Certified Registered Nurse Anesthetist - CRNA

Fresenius Medical Care•Arlington, VA

1d•Onsite

About The Position

The Certified Registered Nurse Anesthetist (CRNA) is an advanced practice registered nurse who practices autonomously and in collaboration with other health providers to deliver high-quality, holistic, evidence-based anesthesia and pain care. The CRNA cares for patients of all acuity levels across the lifespan in a variety of settings, including surgical, obstetrical, diagnostic, therapeutic, and pain-management procedures. The role includes pre-anesthesia assessment and planning; administration and monitoring of anesthesia, sedation, and pain treatments; airway management; and care during emergence, recovery, and post-anesthesia discharge. The CRNA may also provide regional and advanced interventional pain-management techniques, place and manage lines and catheters, and respond to emergencies. The position supports patient safety, participates in quality and management activities as requested, and complies with applicable laws and facility policies. The work environment is a healthcare facility with controlled air temperature and moderate noise. The role may involve exposure to infectious or contagious materials and radiation, and extended periods wearing protective gear in procedure rooms. Most working time is spent on foot; lifting and positioning patients may be required, including lifting objects heavier than 50 pounds. Travel between locations is primarily during the business day, with approximately 10–15% travel and possible out-of-area or overnight travel.

Requirements

Graduate of a nurse anesthesia educational program accredited by the Council on Accreditation of Nurse Anesthesia Educational Programs or its predecessor.
Current appropriate state licensure and compliance with applicable state statutory and regulatory requirements for CRNAs.
Current BLS and ACLS certifications.
Current certification or recertification by the National Board of Certification and Recertification for Nurse Anesthetists.
Insurability by an appropriate medical malpractice insurer for the limits required by the institution or state.
8–12 years of related experience or an equivalent combination of education and experience.
Ability to perform clinically as a nurse anesthetist in a facility setting on a regular basis.
Ability to operate, use, and interpret data from a wide variety of equipment used for anesthesia and perioperative or operating-room care.
Effective verbal and written communication skills for collaboration with clinical staff and other disciplines.
Knowledge and skills to provide care appropriate to the patient populations served, including knowledge of lifespan growth and development and the ability to assess population- and age-specific needs.
Knowledge of infection-prevention and control techniques.
Ability to maintain confidential records and implement and adhere to facility policies and procedures.
Ability to lift objects heavier than 50 pounds.

Nice To Haves

Five years of CRNA experience preferred.

Responsibilities

Perform and document pre-anesthesia patient assessments and evaluations.
Review, request, and order laboratory and diagnostic studies as permitted by state law.
Obtain informed consent for anesthesia and related services.
Select, obtain, order, and administer pre-anesthetic medications or treatments.
Develop and implement anesthesia care plans.
Select, prepare, and use equipment, monitors, supplies, and drugs for sedation, anesthesia, and pain management; perform safety checks as needed.
Select, order, obtain, and administer analgesic and anesthetic agents, adjuvant and accessory drugs, and fluids required for anesthesia services.
Document a time-based record of events during peri-anesthetic care.
Perform airway management, including fiberoptic intubation.
Facilitate emergence and recovery from anesthesia by assessing patient response and providing medications, fluids, or ventilator support to maintain stability during transfer.
Initiate and administer post-anesthesia cardiovascular pharmacological or fluid support and respiratory support as needed.
Evaluate the patient’s response to anesthesia and surgery and take appropriate corrective action.
Provide post-anesthesia follow-up care and discharge patients from the post-anesthesia care unit.
Implement acute and chronic pain-management modalities.
Manage emergencies by assessing and stabilizing patients and determining disposition, including providing airway management and emergency medication administration.
Place and manage regional anesthetic techniques within granted clinical or special privileges.
Insert and manage peripheral, arterial, pulmonary, or central venous lines and catheters.
Provide education to patients and caregivers.
Consult with respiratory care providers and implement respiratory and ventilator care when appropriate.
Support patient safety, participate in facility or departmental safety initiatives, correct observed risks, report adverse events and near misses, and communicate potential process, procedure, or device risks.
Use an interdisciplinary approach, including consultation or referral to another clinician when appropriate.
Perform advanced and interventional pain management using drugs, regional anesthetic techniques, or other accepted modalities, with or without fluoroscopic guidance.
Use ultrasound and fluoroscopy as appropriate.
Participate in center quality meetings, medical executive meetings, and other management meetings upon request from the Medical Director.
Review and comply with the Code of Business Conduct, company policies and procedures, and applicable local, state, and federal laws and regulations.
Perform other duties as assigned.