CO CRNA

The Department of Anesthesiology and Critical Care Medicine at Howard County General Hospital is seeking a Certified Registered Nurse Anesthetist (CRNA).

This position 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.

Duties & Responsibilities:

• Medical Knowledge - Ph'f.Siolog'f. & Pharmacolog'f.: Appropriate fund of knowledge, sufficient understanding of disease processes/drug effects and implications for anesthetic care.
• Independently 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 in effective manner under normal conditions and under 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.
• Obtains anesthesia informed consent.
• Collaborates and consults with attending anesthesiologist prior to start of case on 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 anesthetic plan.
• Orders and administers_Q_re-anesthetic medications and fluids.
• Selects, applies and inserts non-invasive and invasive monitoring devices.
• Selects and administers anesthesia, sedation, adjuncts and accessory drugs and fluids.
• Manages patient 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 team (i.e., inoperative personnel & Attending Anesthesiologist) including briefing and debriefing discussions.
• Facilitates emergence and recovery from anesthesia and transport to recovery area.
• Implements acute and chronic pain management.
• Performs and documents timely post anesthesia evaluation and discharges patient from recovery area when appropriate.
• Provides a complete report of 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.
  
  Qualifications
  
  Education:
  
  Complete the requirements for a degree or diploma from an education program in nurse anesthesia approved by the Maryland Board of Nursing. If the nurse anesthesia program was completed after January 1,2008, then the program must be at a master's degree or higher.
  
  Skills and Abilities:
  
  
  • Highly developed clinical,interpersonal and communication skills to effectively communicate on a frequent basis with peers,colleagues, managers,supervisors, other health care professionals, patients and family members to exchange information and resolve conflict.
  
  Licensure, Certification, Registration:
  
  
  • Must be certified by the Council on Certification of Nurse Anesthetists (or Re-certification) or from another certifying body approved by the Board, or in the process of acquiring such certification.
  • Current Maryland State RN and CRNA license required.
  • Current CPR certification required.
  • Advanced Cardiac Life Support (ACLS) required.
  • Must maintain current licensure and certifications for duration of employment.
  • Completion of the JHH credentialing process is required prior to start date.
  
  Physical Requirements:
  
  
  • Must be able to remain in a stationary position for an extended period of time.
  • Must be able to move throughout the center as needed for patient care.
  • Must be able to wear lead apron weighing up to 15.5 lbs.
  • Ability to push and pull objects weighing 50 lbs. or more.
  • Ability move or transport objects weighing 50 lbs. or less. (e.g. transport monitors from ICU to OR, medical equipment from workroom to OR).
  • Ability to transfer patients between beds and stretchers.
  • Ability to adjust and raise the head of a hospital bed.
    
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