CRNA; Anesthesiology & Critical Care Medicine

Responsibilities

• Independently researches new/unknown procedures, diseases, medications, and equipment.
• Functions within safe parameters for quality/good patient care. Seeks assistance from the attending anesthesiologist when appropriate. Uses critical thinking skills and adapts to changes as necessary.
• Applies knowledge of pre-op, intra-op, and post-op in an effective manner under normal conditions and under emergency conditions.
• Demonstrates technical competence. Employs dexterity when performing anesthetic procedures.
• Understands all anesthetic equipment used in the JHH OR, uses items to full advantage, and handles equipment carefully. Sets up all necessary equipment for a successful anesthetic course.

• Performs and documents timely pre-anesthesia assessments.
• Review of medical history (including anesthesia, drug, and allergy history).
• Focused physical examination (heart, lungs, airway, ASA classification).
• Plan for anesthesia care.
• Obtains anesthesia-informed consent.
• Collaborates and consults with attending anesthesiologist prior to start of case on plan for anesthesia care (general, regional, combined, local, and sedation techniques) when applicable.
• Anticipates key procedures and assures an anesthesia environment (e.g., supplies & equipment, including anesthesia machine check, fluid warmers, blood, any  special ) necessary to carry out the anesthetic plan.
• Orders and administers pre-anesthetic medications and fluids.

• Selects, applies, and inserts non-invasive and invasive monitoring devices.
• Selects and administers anesthesia, sedation, adjuncts, and accessory drugs and fluids.
• Manages patient airway and pulmonary status.
• Demonstrates understanding of relevant clinical issues, recognizes priorities in clinical situations; aware of own limits; appropriate use of tests and procedures.
• Maintains effective communication with team (i.e., intraoperative personnel & Attending Anesthesiologist), including briefing and debriefing discussions.
• Facilitates emergence and recovery from anesthesia and transport to the recovery area, providing a thorough report to the receiving unit in a timely manner.

• Implements acute and chronic pain management.
• Performs and documents timely post-anesthesia evaluation and discharges patient from recovery area when appropriate.
• Provides a complete report of the patient's anesthetic course and any pertinent information necessary to accurately transfer care of the patient.
• Facilitates room turnover in a timely fashion (room, medicine, and equipment prep, pre-op assessment).
• Provides medical services according to the JHM Service Standards to include Patient Relations, Self-Management, Teamwork, Communications, Ownership/Accountability, and Continuous Performance Improvement.

• Completion of a nurse anesthesia program approved by MD Board of Nursing. If the program was completed after 1/1/08, a Master s Degree is required.
• Current MD State RN and CRNA license required.
• Current CPR certification, ACLS required. Credentialing before start date required.
• Additional education may substitute for required experience, and additional related experience may substitute for required education beyond a high school diploma/graduation equivalent, to the extent permitted by the JHU equivalency formula.