Certified Registered Nurse Anesthetist (CRNA)

Pullman Regional Hospital•Pullman, WA

23h•$350,000 - $375,000•Onsite

About The Position

Provides safe, patient-centered anesthesia care before, during, and after surgical, obstetrical, diagnostic, and therapeutic procedures. Uses independent clinical judgment within Washington State law, demonstrated competence, hospital policies, medical staff bylaws, and granted clinical privileges. Consults and collaborates with other providers when patient needs or case complexity require additional resources. The CRNA works with anesthesia providers, surgeons, proceduralists, obstetric providers, nursing, pharmacy, respiratory therapy, and other clinical teams to coordinate care at Pullman Regional Hospital. The position also provides care in the Pain Clinic, including assessment, development and evaluation of individualized pain management plans, and procedures within the CRNA’s scope of practice and granted privileges. Full-time positions and a few PRN positions are available. The full-time schedule is still being determined. Scheduled and on-call coverage may include nights, weekends, and holidays. This is a long-term posting with multiple positions, and candidate screening will continue throughout the posting period.

Requirements

Graduate from an accredited nurse anesthesia educational program and meet Washington State education requirements for CRNA licensure, including applicable provisions for previously licensed practitioners.
Hold a current, unrestricted Washington State advanced registered nurse practitioner (ARNP) license with CRNA designation and an active Washington RN license or qualifying multistate RN license authorizing practice in Washington.
Maintain current CRNA certification through the National Board of Certification and Recertification for Nurse Anesthetists (NBCRNA) throughout employment.
Hold current BLS and ACLS certifications; hold PALS and NRP certifications when required for assigned patient populations and hospital privileges.
Obtain and maintain hospital credentialing and clinical privileges before providing patient care, and demonstrate competency for assigned anesthesia services.
Demonstrate advanced assessment, anesthesia planning, pharmacology, airway management, and resuscitation skills appropriate to assigned patient populations and procedures.
Interpret physiologic monitoring and diagnostic findings, recognize deterioration, and make timely clinical decisions in routine and emergency situations.
Communicate clearly, provide effective handoffs, work as part of a team, and educate patients in ways that support informed decisions and respect cultural, language, and accessibility needs.
Document accurately in electronic health records, use anesthesia technology safely, exercise sound professional judgment, and consult or escalate appropriately.

Nice To Haves

Prior CRNA experience in a hospital or critical access hospital, including independent clinical decision-making and emergency response.
Experience with obstetric anesthesia, regional anesthesia, ultrasound-guided procedures, and pediatric anesthesia when included in the service assignment.
Doctoral degree in nurse anesthesia practice or a related field.
Experience with quality improvement, staff education, or precepting.

Responsibilities

Perform and document preanesthetic assessments, including history, examination, airway evaluation, medication review, allergies, relevant testing, and anesthesia risk; identify optimization needs and consult or refer as appropriate.
Develop individualized anesthesia plans, explain options, risks, benefits, and alternatives, and obtain and document informed consent in accordance with hospital policy.
Prepare and check anesthesia equipment, medications, monitoring devices, and emergency supplies before care; promptly address or report equipment concerns.
Administer and manage general anesthesia, regional and neuraxial anesthesia, monitored anesthesia care, and sedation for assigned patient populations and procedures within granted privileges.
Manage airway, ventilation, oxygenation, hemodynamics, fluid therapy, and blood product administration; perform vascular access, regional blocks, and other procedures within demonstrated competence and privileges.
Continuously assess and monitor patients, adjust anesthetic plans, recognize complications, and initiate emergency treatment, resuscitation, consultation, or transfer when indicated.
Select, order, administer, and, when authorized, prescribe medications within applicable legal authority and hospital protocols; follow medication safety and controlled-substance security, reconciliation, and waste procedures.
Provide post-anesthesia evaluation and care, including pain and nausea management; assess recovery readiness and provide a complete handoff to the receiving team.
Complete timely and accurate anesthesia records, orders, procedure documentation, and required quality reporting; protect patient privacy and communicate changes in condition and care needs.
Participate in patient safety, infection prevention, peer review, quality improvement, emergency preparedness, and continuing competency activities.
Provide scheduled and on-call coverage as assigned, including duties that may involve nights, weekends, and holidays.
Provide Pain Clinic care, including patient assessment, development and evaluation of individualized pain management plans, and procedures within scope of practice and granted clinical privileges.
Collaborate with the care team, educate patients about treatment options and safe medication use, and monitor treatment response to improve comfort and function.