Senior Nurse Anesthetist - Anesthesia

UCSF•San Francisco, CA

18d•$199,000 - $399,000•Onsite

About The Position

The Senior Nurse Anesthetist (Certified Registered Nurse Anesthetist, or CRNA) administers anesthesia to patients undergoing surgical and obstetrical procedures in the operating room, and to patients undergoing diagnostic or therapeutic procedures outside the operating room. The role works under the medical direction and billing collaboration of a faculty member in UCSF’s Department of Anesthesia & Perioperative Care at UCSF Medical Center. The CRNA provides perioperative anesthesia care across UCSF locations where anesthesia services are offered, including all Medical Center campuses. Shifts are variable to meet operational and patient-care needs and may change with the required union notice. The position requires flexibility to orient and work at all UCSF Medical Center campuses. Advanced Practice Providers must be credentialed through UCSF’s Office of Medical Affairs and Governance before practicing in their clinical role; credentialing must be completed before the first working day.

Requirements

Active, unrestricted California Nurse Anesthetist licensure.
Active, unrestricted California Registered Nurse licensure.
Current national certification from 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.
Graduation from an accredited school of nursing and 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.
At least a master’s degree from an accredited Nurse Anesthetist program.
Knowledge and abilities essential to successfully perform the assigned duties.
Credentialing through UCSF’s Office of Medical Affairs and Governance must be completed before the first working day.

Responsibilities

Review medical records, assess patient status, and conduct preoperative evaluations and physical examinations.
Plan and administer inhalation, intravenous, and regional anesthetics.
Observe, monitor, and document vital signs and other patient 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 medications.
Keep the surgeon and attending anesthesiologist informed about the patient’s condition.
Take remedial action to address unacceptable changes in vital signs.
Document anesthesia 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, Advanced Practice Provider colleagues, and clinical and administrative staff to support efficient patient management and care within scope of practice.
Perform histories and physicals; coordinate preoperative planning with outside providers and primary care providers as applicable; respond to changes in patient status; provide permitted treatments; and educate patients and families.
Exercise approved privileges after competency has been demonstrated through proctoring or the Focus Professional Practice Evaluation process.
Respond to clinically relevant patient medical advice calls and communicate with patients, families, and healthcare professionals as necessary.
Interpret and act on ordered tests, procedures, and radiographic studies.
Assist in formulating and implementing protocols to improve clinical specialty efficiency.
Communicate with patients and families in person, by telephone, or through other electronic methods in a timely manner, and arrange appropriate coverage for patient management and communication when absent.
Adhere to UCSF Health and Medical Center policies, including requirements concerning HIPAA, communication, privacy, conduct, and encounter closure.
Provide anesthesia care at UCSF locations where services are currently used or may be required in the future.
Orient and work across UCSF Medical Center campuses, with flexibility for variable shifts and operational needs.