Certified Registered Nurse Anesthetist (Doral, FL)

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Job Description

Job Family: Clinical and allied Health

Job Function: Clinical Services

Job Title: CRNA, Clinical Programs

FLSA Status: Non Exempt

Supervisor’s Title: Director, Clinical Programs

Revision/Creation Date: 08-21-2013

Job Summary (Purpose and Function):

All of the above functions will be performed under either the medical direction or supervision of an Anesthesiologist using protocols developed by the Department of Anesthesiology, Perioperative Medicine and Pain Management. This applies to all subsequent details of the clinical work as set forth in the privileges, protocols, and the policies and procedures of the Department of Anesthesiology, Perioperative Medicine, and Pain Management’s. The physician will be available for consultation.

The physician’s responsibilities of patient care will be in compliance with the Department of Anesthesiology, Perioperative medicine and Pain Management’s protocols, policies, and procedures.

General Area of Practice:

CRNA/ARNP may manage the health care for those patients for which he/she has been educated and credentialed either under the medical direction or supervision of an Anesthesiologist using protocols developed by the Department of Anesthesiology, Perioperative medicine, and Pain Management. This applies to all subsequent details of clinical work as set forth in privileges, protocols, and the policies and protocols of the Department of Anesthesiology, Perioperative Medicine, and Pain Management. Copies of privileges are available upon request.

Pre-Anesthetic Preparation and Evaluation:

· Obtaining an appropriate examination and healthy history including biophysical and psychosocial data.

· Conducting an appropriate health history screening assessment.

· Recommending or requesting and evaluation pertinent diagnostic studies.

· Selecting, obtaining, ordering, or administering pre-anesthetic medications.

· Documenting the pre-anesthetic evaluation and obtaining informed consent for anesthesia.

Anesthesia Induction, Maintenance and Emergency:

· Obtain, prepare, or utilize all equipment, monitors, supplies and drugs used for the administration of anesthesia; perform or order safety checks as needed/

· Selecting, obtaining, or administering the anesthetics, adjuvant drugs, accessory drugs, and the fluids necessary to manage the anesthetic, to maintain the patient’s physiologic homeostasis, and to correct abnormal responses to the anesthesia or surgery.

· Performing tracheal intubation and extubation; placing supraglottic airway providing mechanical ventilation.

· Managing regional anesthetic techniques including, but not limited to subarachnoid, epidural, and caudal blocks; plexus, major and peripheral nerve blocks; intravenous regional anesthesia; transtracheal, topical and local infiltration blocks. Performance of any block requires special demonstration of competency and is conferred individually on an annual basis by the Chief of Service at the site/ Performance of any plexus, major and peripheral nerve block also requires approval on any annual basis by the Chief of Regional Anesthesia in addition.

· Providing appropriate perianesthetic invasive and non-invasive monitoring utilizing current standards and techniques and responding to abnormal findings with corrective action

· Recognizing and treating cardiac dysrhythmias through the use of perianesthetic electrocardiogram monitoring.

· Recognizing abnormal patient response during anesthesia, selecting and implementing corrective action and requesting consultation whenever necessary.

· Managing the patient’s fluid, blood, electrolyte, and acid-base balance.

· Evaluation patient response during emergency from anesthesia and instituting pharmacological or supportive treatment to ensure the adequacy of patient recovery from anesthesia and adjuvant drugs.

· Providing anesthesia care consistent with infection control and anesthetic safety principles in order to prevent the spread of disease and prevent harm to the patient, the anesthetist and others in the anesthetizing environment.

· Documenting as part of the medical record, all aspects of anesthesia-related care in thorough and tim