OB CRNA

Overview

Provides Primary Anesthesia Care (General, Regional, Monitored Anesthesia Care) to patients having surgery.

• Provides anesthesia care for surgical cases (24 hour coverage) including preoperative anesthesia evaluation.
• Responsible to thoroughly evaluate patients prior to surgery to determine appropriate anesthetic technique to be administered to patient.
• Responsible to discuss patients physical status, significant laboratory findings and anesthetic choice with surgeon, physician.
• Performs preoperative anesthesia evaluation on patients scheduled for surgery.
• Responds to all Code Blue and emergency intubation situations within the hospital and is the team member responsible for intubation.
• Assists with resuscitation throughout the hospital as needed.
• Evaluates the surgical patients preoperatively.

• Review of history and physical examination
• Medications and allergies.
• Previous surgical and anesthetic history.
• Laboratory, EKG, Chest X-Ray results as well as special studies performed
• Preoperative diagnosis, surgical procedure to be performed, type of anesthesia care requested by surgeon
• Review of systems and assignment of physical status
• Explanation of the anesthesia and related procedures to the patient, answer questions, reassure and alleviated apprehension
• Order preoperative medications/tests if needed
• 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

• Throughout the course of the administration of anesthesia continually monitors the condition of the patient and records vital signs every 5 minutes or less.
• Notifies attending surgeon immediately of any problems or unexpected reactions.
• At the conclusion of the anesthetic, determines when the patient is stable and ready for transport to PACU.
• 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.
• Drugs administered = amount, time, route and narcotic waste
• Airway management.
• Fluid/blood administration, EBL (estimated blood loss).
• Vital signs.
• Any significant events occurring during the intraoperative period.

• Assembles all necessary drugs, supplies and equipment for the administration of anesthesia.
• Performs pre-anesthetic check for the proper function of all equipment, in particular, the anesthesia machine, suction and laryngoscope
• Cleans anesthesia work areas keeps area neat and orderly.
• Orders and stocks supplies for anesthesia services.
• Reports any malfunctioning equipment so necessary repairs can be made.
• Maintains drugs and anesthesia equipment in the Surgery Department.

• Provides Pain Management Services as requested by the medical staff.
• Evaluates all patients referred to Pain Management Services in the clinic.
• Provides a Plan of Care with approval of the referring physician
• Administers treatments per plan of care
• Provides follow-up calls to clients.
• Inserts PICC lines as ordered per physicians

• Maintains own professional growth and development by:
• Membership and participation in professional organizations.
• Attending continuing education programs both internally and externally.
• 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 pounds via wheelchair or stretcher. Able to lift patients with the help of equipment and/or other coworker. Able to perform CPR according to American Heart…