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Pediatric Anesthesia Practitioner

2 months ago

Miami, United States Nicklaushealth Full time

Position Overview
Responsible for delivering anesthetic care to patients under the direct supervision of a Pediatric Anesthesiologist.

Key Responsibilities

  • Collects comprehensive medical histories and conducts physical examinations of patients.
  • Confirms patient identity, the procedure to be performed, and ensures informed consent has been obtained from the parent or legal guardian. Verifies appropriate fasting times.
  • Evaluates the patient's pain management requirements prior to the procedure.
  • Assesses the patient's medical history, physical condition, age-specific needs, and safety requirements for a successful procedure and its impact on anesthesia response.
  • Collaborates with the supervising anesthesiologist to discuss the patient's medical needs, the physiological and technical aspects of the procedure, and determines the optimal pre-anesthetic medications and techniques tailored to the patient's needs.
  • Issues orders for pre-anesthetic medications.
  • Conducts a pre-anesthesia equipment check and organizes all assigned rooms for the day's schedule.
  • Participates in Time Out protocols, verifying patient identity, procedure, and site.
  • In conjunction with the supervising anesthesiologist, implements the anesthetic plan tailored to the patient's requirements.
  • Inserts peripheral venous catheters, radial artery catheters, or central venous catheters as necessary under the anesthesiologist's supervision.
  • Executes safe and effective techniques for mask ventilation, tracheal intubation, extubation, and mechanical ventilation of patients under supervision.
  • Delivers anesthesia care in accordance with infection control standards and safety protocols.
  • Continuously monitors patients using pulse oximetry, capnography, EKG, non-invasive blood pressure, arterial lines, and temperature sensors, documenting every five minutes in the anesthesia record.
  • Adjusts anesthesia levels and modifies respiratory support as needed to meet patient requirements.
  • Observes skin color, blood color in the surgical field, and performs arterial blood gas analysis when necessary.
  • Monitors blood loss and urine output when feasible, recording findings in the anesthesia record.
  • Manages the patient's fluid, blood, electrolyte, and acid-base balance in consultation with the supervising anesthesiologist.
  • Maintains vigilance and promptly informs the supervising anesthesiologist of any unexpected patient reactions to anesthesia or the procedure.
  • Keeps detailed records of medications administered, techniques employed, and the patient's responses in the anesthetic record.
  • Assists in the resuscitation of critically ill or severely compromised patients.
  • Collaborates with team members to provide breaks and lunches for other anesthesia personnel as time permits.
  • Delivers comprehensive reports on the patient's psychological and physical condition, peri-anesthetic course, and anticipated complications to the post-anesthesia care provider.
  • Conducts post-anesthesia evaluations of the patient's response to anesthesia and potential complications, taking appropriate corrective actions and requesting consultations as needed.
  • Initiates and administers respiratory support to ensure adequate ventilation and oxygenation immediately following anesthesia.
  • Initiates and administers pharmacological or fluid support to ensure cardiovascular stability if urgently required in the post-anesthesia period.
  • Evaluates patients for discharge from the post-anesthesia care area.

Minimum Qualifications

  • Master's Degree from an accredited Anesthesiologist Assistant program.
  • Certification as an Anesthesiologist Assistant by the National Commission for Certification of Anesthesiologist Assistants.
  • Licensure as an Anesthesiologist Assistant in the State of Florida.
  • Current CPR BLS certification from the American Heart Association.
  • Current PALS certification from the American Heart Association.
  • Current ACLS certification from the American Heart Association.
  • Successful completion of a Level II Background Check.

Knowledge, Skills, and Abilities

  • Experience in pediatric care is preferred.
  • Demonstrates a thorough understanding of anesthesia practices and procedures.
  • Ability to assess patient responses to care, resolve issues, and adapt care plans accordingly.
  • Exhibits strong bedside manners that instill confidence in patients and their families.
  • Possesses effective communication skills.
  • Ability to remain calm under pressure.
  • Ability to foster positive relationships with patients, families, anesthesiologists, surgeons, nurses, and surgical technicians.
  • Proficient in the values and standards of professionalism, teamwork, and patient safety upheld by Nicklaus Children's Hospital.

Employment Status: Full Time

Location: Florida

Department: Anesthesiology