Nurse Anesthetist SR PD

UCSF•San Francisco, CA

6d•Onsite

About The Position

The Nurse Anesthetist administers anesthesia to patients undergoing surgical procedures in operating rooms and to patients undergoing diagnostic or therapeutic procedures outside the operating room. The role is performed under the supervision of a faculty member of the UCSF Department of Anesthesia & Perioperative Care at UCSF Medical Center. The position includes preoperative assessment and planning, administration and monitoring of anesthesia, response to changes in patient condition, documentation, and postoperative follow-up. The Nurse Anesthetist collaborates with physicians, surgeons, other advanced practice providers, clinical and administrative staff, patients, and families to coordinate care and support efficient patient management. The role provides anesthesia care at UCSF locations where anesthesia services are used, with flexibility to orient and work at all UCSF Medical Center campuses. Shifts are variable to meet operational and patient-care needs and may change with required union notice. UCSF Advanced Practice Providers must complete credentialing through the Office of Medical Affairs and Governance before beginning work. Credentialing generally takes 60–90 days. The role is assigned a CRNA procedure FPPE template, with additional privileges available upon request and explanation of purpose.

Requirements

Graduate from an accredited school of nursing and meet the legal requirements to practice as a Registered Nurse established by the California Board of Registered Nursing.
Graduate from a school of anesthesia accredited by the Council of Accreditation of Schools of Anesthesia.
Hold a master’s degree from an accredited Nurse Anesthetist program.
Possess the knowledge and abilities essential to successful performance of the assigned duties.
Hold active, unrestricted Nurse Anesthetist licensure in California.
Hold active, unrestricted Registered Nurse licensure in California.
Hold current national certification from the National Board of Certification and Recertification of Nurse Anesthetists.
Hold current American Heart Association BLS certification for healthcare providers.
Hold current American Heart Association ACLS certification.
Hold current American Heart Association PALS certification.
Complete UCSF Office of Medical Affairs and Governance credentialing before the first working day.

Responsibilities

Assess patients before procedures by reviewing medical records, evaluating patient status, conducting preoperative assessments, and performing physical examinations.
Plan and administer anesthetics using inhalation, intravenous, and regional techniques.
Observe, monitor, and record vital signs and other parameters.
Insert invasive monitoring lines and interpret physiologic data.
Maintain patients in a surgical anesthetic state.
Determine the need for and administer fluids, blood products, and adjunct drugs.
Keep the surgeon and attending anesthesiologist informed about the patient’s condition.
Take remedial action to correct unacceptable changes in vital signs.
Document anesthesia care in accordance with legal requirements, including recording the type of anesthetic used.
Perform postoperative follow-up in the recovery room.
Communicate with the attending anesthesia faculty member before, during, and after surgery as needed.
Remain available for work as needed when not assigned to a case, as determined by the Daily E1 anesthesia faculty physician.
Collaborate with physicians, surgeons, APP colleagues, and clinical and administrative staff on patient management, including histories and physicals, preoperative planning with outside providers and primary care physicians, responses to changes in patient status, and treatments within scope of practice.
Provide patient and family education and perform approved privileges after demonstrating competency through proctoring or the FPPE process.
Respond to clinically relevant patient medical-advice calls and bedside communications, coordinating with healthcare professionals, patients, and families as necessary.
Interpret and act on ordered tests, procedures, and radiographic studies.
Assist in formulating and implementing protocols to improve efficiency in the clinical specialty.
Communicate with patients and families in person, by telephone, or through other electronic modalities in a timely manner, and arrange appropriate coverage for patient management and communication when absent.
Follow UCSF Health and Medical Center policies and procedures, including requirements concerning privacy, communication, conduct, and encounter closure under the Medical Staff Bylaws.
Provide anesthesia care at all UCSF locations where anesthesia services are currently used or will be required in the future.
Orient and work at all UCSF Medical Center campuses and adapt to variable shifts based on operational and patient-care needs.