Anesthesia OR ARNP

University of Iowa•Iowa City, IA

2d•Onsite

About The Position

The Advanced Registered Nurse Practitioner (ARNP) in the Department of Anesthesia performs pre-operative and post-anesthesia assessments for patients scheduled for surgery in the operating room at UI Health Care Medical Center University. The ARNP works with an interdisciplinary team that includes CRNAs, nurses, physicians, administrators, and others involved in patient care, exercising autonomy in medical decision-making and services provided. The role supports safe, effective, high-quality patient care as well as UI Health Care’s educational and research missions. The ARNP also helps educate resident physicians, medical students, and nurse anesthetist students rotating through the operating room, and assists with research related to pre-operative and pre-anesthesia assessments. Postoperative duties include management in the PACU, support for multimodal pain management, and participation in perioperative care pathways, quality improvement, and patient safety efforts. Applicants must hold a master’s or doctorate degree from an accredited nursing program with current specialty certification, and active ARNP and RN licenses in Iowa. Excellent written and verbal communication and the ability to prioritize workflow are required. Demonstrated clinical experience and the ability to work independently within a collaborative, multidisciplinary team caring for highly complex patients are preferred. Applicants must submit a resume/CV and cover letter as relevant files. The position is not eligible for University employment-authorization sponsorship. Successful candidates must disclose conviction history and undergo criminal background and credential/education verification. Up to five professional references may be requested later in the recruitment process. The department may hire multiple candidates across the Anesthesia OR ARNP and Anesthesia OR PA positions based on applicant qualifications.

Requirements

Master’s or doctorate degree from an accredited nursing program.
Current certification in the specialty area.
Active Advanced Registered Nurse Practitioner license in Iowa.
Active Registered Nurse license in Iowa.
Excellent written and verbal communication skills.
Ability to contribute to a welcoming and respectful workplace environment.
Ability to prioritize workflow.

Nice To Haves

Demonstrated experience in the area of clinical practice.
Ability to function with a high degree of independence in a collaborative, multidisciplinary team providing care for highly complex patients.

Responsibilities

Review patient records, including prior anesthetics, surgical and nursing workups, consultant workups, relevant clinical notes, and testing.
Evaluate patients using the standard anesthetic evaluation, including medical history, airway, heart and lung examinations, and other clinically indicated examinations.
Provide postoperative management in the PACU, assessing and treating pain, nausea, hemodynamic concerns, and other common postoperative conditions under established protocols and in collaboration with physicians.
Assist with multimodal pain management, including medication titration, regional anesthesia follow-up, and escalation of complex pain concerns to anesthesia faculty as appropriate.
Participate in developing and implementing standardized perioperative care pathways, quality improvement initiatives, and patient safety efforts.
Perform further evaluation as directed by the staff physician.
Help patients understand anesthetic teaching materials and NPO instructions.
Instruct patients about medications to take on the day of surgery, including insulin dose management.
Write pre-medication orders in consultation with the staff physician or clinic supervisor.
Order diagnostic tests in consultation with the staff physician.
Request relevant outside medical records, including by contacting outside physicians, offices, or hospitals.
Coordinate with services within or outside the hospital to request further consultation or workup, in cooperation with the staff physician.
Communicate patients’ special needs or concerns to the anesthesia team.
Collect information such as workup duration and patient health status to help optimize operating room function.
Identify issues that may dissatisfy patients or create inefficiency.
Teach substitutes and replacements, and teach pre-operative and pre-anesthesia evaluation by example and direct instruction to junior residents or SRNA students.
Establish and maintain respectful, honest, service-oriented collaborative interactions, and ensure unit members meet similar standards and ethics.
Motivate others toward high performance through stewardship of University resources, setting expectations, measuring success through individual performance evaluations, and driving organizational results.
Identify development opportunities and create plans supporting employees’ personal and professional growth; engage self and staff in reflection on the University’s broader role in society.
Perform other duties as assigned.