CRNA - Community Practice

WVU Medicine•Fairmont, MN
•Onsite

About The Position

Provides anesthetic care for patients undergoing a range of procedures in cooperation with a supervising or medically directing physician and in accordance with Department of Anesthesiology standards and hospital policies. Administers anesthesia and continuously monitors patients’ responses to sedatives, analgesics, anesthetic agents, and adjunctive therapies, notifying the anesthesiologist of adverse conditions that may threaten patient safety or care. The position serves non-academic facilities and requires the ability to work safely in a high-volume, rapid-paced environment. The CRNA manages general, regional, and monitored anesthesia cases from induction through maintenance and emergence, and evaluates and manages patients in the immediate postoperative period. The role includes patient assessment, anesthesia techniques and airway management, documentation, equipment and supply checks, perioperative communication, emergency response, and assistance with clinical teaching and evaluation.

Requirements

  • Current licensure as a Registered Nurse and APRN (Nurse Anesthetist) in West Virginia.
  • Board certification or recertification by the Council on Certification of Nurse Anesthetists.

Responsibilities

  • Maintain excellence in airway management and use airway adjuncts, including Bullard devices, fiberoptic scopes, and ILMAs.
  • Take appropriate precautions to minimize infection risks to patients and healthcare professionals.
  • Participate in pre-anesthetic patient evaluations and selection of anesthetic agents and techniques.
  • Carry out anesthesia-plan techniques, including insertion of intravenous and invasive monitoring catheters according to protocol, endotracheal intubation and extubation, and arterial punctures for interpretation of arterial blood gases.
  • Monitor patients’ physical responses to anesthesia, inform the anesthesiologist of adverse conditions, manage induction, maintenance, and emergence for general, regional, and monitored anesthesia cases, recognize abnormal responses, and initiate corrective measures.
  • Determine the need for additional laboratory tests, provide resuscitative care as necessary, and evaluate and manage patients in the immediate postoperative period.
  • Administer IV fluids in consideration of the patient’s medical history and surgical procedure; administer blood products after obtaining a hematocrit and consulting with the anesthesiologist.
  • Document patient status appropriately in the anesthesia record.
  • Perform required safety and performance checks on anesthesia-related equipment and verify supplies before care; procure and assemble equipment and supplies when an anesthesia technician is unavailable.
  • Review informed-consent documentation, identify the appropriate surgical site during SBAR with the circulating and holding-room RNs, and participate in the OR surgical pause in accordance with compliance standards.
  • Communicate appropriately with individuals involved in perioperative and postoperative patient care.
  • Provide anesthesia care responsibly in a life-threatening emergency when an anesthesiologist is absent.
  • Assist in teaching and evaluating newly hired CRNAs, GRNAs, SRNAs, and medical students in the clinical area.
  • Be accountable for controlled substances in accordance with department and hospital policies and state and federal guidelines.
  • Provide anesthetics efficiently to support rapid turnover and high case volume.
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