• Certified Registered Nurse Anesthetist

    Job Locations US-NE-Lexington
    ID
    2018-1018
    Category
    Anesthesia
    Type
    Regular Part-Time
  • Overview

    Title: Certified Registered Nurse Anesthetist

     

    Supervisor: Executive Director of Anesthesia

     

    Department: Anesthesia

     

    Minimum hours per week: 0-29 hours, call every third weekend

     

    Working conditions: Ability to work up to 75% of the time in cramped, dimly lit, and high intensity working conditions. Subject to working with noisy equipment during certain operative procedures.  May be required to work extended hours beyond 8 - 12 hours.

    Spends up to 50% of time seated, whether in office at desk or watching monitors in surgery. May help positioning surgical patient requiring pulling with multiple people assist. Required to stock shelves in office – lifting up to 30 pound boxes to be carried 10 feet to unload 2.5 pound IV bags up to 70 inches in height. These same IV bags are used during surgery and can be lifted up to similar heights. To help transfer patients, lifting 35 pounds is required to assist transfer. Anesthesia cart is required to be moved from surgery area to OB and to ER up to 75 feet, requiring 15 pounds of horizontal force in hallways and 20 pounds of horizontal force to push over thresholds. Patient beds are transported from rooms with 2 people assist, 1 push/1 pull, up to 200 feet requiring 35 pounds of horizontal force. Worker may spend up to 30% of shift moving, lifting, and transporting patients. During surgery, intubates patients as necessary. CPR management may need to be performed in emergency situations which may require positioning on floor or in bed for chest compressions, etc. for overall management. During surgery, completes various activities to help manage lines, change IV bags, airway management, etc, which requires frequent gross motor UE use.

     

    Management responsibilities: None

    Responsibilities

    Principle duties and responsibilities

    1. Provides anesthesia based upon the standards of anesthesia care.

     

    1. Provides appropriate pre-anesthesia evaluation of each patient and postoperative management.

     

    1. Performs anesthesia administration in all forms; airway management; pre-anesthesia preparation and evaluation; anesthesia induction and maintenance; post-anesthetic care; cardiopulmonary resuscitation; and management of blood, fluid, and electrolyte balance; local anesthesia administration; epidural and other nerve block anesthesia; patient education; anesthesia monitoring; initiation and execution of emergent measures as needed in adverse anesthesia reaction; management of anesthetic drugs; ability to assess patient medical history and potential response to anesthesia; assessment patients' pain management needs.

     

    1. Administers medications and performs treatments.

     

    1. Reports pertinent observations and reactions regarding patients to the appropriate persons; records observations accurately and concisely.

     

    1. Maintains an economical utilization of equipment and supplies; maintains a clean and safe

     

    1. Participates in the orientation of new personnel and participates in staff development.

     

    1. Establishes and maintains communication with other departments.

     

    1. Maintains active status on medical staff.

     

    1. Teaches patients and family members about the type of anesthesia they are having, explains what that means in terms of level of consciousness, ability to maintain their own airway and ability to hear what is going on around them. Teaches patients about expected post-operative pain level and pain management expectations. Explains and identifies risk factors associated with planned anesthetic and how they pertain to the patient’s health status. This will enable the patient or authorized representative to provide informed consent for anesthesia.

     

    1. Maintains patient and staff safety through the use of patient safety tools (Teamstepps, Just Culture, etc.).

     

    1. Regular attendance at the assigned work location is required.

     

    1. Performs all other duties as assigned.

    Qualifications

    Minimum knowledge, skills, and abilities

    1. Must use analytical skills to assess health status of patient, develop appropriate plan for anesthesia, understand and respond to unexpected variations from the anesthesia plan due to changes in the patient’s condition or the surgery itself as is typically acquired through the completion of an active Certified Registered Nurse Anesthesia certification from a recognized accrediting body.

    2. Must maintain an active Nursing License recognized by the state of Nebraska and an active APRN/CRNA license in the state of Nebraska.

    3. Basic Life Support certification via American Heart Association required within six months of hire.

     

    1. Current Nebraska driver’s license is required.

    2. Advanced communication skills with patient, patient’s family, surgery staff, and providers to provide safe and effective anesthetic care. Ability to effectively communicate with individuals from diverse backgrounds.

    3. Requires attention to detail assessing the patient’s status at least every 5 minutes with constant auditory assessment of the Heart Rate and Rhythm, and SPO2 via the pulse beep tone on the monitor while performing anesthesia care.

     

    1. Ability to maintain strict confidentiality with regard to protected and sensitive information.

    2. Ability to complete reports and correspondence at a professional level.

    3. Ability to immediately respond to common inquiries and complaints from patients, employees and regulatory agencies.

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