Certified Registered Nurse Anesthetist

Job Summary

We are recruiting a Certified Registered Nurse Anesthetist. This full-time
position is an exciting opportunity to join a West Georgia Anesthesia
Associates, a hospital employed group.

Job Duties & Responsibilities

* Locations: Tanner Medical Center/Carrollton or Tanner Medical Center/Villa
Rica
* Cases include regionals, OB, ultrasound-guided nerve blocks, pediatrics,
spinal, orthopedic, gastroenterology, vascular, oral plastics, and general
“bread & butter”

Schedule & Location

* 8-hour shift with six days of call per month
* Average (4) 8-hour shifts per week to include one overnight back up call
shift per week.
* Schedule does include one weekend per month as back up call.
* Call starts 3p – 7a; scheduled to be backup call during this timeframe. 
* Required to work one holiday from 7a-3p annually.

Job Eligibility Requirements

Education & Licensure

* Requires completion of an accredited Nurse Anesthetist Program.
* Active GA APRN license or meet criteria for obtaining licensure.

Experience

* No prior experience required.
* New graduates are welcome to apply.

Qualifications

Area of Responsibilities
*Manage patient's airway and pulmonary status using endotracheal intubation,
mechanical ventilation, pharmacological support, respiratory therapy, or
extubation. A. Airway management techniques are documented on the anesthesia
record. B. Endotracheal tube placement is assessed with positive ETCO2 readings
to maintain standard care. C. Ventilation parameters are recorded on the
anesthesia record. Difficulties with intubation are noted on the anesthesia
record. E. Drips, fluids, or ventilator support is administered in order to
monitor optimum patient homeostasis in the immediate postoperative period.
*Release patient to a PACU and provide post anesthesia follow-up evaluation. A.
Patient receiving any type of sedation, pain relief, regional or general
anesthesia, or a combination thereof, is transported to a post anesthesia
recovery area. B. Patient care information including patient ID, allergies,
anesthesia type, drugs used, blood/fluid status, complications, procedure
performed, vital signs, preexisting conditions, and airway status is reported to
the PACU nurse. C. A visit to the patient on postoperative day one is recorded
on the Anesthesia Postoperative Summary sheet.
*Respond to and handle emergency and other anesthesia-related responsibilities
within the scope of the Cranial. CRNA is available at all times to respond to
emergency calls. B. Patient airway and/or ventilation of the patient in an
emergency situation is competently managed. C. Respond to requests for placement
of intravenous catheters, hanging epidural drips, and rate adjustment. D.
Participate on Continuous Quality Improvement Care Team. E. Teach anesthesia
related topics to appropriate personnel, when requested. Provide clinical
support services outside of the operating room upon request.
*Select, obtain, and or administer anesthetics, drips, and fluids to maintain
patient's physiologic homeostasis and correct abnormal responses to the
anesthetic or surgery. A. Anesthetic is individually tailored and vigilantly
monitored to meet the needs of the patient. B. Anesthetic is coordinated with
the surgical procedures and the immediate postoperative care to improve
postoperative outcome and patient satisfaction. C. Abnormal responses to the
anesthetic or surgery are handled immediately. D. Continuing education
(mandatory) is acquired to refresh, review, and update knowledge and skills and
to maintain licensure.
*Update review preanesthetic assessment evaluation of patient with involved
Anesthesiologist, including but not limited to requesting necessary studies and
administering preanesthetic medication fluid. A. Patients receive a
preanesthetic assessment. B. Essential lab studies for most cases are recorded
on the preanesthetic evaluation or record. C. Sedative medication is
administered to most anesthesia surgery patients. D. A positive and courteous
manner is maintained with all patients. E. Patient safety standards and
guidelines are followed.

Compliance Statement
Employee performs within the prescribed limits of Tanner Health System's Ethics
and Compliance program. Is responsible to detect, observe, and report compliance
variances to their immediate supervisor, the Compliance Officer, or the Hotline.

Education

Master's Degree

Experience

No prior work experience required

Licenses & Certifications
*GEORGIA CERTIFIED NURSE ANESTHETIST LICENSE

Supervision
*CRNA practice is supervised by the Chief CRNA and Chief of Anesthesia.
Administrative oversight is provided by the Director of Surgical Services.

