CRNA - Digestive Health Complex

Description

Job Summary:

Administers anesthesia and anesthesia related care under the orders of a physician. Monitors and supports vital life functions. Acts as the patient’s advocate while the patient is under anesthesia. Participates in performance improvement and continuous quality improvement activities.

Responsibilities:

• Demonstrate thorough knowledge of and supports the hospital’s mission, vision, and values.
• Demonstrates and maintains a thorough understanding of Federal, State, Local Laws and CMS/JACH Accreditation standards.
• Performs and documents pre-anesthetic assessment and evaluation of the patient, including all lab values, studies, consults, and pre-anesthesia clinical history.
• Performs an assessment immediately prior to induction of anesthesia of the patient and documents this in the medical record.
• In collaboration with the anesthesiologist, develops, implements and documents an anesthetic plan of care, prior to providing anesthesia.
• Documents evidence of patient being informed of all risks, potential complications, options and alternatives to anesthesia. In collaboration with the anesthesiologist, obtains informed consent.
• Demonstrates knowledge of the principles of growth and development and the skills necessary to provide care appropriate to the age of the patient, neonate through geriatric.
• Treats patients and their families with respect and dignity. Identifies and addresses psychosocial needs of patient and family.
• Participates in and accurately documents “Time Out” performed.
• Adheres to policy of clinical alarms being set appropriately for patient.
• Provides safe administration of IV fluids, Blood Products, Medications, Narcotics and documents appropriately.
• Demonstrate ability to administer all types of anesthesia, including general, regional, mac and TIVA.• Maintains the patient’s physiologic homeostasis and corrects abnormal responses to the anesthesia and/or surgery, should these occur.
• Records all pertinent events taking place during the induction of, maintenance of, and emergence from anesthesia, including the dosage and duration of all anesthetic agents, other drugs, IV fluids, and blood products on the patient receiving anesthesia care.
• Documents all narcotic usage.
• Prevents and manages complications through selecting, obtaining, administering medications, fluids or ventilator support in correct dosages and methods
• Collects and interprets patient physiological data by selecting, applying, or inserting noninvasive monitoring modalities.
• Performs a smooth induction of anesthesia for patients requiring general anesthetic.
• Displays ability to intubate most patients with ease, manages the patient's airway and pulmonary status through the perioperative process
• Performs smooth patient emergence and recovery from anesthesia by maintaining homeostasis, providing relief from pain and anesthesia side effects.
• Advises staff responsible for post anesthesia care of specific problems related to patient’s condition.
• Stays with patient as long as required by the patient’s condition relative to their anesthesia status and until responsibility for proper patient care has been assumed by other qualified individuals.
• Documentation meets current standards and practices.
• Responds to emergency situations requiring anesthesia services.
• Is knowledgeable of all emergency codes and emergency preparedness procedures and understands his/her role in response to each of the emergency codes (Code Blue, Code Pink, Code Green, Code Orange, Code Yellow, Code Gray, Code Silver, Code Violet, etc.).
• Complies with call schedule and arrives for emergency cases within the time frame defined by organizational policies and procedures.
• Check all resuscitative equipment prior to the beginning of the first case of the day. Reports any malfunctioning equipment to the Director of Surgical Services or Biomedical Engineer.
• Checks all equipment and agents to be used in the administration of the anesthetic to assure safe working order. Reports all malfunctioning equipment to the Director of Surgical Services or Biomedical Engineer.
• Working knowledge of anesthesia equipment.
• Advanced pharmacology knowledge.
• Adheres to dress code.
• Completes annual education requirements.
• Represents the organization in a positive and professional manner.
• Reports to work on time and as scheduled, completes work within designated timeframe.
• Attends annual review and department in-services, as scheduled.
• Attends at least 50% staff meeting annually, reads and returns all monthly staff meeting minutes.
• Understands performance improvement concepts and demonstrates understanding by defining performance improvement, and verbalizing at least one major goal of the performance improvement program within the hospital setting; ability to describe a quality improvement problem solving process using the Plan, Do, Check, Act (PDCA) model and how its uses assists in reaching improving patient outcomes and/or organizational quality improvement goals.
• Able to verbalize at least one departmental and hospital-wide improvement initiative that has occurred within the last 12 months.
• Demonstrates adherence of patient safety goals in accordance with hospital policies and procedures.
• Demonstrates use of appropriate communication at all times in accordance with Human Resources policies and procedures.
• Demonstrates acknowledgement of customer requests.
• Demonstrates protection of patient confidentiality and privacy in accordance with hospital policies.
• Demonstrates flexibility in scheduling/assignments, and offers assistance to others when assignments are completed.
• Demonstrates utilization of resources when unable to complete assignments in accordance to policies and procedures.
• Demonstrates completion of all assigned job duties in accordance with hospital policies, procedures, standards, and/or protocols.
• Provides input for departmental hospital change/improvement.
• Practices standard blood and body fluid precautions and appropriate use of PPE.
• Disposes of sharps and contaminated articles appropriately.
• Disposes of waste appropriately.
• Utilizes proper body mechanics.
• Recognizes signs of child or elder abuse and reports appropriately to Child/Adult protective services.
• Recognizes and reports safety and environmental hazards/violations/follows proper hospital procedure.
• Responds per hospital and department policy in emergent situations.
• Demonstrates and understands the EORH Code of Conduct.
• Demonstrates a commitment to compliance with all applicable health care laws, rules, and regulations.
• Complies with all organizational policies and procedures regarding ethical business practices.
• Performs other duties as assigned or required.
• Participates actively and positively affects the outcome of customer service activities.

Requirements

Education and Experience:

• Must have a current and valid license as a Registered Nurse issued by the state of Ohio.
• Must have a current and valid APRN/CRNA license in the state of Ohio.
• Minimum of 2 years of experience in an acute care hospital.
• Knowledge of theory, techniques and practices of anesthesia management.
• BLS, ACLS, and PALS upon hire and maintain current.
• Frequent sitting, standing and walking
• Occasional twisting, reaching, grasping, bending, pulling and pushing
• Occasionally lifting/carrying up to 50 pounds
• Occasional exposure to hazardous chemicals, infections and ionizing radiation
• Occasional requirement to wear Personal Protection Equipment