CERTIFIED REGISTERED NURSE ANESTHETIST

Responsibilities

**Role** **:**

CRNAs provide anesthesia services to patients of all ages at Strong Memorial Hospital and the Ambulatory Surgical Center at Sawgrass under the medical direction of members of the faculty of the Department of Anesthesiology of the University of Rochester Medical Center. They are an integral part of the surgical team working closely with anesthesiologists, surgeons, and operating room nurses and other healthcare professionals. They provide anesthesia care for ENT, Plastics, Ophthalmology, Urology, Orthopedics, GI, OB/GYN, Transplant, Cardiac, Pediatric, Dental, Thoracic, Vascular, Trauma and Burns, and General Surgery patients.

In keeping with the mission and values of both the Department of Anesthesiology and Strong Memorial Hospital, all employees are responsible for care and services that reflect and demonstrate our mission and core values.

**Hospital Mission Statement** **:**

_We improve the well-being of patients and communities by delivering innovative, compassionate, patient- and family-centered health care, enriched by education, science, and technology._

**Department of Anesthesiology Mission Statement** **:**

_The mission of the Department of Anesthesiology is to deliver_ _Medicine of the Highest Order_ _through excellence in peri-operative medicine, pain management and critical care, outstanding education and innovations in research._

**JOB SPECIFIC DUTIES**

55% Conducts and maintains the anesthetic as evidenced by:

+ Selects and implements appropriate anesthetic agent.

+ Initiates and maintains patient ventilation when appropriate.

+ Provides for protection of the patient's eyes and pressure points when appropriate.

+ Observes and records the effects of ambient temperature on the patient when appropriate.

+ Evaluates the adequacy of anesthetic depth.

+ Evaluates, records, and treats any cardiovascular dysrhythmia.

+ Evaluates, manages, and documents fluid and electrolyte status.

+ Identifies and determines the need for blood component therapy.

+ Effectively adjusts the anesthetic to meet requirements of patient need.

+ Evaluates the need for drug antagonism and reversal.

+ Recognizes and reports any abnormal patient responses.

20% Administers/Induces Anesthesia as evidenced by:

+ Provides an appropriate general anesthetic (i.e. rapid sequence)

+ Establishes and maintains patient airway with OETT, while minimizing laryngoscopy time, establishing tube placement within 30 seconds, observes and affirms tube placement (breath sounds, ETCO2 level, capnograph pattern).

+ Establishes regional anesthesia in a safe and timely manner.

5% Completes and documents pre-anesthesia patient assessment according to current anesthesia standards for any person requiring any form of anesthesia or IV sedation as evidenced by:

+ Collaborates with all members of the health care team to ascertain acuity needs of patient.

+ Chart review, patient interview, and appropriate documentation of patient history.

+ Physical examination of patient, including airway examination.

+ Offers psychological support while explaining the anesthetic risk/benefit and obtaining an informed consent for all planned and potential forms of anesthesia.

5% Selects appropriate equipment and techniques for use in the accomplishment of goals outlined in the anesthesia care plan/management plan as evidenced by:

+ Evaluation of the functional status of anesthesia equipment (machine, suction, laryngoscope, monitors, etc.)

+ Assures presence and functioning of emergency equipment prior to initiation of any anesthetic technique.

+ Calculation of drug doses; preparation and appropriate labeling of syringes.

+ Appropriate selection of airway management equipment.

+ Appropriate application and selection of monitoring modalities.

5% Supervises Student Registered Nurse Anesthetists (SRNAs) in the delivery of anesthesia care. Participates in education program for SRNAs.

2% Appropriately and effectively administers pharmacological agents.

+ Administers drugs based on individual patient need, dosage and interaction.

+ Follows hospital policy on controlled substances security and sign out.

+ Evaluates patient response to pharmacological agents.

+ Effectively treats any adverse drug reaction.

2% Terminates the anesthetic and emerges the patient from anesthesia.

+ Prepares the patient for emergence.

+ Demonstrates knowledge of extubation criteria.

+ Extubates patient and evaluates ventilatory status.

+ Determines patient stability prior to transport to PACU.

+ Leaves the OR in a state of readiness prior to leaving for PACU.

+ Transports patient safely to PACU.

+ Gives a thorough report to the PACU nurse.

2% Evaluates the attainment of anesthesia care goals.

