Certified Registered Nurse Anethesist

Azura Vascular Care is a national leader in vascular specialty services, and a division of Fresenius Medical Care, the world’s largest dialysis provider. We treat a range of vascular disorders using minimally invasive techniques in state-of-the-art outpatient centers to achieve optimal patient outcomes while delivering the best experience possible. We are hiring Certified Registered Nurse Anesthetist (CRNA)  in San Antonio. 

Visit our website to learn more about Azura Vascular Clinic: https://www.azuravascularcare.com/

Job Description

PURPOSE AND SCOPE:

A Certified Registered Nurse Anesthetist (CRNA) in an advanced practice registered nurse (APRN) who practices both autonomously and in collaboration with a variety of health providers on the interprofessional team to deliver high-quality, holistic, evidence-based anesthesia and pain care services. The CRNA cares for patients at all acuity levels across the lifespan in a variety of settings for procedures including, but not limited to, surgical, obstetrical, diagnostic, therapeutic, and pain management.

PRINCIPAL DUTIES AND RESPONSIBILITIES:

Perform and document the pre anesthesia assessment and evaluation of the patient.

Review, request, and order (as permitted by state law), laboratory/diagnostic studies.

Obtain informed consent for anesthesia and related services.

Select, obtain, order, and administer preanesthetic medication or treatment.

Develop and implement an anesthesia care plan.

Select, obtain, prepare, and use equipment, invasive and non-invasive monitors, supplies, and drugs for the administration of sedation, anesthesia, and pain management services; perform safety checks as needed.

Select, order, obtain, and administer analgesic and anesthetic agents, adjuvant drugs, accessory drugs, fluids, necessary to provide anesthesia services.

Document a time- based record of events during peri-anesthetic care

Perform all aspects of airway management, including fiberoptic intubation.

Facilitate emergence and recovery from anesthesia by evaluating patient response, and selecting, ordering, and administering medications, fluids, and ventilator support to maintain patient stability during transfer.

Initiate and administer post-anesthesia pharmacological or fluid support of the cardiovascular system.

Initiate and administer respiratory support to ensure adequate ventilation and oxygenation in the post anesthesia period.

Evaluate the patient’s response to anesthesia and surgery; take appropriate corrective action post anesthesia.

Provide post anesthesia follow-up evaluation care

Discharge the patient from the post anesthesia care unit

Implement acute and chronic pain management modalities

Manage emergency situations by assessing, stabilizing, and determining disposition of patients, including providing airway management, administration of emergency

Place and manage regional anesthetic techniques, as delineated by his or her clinical privileges or granted special privileges.

Insert and manage peripheral, arterial, pulmonary catheter, or central venous lines and catheters.

Provide patient and caregiver education.

Consult with respiratory care providers and Implement respiratory and ventilator care when appropriate. 

Supports patient safety when performing his or her job functions and through participation in facility, department, or unit patient safety initiatives.

Takes action to correct observed risks to patient safety.

Reports adverse events and near misses to appropriate management authority.

Identifies possible risks in processes, procedures, devices and communicates the same to those in charge.

Using an interdisciplinary approach, including consultation or referral to another clinician, as appropriate.

Perform advanced and interventional pain management using drugs, regional anesthetic techniques, or other accepted pain relief modalities with or without fluoroscopic guidance.

Utilize ultrasound, fluoroscopy, as appropriate. 

Participates in center quality meetings, medical executive meetings and other management meetings upon request from the Medical Director.

Review and comply with the Code of Business Conduct and all applicable company policies and procedures, local state and federal laws and regulations

Other duties as assigned

PHYSICAL DEMANDS AND WORKING CONDITIONS:

The physical demands and work environment characteristics described here are representative of those an 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 work environment is characteristic of a health care facility with air temperature control and moderate n