Job Title: Certified Registered Nurse Anesthetist (CRNA) Job

Summary: Administers anesthesia and anesthesia-related care under the orders of a physician. Monitors and supports vital life functions. Acts as the patient's advocate while the patient is under anesthesia.

Participates in performance improvement and continuous quality improvement activities (CQI). DUTIES AND

RESPONSIBILITIES: Demonstrates Competency in the Following Areas: Demonstrates ability to administer all types of anesthesia, including general, major regional, local and minimal, moderate and deep sedation. Demonstrates knowledge of the principles of growth and development and the skills necessary to provide care appropriate to the age of the patient, neonate through geriatric. Performs and documents pre-anesthetic assessment and evaluation of the patient, including all appropriate lab values, study results, consultative information and pre- anesthesia clinical history.

Ability to adequately assess and reassess pain. Utilizes appropriate pain management techniques. Educates the patient and family regarding pain management.

Performs all aspects of patient care in an environment that optimizes patient safety and reduces the likelihood of medical/health care errors. Supports and maintains a culture of safety and quality. Documents evidence of informing patient of all risks, potential complications, options and alternatives to anesthesia.

Obtains informed consent. Develops, implements and documents an anesthetic plan of care, prior to providing anesthesia. Documents planned anesthesia selection for the patient.

Performs an assessment immediately prior to induction of anesthesia of the patient and documents this in the medical record. Maintains the patient's physiologic homeostasis and corrects abnormal responses to the anesthesia and/or surgery, should these occur. Collects and interprets patient physiological data by selecting, applying or inserting noninvasive monitoring modalities.

Displays ability to intubate most patients with ease, manages the patient's airway and pulmonary status through the perioperative process. Performs a smooth induction of anesthesia for patients requiring general anesthetic. Performs smooth patient emergence and recovery from anesthesia by maintaining homeostasis, providing relief from pain and anesthesia side effects.

Prevents and manages complications through selecting, obtaining, ordering and administering medications, fluids or ventilator support in correct dosages and methods. Follows the seven (7) medication rights and reduces the potential for medication errors. Demonstrates Competency in the Following Areas: Stays with the patient as long as required by the patient's condition relative to his/her anesthesia status and until responsibility for proper patient care has been assumed by other qualified individuals.

Advises staff responsible for post anesthesia care of specific problems related to patient's condition. Records all pertinent events taking place during the induction of, maintenance of and emergence from anesthesia, including the dosage and duration of all anesthetic agents, other drugs, intravenous fluids and blood/blood components on all patients that have received anesthesia care. Performs post anesthetic patient assessment, records post anesthetic visits, including at least one note describing the presence or absence of anesthesia related complications.

Documents at least one post anesthetic note while the patient is in the surgical suite or PACU. Displays assertive behavior, discussing with the Chief of Anesthesia or operating surgeon situations where administering anesthesia may place the patient's life in jeopardy. Declines to administer an anesthetic to any patient in the instance where he/she feels the anesthesia may pose a threat of loss of life or undue and/or unwarranted risk to the patient.

Discharges or releases the patient from the PACU according to established criteria. Provides follow-up evaluation and care related to anesthesia complications and/or side effects. Treats patients and their families with respect and dignity.

Identifies and addresses psychosocial needs of patient and family. Documents all narcotic usage and performs narcotic double counts as required by organizational policy and procedure. Does NOT carry anesthetic agents or narcotics on person.

Complies with call schedule and arrives for emergency cases within the time frame defined by organizational policies and procedures Responds to emergency situations requiring anesthesia services, knowledge or technique throughout the organization. Checks all resuscitative equipment prior to the beginning of the first surgery of the day. Reports malfunctioning or missing equipment to the Chief of Anesthesia and the Surgical Services Nurse Manager immediately.

Checks all equipment and agents to be used in the administration of the anesthetic to assure safe working order. Reports all malfunctioning equipment to the Chief of Anesthesia and Surgical Services Nurse Manager immediately. Documentation meets current standards and policies.

Professional

Requirements: Adheres to dress code, appearance is neat and clean. Completes annual education requirements. Professional

Requirements: Maintains regulatory requirements. Maintains patient confidentiality at all times. Reports to work on time and as scheduled, completes work within designated time.

Wears identification while on duty. Completes inservices and returns in a timely fashion. Attends annual review and department inservices, as scheduled.

Attends at least ____ staff meetings annually, reads and returns all monthly staff meeting minutes. Represents the organization in a positive and professional manner. Actively participates in performance improvement and continuous quality improvement (CQI) activities.

Complies with all organizational policies regarding ethical business practices. Communicates the mission, ethics and goals of the facility, as well as the focus statement of the department. Regulatory

• Requirements: Current Registered Nurse License in the State of Mississippi. · Graduate of a nurse anesthesia educational program accredited by the AANA Council on Accreditation of Nurse Anesthesia Educational Programs or its predecessor. · Current certification or recertification from AANA Council on Certification of Nurse Anesthetists or its predecessor's certification. · Current BCLS certification. · Current ACLS certification. · Current PALS certification. · At least one (1) year experience as a CRNA. Language Skills: · Able to communicate effectively in English, both verbally and in writing. · Additional languages preferred. Skills: · Basic computer knowledge. · Working knowledge of anesthesia equipment. · Advanced pharmacology knowledge.

Physical Demands: · For physical demands of position, including vision, hearing, repetitive motion and environment, see following description. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the position without compromising patient care.