CRNA (Anesthesiology & Critical Care Medicine)

We are seeking a CRNA. This position reports jointly to the Clinical Lead CRNA and the Division Chief of Nurse Anesthesia (Chief CRNA). Primary clinical responsibilities are (a) the administration of intravenous, inhalation and other anesthetics to patients in an operating room and (b) observing the physiological condition of patients while under anesthesia. In conjunction with these primary responsibilities (a) evaluates each assigned patient's physical state and plans the course of anesthesia, (b) obtains, assembles, operates, and/ or monitors anesthesia equipment and (c) ensures that all necessary supplies, drugs and anesthetic agents are available.

Specific Duties & Responsibilities

• Independently researches new/unknown procedures, diseases, medications, and equipment.
• Functions within safe parameters for quality/good patient care. Seeks assistance from 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 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.

Pre-anesthesia Assessment & Case Preparation

• 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 anesthetic plan.
• Orders and administers pre-anesthetic medications and fluids.

Intra-012 Assessment

• 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 recovery area, providing thorough report to receiving unit in a timely manner.

Post anesthesia Evaluation & Management

• 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 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.

Minimum Qualifications

• Completion of a nurse anesthesia program approved by MD Board of Nursing. If 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 prior to start date required.
• Additional education may substitute for required experience and additional related experience may substitute for required education beyond HS Diploma/Graduation Equivalent, to the extent permitted by the JHU equivalency formula.