Administer anesthesia, monitor patients' vital signs, and oversee patient recovery from anesthesia. May assist anesthesiologists, surgeons, other physicians. Must be a registered nurse with a Master's degree or higher in an advanced practice educational program for registered nurse anesthetists recognized by the Texas Board of Nursing (Texas Administrative Code Title 22, part 11, chapter 221, rule §221.3).
• Manage patients' airway or pulmonary status using techniques such as endotracheal intubation, mechanical ventilation, pharmacological support, respiratory therapy, and extubation.
• Select, prepare, or use equipment, monitors, supplies, or drugs for the administration of anesthetics.
• Select, order, or administer anesthetics, adjuvant drugs, accessory drugs, fluids or blood products as necessary.
• Monitor patients' responses, including skin color, pupil dilation, pulse, heart rate, blood pressure, respiration, ventilation, or urine output, using invasive and noninvasive techniques.
• Perform pre-anesthetic screenings, including physical evaluations and patient interviews, and document results.
• Respond to emergency situations by providing airway management, administering emergency fluids or drugs, or using basic or advanced cardiac life support techniques.
• Develop anesthesia care plans.
• Obtain informed consent from patients for anesthesia procedures.
• Assess patients' medical histories to predict anesthesia response.
• Select, order, or administer pre-anesthetic medications.
• Perform or evaluate the results of diagnostic tests such as radiographs (x-rays) and electrocardiograms (EKGs).
• Perform or manage regional anesthetic techniques such as local, spinal, epidural, caudal, nerve blocks and intravenous blocks.
• Prepare prescribed solutions and administer local, intravenous, spinal, or other anesthetics following specified methods and procedures.
• Administer post-anesthesia medications or fluids to support patients' cardiovascular systems.
• Calibrate and test anesthesia equipment.
• Evaluate patients' post-surgical or post-anesthesia responses, taking appropriate corrective actions or requesting consultation if complications occur.
• Select and prescribe post-anesthesia medications or treatments to patients.
• Insert peripheral lines, Central lines and blocks only with proof.
• Discharge patients from post-anesthesia care.
• Maintains appropriate continuing education as required for licensure and credentialing.
• Request anesthesia equipment repairs, adjustments, or safety tests.
• Insert arterial catheters or perform arterial punctures to obtain arterial blood samples.
• Instruct nurses, students or other staff on topics such as anesthetic techniques, pain management and emergency responses.
• Disassemble and clean anesthesia equipment.
MINIMUM KNOWLEDGE AND SKILLS REQUIRED:
MINIMUM EDUCATION AND EXPERIENCE REQUIRED:
Have the ability to think critically and flexibility to adapt to changing situations.
Able to give constructive feedback, teach patients and family members.
Demonstrates the basic knowledge and skills (cognitive, technical and interpersonal) necessary to identify age-specific patient's needs, appropriate for this position.
Treats all information and data within the scope of the position with appropriate confidentiality and security.
Cooperates fully in all risk management activities and investigations.
Know the definitions of fundamental computer terms related to applications software and desktop PC's
Know how to open, read, and respond to email
Know how to manage electronic files
Know how to print electronic documents and reports
LICENSURE AND CERTIFICATION:
Successful completion of a Master's degree in Nursing (MSN) or higher from an approved program of nurse anesthesia accredited by the Council on Accreditation of Nurse Anesthesia Education Programs/Schools (American Association of Nurse Anesthetists – AANA), and meets Texas Board of Nursing requirements for program accreditation.
2 years CRNA experience in an acute care facility preferred.
ENVIRONMENTAL AND PHYSICAL REQUIREMENTS:
Current APRN license in the State of Texas
Current BCLS and ACLS certification
Current certification as a nurse anesthesiologist by the Council on Certification. Acceptance of credentials as a CRNA by the State Board of Nurse Examiners prior to hire.
Works in a temperature controlled environment.
Read, write, and speak fluent English.
Vision for near, mid-range, far and accommodation.
Communicate well with employees, patients, and physicians.
Hearing for low, medium, and high pitched sounds.
Physical ability for standing, sitting, crouching, kneeling, frequent walking, reaching above the head and below the waist.
There is potential for contact with chemicals, blood borne pathogens, and exposure to infectious disease.
Should be able to lift 50 – 75 pounds using proper lifting techniques several times during shift