Nurse Anesthetist SR PD

University of California, San Francisco•San Francisco, CA

4d•Onsite

About The Position

Administers anesthesia to patients undergoing surgical procedures in an operating room and to patients undergoing diagnostic or therapeutic procedures outside the OR, under the supervision of a faculty member of the Department of Anesthesia & Perioperative Care at UCSF Medical Center. Provides anesthesia care at UCSF locations where anesthesia services are currently used and may be required in the future. Shifts are variable to meet operational and patient-care needs, may change with the required union notice, and require flexibility to orient and work at all UCSF Medical Center campuses. The final salary and offer components are subject to additional approvals based on UC policy. The position involves preoperative evaluation and planning, administering and monitoring anesthesia, responding to changes in patient status, documenting care, and conducting postoperative follow-up. The Nurse Anesthetist collaborates with physicians, surgeons, Advanced Practice Provider colleagues, and clinical and administrative staff to support patient management, education, communication, and clinical protocols. UCSF Advanced Practice Providers must be credentialed and privileged through the Office of Medical Affairs and Governance before practicing in their clinical roles. Credentialing takes 60–90 days and must be completed before the first working day. The position is assigned an FPPE template of procedures for CRNAs, with additional privileges available upon request and explanation of purpose.

Requirements

Graduation from an accredited school of nursing.
Possession of the legal requirements to practice as a Registered Nurse, as determined by the California Board of Registered Nursing.
Graduation from a school of anesthesia accredited by the Council of Accreditation of Schools of Anesthesia.
Master’s degree from an accredited Nurse Anesthetist program.
Knowledge and abilities essential to successful performance of the assigned duties.
Active, unrestricted Nurse Anesthetist licensure in California.
Active, unrestricted Registered Nurse licensure in California.
Current national certification by the National Board of Certification and Recertification of Nurse Anesthetists.
Current American Heart Association BLS certification for healthcare providers.
Current American Heart Association ACLS certification.
Current American Heart Association PALS certification.
Credentialing through UCSF’s Office of Medical Affairs and Governance must be completed before the first working day; credentialing takes 60–90 days.

Responsibilities

Determine patients’ condition before procedures by reviewing medical records, assessing status, conducting preoperative evaluations, and performing physical examinations.
Plan and administer anesthetics, including inhalation, intravenous, and regional techniques.
Observe, monitor, and record vital signs and other parameters.
Insert invasive monitoring lines for anesthesia 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 of the patient’s condition.
Take remedial action to correct unacceptable changes in vital signs.
Document anesthetic care in accordance with legal requirements, including 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 efficient patient management, including histories and physicals, preoperative planning with outside providers and PCPs, responding to changes in patient status, and delivering treatments within scope of practice.
Provide patient and family education and exercise approved privileges after demonstrating competency through proctoring or the FPPE process.
Answer clinically relevant patient medical advice calls and communicate with patients, families, and health care professionals as needed.
Interpret and act upon 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.
Arrange appropriate coverage for patient management and communication during absences.
Adhere to UCSF Health policies and procedures, including HIPAA, communication, privacy, code of conduct, and Medical Staff Bylaws encounter-closure requirements.
Provide anesthesia care at UCSF Medical Center locations where anesthesia services are used or may be required.
Orient and work at all UCSF Medical Center campuses as needed.