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Johns Hopkins University

CRNA

Johns Hopkins University, Baltimore, Maryland, United States, 21276


Johns Hopkins Bayview Medical Center is a world-class academic medical center that has a warm community feel while being a busy level II Trauma center caring for the critically ill. CRNAs that are both starting their career and those that are experienced can find a fulfilling role here that offers schedule flexibility, ample supplemental income opportunities, and on-the-job autonomy.We are seeking a

CRNA

who reports jointly to the Clinical Lead CRNA and the Division Chief of Nurse Anesthesia (Chief CRNA). Primary clinical responsibilities are (a) the administration of intravenous, inhalation, and other anesthetics to patients in an operating room and (b) observing the physiological condition of patients while under anesthesia. In conjunction with these primary responsibilities (a) evaluates each assigned patient's physical state and plans the course of anesthesia, (b) obtains, assembles, operates, and/or monitors anesthesia equipment and (c) ensures that all necessary supplies, drugs, and anesthetic agents are available.Specific Duties & ResponsibilitiesIndependently researches new/unknown procedures, diseases, medications, and equipment.Functions within safe parameters for quality/good patient care. Seeks assistance from attending anesthesiologist when appropriate. Uses critical thinking skills and adapts to changes as necessary.Applies knowledge of pre-op, intra-op, and post-op effectively under normal conditions and emergency conditions.Demonstrates technical competence. Employs dexterity when performing anesthetic procedures.Understands all anesthetic equipment used in the JHH OR, uses items to full advantage, and handles equipment carefully. Sets up all necessary equipment for a successful anesthetic course.Intra-012 Assessment

Selects, applies, and inserts non-invasive and invasive monitoring devices.Selects and administers anesthesia, sedation, adjuncts, and accessory drugs and fluids.Manages patient's airway and pulmonary status.Demonstrates understanding of relevant clinical issues, recognizes priorities in clinical situations; aware of own limits; appropriate use of tests and procedures.Maintains effective communication with the team (i.e., intraoperative personnel & Attending Anesthesiologist) including briefing and debriefing discussions.Facilitates emergence and recovery from anesthesia and transport to the recovery area, providing thorough reports to receiving unit promptly.Pre-Anesthesia Assessment & Case PreparationReview of medical history (including anesthesia, drug, and allergy history).Focused physical examination (heart, lungs, airway, ASA classification).Plan for anesthesia care.Obtains anesthesia informed consent.Collaborates and consults with attending anesthesiologist before start of case on a plan for anesthesia care (general, regional, combined, local, and sedation techniques) when applicable.Anticipates key procedures and assures an anesthesia environment (e.g., supplies & equipment including anesthesia machine check, fluid warmers, blood, any 'special') necessary to carry out the anesthetic plan.Orders and administers pre-anesthetic medications and fluids.Post Anesthesia Evaluation & ManagementImplements acute and chronic pain management.Performs and documents timely post-anesthesia evaluation and discharges the patient from recovery area when appropriate.Provides a complete report of the patient's anesthetic course and any pertinent information necessary to accurately transfer care of the patient.Facilitates room turnover in a timely fashion (room, medicine and equipment prep, pre-op assessment).Provides medical services according to the JHM Service Standards to include Patient Relations, Self-Management, Teamwork, Communications, Ownership/Accountability, and Continuous Performance Improvement.Minimum QualificationsCompletion of a Nurse Anesthesia program approved by MD Board of Nursing.If program was completed after 1/1/08, a Master's Degree is required.Current MD State RN and CRNA license required.Current CPR certification, ACLS required.Credentialing prior to start date required.Classified Title: CRNAJob Posting Title (Working Title): CRNARole/Level/Range: ACRP/04/MIStarting Salary Range: $200.00 per hourEmployee group: Casual / On CallSchedule: VariesExempt Status: ExemptLocation: Johns Hopkins BayviewDepartment name: 10002736-SOM Ane Bay Bayview CRNAPersonnel area: School of Medicine

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