CRNA - Nurse Anesthetist

JOB SUMMARYDelivers direct and indirect anesthesia and anesthesia-related care to patients for perioperative services, obstetrical services, pain management and other areas as needed or requested. Utilizes the nursing process through data collection and assessment; identification and prioritization of patient's needs; and development/implementation/evaluation of an anesthetic plan of care. Demonstrates critical thinking to assure the delivery of safe, quality, age-specific care. Provides management for problems with pain relief; cardiopulmonary resuscitation; pulmonary care; and critically ill patients. Communicates and collaborates with other healthcare team members. Adherers to organizational policies and procedures; regulatory/accrediting body requirements; and professional practice standards.EDUCATION AND WORK EXPERIENCECurrent New Mexico and federal DEA certificateCurrent licensure to practice professional nursing the state of New MexicoGraduate of an accredited nurse anesthesia educational programCurrent certification as a nurse anesthetist from the Council on Certification of Nurse Anesthetists or its predecessorCurrent American Heart Association (AHA) Healthcare Provide Basic Life Support (BLS) certification requiredCurrent American Heart Association (AHA) Healthcare Provider Advanced Cardiac Life Support (ACLS) certification requiredCurrent American Heart Association (AHA) Pediatric Advanced Life Support (PALS) requiredCurrent New Mexico CRNA licenseKNOWLEDGE AND SKILLSKnowledge of the nursing role and scope of practice as defined by the state of New Mexico Nurse Practice Act and the New Mexico Board of NursingKnowledge of the nurse anesthetist role and scope of practice as defined by the American Association of Nurse Anesthetists (AANA) Scope and Standards for Nurse Anesthesia PracticeKnowledge of current trends and demonstration of standards for anesthesia careDemonstration of effective problem-solving, decision-making, interpersonal and teamwork skillsDemonstration of positive customer serviceEQUIPMENT/TOOLS/SOFTWAREBasic computer literacy (keyboarding; order entry; word processing)Knowledge of and skill in using all instrumentation/equipment for delivering anesthesia care, such as but not limited to anesthesia machine and monitors; ventilators; IV pumps, defibrillators, glidescopePRIMARY JOB RESPONSIBILITIESPerforms and documents a pre-anesthetic assessment and evaluation of the patient, including requesting consultations and diagnostic studies; selecting, obtaining, ordering, and/or administering pre-anesthetic medications and fluids; and obtaining informed consent for anesthesiaInterviews the patient to discuss their medical history, including anesthesia experiences and drug therapyDevelops and implements an anesthesia plan of careRe-evaluates the patient immediately prior to the induction of anesthesiaSelects and initiates the planned anesthetic technique, which may include general, regional, and/or local anesthesia and/or intravenous sedationSelects, obtains, or administers the anesthetics, adjuvant drugs, accessory drugs, and fluids necessary to manage the anesthetic; to maintain the patient's physiologic homeostasis, and to correct abnormal responses to the anesthesia or operative/invasive procedureSelects, applies, or inserts appropriate non-invasive and invasive monitoring modalities for collecting and interpreting physiological dataManages the patient's airway and pulmonary status using endotracheal intubation, mechanical ventilation, pharmacological support, respiratory therapy, or extubation.Manages emergence and recovery from anesthesia by selecting, obtaining, ordering, and/or administering medications, fluids, ventilator support in order to maintain homeostasis, to provide relief from pain and anesthesia side effects, or to prevent or manage complications.Orders, initiates, or modifies pain relief therapy, through the utilization of drugs, regional anesthetic techniques or other accepted pain relief modalities, including labor epidural and spinal analgesia.Responds to emergency situations by providing airway management, administration of emergency fluids or drugs, or using basic and advanced cardiac life support techniques.Assesses /reassesses the patient's condition and manages the patient's blood, fluid, electrolyte and acid-base balanceDelivers safe nurse anesthesia interventions in an organized, efficient, and prioritized manner to address identified needs.Collaborates and communicates effectively with team members, physicians, and other healthcare providers.Documents accurately and maintains patient records.Assists in the orientation and training of new and tenured personnel.Utilizes measures to promote and maintain patient, visitor, and personnel safety.Maintains patient, employee, physician and organization confidentiality; respects the rights, privacy, and property of others.ADDITIONAL RESPONSIBILITIESParticipates in mandatory in-service, staff meetings, educational programs, hospital committees, and quality improvement activitiesParticipates in maintaining department functionsDemonstrates initiative in personal/professional developmentPresents a professional imageAssists with the control of costs through the judicious use of human and material resourcesAdheres to hospital, division, and department policies and proceduresOther duties as assignedAMERICANS WITH DISABILITY SPECIFICATIONSThe demands describe here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.Physical demands :Sitting or standing the majority of time as well as bending, stooping, and lifting. Carrying of items weighing a maximum of 20 pounds. Requires the ability to actively perform CPR.Visual, Hearing and Dexterity Demands:Requires visual attention for sustained periods and the ocular acuity to interpret data on gauges, dials, and other equipment. Color vision as needed in unit for reading monitors and administering tests.Requires ability to hear sounds by the ear and auditory/acoustic acuity to interpret sounds on dopplers, blood pressure cuffs, monitors, and other patient care equipment. Must be able to exchange and express oneself by spoken word.Requires good dexterity to operate equipment and perform computer skills.Language Skills :Requires the ability read, analyze, and interpret written data, reports, and documents. Ability to respond verbally and effectively present information to patients, visitors, employees, physicians, and other customers. Prevailing language of the organization is English.Written Skills :Requires the ability to write legibly and present information effectively via reports, records, correspondence, and other documents to patients, visitors, employees, physicians, and other customers.Work Environment :Ability to work assigned flexible hours as needed; overtime and on-call work/response as required by unit. Exposure to noise, hazardous waste and chemicals. Ability to cope with interruptions of work and stressful situations.ETHICS AND COMPLIANCEEmployee will perform his/her duties ethically and in compliance with all Cibola General Hospital policies and procedures.PI642a10cfd1da-31181-34598578Required

Preferred

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