CRNA (Casual)

Scope of responsibilities and accountability:

Provides all the below and supervises peers for same quality.

• Practices within the scope for a CRNA that are regulated by state boards regarding the nurse anesthetist.  

• Reviews and demonstrates knowledge of all approved center policies and procedures for patient care. 

• Provides complete documentation in all areas of care. 

• Maintains positive and respectful working relationships with physicians, manager, and peers. 

• Knowledge of use and maintains equipment needed for patient safety within the endoscopy center. 

• Completes in-service of emergency procedures and evacuation plans. 

• Maintains BLS and ACLS. 

• Provide proof of required Continuing Medical Education Units as well as completing required in-services for staff to maintain accreditation.  

• Experience in the use of current anesthesia techniques and agents. 

• Sound judgment and response to emergency situations whether actual or drills. 

• Along with the RN, maintains record and count of all anesthetic medications prior to, and at the end of each shift. 

• Reports directly to Director of Nursing. 

Major activities and essential job functions1: 

• Supports the mission and goals of the organization as a whole. 

• Responsible for direct patient care: assess the physical and psychosocial status of patients

through review of data, direct observation, vital sign monitoring and/or consultation with other health care providers to provide optimal care pre-procedure, during procedure and for post-procedure. 

• Responsible for protecting confidential and/or privileged information according to Center policy.   

• Promotes and supports patient/family-centered care. 

• Ability to assess and care for adult patients who are considered to be healthy as well of those who have comorbidities. 

• Responsible to order needed CLIA waved test prior to or after anesthesia. (ex: pregnancy or glucose testing)  

• Maintains a safe environment for the patient receiving anesthesia by assessing, monitoring, and evaluating condition of the patient pre-procedure, during the procedure and when transferring the patient to recovery. 

• Provides report to the recovery nurse, and if needed, performs, and documents any post procedure visit to evaluate for complications related to receiving anesthesia. 

• Responsible for maintaining anesthesia cart equipment and meds.  Notifying Nurse Manager of needed meds or equipment whether though use or expiration. 

• Have the knowledge to recognize and act on any potential or actual abnormal patient response to anesthesia. 

• Documentation: maintains accurate and complete medical records which reflect the assessment, planning, implementation, and evaluation of care along with any other pertinent information related to the endoscopic procedure.   

• Patient Education:  identifies educational needs of patients and/of families related to understanding of anesthesia, its risks and benefits as well as obtaining an informed consent. 

• Promotes compliance with treatment plan by answering questions and discussing patient’s and/or families’ concerns.   

• Required to have language skills for high-level written and interpersonal communication in American English. 

• Participates in orientation of newly hired CRNA employees and function as a preceptor. 

• Adheres to infection control principles and applies universal precautions according to CDC regulations and center standards. 

• Participates in peer review for quality of anesthesia care by the anesthesia staff. 

• Supportive of Risk Management by participating in programs directed to patient and employee safety. 

• Objectively evaluate any grievances or processes that can improve on patient care, relaying these to the Director of Nursing. 

• Oversees CRNA staff schedule, PTO and CME requests and coordinates with Director of Nursing 

• Participates in CRNA on boarding and annual evaluations 

• Issues counseling as needed to CRNA’s. 

• Participate in committees for quality improvement. 

• Performs all other duties as assigned

Position Qualifications: 

• Graduate of an approved program of American Association of Nurse Anesthetists (ANNA) with current license to practice as a CRNA in the state of Ohio. 
• American Association of Nurse Anesthetists (ANNA) certification required. 

• Effective communication and listening skills. 

• Effective understanding and use of the English language. 

• Must be flexible with working schedule and have ability to work occasional overtime.  

• Flexibility to travel to all center locations following the schedule approved by the Director of Nursing 

• Ability to use modern business communication, and office systems. 

Regulatory Requirements/Risks/Exposures: 

• Works within the area of chemicals including, but not limited to, chlorine bleach, glutaraldehyde and fomalin 
• Physical demand requirements meet those defined as HEAVY work, exerting 50–100 pounds of force occasionally, 25–50 pounds of force frequently, and/or 1–20 pounds of force constantly to move objects. 

On-going job expectations & competency: 

• In addition to the above, on-going job expectations of the CRNA are as follows: 
• Maintain CEUs for licensure 
• Orient to new procedures and equipment 
• Responsible for maintaining current BCLS and ACLS. 
• Maintain annual fire safety/general safety training 
• Maintain annual HIPAA training 
• Maintain annual OSHA Blood-borne Pathogen 
• Maintain annual PPD skin test or TB Screening Form 
• Participate in Continuous Quality Improvement Program