Graduate Registered Nurse Anesthetist (GRNA), Orange County/Anaheim (Full Time)

Under the medical supervision of a physician Anesthesiologist, administers general and regional anesthesia for all types of surgical, obstetrical and other procedures that require anesthesia services, to patients of various age groups including: neonatal, pediatric, adolescent, adult and geriatric in accordance with hospital and departmental standards of care. Such intervention may include, but not be limited to: airway management; maintenance of fluid balance; homeostasis; monitoring; response to emergencies related to airway management and cardiopulmonary resuscitation; and management of patients on ventilators.

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• Administers anesthesia to all age groups.
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• Upholds Kaiser Permanentes Policies and Procedures, Principles of Responsibilities and applicable state, federal and local laws.
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• Complies with organizational rules, policies and procedures (i.e. TJC, Title 22, Regional and Department requirements).
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• Evaluates patients pre-operatively by interviewing and examining patient.
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• Reviews chart for relevant information.
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• In collaboration with MD selects anesthetic for patient based on pre-operative examination.
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• Demonstrates an understanding of the cognitive, physical, emotional and chronological maturation process in delivery of services to patients of each age group served: neonatal, pediatric, adolescent, adult and geriatric.
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• Selects anesthetic for patient based on pre-operative examination.
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• Evaluates patients response to pre-medication.
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• Communicates with surgeon and physician anesthesiologist regarding special concerns of patient.
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• Checks anesthesia equipment daily and between cases to assure safe operating condition.
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• Prepares drugs for administration.
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• Administers anesthesia in accordance with delineated clinical privileges and any conditions or restrictions imposed thereof.
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• Monitors the patient intraoperatively.
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• Evaluates operative and post-operative condition of patient and takes necessary action to maintain stability.
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• Evaluates the patients postoperatively (within 24 hours).
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• Maintains an accurate accounting of controlled substances in accordance with departmental guidelines.
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• Maintains equipment and supplies as outlined in department policies and procedures.
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• Complies with organizational rules, policies and procedures (i.e. TJC, CAC Title 22, Regional and Department requirements).
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• Establishes and maintains courteous and cooperative relations when interacting with public, patients, staff and other personnel.
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• May perform other duties within scope of licensure/certification as required.
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• Note: Must be able to work within an Anesthesia team model, work with MDAs, CRNAs and Anesthesia TECHs.
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• N/A.

• Graduate of an educational program in Nurse Anesthesia accredited by the Council on Accreditation of Nurse Anesthesia Educational Programs and Schools by date of hire.

• Registered Nurse License (California)
   

• Certified Registered Nurse Anesthetist (California) within 5 months of hire
   

• Advanced Cardiac Life Support required at hire from American Heart Association
   

• Basic Life Support required at hire from American Heart Association
   

• New Graduate. Experience in anesthesia for major procedures involving extensive monitoring and fluid, blood, and electrolyte replacement for various age group patients.
• GRNAs must demonstrate both technical/clinical and professional skill and ability along with all related techniques and procedures within the scope of practice as defined by the State of California Department of Consumer Affairs.
• Additional skills are required in charting and documentation, knowledge of equipment and supplies, productivity, job and personal maturity communication, and education and staff development.

• General and Regional administration, deep sedation, Hemodynamic monitoring, use of all Anesthesia related equipments, communication skills and a team player.

Notes:

• Will work at Anaheim and Irvine Locations. 
• Will work rotating weekends and holidays.