This position reports jointly to the Clinical Lead CRNA and the Division Chief of Nurse Anesthesia (Chief CRNA).
Primary responsibilities are (a) the administration of intravenous, inhalation and other anesthetics to patients in an operating room and (b) observing the physiological condition of patients while under anesthesia. In conjunction with these primary responsibilities (a) evaluates each assigned patient's physical state and plans the course of anesthesia, (b) obtains, assembles, operates, and/ or monitors anesthesia equipment and (c) ensures that all necessary supplies, drugs and anesthetic agents are available.
Pre-anesthesia Assessment & Case Preparation:
Perform and documents timely pre-anesthesia assessments: Review of medical history (including anesthesia, drug and allergy history); Focus physical examination (heart, lungs, airway, ASA classification); Plan for anesthesia care
Obtains anesthesia informed consent
Collaborates and consults with attending anesthesiologist prior to start of case on plan for anesthesia care (general, regional, combined, local, and sedation techniques) when applicable
Anticipates key procedures and assures an anesthesia environment (e.g., supplies & equipment including anesthesia machine check, fluid warmers, blood, any "special") necessary to carry out anesthetic plan
Orders and administers pre-anesthetic medications and fluids
Selects, applies and inserts non-invasive and invasive monitoring devices
Selects and administers anesthesia, sedation, adjuncts and accessory drugs and fluids
Manages patient airway and pulmonary status
Demonstrates understanding of relevant clinical issues, recognizing priorities in clinical situations; aware of own limits; appropriate use of tests and procedures
Maintains effective communication with team (i.e., intraoperative personnel & attending Anesthesiologist) including briefing and debriefing discussions
Facilitates emergences and recovery from anesthesia and transport to recovery area, providing thorough report to receiving unit in a timely manner
Post-anesthesia Evaluation & Management:
Implements acute and chronic pain management
Performs and documents timely post-anesthesia evaluation and discharges patient from recovery area when appropriate
Provides a complete report of patient's anesthetic course and any pertinent information necessary to accurately transfer care of the patient
Facilitate room turnover in a timely fashion (room, medicine and equipment prep, pre-op assessment)
Provides Medical service according to the JHM Service Standards to include:
Continuous Performance Improvement
Complete the requirements for a degree or diploma from an education program in nurse anesthesia approved by the Maryland Board of Nursing. If the nurse anesthesia program was completed after January 1, 2008, then the program must be at a master's degree or higher. A minimum of a Master's degree is preferred.
Must be certified by the Council on Certification of Nurse Anesthetists or from another certifying body approved by the Board, or in the process of acquiring such certification. Current Maryland State RN and CRNA licensure required. Current CPR (BLS & ACLS) certification required. Must maintain current licensure and certification during duration of employment. Completion of the JHH credentialing process is required prior to start date.
This is a Required Attendance position. In the event of unexpected university closings, the employee in this position is required to report and/or remain at work.
Physical Requirements: Must be able to remain in a stationary position for an extended period of time. Must be able to move throughout the hospital as needed for patient care. Must be able to wear lead apron weighing up to 15.5 lbs. Ability to push and pull objects weighing 50 lbs. or more. Ability move or transport objects weighing 50 lbs. or less. (e.g. transport monitors from ICU to OR, medical equipment from workroom to OR). Ability to transfer patients between beds and stretchers. Ability to adjust and raise the head of a hospital bed.
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