The APN-Certified Registered Nurse Anesthetist, in collaboration with an anesthesiologist, is responsible for the administration of anesthetic agents and adjuvants to patients undergoing a wide variety of surgical and obstetrical procedures across Cook County Health (CCH), including John H. Stroger, JR. Hospital and Provident Hospital. The APN-Certified Registered Nurse Anesthetist is also expected to make preoperative rounds, to evaluate the adequacy of the preparation of the patient for the anticipated anesthesia and surgery; and similarly, to make postoperative visits to monitor the patient's recovery from anesthesia. In collaboration with an attending anesthesiologist, the incumbent makes preoperative visits to evaluate the adequacy of a patient's preparation for anesthesia and surgery. Based on t this evaluation, the incumbent suggests a primary plan of anesthetic management and also outlines an alternative plan in case the primary plan cannot be carried out. In addition, the APN-Certified Registered Nurse Anesthetist is responsible for explaining the risks and benefits of both the primary and alternative anesthetic plans to the patient and to the patient's family and obtains an informed consent from the patient (or the patient's guardian). Responsible for the administration of all anesthetic agents and adjuvants to the patients across Cook County Health (CCH) undergoing surgical, obstetrical, and other diagnostic procedures; administers oxygen and other anesthetic gases, and administers intravenous anesthetics, analgesics, and regional anesthesia, in addition to intravenous solutions, blood and blood product Responsible for the management of airway and the support of vital functions, including induction, intubation, and the maintenance of anesthesia Supports the patient's ventilation, whether manually or through the use of a mechanical ventilator, and for the monitoring of the physiologic response of the patient to anesthesia and surgery through the appropriate use of electrocardiography, pulse oximetry, and capnography, in addition to the measurement of blood gases and electrolytes when appropriate Continuously monitors and interprets the patient's vital signs (blood pressure, heart rate, respiratory rate and volume, including invasive monitoring) and bodily functions (temperature, urinary output, etc.) during anesthesia and surgery Maintains an accurate record of all anesthetics, medications, and fluids used during the anesthesia Provides professional observation and support of care until the patient has regained control of his/her vital functions Recognizes any undesirable responses and takes appropriate corrective action, including the request for consultation by an anesthesiologist when the patient exhibits an abnormal response to anesthesia, to any medications administered, or to the surgical procedure itself Attends clinical conferences held by the Department of Anesthesiology, most particularly the weekly Morbidity & Mortality Conference and the Anesthesiology Grand Rounds Attends anesthesia meetings sponsored by the local, state, and national American Association of Nurse Anesthetists Association and the meetings of local, state and national societies of anesthesiologists when desirable or permissible Participates in required educational programs for hospital fire, safety and other required programs Attends departmental scheduled staff meetings Keeps abreast and increase knowledge of current anesthesia trends and practice Participates in departmental Quality Assurance (QA) projects, morbidity & mortality reports, conferences, and presentations Participates in instruction, supervision, evaluation, and professional guidance for rotating student nurse anesthetist from Rush University Nurse Anesthesia program Anticipates completion of successful anesthesia clinical rotations, with increasing level during student nurse anesthesia education (Letter from Program Director/Designee indicating such). Performs other duties as assigned
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Job Type
Full-time
Career Level
Mid Level
Industry
Executive, Legislative, and Other General Government Support
Number of Employees
5,001-10,000 employees