Certified Registered Nurse Anesthetist

Hot Springs Health

 Job Description

CERTIFIED REGISTERED NURSE ANESTHETIST

DEPARTMENT:        Surgical Services

SUPERVISOR:           Surgical Services Director

STATUS:                    Exempt                      

EMPLOYEE NAME:

APPROVED BY:       Chief Nursing Officer                                     DATE:   November 13, 2023

GENERAL:

In accordance with the Hot Springs Health Personnel Policy and Procedure Manual and the requirements of our accrediting bodies, the employee will: support the mission of “Partnering with our community for quality health and healing”, our five core values “Ownership, Always better than yesterday, Service first, Integrity, and Stewardship of our resources (OASIS).  Our behavior creates our OASIS – a place where we can find safety, sustenance, and a pleasant change from the usual and the vision “to be the provider and employer of choice in our region, providing quality care and excelling as a teaching hospital in Wyoming.”

The established priorities of Quality, Service, Finance, People, and Growth, will be utilized in decision making. Furthermore, the employee will demonstrate the ability to manage time, maintain a safe and clean environment; practice confidentiality; treat all persons with respect and professional courtesy; accept change; accept and provide constructive feedback; work as a team player and adhere to the infection control, fire and safety, disaster and hazardous waste policies.  The employee must also demonstrate the competencies for their position, and adhere to policies and procedures of their department. The employee will participate in quality improvement activities.

BEHAVIORAL REQUIREMENTS:

The following is a list of minimally required behaviors to assist the employee in partnering with our community:

Ownership

Accepts responsibility for actions, attitudes and health.  Doing things right the first time, every time for excellent results.  Accepts ownership of mistakes and takes constructive action to avoid repeating mistakes.  Works with empowerment to the highest potential both as an individual and as part of the team. Unsatisfied with the status quo or just being “good.” 

Always Better Than Yesterday

Performs at the highest level, always learning and looking for ways to improve, with an unwavering focus on safety.  Celebrates and encourages the contributions of one another.  Constructively challenges the status quo by being flexible, adaptable and embracing change as a key element of our future success.  Contributes to an environment that encourages creative thinking.  Shares ideas and opinions, and supports opportunities to learn and grow.   Contributes to an environment that encourages creative thinking.  Shares ideas and opinions, and supports opportunities to learn and grow.

Service First

Doing our best every day to anticipate and exceed the expectations of patients, providers and co-workers. Understands excellence is the result of team effort.  Creates legendary experiences.

Integrity

Does the right things.  Consistently open, honest, trustworthy and ethical.  Demonstrates respect for patients, their families, staff, providers and the community. 

Stewardship of Our Resources

Strives to care wisely for our human, financial and natural resources.  Strengthens HSH as a partner in the community

ESSENTIAL DUTIES AND RESPONSIBILITIES

1. Delivery of anesthesia care; pre-anesthesia assessment (collection of data), formulate specific anesthesia plan, and monitor patients’ physiologic condition consistent with all types of anesthesia 
2. Checks all anesthesia equipment prior to the beginning of the first surgery of the day.  Reports malfunctioning or missing equipment to the Surgical Services Director Immediately
3. Prepares the patient for surgery and outpatient procedures administers pre/intra/post anesthesia.  Performs an assessment immediately prior to induction of anesthesia and documents this in the medical record.  Attends to patients as needed; allay fears and answer questions as necessary for the patient
4. Functions and is actively involved with the PAT process to help assure patients are safe to proceed with anesthesia.  This includes provider to provider communication and discussion with nursing staff. 
5. Document pertinent information on patient’s chart promptly, completely and accurately.  Obtain consents with appropriate signatures. 
6. Displays ability to intubate most patients with ease, manages the patient’s airway and pulmonary status through the perioperative process
7. Performs a smooth induction of anesthesia for patients requiring general anesthetic and performs smooth patient emergence and recovery from anesthesia addressing pain and anesthesia side effects. 
8. Prevents and manages complications through selecting, obtaining, ordering and administering medications, fluids or ventilator support in correct dosages and methods
9. Follows the five (5) medication rights and reduces the potential for medication errors
10. Stays with the patient as long as needed and until responsibility for proper patient care has been assumed by other qualified individuals.  Provides follow-up evaluation and care related to anesthesia complications and/or side effects.

The above duties are intended to describe the key aspects of the work performed by individual(s) assigned to this position. They are not to be construed as an exhaustive listing of requirements relative to the position. Therefore, the employee may be required to perform other duties as assigned.

QUALIFICATION REQUIREMENTS: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.  The requirements listed below are representative of the knowledge, skill and/or ability required.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

EDUCATION and/or EXPERIENCE

The CRNA shall:

1. Graduate of an anesthesia training program accredited by the Council on Accreditation of

a Nurse Anesthetists and the American Association of Nurse Anesthetists.

1. Current Wyoming RN License that complies with the State regulatory requirements relating to the practice of anesthesia.
2. Must possess communication skills to relate to the public in person.
3. Certified by the Council on Recertification of Nurse Anesthetists.
4. Prefer at least 5 years’ experience in General and Regional Anesthesia.
5. Must possess communication skills to relate to the public in person.
6. Demonstrate good organizational abilities.
7. Seeks proficiencies in computer applications.

LANGUAGE SKILLS:

Ability to read, analyze, and interpret appropriate journals, financial reports, and legal documents. Ability to respond to common inquiries or complaints from customers, regulatory agencies, or members of the business community. Ability to write policies and procedures that conform to prescribed style and format. Ability to effectively present information to top management, public groups, and/or boards of directors.

MATHEMATICAL SKILLS:

Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. Ability to compute rate, ratio, and percent and is knowledgeable in metric and apothecary.   

REASONING ABILITY:

Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form. Ability to modify care based on the developmental / functional age of the patient as well as that of the patient's ethnic background.

CERTIFICATES, LICENSES, REGISTRATIONS:

• BLS; ACLS; NRP; PALS

OTHER SKILLS AND ABILITIES:

Ability to interact with patients, families, visitors and co-workers.  Ability to interact assertively and tactfully when dealing with conflict and in group solving activities.  Ability to demonstrate a professional, open minded approach in identifying problems and resolving problems/conflicts.

PHYSICAL DEMANDS: 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.

While filling this position, the employee must regularly lift and or move 10 pounds and occasionally lift and/or move up to 50 pounds.  Specific vision abilities required by this position include close vision, distance, vision, color vision, peripheral vision, and depth perception.  This position also requires walking or standing to a significant degree.  This position also requires reaching, handling, fingering, feeling, talking, and hearing, stooping, bending, crouching, and working with equipment.

WORK ENVIRONMENT: The work environment characteristics described here are representative of those 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.

The employee is also subject to exposure to blood and body fluids, proximity to moving mechanical parts, electrical shock, exposure to burns and radiant energy, exposure to toxic chemicals and biological agents.