The CRNA provides anesthetic care for all types of patients and procedures in cooperation with the supervising or medically directing physician and under the standards of the Department of Anesthesiology and in accordance with hospital policies and procedures. The CRNA administers anesthesia to patients rendering them insensitive to pain during surgery/procedures. Provide continuous vigilant observation of patients by monitoring the patient's physical reaction to sedatives, analgesics, and anesthetic agents and informs the anesthesiologist of any adverse condition that potentially threatens the safety or care of the patient.
EDUCATION, CERTIFICATION, AND/OR LICENSURE:
Current licensure as a Registered Nurse in the State of West Virginia is required.
Board Certified or Recertified by the Council on Certification of Nurse Anesthetists required.
CORE DUTIES AND RESPONSIBILITIES: The statements described here are intended to describe the general nature of work being performed by people assigned to this position. They are not intended to be constructed as an all-inclusive list of all responsibilities and duties. Other duties may be assigned.
Patient safety shall be of utmost importance.
CRNAs shall maintain excellence in airway management and shall be familiar in the usage of all airway adjuncts. i.e., bullard, fiberoptic scope, ILMA, etc.
CRNAs shall work within their scope of delineated clinical privileges.
Take appropriate precautions to minimize risks of infection of patients, and other health care professionals.
Shall maintain the appropriate confidentiality of patient information at all times.
Participate in the pre-anesthetic evaluation of the patients and the selection of anesthetic agents and techniques.
Perform appropriate techniques of the anesthetic plan such as, but not limited to, insertion of intravenous catheters, insertion of invasive monitoring catheters according to established protocol; endotracheal intubation and extubation; performing arterial punctures for interpretation of arterial blood gases.
Monitor the patient's physical response to the anesthetic and informs the anesthesiologist of any adverse condition. Manage the anesthesia process to include induction, maintenance, and emergence of general, regional, and monitored anesthesia cases. Recognize abnormal patient responses to anesthesia or to any adjunctive medication or form of therapy. Initiate corrective measures. Determine the need for additional laboratory tests and provide resuscitative care as necessary. Evaluate and manage the patient in the immediate post-operative period.
Administer IV fluids relative to the patient's medical history and surgical procedure. Administer blood products after obtaining a hematocrit and then consultation with the anesthesiologist.
Appropriately document the patient status in the anesthesia record.
Perform all required safety and performance checks on anesthesia-related equipment and verify the appropriate supplies before initiating care. Procure and assemble equipment and supplies as indicated if anesthesia tech is not available.
In accordance with departmental and regulatory compliance standards, CRNA will review appropriate documentation for informed consent and identify appropriate surgical site during SBAR with circulating RN and holding room RN. Participate in surgical pause in the OR with entire surgical team in accordance with departmental and regulatory compliance standards.
Communicate appropriately with all individuals involved in the peri-operative and post-operative care of the patient.
In a life-threatening emergency, function responsibly by providing anesthesia care in the absence of an anesthesiologist.
Assist with the teaching and evaluation of newly-hired CRNAs, GRNAs, SRNAs, and medical students in the clinical area.
Assume responsibility and is accountable for controlled substances according to department and hospital policy and State and federal guidelines.
Maintain all required continuing education credits, credentialing, professional licensure, insurance payor enrollment (as required by WVU Healthcare - UHA), and completion of all required employer training (Computer Based Learning) on time.
Will work nights, weekends, and holidays
Will be on call.
Must maintain a level of professionalism at all times
May be directed to work in another Morgantown-based WVUMedicine-affiliated facility to fulfill staffing requirements.
Must be able to provide anesthesia for all levels of cases except Critical Pediatrics, Pediatric Cardiac or Open-heart Procedures.
Will complete annual departmental core competencies
PHYSICAL REQUIREMENTS: The physical demands described here are representative of those that must be met 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.
Ability to see details at close range (within a few feet of the observer).
Must deal calmly and effectively with high stress situations; ability to maintain composure.
Requires being reliable, responsible, and dependable, and fulfilling obligations.
Being open to change (positive or negative) and to considerable variety in the workplace.
Able to work congenially with individual differences in ability, personality, and interests.
WORKING ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
May be in close contact with individuals who have infecÂtious diseases and with toxic, harmful, or potentially hazardÂous compounds, solutions, and medications.
Must observe rigid, standardized guidelines to guard against disease and other dangers, such as those posed by radiation, accidental needle sticks, chemicals used to sterilize instruments, and anesthetics. In addition, may be vulnerable to back injury when moving patients.