+ Evaluates response to anesthesia care (immediate or delayed).

+ Evaluates and documents patient status on admission to PACU.

+ Recognizes current or possible problems/complications/side effects.

+ Communicates evaluation findings with the pertinent members of the health care team.

2% Completes departmental documentation and post anesthesia rounds.

+ Completes patient care log appropriately.

+ Completes narcotic record appropriately.

+ Completes and documents post-anesthesia rounds.

2% Assists with starting difficult intravenous lines, inserting difficult arterial lines, obtaining difficult arterial blood gases, performing emergency endotracheal intubation and cardiopulmonary resuscitation throughout the hospital. Acts as a resource for critical care management in the intensive care unit as needed.

**REQUIRED BEHAVIORAL ATTRIBUTES**

Presents self in a positive, professional manner/attitude as evidenced by

+ Explains procedures/processes to patients

+ Wears proper attire and name identification

+ Greets patients and states name and role

+ Arrives to work on time ready to work

+ Smiles and carries self with an air of confidence

+ Focuses on priorities of the workplace leaving personal issues aside

+ Promotes positive image of hospital in community

Collaborates to achieve team goals as evidenced by

+ Willing to go above and beyond the call of duty

+ Shows appreciation of others' contributions through recognition and reward

+ Maintains healthy interpersonal relations through effective communication skills

+ Shows commitment and support to coworkers, patients and guests

+ Demonstrates effective/creative problem solving offering innovative solutions

+ Shares ideas

+ Utilizes team members as role model

Demonstrates flexibility and is open to change as evidenced by

+ Resets priorities as needed

+ Adapts to and is supportive of changes in the workplace and community needs

+ Seeks alternatives before saying no

Demonstrates respectful behavior with all coworkers, patients and guests as evidenced by

+ Maintains awareness and consideration of social diversity and personal dignity

+ Protects personal and hospital property

+ Ensures privacy and confidentiality

+ Interacts with all coworkers, patients and guests using common courtesy

+ Addresses the independent and unique personal needs of coworkers, patients and guests

+ Involves others in decision making

+ Provides pertinent information to coworkers, patients and guests.

Communicates effectively with coworkers, patients, guests and other departments as evidenced by

+ Actively and attentively listens with empathy and concern while keeping an open mind

+ Responds with appropriate verbal and nonverbal communication techniques

+ Provides feedback to and from patients and coworkers

+ Documents/maintains records according to regulatory and department standards

+ Accountable for a safe and clean work environment as evidenced by

+ Adheres to Environment of Care standards

+ Adheres to Infection Control/OSHA guidelines

+ Cleans up after self, recognizing the workplace as a home

**Consistently strives for everyday excellence as evidenced by**

+ Maintains job competency as required and outlined by the job description

+ Participates in ongoing education and develops a plan for personal development

+ Mentors coworkers and shares knowledge and skills

+ Demonstrates accountability

+ Learns from mistakes

+ Demonstrates enthusiasm

+ Effectively uses resources

+ Participates in performance improvement initiatives

+ Participates in staff meetings, professional organizations, continuing education and community organizations as required.

**EDUCATIONAL BACKGROUND AND REQUIREMENTS**

**Education/Experience (minimum required):**

+ Bachelor of Science in Nursing (BSN) or other appropriate baccalaureate degree. At least one year of experience as a registered nurse in an acute care setting.

+ Graduation with a minimum of a master's degree from a nurse anesthesia program accredited by the Council on Accreditation of the American Association of Nurse Anesthetists.

+ Pass the national certification examination within 24 months after graduation.

**License/Certification Required:**

+ Current New York State Registered Nurse's License.

+ Maintenance of current recertification requirements of the Council on Accreditation of the American Association of Nurse Anesthetists.

+ Maintains at least 40 hours of continuing education every two years.

**How To Apply**

All applicants must apply online.

_EOE Minorities/Females/Protected Veterans/Disabled_

**Pay Range**

Pay Range: $223,808 - $335,691 Annually

_The referenced pay range represents the minimum and maximum compensation for this job. Individual annual salaries/hourly rates will be set within the job's compensation range, and will be determined by considering factors including, but not limited to, market data, education, experience, qualifications, expertise of the individual, and internal equity considerations._

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**Location:** Medical Faculty Group
**Full/Part Time:** Full-Time
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