CRNA CASUAL

Independence Health System•Greensburg, PA
•Onsite

About The Position

Provides safe, quality anesthesia within the scope of practice and maintains clinical privileges approved by the Medical Staff Office. The CRNA assesses patients before and after surgery, verifies relevant testing, lab values, consents, and consultations, and participates in patient identification and the pre-procedure time-out. The role includes administering and monitoring anesthesia, managing airways and patient status throughout the perioperative process, supporting safe emergence and recovery, and responding to emergencies. The CRNA uses anesthesia equipment safely and efficiently, reports equipment problems and threats to patient safety, and complies with facility, payer, and credentialing policies, billing, and documentation requirements. The position also supports students as a clinical instructor, maintains professional standards, participates in self-evaluation and hospital committees as needed, and respects patients’ rights and dignity. Other duties may be assigned. The position requires current Pennsylvania licensure, specified life-support certifications, active CRNA practice, continuing education for recertification, and compliance with applicable state regulations. The job description identifies on-call work, rotating shifts, direct patient care, and 8- and 10–12-hour shifts as essential working conditions. Physical demands include patient transfers, standing, walking, sitting, fine motor work, and other listed activities.

Requirements

  • Graduate of an approved school of nursing and an AANA-approved school of anesthesia.
  • Current licensure to practice in Pennsylvania.
  • Current Basic Life Support (BLS) certification through an American Heart Association-approved CPR and AED curriculum.
  • Current PALS certification or completion within one year of hire or transfer into the department.
  • Current ACLS certification or completion within one year of hire or transfer into the department.
  • Actively practicing CRNA with continuing education credits maintained as necessary for recertification, and compliance with state regulations governing advanced practice of nursing in anesthesia.
  • Required Pennsylvania Act 153 clearances: Act 34 Pennsylvania State Police criminal record check, Act 33 child abuse history clearance through the Department of Public Welfare, and Act 73 FBI fingerprint screening.
  • Ability to perform safely in emergency situations and conduct thorough patient assessments.
  • Knowledge of anesthetic drugs and equipment, with sound clinical skills in daily care.
  • Working knowledge of anesthesia machines, cardiac monitors, capnography and ETCO2 monitors, peripheral nerve stimulators, IV infusion pumps, airway tools (including laryngoscope, Eschman, GlideScope, and LMA), Bair Huggers, fluid warmers, and other applicable anesthesia equipment.
  • Ability to perform the essential functions described in the physical conditions and working conditions charts.

Nice To Haves

  • Master of Science, Master of Health Science, DNP, or DNaP.

Responsibilities

  • Attend work regularly, consistently, on site, and on time.
  • Perform and document preoperative and postoperative patient assessments, including review of clinical history, laboratory values, diagnostic studies, and other relevant information.
  • Reassess patients immediately before surgery, verify required tests, consents, and consultations, and participate in patient identification and the pre-procedure time-out.
  • Induce and maintain appropriate anesthesia and continuously monitor patient status, adjusting the anesthetic plan as needed.
  • Administer general, regional, local, and minimal, moderate, and deep sedation anesthesia.
  • Select and apply appropriate non-invasive and invasive monitoring, manage airways and pulmonary status, and support smooth emergence and recovery while maintaining homeostasis and relieving pain and anesthesia side effects.
  • Respond to emergencies with airway management, emergency fluids and drugs, and basic or advanced cardiac life support techniques.
  • Minimize infection risks and interpret patient-status data to provide individualized care appropriate to the patient's age and development.
  • Check anesthesia equipment for safe operation; mark and remove malfunctioning equipment from service and notify the Chief CRNA or Chief Anesthesiologist.
  • Immediately report abnormalities or questionable conditions to the MDA and surgeon, and address and report any breach or threat to safe patient care.
  • Maintain a safe, professional work environment and comply with facility, payer, and credentialing requirements, including billing, documentation, policies, and procedures; report known violations to management.
  • Accept responsibility as a clinical instructor for students and serve as a positive professional role model.
  • Support hospital and Anesthesia Department missions and standards, participate in self-evaluation, and strive for excellence.
  • Respect patients' rights, dignity, and human relationships during anesthesia care.
  • Participate in meetings and appropriate hospital committees as needed.
  • Perform other duties as required.
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