Senior Nurse Anesthetist - Anesthesia

University of California, San Francisco•San Francisco, CA

17d•Onsite

About The Position

The Certified Registered Nurse Anesthetist (CRNA) administers anesthesia to patients undergoing surgical and obstetrical procedures in operating rooms and to patients undergoing diagnostic or therapeutic procedures outside the operating room. The role operates under the medical direction billing collaboration of a faculty member of the Department of Anesthesia & Perioperative Care at UCSF Medical Center. The CRNA provides anesthesia care at UCSF locations where anesthesia services are currently used and may be required in the future. This position requires 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 the required union notice. The classification is represented by the California Nurses Association (CNA). UCSF requires Advanced Practice Providers to be credentialed through its Office of Medical Affairs and Governance (OMAG) before practicing in their clinical role. Credentialing takes 60–90 days and must be completed before the first working day. CRNAs are assigned a Focused Professional Practice Evaluation (FPPE) template of procedures and may request additional privileges with an explanation of their purpose.

Requirements

Active, unrestricted California Nurse Anesthetist licensure.
Active, unrestricted California Registered Nurse licensure.
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.
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 nurse anesthesia school accredited by the Council on Accreditation of Schools of Anesthesia.
At minimum, a master’s degree from an accredited Nurse Anesthetist program.
Knowledge and abilities essential to successful performance of the assigned duties.
Completion of UCSF OMAG credentialing before the first working day; the process takes 60–90 days.

Responsibilities

Review medical records, assess patient status, and conduct preoperative evaluations and physical examinations before procedures.
Plan and administer anesthetics, including inhalation, intravenous, and regional techniques.
Observe, monitor, and record vital signs and other patient parameters.
Insert invasive monitoring lines for anesthesia and interpretation of 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 anesthetics 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 as needed before, during, and after surgery.
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 accepted practice.
Perform histories and physicals, coordinate preoperative planning with outside providers and primary care providers as applicable, respond to changes in patient status, and provide treatments within scope of practice.
Provide patient and family education and perform approved privileges after competency is demonstrated through proctoring or the FPPE process.
Answer clinically relevant patient medical-advice calls and communicate at the bedside or in coordination with healthcare professionals, patients, and families as necessary.
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, and arrange appropriate coverage for patient management and communication when absent.
Adhere to UCSF Health policies and procedures, including HIPAA, communications, privacy, code of conduct, and Medical Center policies, and meet encounter-closure requirements of the Medical Staff Bylaws.
Provide anesthesia care at UCSF locations where anesthesia services are currently used or may be required in the future.
Orient and work at all UCSF Medical Center campuses as required.