Qualifications

*A master's degree is awarded upon the successful completion of the nurse
anesthetist program, which typically runs 24 to 36 months and includes both
classroom and clinical experience or experience commensurate with a master's
degree of a new graduate.
*All states require the nurse anesthetist to pass a national certification
examination. This certification is transferable from state to state.
*Licensed as a registered nurse (RN), and at least one year's work experience as
a RN in an acute care nurse setting.
*Must have good communication skills and the ability to instill confidence in
patients. They must be interested in the chemistry of pharmaceuticals and have
the stamina to focus for long periods of time.
*Prerequisites for a nurse anesthetist program are a Bachelor of Science degree.

Definitions
*A nurse anesthetist is called a certified registered nurse anesthetist (CRNA).
A CRNA administers any number of agents (anesthesia) to either relieve pain or
make patients unconscious for surgical procedures. Administration of anesthesia
may be by intravenous (injected into the veins) inhalation, or spinal routes.
During the administration of anesthesia, the CRNA closely monitors the patient's
response by monitoring temperature, pulse, heart rate, and breathing rate. If
any signs of an allergic reaction occur, immediate intervention is needed.
During surgery, the CRNA continues to closely monitor the patient for symptoms
of distress. This requires taking vital signs and watching for symptoms of
shock, breathing problems, and heart irregularities. Patients are monitored
until they have recovered from the anesthesia and are stable. Prior to
procedures that require anesthesia, the CRNA meets the patient and family
members to obtain pertinent information, explain the process, and answer any
questions. CRNA's work in many practice settings, including hospitals, obstetric
delivery centers, dental clinics, plastic surgery clinics, and military
facilities.

Contact With Others
Requires frequent contact with many persons at different levels inside and
outside of the organization to carry out organization policies and programs and
obtain willing acceptance, consent, or action.

Effect Of Error
Probable error usually detected in succeeding operations and generally confined
to a single department or phase of organization activities. Practically all work
is subject to verification or check. Occasional work with some confidential data
where the effect of any disclosure would be negligible or where the full import
is not apparent in the routines performed.

Supervisory Responsibility
Regularly uses assistance of aide or helper or leads the work of one to four
co-employees; checks performance of work assigned as to accuracy and time, doing
same work, it's more difficult aspects, or other related work

Mental Demands
A wide variety of complex, changing problems, most of which cannot be
anticipated, and there is little existing precedent. Requires careful analysis
for the effect of solution on other activities and overall coordination in the
organization. Accuracy is essential and not subject to further check. Work
involves high degree of resourcefulness, independent judgment, initiative, and
long-range planning to achieve major functional objectives.

Physical Effort
Medium physical effort - Lifts, carries, or handles lightweight (1 to 25 lbs.)
materials or equipment for most of the day. Occasional physical effort with
medium weight objects (25-60 lbs.). Very occasional physical effort with heavy
objects (over 60 lbs.). Works in reaching or strained positions for about half of
day.

Working Conditions
Extreme - Constantly involved in exposure to dirt, odors, noise, or some work is
performed with exposure to temperature/weather extremes/occupational risk and
probability of coming into contact with blood borne pathogens, other potentially
infectious diseases, or biomedical/bio-hazardous materials.

Working Conditions Aspects For Immunizations
*Performs tasks involving contact with blood, blood-contaminated body fluids,
other body fluids, or sharps (needles)
*Directly works with Patients less than 12 months of age

Physical Aspects

Continually (at least once per day)
*Manual Dexterity -- picking, pinching With fingers etc.
*Feeling (Touch) -- determining temperature, texture, by touching
*Hearing
*Reaching -- above shoulder
*Reaching -- below shoulder
*Visual
*Color Vision
*Speaking
*Standing
*Balancing
*Walking
*Handling -- seizing, holding, grasping

Frequently (at least 3 times a week)
*Lifting 25 To 60 lbs.
*Lifting over 60 lbs.
*Carrying
*Pushing/Pulling -- up To 25 lbs.
*Pushing/Pulling -- 25 To 60 lbs.
*Pushing/Pulling -- over 60 lbs.

Occasionally (at least once a month)
*Bending
*Typing
*Crawling
*Running - In response To an emergency
*Lifting up To 25 lbs.
*Climbing
*Kneeling
*Squatting
*Smelling
*Driving -- Utility vehicles such As golf carts, Gators, ATV, riding lawnmowers,
skid steer, aerial lift
*N95 Respirator usage (PPE)
*Hazmat suit usage (PPE)