CRNA (Anesthesiology & Critical Care Medicine)

Johns Hopkins University•Baltimore, MD

About The Position

The CRNA administers intravenous, inhalation, and other anesthetics to patients in the operating room and observes patients’ physiological condition while they are under anesthesia. The role evaluates each assigned patient’s physical state and plans anesthesia care; obtains, assembles, operates, and monitors anesthesia equipment; and ensures necessary supplies, drugs, and anesthetic agents are available. The position reports jointly to the Clinical Lead CRNA and the Division Chief of Nurse Anesthesia (Chief CRNA). The CRNA prepares patients and equipment for anesthesia, collaborates with the attending anesthesiologist when applicable, provides anesthesia and related care during procedures, and facilitates emergence, recovery, and transfer of care. The position also manages acute and chronic pain, documents pre- and post-anesthesia evaluations, and supports timely operating-room turnover. The role is based at Johns Hopkins Bayview, with a varied schedule, and is classified as Casual / On Call.

Requirements

Completion of a nurse anesthesia program approved by the Maryland Board of Nursing.
A master’s degree is required if the nurse anesthesia program was completed after January 1, 2008.
Current Maryland state RN and CRNA licenses.
Current CPR certification and ACLS.
Credentialing must be completed before the start date.

Responsibilities

Independently research new or unfamiliar procedures, diseases, medications, and equipment.
Practice within safe parameters to provide quality patient care; seek assistance from the attending anesthesiologist when appropriate.
Use critical-thinking skills, adapt to changing conditions, and apply knowledge of preoperative, intraoperative, and postoperative care in routine and emergency situations.
Demonstrate technical competence and dexterity when performing anesthetic procedures.
Understand and carefully operate anesthesia equipment used in the BMC operating room, set up equipment, and ensure it is used effectively.
Perform and document timely pre-anesthesia assessments and obtain anesthesia-informed consent.
When applicable, collaborate with and consult the attending anesthesiologist on the anesthesia care plan before the case begins.
Anticipate procedures and prepare the anesthesia environment, including required supplies and equipment, machine checks, fluid warmers, and blood or other special items.
Order and administer pre-anesthetic medications and fluids.
Select, apply, and insert non-invasive and invasive monitoring devices.
Select and administer anesthesia, sedation, adjuncts, accessory drugs, and fluids.
Manage the patient’s airway and pulmonary status and recognize clinical priorities, relevant issues, and the limits of personal competence.
Communicate effectively with intraoperative personnel and the attending anesthesiologist, including through briefings and debriefings.
Facilitate emergence and recovery from anesthesia and transport to the recovery area; provide a timely, thorough report to the receiving unit.
Implement acute and chronic pain management.
Perform and document timely post-anesthesia evaluations and discharge patients from the recovery area when appropriate.
Provide a complete report of the anesthetic course and other pertinent information needed to transfer patient care accurately.
Facilitate timely room turnover, including preparation of the room, medications, and equipment and completion of preoperative assessment.