CERTIFIED REGISTERED NURSE ANESTHETIST

DEPARTMENT: SWM Anesthesiology

FACILITY: Southwell Medical

WORK TYPE: Full Time

SUMMARY:

The CRNA administers anesthesia and anesthesia related care under the orders of a physician, monitors and supports vital life functions, acts as the patient's advocate while the patient is under anesthesia, and participates in performance improvement and continuous quality improvement activities.

RESPONSIBILITIES:

* Demonstrates knowledge of principles of growth and development and the skills necessary to provide care to the age of the patient, neonate through geriatric.
* Performs and documents pre-anesthetic assessment and evaluation of the patient, including all appropriate lab values, study results, consultative information and pre-anesthesia clinical history.
* Ability to adequately assess and reassess pain. Utilizing appropriate pain management techniques. Educates the patient and family regarding pain management.
* Performs all aspects of patient care in an environment that optimizes patient safety and reduces the likely hood of medical/healthcare errors.
* Documents evidence of informing patient of all risks, potential complications, options and alternatives to anesthesia. Obtains informed consent.
* Development, implements and documents an anesthetic plan of care, prior to providing anesthesia. Documents planned anesthesia selection for the patient.
* Performs an assessment immediately prior to induction of anesthesia of the patient and documents this in the anesthesia evaluation record.
* Maintains the patient's physiologic homeostasis and corrects abnormal responses to the anesthesia and/ or surgery, should these occur.
* Collects and interprets patient physiological data by selecting, applying or inserting noninvasive monitoring modalities.
* Displays ability to intubate most patients with ease, manages the patient's airway and the pulmonary status through the perioperative process.
* Communicates the mission, ethics, and goals of the facility, as well as the focus statement of the department.
* Performs smooth patient emergence and recovery from anesthesia by maintaining homeostasis, providing relief from pain and anesthetic side effects.
* Prevents and manages complications through selecting, obtaining, ordering and administering medications, fluid or ventilator support in correct dosages and methods.
* Follows the 5 medication rights and reduces the potential for medication errors.
* Stays with the patient as long as required by the patient's condition relative to his/her anesthesia status and until responsibility for proper patient care has been assumed by other qualified individuals.
* Supports and adapts to progressive changes in work environment.
* Improves self-knowledge through voluntarily attending continuing education/certification classes.
* Performs all aspects of patient care in an environment that optimizes patient safety and reduces the likelihood of medical/health care errors.
* Documents evidence of informing patient of all risks, potential complications, options and alternatives to anesthesia. Obtains informed consent.
* Develops, implements and documents an anesthetic plan of care, prior to providing anesthesia. Documents planned anesthesia selection for the patient.
* Performs an assessment immediately prior to induction of anesthesia of the patient and documents this in the medical record.
* Maintains the patient's physiologic homeostasis and corrects abnormal responses to the anesthesia and/or surgery, should these occur.
* Collects and interprets patient physiological data by selecting, applying or inserting noninvasive monitoring modalities.
* Displays ability to intubate most patients with ease, manages the patient's airway and pulmonary status through the perioperative process.
* Performs a smooth induction of anesthesia for patients requiring general anesthetic.
* Performs smooth patient emergence and recovery from anesthesia by maintaining homeostasis, providing relief from pain and anesthesia side effects.
* Prevents and manages complications through selecting, obtaining, ordering and administering medications, fluids or ventilator support in correct dosages and methods.
* Follows the five (5) medication rights and reduces the potential for medication errors.
* Stays with the patient as long as required by the patient's condition relative to his/her anesthesia status and until responsibility for proper patient care has been assumed by other qualified individuals.
* Advises staff responsible for post anesthesia care of specific problems related to patient's condition.
* Records all pertinent events taking place during the induction of, maintenance of and emergence from anesthesia, including the dosage and duration of all anesthetic agents, other drugs, intravenous fluids and blood/blood components on all patients that have received anesthesia care.
* Performs post anesthetic patient assessment, records post anesthetic visits, including at least one note describing the presence or absence of anesthesia related complications. Documents at least one post anesthetic note while the patient is in the surgical suite or PACU.
* Demonstrates knowledge of the principles of growth and development and the skills necessary to provide care appropriate to the age of the patient, neonate through geriatric.
* Performs and documents pre-anesthetic assessment and evaluation of the patient, including all appropriate lab values, study results, consultative information and pre-anesthesia clinical history.
* Ability to adequately assess and reassess pain. Utilizes appropriate pain management techniques. Educates the patient and family regarding pain management.
* Keeps abreast of all pertinent federal, state and facility regulations, laws and policies as they presently exist and as they change or are modified.
* Understands and adheres to compliance standards as they appear in the Corporate Compliance Policy, Code of Conduct, and Conflicts of Interest Policy.
* Demonstrates age-specific skills as required by position.
* Offers suggestions on ways to improve operations of department and reduce costs.
* Attends all mandatory education programs.
* Improves self-knowledge through voluntarily attending continuing education/certification classes.
* Maintains required competency levels as identified in written exams, skills checklists, skills labs, annual safety and health requirements as well as service excellence education hours requirements.
* Willing to cross-train in order to better assist co-workers and to provide maximum efficiency in department.
* Volunteers/participates on hospital committees, functions, and department projects.
* Manages resources effectively.
* Reports equipment in need of repair in order to extend life of equipment.
* Makes good use of time so as to not create needless overtime.

EDUCATION:

* Master's Degree in Education specialization:
* Nursing - Anesthesia

CREDENTIALS:

* CERTIFIED REGISTERED NURSE ANESTHETIST from Credential source:
* State License

OTHER INFORMATION:

COMPETENCIES & SKILLS:

* Advanced Cardiac Life Support certification
* Adapts to changing business needs, conditions, and work responsibilities and works with a variety of situations, individuals, groups, and varying customer needs.
* Influences others to act in support of ideas, programs, or causes.
* Diligently attends to details and pursues quality in accomplishing tasks.
* Basic computer skills
* Beside monitoring
* Basic Life Support certification
* Patient care plan establishment and evaluation
* Cerner
* Clinical Assessment
* Possess the ability to think clearly and rationally, understanding the logical connection between ideas.
* Provides excellent service to internal and external customers.
* Data analysis and reporting
* Makes timely, informed decisions that take into account the facts, goals, constraints, and risks.
* Electronic medical record documentation
* Electronic medical record software
* Earns others' trust and respect through consistent honesty and transparency in all interactions.
* Infection control
* Possess the technical knowledge necessary to safely and efficiently perform job.
* Understands and learns from what others say.
* Medical terminology
* Conveys ideas and facts orally using language the audience will best understand.
* Manages time, energy and workspace well and is able to accomplish assigned tasks successfully.
* Pediatric Advanced Life Support certification
* Patient care skills including feeding, dressing, and bathing.
* Patient and family education
* Proficient in safe patient care techniques
* Defines tasks and milestones to achieve objectives, while ensuring the optimal use of resources to achieve those objectives.
* Partners with clients to identify and resolve complex or sensitive issues.
* Manages own time, priorities, and resources to achieve goals.
* Helps create a work environment that embraces and appreciates diversity.
* Vital sign monitoring
* Conveys ideas and facts in writing using language the reader will best understand.

Southwell/Tift Regional Health System, Inc. is an Equal Opportunity Employer.

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