CRNA - Sacramento - Per Diem
1 month ago
Selects and administers intravenous, spinal, and other anesthetics prior to and during surgical or medical procedures as a member of the anesthesia care team and in accordance with Kaiser Permanente policies and procedures.
Monitors patient reactions and vital signs during and after anesthesia, taking remedial action when warranted. Submits postoperative reports on patient condition and maintains records of anesthetics administered.
Key Responsibilities:- Conducts and/or reviews anesthetic evaluations of patients prior to surgical proceedings, deliveries, or other pertinent medical procedures in a hospital setting, consulting with anesthesiologists and/or surgeons.
- Reviews patient charts, including permits, pre-operative medications, lab work, and any other significant variations, such as hearing aids, dentures, contact lenses, or other prostheses, in accordance with Kaiser Permanente policies and procedures and departmental policy.
- Evaluates patients to identify apparent difficulties with airway control, etc., ensuring that all pre-anesthesia evaluations are documented thoroughly according to policies and standards.
- Explains tests, procedures, and disease processes to patients and their families as indicated, explaining the major anesthetic risks to patients as requested and documenting that the risks are explained to patients.
- Develops the care regimen of assigned patients, reviewing the care regimen with the supervising physician and gaining concurrence, implementing the anesthesia plan, starting IV solutions, administering selected anesthetics, and evaluating and managing the patient according to departmental policy.
- Participates with post-anesthesia care unit personnel in a patient safety-oriented interface when patients are transferred from the surgery suite.
- Monitors patients' vital signs, such as blood pressure, and observes any significant physical changes, informing anesthesiologists and/or surgeons of patients' conditions and taking any necessary remedial action.
- Mixes solutions to required concentrations, such as pentothal, succinylcholine, and vaso-active drugs.
- Keeps current, accurate, and complete records of procedures performed and patients' conditions immediately prior to the administration of anesthesia according to established standards.
- Performs procedures done outside of the OR, such as intubation, arterial line placement, etc., in accordance with policies and procedures, competencies, and physician order.
- Graduate of an accredited registered nursing program.
- Graduate of an accredited school of anesthesia by date of hire.
- High School Diploma or General Education Development (GED) required.
- Certified Registered Nurse Anesthetist (California) required at hire.
- Registered Nurse License (California) required at hire from Centers for Medicare & Medicaid Services.
- National Provider Identifier required at hire.
- Basic Life Support.
- Advanced Cardiac Life Support.
- Demonstrated understanding of all regulatory requirements and legal consequences of anesthesia care.
- Proven ability to exercise professional prerogatives based on sound clinical judgment.
- Demonstrated track record of following precautionary and preventive measures in giving patient care.
- Demonstrated ability to work in teams and have proven communications and listening skills.
- Demonstrated knowledge of and skill in interpersonal relations, customer service, adaptability, and change management.
- Must be able to work in a Labor/Management Partnership environment.
- Must be eligible for Medicare/Medi-Cal enrollment.
- Medicare enrollment requires current certification by one of the following organizations: Council on Certification of Nurse Anesthetists or the Council on Recertification of Nurse Anesthetists.
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