Hospital-based CRNA

The Department of Anesthesiology & Critical Care Medicine (ACCM) is seeking a Certified Nurse Anesthetist (CRNA).
This position reports jointly to the Clinical Lead CRNA and the Division Chief of Nurse Anesthesia (Chief CRNA).
Primary clinical responsibilities are (a) the administration of intravenous, inhalation and other anesthetics to patients in an operating and/or procedure room and (b) observing the physiological condition of patients while under anesthesia.
In conjunction with these primary responsibilities (a) evaluates each assigned patient's physical state and plans the course of anesthesia, (b) obtains, assembles, operates, and/ or monitors anesthesia equipment and (c) ensures that all necessary supplies, drugs and anesthetic agents are available.
Specific Duties & Responsibilities:
Independently researches new/unknown procedures, diseases, medications, and equipment.
Functions within safe parameters for quality/good patient care.
Seeks assistance from attending anesthesiologist when appropriate.
Uses critical thinking skills and adapts to changes as necessary.
Applies knowledge of pre-op, intra-op, and post-op in effective manner under normal conditions and under emergency conditions.
Demonstrates technical competence.
Employs dexterity when performing anesthetic procedures.
Understands all anesthetic equipment used in the JHH OR, uses items to full advantage, and handles equipment carefully.
Sets up all necessary equipment for a successful anesthetic course.
Pre-Anesthesia Assessment & Case Preparation:
Perform and documents timely pre-anesthesia assessments:
Review of medical history (including anesthesia, drug and allergy history); Focus physical examination (heart, lungs, airway, ASA classification); Plan for anesthesia care.
Obtains anesthesia informed consent
Collaborates and consults with attending anesthesiologist prior to start of case on plan for anesthesia care (general, regional, combined, local, and sedation techniques) when applicable
Anticipates key procedures and assures an anesthesia environment (e.g., supplies & equipment including anesthesia machine check, fluid warmers, blood, any “special”) necessary to carry out anesthetic plan
Orders and administers pre-anesthetic medications and fluids
Intra-Op Assessment:
Selects, applies and inserts non-invasive and invasive monitoring devices
Selects and administers anesthesia, sedation, adjuncts and accessory drugs and fluids
Manages patient airway and pulmonary status
Demonstrates understanding of relevant clinical issues, recognizing priorities in clinical situations; aware of own limits; appropriate use of tests and procedures
Maintains effective communication with team (i.e., intraoperative personnel & attending Anesthesiologist) including briefing and debriefing discussions
Facilitates emergences and recovery from anesthesia and transport to recovery area, providing thorough report to receiving unit in a timely manner
Post-Anesthesia Evaluation & Management:
Implements acute and chronic pain management
Performs and documents timely post-anesthesia evaluation and discharges patient from recovery area when appropriate
Provides a complete report of patient’s anesthetic course and any pertinent information necessary to accurately transfer care of the patient
Facilitate room turnover in a timely fashion (room, medicine and equipment prep, pre-op assessment)
Service Standards
Provides Medical service according to the JHM Service Standards to include:
Patient Relations
Self-Management
Teamwork
Communications
Ownership/ Accountability
Continuous Performance Improvement
Minimum Qualifications:
Complete the requirements for a degree or diploma from an education program in nurse anesthesia approved by the Maryland Board of Nursing.
If the nurse anesthesia program was completed after January 1, 2008, then the program must be at a master’s degree or higher.
A minimum of a Master’s degree is preferred.
Must be certified by the Council on Certification of Nurse Anesthetists or from another certifying body approved by the Board, or in the process of acquiring such certification.
Current Maryland State RN and CRNA licensure required.
Current CPR (BLS & ACLS) certification required.
Must maintain current licensure and certification during duration of employment.
Completion of the JHH credentialing process is required prior to start date.