OB CRNA

Major Responsibilities

• Provides Primary Anesthesia Care (General, Regional, Monitored Anesthesia Care) to patients having surgery.
  • 1)
    Provides anesthesia care for surgical cases (24 hour coverage) including preoperative anesthesia evaluation.
  • 2)
    Responsible to thoroughly evaluate patients prior to surgery to determine appropriate anesthetic technique to be administered to patient.
  • 3)
    Responsible to discuss patients physical status, significant laboratory findings and anesthetic choice with surgeon. physician.
  • 4)
    Performs preoperative anesthesia evaluation on patients scheduled for surgery.
  • 5)
    Responds to all Code Blue and emergency intubation situations within the hospital and is the team member responsible for intubation
  • 6)
    Assists with resuscitation throughout the hospital as needed.
• Evaluates the surgical patients preoperatively.
  • 1)
    Review of history and physical examination
  • 2)
    Medications and allergies.
  • 3)
    Previous surgical and anesthetic history.
  • 4)
    Laboratory, EKG, Chest X-Ray results as well as special studies performed
  • 5)
    Preoperative diagnosis, surgical procedure to be performed, type of anesthesia care requested by surgeon
  • 6)
    Review of systems and assignment of physical status
  • 7)
    Explanation of the anesthesia and related procedures to the patient, answer questions, reassure and alleviated apprehension
  • 8)
    Order preoperative medications/tests if needed
  • 9)
    Confer with attending surgeon/physician to determine appropriate choice of anesthetic to be administered.
• Conducts an immediate pre-anesthesia evaluation of the patient in the OR to include vital signs, level of consciousness and response to any preoperative medications.
  • 1)
    Throughout the course of the administration of anesthesia continually monitors the condition of the patient and records vital signs every 5 minutes or less.
  • 2)
    Notifies attending surgeon immediately of any problems or unexpected reactions.
  • 3)
    At the conclusion of the anesthetic, determines when the patient is stable and ready for transport to PACU.
  • 4)
    Gives a thorough verbal report on the patient and course of anesthesia to the recovery nurse and assess initial signs before passing responsibility of patient to the recovery nurse.
• Maintains an accurate, detailed and legible record for each patient in compliance with the hospital policy and procedures and The Accrediting Organization standards.
  • 1)
    Drugs administered = amount, time, route and narcotic waste
  • 2)
    Airway management.
  • 3)
    Fluid/blood administration, EBL (estimated blood loss).
  • 4)
    Vital signs.
  • 5)
    Monitors utilized: EKG, BP, Temp, Oxygen saturation, end tidal CO2, Urine Output
  • 6)
    Any significant events occurring during the intraoperative period.
• Assembles all necessary drugs, supplies and equipment for the administration of anesthesia.
  • 1)
    Performs pre-anesthetic check for the proper function of all equipment, in particular, the anesthesia machine, suction and laryngoscope
  • 2)
    Cleans anesthesia work areas keeps area neat and orderly.
  • 3)
    Orders and stocks supplies for anesthesia services.
  • 4)
    Reports any malfunctioning equipment so necessary repairs can be made.
  • 5)
    Maintains drugs and anesthesia equipment in the Surgery Department.
• Provides Pain Management Services as requested by the medical staff.
  • 1)
    Evaluates all patients referred to Pain Management Services in the clinic.
  • 2)
    Provides a Plan of Care with approval of the referring physician
  • 3)
    Administers treatments per plan of care
  • 4)
    Provides follow-up calls to clients.
  • 5)
    Inserts PICC lines as ordered per physicians
• Maintains own professional growth and development by:
  • 1)
    Membership and participation in professional organizations.
  • 2)
    Attending continuing education programs both internally and externally.
  • 3)
    Maintaining awareness of new trends, techniques and technology in the field of anesthesia.

• Nurse, Advanced Practice (APN) AND Nurse, Registered (RN)

• Masters degree in Nursing 2-4 years experience in anesthesia

• Good communication skills Computer skills Knowledge of anesthesia delivery equipment Good time management and organizational skills
• AANA certification in anesthesia ACLS

• Able to transport patients of up to 250…