Certified Registered Nurse Anesthetist - Relief

Overview

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Day - 08 Hour (United States of America)
This is a Stanford Health Care job.

A Brief Overview

REQUIREMENTS:
Entry level. The Certified Registered Nurse Anesthetist (CRNA) functions under this Nurse Anesthetist Job Description approved by the Interdisciplinary Practice Committee (IDPC). In collaboration with the attending physicians in the Department of Anesthesiology, and through implementation of standardized procedures, the CRNA is responsible for selecting and administering anesthesia to pediatric and adult patients undergoing surgical procedures in the Operating Room (OR), or to patients undergoing diagnostic or therapeutic procedures outside the OR under the supervision of an anesthesiologist.

Specific functions pertaining to the Department of Anesthesiology are established by the CRNA and his/her supervising physician(s), and approved by the appropriate medical and nursing administrators, the IDPC, the Credentials & Privileges Committee, the Stanford Hospital and Clinics (SHC) Medical Executive Committee and the SHC Board Credentials, Policies and Procedures Committee.

Locations

Stanford Health Care

• A. A CRNA may provide only those medical services which he/she is competent to perform, and which are consistent with the CRNA’s education, training and experience, and which are performed under the supervision of an anesthesiologist who is responsible for the patients cared for by that CRNA.
• B. A CRNA shall consult with an anesthesiologist regarding any task, procedure or diagnostic problem which the CRNA determines exceeds his/her level of competence.
• C. Scope of Practice of the CRNA:
• Obtains complete histories and performs pertinent physical exams with assessment of normal and abnormal findings on patients, according to written standardized procedures. [see Standardized Procedure:
  Assessment & Management of Patients]
• Performs or requests and evaluates diagnostic studies as indicated upon evaluation of the patient, according to written standardized procedures. [see Standardized Procedure:
  Assessment & Management of Patients]
• Orders, obtains and administers pre-anesthetic and anesthetic agents, and adjuvant drugs for administration through general, regional or local techniques, according to written standardized procedures. [see Standardized Procedure:
  Administering, Ordering, Furnishing or Prescribing of Drugs;
  Formulary Protocol]
• Performs designated procedures after demonstrated competency, according to written standardized procedures where applicable.
• Obtains informed consent, as indicated.
• Evaluates patient to identify apparent or potential difficulties with airway management, if indicated.
• Discusses anesthesia and/or treatment plan based on identified assessments and physical findings.
• Explains tests, procedures and disease processes to patients and their families, as indicated.
• Obtains, prepares and uses all equipment, monitors, supplies and drugs used for the administration of anesthesia and sedation techniques, performs and orders safety checks as needed.
• Observes, monitors and records vital signs, respiratory stability, adequate gaseous exchange, types of fluids and/or blood loss evaluation and replacement and other critical parameters.
• Inserts invasive monitoring lines for an anesthetic and for interpretation of physiologic data.
• Performs all aspects of airway management.
• Recognizes abnormal patient response during anesthesia, selecting and implementing corrective action and requesting consultation whenever necessary. Provides airway management, administration of emergency fluids and drugs, and uses basic or advanced life support techniques.
• Keeps the surgeon/proceduralist and responsible anesthesiologist informed of patient’s condition as needed.
• Documents anesthetic in accordance with legal and regulatory requirements; records type of anesthetic used.
• Evaluates patient response during emergence from anesthesia and instituting pharmacological or supportive treatment to insure patient stability…