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.
- 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 functions1:
- 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 waved 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 function 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.
On-going job expectations & competency:
- 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 OSHA Blood-borne Pathogen
- Maintain annual PPD skin test or TB Screening Form
- Participate in Continuous Quality Improvement Program