Certified Registered Nurse Anesthetist

Job Summary

Collaborates with the anesthesiologist, the surgeon, and the healthcare team in providing a comprehensive pre-procedure evaluation and initiates appropriate diagnostic procedures and physician referrals.

Job Responsibilities

• Pre-anesthesia evaluation and preparation, administration of general and regional anesthesia and all levels of sedation techniques, and post-anesthesia care for children, adolescent, and adult patients.
• Select, obtain, order, and administer pre-anesthetic medications or treatment related to the care of the patient and seek consultation when appropriate.
• Conduct an appropriate physical screening assessment to obtain an appropriate health history and documenting the pre-anesthetic evaluation to obtain a comprehensive informed consent for anesthesia and related services.
• Recommend, request and evaluate pertinent diagnostic studies.
• Insert and manage arterial lines, peripheral lines, central intravenous catheters or pulmonary artery catheters.
• Manage emergency situations, including initiating or participating in cardiopulmonary resuscitation.
• Manage interventional pain therapy utilizing drugs, regional anesthetic techniques or other accepted pain relief modalities.
• Perform arterial puncture to obtain arterial blood samples.
• Provide consultation and implementation of respiratory and ventilator care.
• Select, obtain, or administer the anesthetics, adjuvant drugs, accessory drugs, fluids, and blood products necessary to manage the anesthetic.
• Evaluate patient response during emergence from anesthesia and institute pharmacological or supportive treatment to ensure patient stability during transfer.
• Obtain, prepare, and use all equipment, monitors, supplies, and drugs used for the administration of anesthesia and sedation techniques, perform and order safety checks as needed.
• Perform all aspects of airway management, including fiberoptic intubation.
• Perform and manage regional anesthetic techniques including, but not limited to, subarachnoid, epidural, and caudal blocks; plexus, major, and peripheral nerve blocks; intravenous regional anesthesia; transtracheal, topical, and local infiltration blocks; intra capsular, intercostal, and ocular blocks.
• Provide appropriate invasive and non-invasive monitoring modalities utilizing current standards and techniques.
• Recognize abnormal patient response during anesthesia, select and implement corrective action, and request consultation whenever necessary.
• Recommend or request and evaluate pertinent diagnostic studies.
• Discharge patient from a post-anesthesia care area in accordance with policy.
• Initiate and administer pharmacological or fluid support of the cardiovascular system.
• Initiate and administer respiratory support to ensure adequate ventilation and oxygenation in the post-anesthesia period.
• Provide post-anesthesia follow-up; evaluate the patient's response to anesthesia and surgery, take appropriate corrective actions, and obtain consultation as indicated.

Qualifications

• Master's degree or higher in Nursing required upon hire OR
• Master's degree or higher in Science with a focus in Nurse Anesthesia required upon hire
• No experience required
• RN - Licensed as a Registered Nurse. Eligible to practice nursing in the State of Kentucky required upon hire AND
• APRN - Licensed as an Advanced Practice Registered Nurse in the state of Kentucky required upon hire AND
• CRNA - Certified Registered Nurse Anesthetist certification through National Board of Certification and Recertification for Nurse Anesthetists (NBCRNA) required upon hire

Skills and Attributes

• Requires critical thinking skills and decisive judgment.
• Works under minimal supervision.
• Must be able to work in a stressful environment and take appropriate action.

Physical Demands

• Standing: Frequently
• Walking: Frequently
• Sitting: Occasionally
• Lifting 0-25 lbs: Rarely
• Lifting 25-75 lbs: Rarely
• Lifting over 75 lbs: Rarely
• Carrying 0-25 lbs: Rarely
• Carrying 25-75 lbs: Rarely
• Carrying over 75 lbs: Rarely
• Pushing/Pulling 0-25 lbs: Frequently
• Pushing/Pulling 25-75 lbs: Occasionally
• Pushing/Pulling over 75 lbs: Occasionally
• Climbing: Occasionally
• Bending/Stooping: Frequently
• Kneeling: Occasionally
• Crouching/Crawling: Occasionally
• Reaching: Frequently
• Talking: Frequently
• Hearing: Frequently
• Repetitive Foot/Leg Movements: Rarely
• Repetitive Hand/Arm Movements: Frequently
• Keyboard Data Entry: Frequently
• Running: Rarely
• Vision: Depth Perception: Frequently
• Vision: Distinguish Color: Frequently
• Vision: Seeing Far: Frequently
• Vision: Seeing Near: Frequently

Owensboro Health Core Commitments

INTEGRITY - We conduct ourselves with a high level of responsibility, reliability and honesty because we take seriously the trust of our patients and coworkers.

RESPECT - We value and accept the unique talents and contributions of every patient, customer and team member in the Owensboro Health community.

TEAMWORK - We build a spirit of connectivity and fellowship by striving together to overcome obstacles, surpass goals, celebrate accomplishments and plan the future.

INNOVATION - We foster original ideas and creative solutions that improve our daily work and promote the mission of Owensboro Health.

SERVICE - We focus on service to patients, customers and team members by anticipating their needs, thoughtfully meeting those needs and continually improving the quality of everything we do.

EXCELLENCE - We reach beyond basic expectations to expand our knowledge and awareness, produce exceptional work and provide outstanding service.