CRNA (Casual)

Ohio Gastroenterology GroupColumbus, OH
Onsite

About The Position

The CRNA (Casual) provides anesthesia care and supervises peers to ensure quality. This role involves practicing within the scope regulated by state boards for nurse anesthetists, reviewing and adhering to center policies, and maintaining comprehensive patient care documentation. The position requires knowledge of and proper use of equipment essential for patient safety within the endoscopy center, completion of in-service training on emergency procedures and evacuation plans, and maintaining BLS and ACLS certifications. Proof of required Continuing Medical Education Units and completion of in-services for staff are necessary to maintain accreditation. The CRNA must possess experience in current anesthesia techniques and agents, demonstrate sound judgment and response in emergency situations, and collaborate with the RN to manage anesthetic medications. This role reports directly to the Director of Nursing and supports the organization's mission and goals through direct patient care, including assessing physical and psychosocial status, monitoring patients pre-procedure, during, and post-procedure, and ordering necessary CLIA-waived tests. Maintaining a safe anesthesia environment, managing anesthesia cart equipment and medications, and recognizing/acting on abnormal patient responses are key functions. The CRNA is responsible for accurate medical record documentation, patient and family education regarding anesthesia, and obtaining informed consent. High-level communication skills in American English are required. The role also includes participating in the orientation and precepting of new CRNA employees, adhering to infection control principles, participating in peer review for quality of anesthesia care, supporting Risk Management initiatives, evaluating grievances to improve patient care, overseeing CRNA staff schedules and requests, participating in CRNA onboarding and evaluations, issuing counseling as needed, and participating in quality improvement committees. Performs all other duties as assigned.

Requirements

  • Graduate of an approved program of American Association of Nurse Anesthetists (ANNA) with current license to practice as a CRNA in the state of Ohio.
  • American Association of Nurse Anesthetists (ANNA) certification required.
  • Effective communication and listening skills.
  • Effective understanding and use of the English language.
  • Must be flexible with working schedule and have ability to work occasional overtime.
  • Flexibility to travel to all center locations following the schedule approved by the Director of Nursing.
  • Ability to use modern business communication, and office systems.
  • Maintain CEUs for licensure.
  • Orient to new procedures and equipment.
  • Responsible for maintaining current BCLS and ACLS.
  • Maintain annual fire safety/general safety training.
  • Maintain annual HIPAA training.
  • Maintain annual OSHA Blood-borne Pathogen training.
  • Maintain annual PPD skin test or TB Screening Form.
  • Participate in Continuous Quality Improvement Program.

Nice To Haves

  • Experience in the use of current anesthesia techniques and agents.
  • Ability to assess and care for adult patients who are considered to be healthy as well of those who have comorbidities.

Responsibilities

  • Provides anesthesia care and supervises peers for quality.
  • Practices within the scope of a CRNA as regulated by state boards.
  • Reviews and demonstrates knowledge of approved center policies and procedures for patient care.
  • Provides complete documentation in all areas of care.
  • Maintains positive and respectful working relationships with physicians, manager, and peers.
  • Maintains knowledge of and proper use of equipment needed for patient safety within the endoscopy center.
  • Completes in-service training on emergency procedures and evacuation plans.
  • Maintains BLS and ACLS certifications.
  • Provides proof of required Continuing Medical Education Units and completes required in-services for staff to maintain accreditation.
  • Possesses experience in the use of current anesthesia techniques and agents.
  • Demonstrates sound judgment and response to emergency situations, whether actual or drills.
  • Along with the RN, maintains record and count of all anesthetic medications prior to, and at the end of each shift.
  • Supports the mission and goals of the organization.
  • Responsible for direct patient care: assess the physical and psychosocial status of patients through review of data, direct observation, vital sign monitoring and/or consultation with other health care providers to provide optimal care pre-procedure, during procedure and for post-procedure.
  • Responsible for protecting confidential and/or privileged information according to Center policy.
  • Promotes and supports patient/family-centered care.
  • Assesses and cares for adult patients with comorbidities.
  • Orders needed CLIA waved tests prior to or after anesthesia (e.g., pregnancy or glucose testing).
  • Maintains a safe environment for the patient receiving anesthesia by assessing, monitoring, and evaluating the condition of the patient pre-procedure, during the procedure, and when transferring the patient to recovery.
  • Provides report to the recovery nurse, and if needed, performs and documents any post-procedure visit to evaluate for complications related to receiving anesthesia.
  • Responsible for maintaining anesthesia cart equipment and medications, notifying the Nurse Manager of needed medications or equipment whether through use or expiration.
  • Has the knowledge to recognize and act on any potential or actual abnormal patient response to anesthesia.
  • Maintains accurate and complete medical records which reflect the assessment, planning, implementation, and evaluation of care along with any other pertinent information related to the endoscopic procedure.
  • Identifies educational needs of patients and/or families related to understanding of anesthesia, its risks and benefits, as well as obtaining an informed consent.
  • Promotes compliance with treatment plan by answering questions and discussing patient’s and/or families’ concerns.
  • Participates in orientation of newly hired CRNA employees and functions as a preceptor.
  • Adheres to infection control principles and applies universal precautions according to CDC regulations and center standards.
  • Participates in peer review for quality of anesthesia care by the anesthesia staff.
  • Supports Risk Management by participating in programs directed to patient and employee safety.
  • Objectively evaluates any grievances or processes that can improve patient care, relaying these to the Director of Nursing.
  • Oversees CRNA staff schedule, PTO and CME requests and coordinates with Director of Nursing.
  • Participates in CRNA on-boarding and annual evaluations.
  • Issues counseling as needed to CRNAs.
  • Participates in committees for quality improvement.
  • Performs all other duties as assigned.
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