CRNA (Casual)

Scope of responsibilities and accountability

Provides all the below and supervises peers for same quality.

• Practices within the scope for a CRNA that are regulated by state boards regarding the nurse anesthetist.
• Reviews and demonstrates knowledge of all approved center policies and procedures for patient care.
• Provides complete documentation in all areas of care.
• Maintains positive and respectful working relationships with physicians, manager, and peers.
• Knowledge of use and maintains equipment needed for patient safety within the endoscopy center.
• Completes in-service of emergency procedures and evacuation plans.
• Maintains BLS and ACLS.
• Provide proof of required Continuing Medical Education Units as well as completing required in‑services for staff to maintain accreditation.
• Experience in the use of current anesthesia techniques and agents.
• Sound judgment and response to emergency situations whether actual or drills.
• Along with the RN, maintains record and count of all anesthetic medications prior to, and at the end of each shift.
• Reports directly to Director of Nursing.

Major activities and essential job functions

• Supports the mission and goals of the organization as a whole.
• Responsible for direct patient care: assess the physical and psychosocial status of patients through review of data, direct observation, vital sign monitoring and/or consultation with other health care providers to provide optimal care pre‑procedure, during procedure and for post‑procedure.
• Responsible for protecting confidential and/or privileged information according to Center policy.
• Promotes and supports patient/family‑centered care.
• Ability to assess and care for adult patients who are considered to be healthy as well of those who have comorbidities.
• Responsible to order needed CLIA waived test prior to or after anesthesia. (ex: pregnancy or glucose testing)
• Maintains a safe environment for the patient receiving anesthesia by assessing, monitoring, and evaluating condition of the patient pre‑procedure, during the procedure and when transferring the patient to recovery.
• Provides report to the recovery nurse, and if needed, performs, and documents any post procedure visit to evaluate for complications related to receiving anesthesia.
• Responsible for maintaining anesthesia cart equipment and meds. Notifying Nurse Manager of needed meds or equipment whether though use or expiration.
• Have the knowledge to recognize and act on any potential or actual abnormal patient response to anesthesia.
• Documentation: maintains accurate and complete medical records which reflect the assessment, planning, implementation, and evaluation of care along with any other pertinent information related to the endoscopic procedure.
• Patient Education: identifies educational needs of patients and/of families related to understanding of anesthesia, its risks and benefits as well as obtaining an informed consent.
• Promotes compliance with treatment plan by answering questions and discussing patient’s and/or families’ concerns.
• Required to have language skills for high‑level written and interpersonal communication in American English.
• Participates in orientation of newly hired CRNA employees and functions as a preceptor.
• Adheres to infection control principles and applies universal precautions according to CDC regulations and center standards.
• Participates in peer review for quality of anesthesia care by the anesthesia staff.
• Supportive of Risk Management by participating in programs directed to patient and employee safety.
• Objectively evaluate any grievances or processes that can improve on patient care, relaying these to the Director of Nursing.
• Oversees CRNA staff schedule, PTO and CME requests and coordinates with Director of Nursing.
• Participates in CRNA on boarding and annual evaluations.
• Issues counseling as needed to CRNA’s.
• Participate in committees for quality improvement.
• Performs all other duties as assigned.

Position Qualifications

• Graduate of an approved program of American Association of Nurse Anesthetists (ANNA) with current license to practice as a CRNA in the state of Ohio.
• American Association of Nurse Anesthetists (ANNA) certification required.
• Effective communication and listening skills.
• Effective understanding and use of the English language.
• Must be flexible with working schedule and have ability to work occasional overtime.
• Flexibility to travel to all center locations following the schedule approved by the Director of Nursing.
• Ability to use modern business communication, and office systems.

Regulatory Requirements / Risks / Exposures

• Works within the area of chemicals including, but not limited to, chlorine bleach, glutaraldehyde and fomalin.
• Physical demand requirements meet those defined as HEAVY work, exerting 50–100 pounds of force occasionally, 25–50 pounds of force frequently, and/or 1–20 pounds of force constantly to move objects.
• In addition to the above, on‑going job expectations of the CRNA are as follows:
• Maintain CEUs for licensure.
• Orient to new procedures and equipment.
• Responsible for maintaining current BCLS and ACLS.
• Maintain annual fire safety/general safety training.
• Maintain annual HIPAA training.
• Maintain annual PPD skin test or TB Screening Form.
• Participate in Continuous Quality Improvement Program.

Equal Opportunity Employer

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