Job Summary:
Assists the Anesthesia provider under the supervision of the Chief of Anesthesiology, or designee. Practices in accordance with the legal scope of practice and within established standards of care, policies and procedures.
Essential Responsibilities:
In collaboration with the anesthesia provider(s) is involved with the anesthesia plan of care. Considering age-related needs, performs patient care activities, within the scope of practice. As a member of the anesthesia care team, assists with direct patient care for infant, child, adolescent, adult, and geriatric patient.
Working with minimal supervision, daily responsibilities include, but are not limited to the setup, application and assistance of:
• Non-invasive hemodynamic monitoring • Induction of anesthesia for general/regional & local anesthesia • Fiberoptic intubation • Provide cricoid pressure • Insertion of routine & difficult venipuncture • Positioning of patient for surgery • Anesthesia blocks • Emergency C-sections in labor & deliver
Responds to Code Blue, Code Pink, etc. with the anesthesia care team.
Prepares and applies patient warming modalities when needed.
Active participation in:
• Problem identification and resolution • Development of policies & procedures • Quality improvement and staff development
Manages work assignments to ensure completion of patient care activities.
Assembles anesthesia airway set up. Prepares machine for malignant hyperthermia & latex allergy when needed.
Utilizing sterile technique, sets up and assists with placement of invasive monitoring equipment in routine and emergency situations, including:
• Arterial line • Central venous pressure line • PA catheter • Cardiac output and other monitoring adjuncts
Assists with obtaining lab specimens and ABGs. Is competent in the use of & quality assurance for Point of Care testing equipment.
Coordinates patient monitoring equipment availability with PACU and Critical Care units.
Works with perioperative team to facilitate a prompt room turnover.
Assembles anesthesia equipment and supplies needed for general/regional/local anesthesia.
Assists anesthesia provider with patient preparation, electrode placement, use of ultrasound/nerve stimulator devices, and performs mechanical task of pressing syringe plunger, as directed by the anesthesia provider, to instill medication during regional blocks.
Ensuring sterile technique, prepares anesthesia trays and assists with procedures.
Removes and appropriately disposes of supplies and equipment following procedures done by the anesthesia provider.
Operates cell salvaging, intra-aortic balloon pumping and TEE devices as required.
Performs cleaning, sterilization and decontamination of all non-disposable anesthesia related items.
Considers budget while maintaining sufficient stock, and reviews for outdates, supplies and non-scheduled drugs in the anesthesia workroom, machines, carts, and auxiliary anesthetizing locations.
Has understanding of medications commonly used in anesthesia including; purpose, proper storage, generic and proprietary names and labeling requirements.
Coordinates with Pharmacy for out of stock drugs.
Utilizes working knowledge and operation of all equipment and monitors.
Performs routine checkout and upkeep of anesthesia equipment, inspects for damages and sends for repair or troubleshoots as needed.
Coordinates with Biomedical Engineering for maintenance and repair of anesthesia equipment and ensures adequate back-up of equipment at all times.
Coordinates trial, data collection and recommendations for purchase of new equipment.
Works with engineering, maintains record/documentation of equipment maintenance and repairs.
Maintains inventory of disposable and non-disposable equipment, including all supplies and initiates replacement using established contract vendors.
Maintains & outdates supplies in emergency carts and boxes, such as code blue, malignant hyperthermia, fluid resuscitation/code purple, and fiberoptic/difficult airway.
Assures a clean, orderly and functional work environment.
Participates in relevant local, regional and national committees.
Maintains working relationship with approved vendors.
Organizes work to minimize the use of overtime.
Identifies and assists in systems improvements for simplification or correction.
Utilizes payroll and non-payroll resources to their maximum potential, assists manager in capital budget preparation.
Consistently demonstrates a professional, supportive attitude.
Initiates and supports new ideas and actively assists others.
Confronts difficult or conflict situations constructively and seeks appropriate assistance.
Actively participates in departmental professional development and mentors anesthesia students.
Participates with the assessment of current and future learning needs and development of an annual educational plan.
Supports a collaborative labor-management environment.
Applies precautions; keeps a safe environment for self and others.
Practices customer service standards as defined by the service area, medical center, and specific department.
Performs other duties as assigned.
Consistently supports compliance, the Principles of Responsibility, and Kaiser Permanentes Code of Conduct.
Maintains and protects patient confidentiality.
Adheres to applicable federal, state and local laws and regulation, accreditation and licenser requirements and Kaiser Permanentes policies and procedures.