Certified Registered Nurse Anesthetist Job Description
A Certified Registered Nurse Anesthetist (CRNA) is an advanced practice nurse who specializes in anesthesia. A CRNA is responsible for administering anesthesia and monitoring the patient before, during and after the procedure. The CRNA reviews the patient’s treatment plan and medical history, mixes and administers the medications used on the patient during the procedure and monitors the patient’s vital signs to ensure the patient is getting the right amount of medication. After the surgery is over, the nurse anesthetist is responsible for helping the patient come out of anesthesia. This requires close monitoring to ensure that the patient recovers properly.
Nurse anesthetists may work as independent practitioners or in collaboration with physicians. It is common for nurse anesthetists to work independently in rural settings. The CRNA may often be the sole provider of anesthesia in the rural hospitals and practices since rural communities usually don’t have the funds necessary to have an anesthesiologist on staff. The use of CRNAs allows rural facilities the ability to conduct procedures otherwise not available.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
1. Reports to the Medical Staff Director of Facility and the operating surgeon.
2. Works closely with all OR personnel to ensure adequate patient outcomes during and after surgery.
3. Communicates well with the recovery room staff.
4. Works in collaboration with anesthesiologists, surgeons and other physicians and medical professionals to deliver anesthesia for medical and surgical procedures.
5. Cares for the patient before, during and after a medical procedure or surgery.
6. Administers and maintains anesthesia to ensure proper sedation and pain management.
7. Oversees patient recovery from anesthesia and cares for the patient's immediate post-operative needs.
8. Works closely with patients and their families to ensure proper care and comfort and, as such, is regarded with respect by nursing and medical personnel.
9. Works independently without MDA supervision and is flexible to work both inpatient and outpatient settings.
10. Promotes knowledge of and ability to implement principles of aseptic technique.
11. Maintains knowledge of surgical procedures, techniques and consequent interventions.
12. Recognizes emergency situations and assists in corrective action.
13. Recognizes and reports hazardous equipment.
14. Adheres to and is knowledgeable of the policies, procedures, goals and objectives of Coastal and the assigned facility.
15. Works in various settings of diverse backgrounds and ages and is able to act in a professional manner in the face of adversity.
16. Clinical Responsibilities of the individual are listed below and may be used to delineate the
clinical services in which the anesthetist can demonstrate new or continued competency. The clinical responsibility portion of this position description should be reviewed at least every two years and changes made as required. More clinical responsibilities may be added as additional education and experience is obtained by the individual practitioner.
Requesting laboratory/diagnostic studies
General anesthesia and adjuvant drugs
Regional anesthesia techniques
o Upper extremity
o Lower extremity
o Diagnostic and therapeutic nerve blocks
o Local infiltration
o Periocular block
Cardiopulmonary resuscitation management
Invasive and noninvasive monitoring
Airway management techniques
Mechanical ventilation/oxygen therapy
Fluid, electrolyte, acid-base management
Blood, blood products, plasma expanders
Peripheral intravenous/arterial catheter placement
Central venous catheter placement
Pulmonary artery catheter placement
Acute and chronic pain therapy
Post anesthesia care/discharge
1. Holds current state licensure as a registered nurse in the state of practice and complies with any applicable state statutory or regulatory requirements concerning advanced practice registered nursing.
2. Graduate of a nurse anesthesia educational program accredited by the Council on Accreditation of Nurse Anesthesia Educational Programs or its predecessor.
3. Complies with one of the following requirements regarding certification eligibility, initial certification, or recertification:
b. Is currently certified by the Council on Certification of Nurses Anesthetists (AANA) or its predecessor; or
c. Is currently recertified by the Council on Recertification of Nurse Anesthetists.
4. Insurable by an appropriate medical malpractice insurer for the limits required by this institution or state. Coastal Healthcare may provide locums with insurance at a set rate.
5. Demonstrates current competency in the clinical responsibilities for which the candidate is applying.
6. Holds current state of practice Official Recognition as a CRNA.
7. Current BLS and ACLS certification required; PALS may be required for certain settings.
8. Participates in code and airway drills annually.
9. Minimum of 3-5 years anesthesia experience desired; 5 years independent anesthesia experience preferred.
10. Provide documentation of current immunization or proof of immunity (titers).
11. Successful completion of appropriate skills tests.
12. Successful completion of credentialing/certification process by QA.
1. Position requires sitting and standing and CRNA must be able to remain in a stationary position 50% of the time.
2. Position requires walking and the need to occasionally move about the office/work space to access files, office machinery, patient areas, etc., and care of the patients 75% of the time.
3. Position may occasionally require stooping, kneeling, crouching or crawling 25% of the time.
4. Position requires use of hand/fingers to handle or feel greater than 50% of the time and ability to reach with hands and arms at least 50% of the time.
5. The person in this position must have adequate vision and hearing in order to communicate effectively and exchange accurate information at least 75% of the time.
6. Visual acuity is important to read small print and equipment computer boards.
7. Position requires ability to maneuver stretchers, patient’s equipment and wheelchairs with a weight of at least 200 pounds.
1. Position requires exposure to moderate noise (i.e., computers, office and medical equipment, people, light traffic).
2. Position requires exposure to bloodborne pathogens that require use of personal protective equipment.
This job description reflects management’s assignment of essential functions. It does not proscribe or restrict the tasks that may be assigned thus the job description is subject to change at any time
Coastal Healthcare is an established Healthcare Staffing Firm, servicing facilities since 1993. Coastal favors hard working healthcare professionals who strive for excellence in patient care. We are proud of the extraordinary group of healthcare professionals we have today and would like to offer you the opportunity to join our team. We are seeking Physicians, Nurses, and Allied Health Professionals who are comfortable working travel contracts and/or short term assignments. We pride ourselves in on boarding team members who are experienced and strong in their chosen specialty. Qualified candidates would be strong, independent professionals with 2+ years of experience for a variety of needs.