Nurse Anesthetist II

County of Los Angeles•Los Angeles, CA

6d•Onsite

About The Position

LA Health Services is seeking a Nurse Anesthetist II with comprehensive knowledge of the physiological basis for administering anesthesia and associated drugs and the use of related equipment in order to obtain a balanced anesthesia. LA Health Services is LA County’s integrated healthcare system and the second-largest public health system in the nation, serving over 10 million residents and providing care regardless of ability to pay. The system includes four public hospitals, more than 20 community health centers, Emergency Medical Services (EMS), Correctional Health Services, and community-based programs. They are committed to advancing the health of their patients and communities by providing outstanding care.

Requirements

A valid and unrestricted license to practice as a Registered Nurse issued by the California Board of Registered Nursing.
Graduation from a nursing anesthesia education program accredited by the Council on Accreditation of Nurse Anesthesia Education Program of the American Association of Nurse Anesthesiology.
Valid and unrestricted certification or recertification [of National Certification Examination] issued by the National Board of Certification and Recertification for Nurse Anesthetics.
Valid and unrestricted Nurse Anesthetist certification issued by the California Board of Registered Nursing.
Current Basic Life Support (BLS) for Healthcare Providers (CPR & AED) Program certification issued by the American Heart Association.
PHYSICAL CLASS 2 - LIGHT: This class includes administrative and clerical positions requiring light physical effort that may include occasional light lifting to a 10-pound limit and some bending, stooping, or squatting. Considerable ambulation may be involved.
A valid California Class C Driver License or the ability to utilize an alternative method of transportation when needed to carry out job-related essential functions.

Responsibilities

Pre-anesthetic Preparation and Evaluation of the Patient: Obtains an appropriate health history, conducts appropriate physical screening assessments, recommends or requests pertinent diagnostic studies and evaluates the results, selects, obtains, orders, and administers preanesthetic medications, documents the preanesthetic evaluation and obtains comprehensive informed consent for anesthesia and related services.
Intra-operative Care: Obtains, prepares, and uses all equipment, monitors, supplies and drugs used for the administration of anesthesia and sedation techniques; performs and orders safety checks as needed, selects, obtains or administers the anesthetics, adjuvant drugs, accessory drugs, fluids, and blood products necessary to manage the anesthetic, performs all aspects of airway management, including fiberoptic intubation, performs and manages regional anesthetic techniques including, but not limited to, subarachnoid, epidural and caudal blocks; plexus, major and peripheral nerve blocks; intravenous regional anesthesia; transtracheal, topical and local infiltration blocks; intracapsular, intercostal and ocular blocks, provides appropriate invasive and noninvasive monitoring modalities using current standards and techniques, recognizes abnormal patient response during anesthesia; selects and implements corrective action and requests consultation whenever necessary, evaluates patient response during emergence from anesthesia and institutes pharmacological or supportive treatment to ensure patient stability during transfer.
Post-anesthesia Care: Provides post anesthesia follow-up and evaluation of the patient's response to the anesthesia and surgical experience; takes appropriate corrective actions and requests consultation when indicated, initiates, orders, and administers respiratory support to ensure adequate ventilation and oxygenation in the post anesthesia period, initiates, orders, and administers pharmacological or fluid support of the cardiovascular system during the post anesthesia period to prevent morbidity and mortality, initiates, orders, and administers acute post anesthesia pain management techniques, discharges patients from a post anesthesia care unit (PACU) according to facility policy.
Clinical Support Functions: Inserts peripheral and central intravenous catheters, inserts pulmonary artery catheters, inserts arterial catheters and performs arterial puncture to obtain arterial blood samples, manages emergency situations, including initiating or participating in cardiopulmonary resuscitation, provides consultation and implementation of respiratory and ventilatory care, management of interventional pain therapy using drugs, regional anesthetic techniques, or other accepted pain-relief modalities, selects, obtains, orders and/or administers medications or treatments related to the care of the patient, using consultation when appropriate, accepts additional responsibilities which are within the expertise of the individual CRNA and appropriate to the practice setting.