GIRMC Certified RN Anesthetist

Summary

GENERAL

SUMMARY:

Responsible for administering anesthesia, monitoring patients vital signs, and overseeing patient recovery from anesthesia. Assists with anesthesia-related medical and emergency situations such as airway maintenance and pulmonary ventilation. Complies with rules and regulations of all applicable federal, state, and local laws as well as all Grand Island Regional Medical Center (GIRMC) policies and Medical Staff rules and regulations.

PRINCIPAL

JOB FUNCTIONS:

1.
* Commits to the mission, vision, beliefs and consistently demonstrates our core values.

2.
* Maintains excellence in airway management and is familiar with the usage of all airway adjunct (i.e., Glide slope, fiber optic scope, intubating laryngeal mask airway (ILMA), etc.).

3.
* Functions within their scope of delineated clinical privileges and within the State of Nebraskas scope of practice.

4.
* Participates in pre-anesthetic preparation and evaluation including the preparation of anesthesia equipment and supplies anticipated for the procedure, performing a pre-anesthetic assessment and developing a specific anesthesia plan of care for each patient and or procedure.

5.
* Formulates the patient specific anesthesia plan of care utilizing the pre-surgical assessment and collaborates with the attending anesthesiologist for patients with multiple compounding medical problems or when the anesthetic is anticipated to be challenging.

6.
* Executes the patient-specific plan for anesthesia care including always maintaining the appropriate confidentiality of patient information.

7. Reviews appropriate documentation for informed consent and identifies appropriate surgical site in accordance with departmental and regulatory compliance standards. Participates in surgical pause in the Operating Room (OR) with entire surgical team in accordance with departmental and regulatory compliance standards.

8. Ensures appropriate non-invasive and invasive monitoring devices for continuous evaluation of the patients physical status are selected, applied, and/or inserted.

9. Uses anesthetics, adjuvant and accessory drugs and fluids necessary to manage the anesthetic.

10. Implements, monitors, and adjusts patients physiologic condition as appropriate for type of anesthesia and specific patients needs.

11.
* Monitors the patients physical response to the anesthetic and initiates corrective measures. Monitors airway, oxygenation, and pulmonary status; cardiovascular status; and temperature and neuromuscular function.

12.
* Accesses positioning and adjusts as needed for patient safety.

13.
* Provides emergence and recovery from anesthesia.

14.
* Determines the need for additional laboratory tests and provides resuscitative care, as necessary.

15. Transfers the responsibility for care of the patient to other qualified providers post-operatively to ensure continuity of care and patient safety. Communicates appropriately with all individuals involved in the peri-operative and post-operative care of the patient. Reports and completed documentation are provided upon transfer of the patient from intraoperative to post-operative care provider.

16. Provides acute and chronic post-operative pain management modalities. Select medications, fluids and ventilatory support necessary to facilitate recovery from anesthesia.

17. Provides post anesthesia follow-up evaluation and care as needed.

18. Responds to emergency situations, anywhere in the hospital, immediately and competently by providing airway management and using basic or advanced cardiac life support techniques as appropriate.

19. Performs all required safety and performance checks on anesthesia-related equipment and verifies the appropriate supplies are available before initiating care. Procures and assembles equipment and supplies as indicated as needed.

20.
* Assumes responsibility and is accountable for controlled substances according to department and hospital policy and State and federal guidelines.

21. Participates in the quality assessment process by collecting data, reporting trends/compliance, attending committee meetings, departmental reviews, problem focused studies and process oversight as assigned.

22.…