CRNA - Part Time

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, 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 reports on patient condition and maintains records of anesthetics administered. Performs procedures outside the OR in accordance with KP policies, established competency, and MD order.

• Conducts and/or reviews anesthetic evaluations of patients prior to surgical proceedings, deliveries or other pertinent medical procedures in a hospital setting; consults with anesthesiologists and/or surgeons.
• Reviews patient charts, including permits, pre‑operative medications, lab work, and significant variations such as hearing aids, dentures, contact lenses, or other prostheses, in accordance with KP policies and departmental policy.
• Evaluates patients to identify airway difficulties and ensures all pre‑anesthesia evaluations are documented thoroughly according to policies and standards.
• Explains tests, procedures, and disease processes to patients and their families; explains major anesthetic risks and documents that the risks are explained.
• Develops the care regimen for assigned patients, reviews it with the supervising physician, gains concurrence, and implements the anesthesia plan; starts IV solution, administers selected anesthetic consistent with patient safety, surgical need, potential postoperative complications, and patient history and conditions, and then 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 patients’ vital signs, such as blood pressure, and observes any significant physical changes; informs anesthesiologist and/or surgeon of patient condition and takes any necessary remedial action such as infant resuscitation when necessary.
• Mixes solutions to required concentrations, such as pentothal, succinylcholine, and vaso‑active drugs.
• Keeps accurate and complete records of procedures performed and patients’ conditions immediately prior to the administration of anesthesia according to established standards.
• Performs procedures outside the OR, such as intubation and arterial line placement, in accordance with policies and procedures, competencies, and physician order; charts details of procedures in progress notes.

• Experience:
  
  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 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
  • Advanced Cardiac Life Support required at hire
  • Basic Life Support required at hire
  • National Provider Identifier required at hire

• 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 providing patient care.
• Demonstrated ability to work in teams with 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.

• N/A