CRNA

• Job Location: Cass Regional Medical Center - Harrisonville, MO
• Position Type: Full Time
• Salary Range: Undisclosed
• Job Shift: Day, Primary Purpose: Administer local, inhalation, intravenous and other anesthetics to induce total or partial loss of sensation or consciousness in patients during surgery. Administer anesthesia for surgical, diagnostic, and therapeutic procedures across the continuum of care. Formal Policy-Setting Responsibilities: Contributes to policy development for the anesthesia department in collaboration with Anesthesia Medical Director. Routine Decision Making: Evaluation of patient’s physical condition (before, during, and after anesthesia), ordering of pre-op lab and testing and evaluation of values. Postoperative pain management, anesthetic technique selection, and intraoperative adjustments. Formal Supervisory Responsibility: No formal supervisory responsibility. Unusual Working Conditions: Exposure to communicable disease and chemicals. Age Specific Competencies: Provides anesthesia care for patients across the lifespan: neonatal, pediatric, adolescent, adult, and geriatric. ESSENTIAL RESPONSIBILITIES AND TASKS Assess patient’s condition to receive anesthesia and determine method of anesthesia. (15% of time). Performs chart preparation and evaluation prior to evaluation of patient (in advance if not urgent/emergent add-on surgery/procedure. Evaluates equipment prior to each anesthesia activity for proper functioning. Performs and documents a pre-anesthesia assessment/evaluation including a physical/oral airway assessment in pre-op holding area. Formulates a safe anesthetic plan of care agreed upon by patient. CRNA and surgeon. Obtains Informed Consent prior to the administration of an anesthetic. Reviews informative/assessment again immediately prior to the administration of anesthesia agents. Notifies surgeon of need for medical clearance for patients identified as high risk. Prepare anesthesia solutions and administer anesthesia. (20% of time). Utilizes aseptic teaching in preparation of anesthesia solutions prior to administration. Maintains accurate records of controlled substances prior to drug administration. Documents wastes of controlled substances immediately and obtains witness co-signature. Informs pharmacy and administration of any discrepancies immediately Monitor patient’s vital signs and conditions during anesthesia. (25% of time). Continuously monitors patient’s vital signs and oxygenation status during anesthesia. Documents results on anesthesia record within fifteen minutes. Notifies surgeon immediately of significant trends or vital signs outside of acceptable norms and provides feedback regarding assessment to surgeon after intervention. Communicates with surgeon aspects of care during the care which would enhance the safety of the anesthetic for the patient. Prepare and acts immediately with therapeutic emergency agents to support physiologic functions. Initiates remedial measure to prevent adverse conditions. (15% of time). Is prepared with available emergency medications to be utilized immediately for any adverse event encountered. Titrates anesthetic agents including vasoactive substances, adjuvant drugs and fluids necessary to manage the anesthetic. Facilitates emergence and recovery from anesthesia. (10% of time). Selects and administers medications, fluids and respiratory support appropriate for transfer to PACU, ICU or transport to another facility. Guides patient care during the recovery process by utilizing PACU order sets. Assesses readiness and discharges patient from post-anesthesia care area per established criteria. Provides post-anesthesia follow-up evaluation and care if appropriate. Provides emergent support to hospitalized patients. (5% of time). Responds to code blues immediately when available in house. Responds to airway emergencies and difficult intubations upon physician request. Participates in other non-clinical duties. (5% of time). Maintains continuing education required for CRNA recertification. Maintains current certifications required by hospital i. e., BLS, ACLS, PALS. Makes recommendations regarding new equipment and supplies after consultation with MD anesthesia annually. Maintains supplies and equipment for daily use including notifying the Biomed Department of faulty or questionable function. Maintains back-up coverage for anesthesia coverage for planned and/or emergent time off. Arranges for scheduled time off quarterly, utilizing back-up coverage. Inspect and report anesthesia process. (5% of time). Completes quality control monitoring concurrently. Assesses and identifies needs for process improvement. Develops plan for improvement as identified. Reports findings to PI quarterly. ESSENTIAL PHYSICAL REQUIREMENTS Heavy Work: Lifting 100# maximum with frequent lifting and/or carrying of objects weighing up to 50# PHYSICAL DEMANDS Lifting: Raising or lowering an object from one level to another (includes upward pulling). Carrying: Transporting an object, usually holding it in hands or arms or on the shoulders. Pushing: Exerting force upon an object so that the object moves away from the force (including slapping, striking, kicking, and treadle actions). Pulling: Exerting force upon an object so that the object moves toward the force (includes jerking). Climbing: Ascending or descending ladders, stairs, scaffolding, ramps, poles, ropes, and the like, using the feet and the legs and/or hands and arms. Hearing: Ability to determine audible communication Stooping: Bending the body downward and forward by bending the spine at the waist. Kneeling: Bending the legs at the knees to come to rest on the knee or knees. Crouching: Bending the body downward and forward by bending the legs and spine. Crawling: Moving about on the hands and knees or hands and feet. Reaching: Extending the hands and arms in any direction. Handling: Seizing, holding, grasping, turning, or otherwise working with the hand or hands (fingering not involved). Fingering: Picking, pinching, or otherwise working with the fingers primarily (rather than with the whole hand or arms as in handling). Repetitive Motions: Substantial movements (motions) of the wrist, hands, and/or fingers. Feeling: Perceiving such attributes of objects and materials as size, shape, temperature, or texture by means of receptors in the skin, particularly those of the finger tips. Speaking: Expressing or exchanging ideas by means of the spoken word. Those activities in which they must convey detailed or important spoken instructions to other workers accurately, loudly or quickly. Seeing: Obtaining impressions through the eyes of the shape, size, distance, motion, color or other characteristics of objects. Acuity, far – clarity of vision at 20 feet or more. Acuity, near – clarity of vision of 20 inches or less. Depth perception – ability to judge distance and space relationships so as to see objects where and as they actually are. Field of vision – area seen up and down or to the right or left while eyes are fixed. Accommodations – adjustment of the lens of the eye to bring an object into sharp focus. Color vision – the ability to identify and distinguish colors. WORKING CONDITIONS Inside: Worker spends approximately 75% or more of time inside. Hazards: Situations in which the individual is exposed to the definite risk of the bodily injury. Odor: Noxious smells, either toxic dust, fumes, gases, vapors, mists or liquids which cause general or localized disabling conditions as a result of inhalation or action to the skin. Toxic Conditions: Exposure to toxic dust fumes, gases, vapors. Mists or liquids which cause general or localized disabling conditions as a result of inhalations or action to the skin. Infectious Disease: Risk of exposure to bio-hazardous materials, blood. body fluid contamination.

Qualifications: Education and Certification/Registration Required for The

• Position: Two to four-year RN degree; currently licensed in the State of Missouri; BLS, ACLS & PALS required; CRNA required

Required Knowledge: Anatomy, physiology, pharmacology, anesthesia, psychology. Airway management, advanced monitoring techniques, pain management, and regulatory requirements (CMS, TJC, DHSS). Required Skills and Ability: Comfortable working without MD oversight. Good communication skills, attention to detail, ability to work with others. Ability to do nerve blocks or willing to learn.