Crna

Newport Hospital and Health Services Careers•Newport, WA

4d•Onsite

About The Position

Provides anesthesia care to all patients in the OR, Outpatient Surgery, OB and PACU. Consults with staff, medical staff, Surgical Services Nurse Manager with problems and interpretation of policies and procedures. Maintains performance improvement activities within the department and participates in CQI activities. Assists in formulating the budget. Administers anesthesia and anesthesia-related care as requested.

Requirements

Graduate of a nurse anesthesia educational program accredited by the AANA Council on Accreditation of Nurse Anesthesia Educational Programs or its predecessor.
Current certification or recertification from AANA Council on Certification of Nurse Anesthetists or its predecessor’s certification.
Current License in the State of Washington.
Current BCLS, ACLS, PALS/NRP certification.
Call with 30-minute response time required for this position.
At least three (3) years’ experience as a CRNA.
Maintain regulatory requirements
Report to work on time and as scheduled; complete work within designated timelines.
Demonstrates the ability to adhere to the mission, ethics and goals of the District.
Demonstrates the ability to communicate with patients, guests and staff in a courteous, respectful and helpful manner.

Responsibilities

Demonstrates ability to administer all types of anesthesia, including general, major regional, local, minimal, moderate, and deep sedation.
Demonstrates knowledge of the principles of growth and development and the skills necessary to provide care appropriate to the age of the patient, neonate through geriatric.
Performs and documents pre-anesthetic assessment and evaluation of the patient, including all appropriate lab values, study results, consultative information, and pre-anesthesia clinical history.
Ability to adequately assess and reassess pain. Utilizes appropriate pain management techniques. Educates the patient and family regarding pain management.
Performs all aspects of patient care in an environment that optimizes patient safety and reduces the likelihood of medical/health care errors.
Supports and maintains a culture of safety and quality.
Documents evidence of informing patient of all risks, potential complications, options, and alternatives to anesthesia. Obtains informed consent.
Develops, implements, and documents an anesthetic plan of care, prior to providing anesthesia.
Documents planned anesthesia selection for the patient.
Performs an assessment immediately prior to induction of anesthesia of the patient and documents this in the medical record.
Maintains the patient’s physiologic homeostasis and corrects abnormal responses to the anesthesia and/or surgery, should these occur.
Collects and interprets patient physiological data by selecting, applying, or inserting invasive or non-invasive monitoring modalities.
Displays ability to intubate most patients with ease, manages the patient’s airway and pulmonary status through the perioperative process.
Performs a smooth induction of anesthesia for patients requiring general anesthetic.
Performs smooth patient emergence and recovery from anesthesia by maintaining homeostasis, providing relief from pain and anesthesia side effects.
Prevents and manages complications through selecting, obtaining, ordering, and administering medications, fluids or ventilator support in correct dosages and methods.
Follows the medication rights and reduces the potential for medication errors.
Stays with the patient as long as required by the patient's condition relative to his/her anesthesia status and until responsibility for proper patient care has been assumed by other qualified individuals.
Advises staff responsible for post anesthesia care of specific problems related to patient’s condition.
Records all pertinent events taking place during the induction of, maintenance of and emergence from anesthesia, including the dosage and duration of all anesthetic agents, other drugs, intravenous fluids, and blood/blood components on all patients that have received anesthesia care.
Performs post anesthetic patient assessment, records post anesthetic visits, including at least one (1) note describing the presence or absence of anesthesia related complications.
Documents at least one (1) post anesthetic note while the patient is in the surgical suite or PACU.
Displays assertive behavior, discussing with the operating surgeon situations where administering anesthesia may place the patient’s life in jeopardy.
Declines to administer an anesthetic to any patient in the instance where he/she feels the anesthesia may pose a threat of loss of life or undue and/or unwarranted risk to the patient.
Discharges or releases the patient from the PACU according to established criteria.
Provides follow-up evaluation and care related to anesthesia complications and/or side effects.
Treats patients and their families with respect and dignity.
Identifies and addresses psychosocial needs of patient and family.