restricts management’s right to assign or reassign duties and responsibilities to this job at any time.

Graduate of a nurse anesthesia educational program accredited by the Council on…