CRNA — OR & Endoscopy: Perioperative Care Leader

Citizens Medical Center is a not-for-profit hospital known for compassionate patient care, clinical expertise, and bringing advanced medical services to the South Texas region since 1956. Today, Citizens is a 338-bed acute care hospital with over 1,000 dedicated employees.

Citizens offers a generous benefit package that includes retirement plans upon hire, and an excellent medical plan with optional insurance plans to choose from.

If you are interested in pursuing a career with an award-winning hospital, welcome home.

A Certified Registered Nurse Anesthetist (CRNA) is 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, evidenced-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.

These duties are to be performed in a highly confidential manner, in accordance with the mission, values and behaviors of Citizens Medical Center. Employees are further expected to perform their job duties with the highest levels of professionalism, leadership, and respect and provide high quality of care, service, and kindness toward all patients, staff physicians, volunteers, and visitors.

Job Specific:

Clinical Responsibilities

1. Perform and document the pre-anesthesia assessment and evaluation of the patient.

2. Review, request, and order (as permitted by state law) laboratory/diagnostic studies.

3. Obtain informed consent for anesthesia and related services.

4. Select, obtain, order, and administer preanesthetic medication or treatment.

5. Develop and implement an anesthesia care plan.

6. Select, obtain, prepare, and use equipment, invasive and non-invasive monitors, supplies, and drugs for the administration of sedation, anesthesia, and pain management services; perform safety checks as needed.

7. Select, order, obtain, and administer analgesic and anesthetic agents, adjuvant drugs, accessory drugs, fluids, or blood products necessary to provide anesthesia services for surgery and obstetrics.

8. Perform all aspects of airway management, including fiber optic intubation.

9. 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.

10. Initiate and administer post-anesthesia pharmacological or fluid support of the cardiovascular system.

11. Initiate and administer respiratory support to ensure adequate ventilation and oxygenation in the post-anesthesia period.

12. Evaluate the patient’s response to anesthesia and surgery; take appropriate corrective action during the post-anesthesia period.

13. Provide post-anesthesia follow-up evaluation and care.

14. Discharge the patient from the post-anesthesia care unit.

15. Implement acute and chronic pain management modalities.

16. 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.

17. Place and manage regional anesthetic techniques, as delineated by his or her clinical privileges or granted special privileges.

Non-Clinical Responsibilities:

1. Quality assessment and quality assurance

2. Didactic and clinical education of students and staff.

3. Appointment to facility committees and related activities.

5. Clinical or administrative oversight of other departments (e.g., respiratory therapy, PACU).

1. Supports…