Summary GENERAL SUMMARY: Responsible for administering anesthesia, monitoring patients vital signs, and overseeing patient recovery from anesthesia. Assists with anesthesia-related medical and emergency situations such as airway maintenance and pulmonary ventilation. Complies with rules and regulations of all applicable federal, state, and local laws as well as all Grand Island Regional Medical Center (GIRMC) policies and Medical Staff rules and regulations. PRINCIPAL JOB FUNCTIONS: 1. *Commits to the mission, vision, beliefs and consistently demonstrates our core values. 2. *Maintains excellence in airway management and is familiar with the usage of all airway adjunct (i.e., Glideslope, fiberoptic scope, intubating laryngeal mask airway (ILMA), etc.). 3. *Functions within their scope of delineated clinical privileges and within the State of Nebraskas scope of practice. 4. *Participates in pre-anesthetic preparation and evaluation including the preparation of anesthesia equipment and supplies anticipated for the procedure, performing a pre-anesthetic assessment and developing a specific anesthesia plan of care for each patient and or procedure. 5. *Formulates the patient specific anesthesia plan of care utilizing the pre-surgical assessment and collaborates with the attending anesthesiologist for patients with multiple compounding medical problems or when the anesthetic is anticipated to be challenging. 6. *Executes the patient-specific plan for anesthesia care including always maintaining the appropriate confidentiality of patient information. 7. Reviews appropriate documentation for informed consent and identifies appropriate surgical site in accordance with departmental and regulatory compliance standards. Participates in surgical pause in the Operating Room (OR) with entire surgical team in accordance with departmental and regulatory compliance standards. 8. Ensures appropriate non-invasive and invasive monitoring devices for continuous evaluation of the patients physical status are selected, applied, and/or inserted. 9. Uses anesthetics, adjuvant and accessory drugs and fluids necessary to manage the anesthetic. 10. Implements, monitors, and adjusts patients physiologic condition as appropriate for type of anesthesia and specific patients needs. 11. *Monitors the patients physical response to the anesthetic and initiates corrective measures. Monitors airway, oxygenation, and pulmonary status; cardiovascular status; and temperature and neuromuscular function. 12. *Accesses positioning and adjusts as needed for patient safety. 13. *Provides emergence and recovery from anesthesia. 14. *Determines the need for additional laboratory tests and provides resuscitative care, as necessary. 15. Transfers the responsibility for care of the patient to other qualified providers post-operatively to ensure continuity of care and patient safety. Communicates appropriately with all individuals involved in the peri-operative and post-operative care of the patient. Reports and completed documentation are provided upon transfer of the patient from intraoperative to post-operative care provider. 16. Provides acute and chronic post-operative pain management modalities. Select medications, fluids and ventilatory support necessary to facilitate recovery from anesthesia. 17. Provides post anesthesia follow-up evaluation and care as needed. 18. Responds to emergency situations, anywhere in the hospital, immediately and competently by providing airway management and using basic or advanced cardiac life support techniques as appropriate. 19. Performs all required safety and performance checks on anesthesia-related equipment and verifies the appropriate supplies are available before initiating care. Procures and assembles equipment and supplies as indicated as needed. 20. *Assumes responsibility and is accountable for controlled substances according to department and hospital policy and State and federal guidelines. 21. Participates in the quality assessment process by collecting data, reporting trends/compliance, attending committee meetings, departmental reviews, problem focused studies and process oversight as assigned. 22. Participates as an interdepartmental liaison by interfacing with other departments such as nursing, surgery, obstetrics, post-anesthesia care units, outpatient surgery, admissions, administration, laboratory, pharmacy, etc., as appropriate. 23. Responsible for personal professional development and contributes to and assists others with professional development by sharing information learned through individual professional development. Participates in the education process by clinical or didactic teaching, providing in-services, supervising residents and medical students, as well as assisting with the teaching and evaluation of newly hired certified registered nurse anesthetist (CRNA), graduate registered nurse anesthetist (GRNA), and student registered nurse anesthetist (SRNA), in the clinical area. 24. Maintains professional growth and development through seminars, workshops, and professional affiliations to keep abreast of latest trends in field of expertise. 25. Participates in meetings, committees and department projects as assigned. 26. Performs other related projects and duties as assigned. REQUIRED KNOWLEDGE, SKILLS AND ABILITIES: 1. Maintains clinical competency as required for the unit including but not limited to age-specific competencies relative to patients growth and developmental needs, annual skill competency verification and mandatory education and competencies. 2. Knowledge of computer hardware equipment and software applications relevant to work functions. 3. Ability to communicate effectively both verbally and in writing. 4. Ability to perform crucial conversations with desired outcomes. 5. Ability to establish and maintain effective working relationships with all levels of personnel and medical staff. 6. Ability to problem solve and engage independent critical thinking skills. 7. Ability to maintain confidentiality relevant to sensitive information. 8. Ability to prioritize work demands and work with minimal supervision. 9. Ability to maintain regular and punctual attendance. EDUCATION AND EXPERIENCE: Masters degree in Nurse Anesthesia required. Current Registered Nurse licensure from the State of Nebraska or approved compact state of residence as defined by the Nebraska Nurse Practice Act required. Licensure as a Certified Registered Nurse Anesthetist in the State of Nebraska required. OTHER CREDENTIALS / CERTIFICATIONS: Basic Life Support (CPR) certification required. Bryan Health recognizes American Heart Association (for healthcare professionals), American Red Cross (for healthcare professionals) and the Military Training Network. Advanced Cardiac Life Support (ACLS) and Pediatric Advanced Life Support (PALS) required.
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