CRNA

A Certified Registered Nurse Anesthetist (CRNA) in an advanced practice registered nurse (APRN) who work collaboratively with anesthesiologists, surgeons, and other healthcare professionals to administer and provide safe and effective anesthesia-related care to patients before, during and after surgery. The CRNA cares for patients at all acuity levels across the lifespan and in a variety of settings including, but not limited to, surgical, therapeutic, diagnostic, and obstetrical procedures.

Education

Graduation with Masters or Doctorate degree from a Nurse Anesthesia educational program accredited by the Council on Accreditation of Nurse Anesthesia Educational Programs (COA)

Certification, Registration, and Licensure

Valid New Hampshire State APRN License (must meet education requirements for state licensure and obtain prior to start date)

Valid New Hampshire State RN License (must meet education requirements for state licensure and obtain prior to start date)

• The NH APRN license will also accept a RN license from compact state
• Board Certified as a CRNA by the National Board of Certification and Recertification for Nurse Anesthetists (must be obtained prior to start date)
• ACLS/PALS/BLS certification

Experience

New graduates may be hired.

Responsibilities

Provides pre-anesthetic preparation and patient evaluation: Performing and documenting comprehensive health histories and physical. Conducting pre-anesthesia evaluations

• Obtaining informed consent(s) for anesthesia
• Selects and/or administers pre-anesthetic medications
• Participates in the development of a patient plan of care

Selects, prepares, and administers anesthetic agents or other agents, including controlled substances, administered in management of anesthetic care

Planning and initiating anesthetic techniques, including general, regional, neuraxial, and monitored anesthesia care.

• Provides anesthesia induction, maintenance, emergence, and post anesthesia care.
• Selecting/inserting both invasive and noninvasive monitoring modalities utilizing current standards and techniques
• Performs tracheal intubation and extubation, airway management
• Provides mechanical ventilation

Performs Venous and Arterial Punctures

• Manages patient's fluid, blood, electrolyte, and acid-base balance.
• Orders and evaluates appropriate diagnostic tests

Responds to Abnormal Findings with Corrective Actions

• Utilizes anesthetic techniques such as ultrasound, fluoroscopy, and other technologies to improve diagnosis and care delivery and improve patient safety and comfort.
• Provides acute, chronic, and interventional pain management services
• Provides critical care and resuscitation services in the course of providing anesthesia
• Responding to emergency situations using airway management and other techniques

Facilitating emergence and recovery from anesthesia. Institutes pharmacological or supportive treatment to ensure adequate patient recovery from anesthesia

Provides post anesthesia follow up and evaluation of patient's response to anesthesia and for potential anesthesia complications

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Physical and Work Requirements

The physical demands and characteristics of the work environment described here are representative of those that will be encountered 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.

The Dictionary of Occupational Titles Material Handling Classification is LIGHT. The employee must regularly lift, carry or push/pull less than 10 pounds, frequently lift, carry or push/pull up to 10 pounds, and occasionally lift, carry or push/pull up to 20 pounds.

The employee is frequently required to bend, do fine motor, hear, reach, sit, speak, and walk. The employee is occasionally required to do repetitive motion, squat, and stand.

Specific vision abilities required by this job include color vision, depth perception, far vision, near vision, and peripheral vision.

The employee is frequently exposed to bloodborne pathogens, bodily fluids. The employee is occasionally exposed to airborne pathogens, chemotherapeutic agents, toxic or caustic chemicals.

The noise level in the work environment is usually moderate.