Under general supervision, administers various types of anesthesia to render patients insensitive to pain during operations, deliveries and other therapeutic and diagnostic measures; observes anesthetized patients for adverse reactions and takes remedial action; maintains records of anesthesia administered and condition of patient prior to and throughout anesthesia; and performs related duties as required. The Certified Registered Nurse Anesthetist (CRNA) requires responsibility for: carrying out established methods and procedures in administering anesthetics; achieving moderate economies and/or preventing moderate losses through efficient handling of equipment, materials and supplies; making responsible contacts with physicians, surgeons and nursing staff on specialized matters; preparing detailed medical and technical records relative to anesthetics administered and patients reactions. Nature of work involves sustained physical effort and manual dexterity with some exposure to health and accident hazards and disagreeable elements. Essential Duties include 1. Administers various types of anesthetics by inhalation, intravenous injection, epidural, spinal and block methods. 2. Checks anesthesia machines to assure proper working order; checks resuscitation equipment. 3. Assembles and maintains sterility of appropriate anesthesia equipment and administers medication to patients under anesthesia. 4. When patient arrives in surgery: checks patient; evaluates pre-operative condition; makes entries in anesthesia record log; administers various drugs and administers oxygen as necessary for each particular operation; gives blood transfusion when clinically appropriate; monitors patient per American Society of Anesthesiologists (ASA) standards; discontinues anesthesia at conclusion of operation. 5. Accompanies patient to recovery room and reports condition to receiving nurse. 6. Maintains an accurate anesthesia narcotic record. 7. The 2330 Certified Registered Nurse Anesthetist (CRNA) may perform other duties as assigned/required. Qualifications MINIMUM QUALIFICATIONS - LICENSE: Possession of a valid permanent/temporary (including interim permit) California Registered Nurse License; AND - CERTIFICATION: Valid Certification as a Registered Nurse Anesthetist.* Applicants must meet the minimum qualification requirement by the final filing date unless otherwise noted. *Applicants possessing a valid CRNA certificate from another U.S. state may apply. However, if selected, they cannot be appointed until they obtain both a California Registered Nurse license and a California Nurse Anesthetist Certification issued by the California Board of Registered Nursing. *Applicants who have completed or are enrolled in the final quarter/semester of a Council on Accreditation of Nurse Anesthesia Educational Programs (COA)-approved program may apply. However, if selected, they cannot be appointed until they obtain both a California Registered Nurse license and California Nurse Anesthetist Certification issued by the California Board of Registered Nursing. Note: Out-of-state applicants in their final quarter/semester of their COA program are advised to immediately pursue their California RN license. Verification of Education and Experience Every application is reviewed to ensure that you meet the minimum qualifications as listed in the job ad. Review SF Careers Employment Applications for considerations taken when reviewing applications. Applicants may be required to submit verification of qualifying education and experience at any point during the recruitment and selection process. If education or experience verification is required, information on how to verify education and experience requirements, including verifying foreign education credits or degree equivalency, can be found at https://careers.sf.gov/knowledge/experience-education/. Note: Falsifying one's education, training, or work experience or attempted deception on the application may result in disqualification for this and future job opportunities with the City and County of San Francisco. Additional Information Selection Procedures After application submission, candidates deemed qualified must complete all subsequent steps to advance in this selection process, which includes the following. Training and Experience Evaluation (T&E):(Weight: 100%) The T&E is designed to measure the knowledge, skills, and abilities in job-related areas which may include but not be limited to: - Knowledge of surgical nursing principles and procedures, including various types and methods of administering anesthesia; standard operating room methods, equipment and procedures; anesthesia equipment, instruments and drugs used in various types of surgery. - Ability and Skill to detect unfavorable patient reactions and apply prompt remedial measures. Candidates must achieve a passing score on the T&E to continue in the selection process and will be placed on the confidential eligible list in rank order according to their final score. Additional selection processes may be conducted by the hiring department prior to making final hiring decisions. Certification The certification rule for the eligible list resulting from this examination will be the Rule of the List Eligible List/Score Report: A confidential eligible list of applicant names that have passed the civil service examination process will be created and used for certification purposes only. An examination score report will be established, so applicants can view the ranks, final scores and number of eligible candidates. Applicant information, including names of applicants on the eligible list, shall not be made public unless required by law. However, an eligible list shall be made available for public inspection, upon request, once the eligible list is exhausted or expired and referrals resolved. The eligible list/score report resulting from this civil service examination process is subject to change after adoption (e.g., as a result of appeals), as directed by the Human Resources Director or the Civil Service Commission. The duration of the eligible list resulting from this examination process will be of 6 months and may be extended with the approval of the Human Resources Director. To find Departments which use this classification, please see the city's Position Counts by Job Codes and Departments. Terms of Announcement and Appeal Rights: Applicants must be guided solely by the provisions of this announcement, including requirements, time periods and other particulars, except when superseded by federal, state or local laws, rules or regulations. Clerical errors may be corrected by the posting the correction on the Department of Human Resources website at https://careers.sf.gov/. The terms of this announcement may be appealed under Civil Service Rule 111A.35.1. The standard for the review of such appeals is 'abuse of discretion' or 'no rational basis' for establishing the position description, the minimum qualifications and/or the certification rule. Appeals must include a written statement of the item(s) being contested and the specific reason(s) why the cited item(s) constitute(s) abuse of discretion by the Human Resources Director. Appeals must be submitted directly to the Executive Officer of the Civil Service Commission within five business days of the announcement issuance date. Additional Information Regarding Employment with the City and County of San Francisco: - Information About the Hiring Process - Conviction History - Employee Benefits Overview - Equal Employment Opportunity - Disaster Service Worker - ADA Accommodation - Veterans Preference - Right to Work - Copies of Application Documents - Diversity Statement Where to Apply All job applications for the City and County of San Francisco must be submitted through our online portal. Please visit https://careers.sf.gov/ to begin your application process. Applicants may be contacted by email about this recruitment. Please consider using a personal email address that you check regularly rather than a work or school account. Computers are available for the public (9:00 a.m. to 4:00 p.m. Monday through Friday) to file online applications in the lobby of the Dept. of Human Resources at 1 South Van Ness Avenue, 4th Floor and at the City Career Center at City Hall, 1 Dr. Carlton B. Goodlett Place, Room 110. Ensure your application information is accurate, as changes may not be possible after submission. Your first and last name must match your legal ID for verification, and preferred names can be included in parentheses. Use your personal email address, not a shared or work email, to avoid unfixable issues. Applicants will receive a confirmation email from [email protected] that their online application has been received in response to every announcement for which they file. Applicants should retain this confirmation email for their records. Failure to receive this email means that the online application was not submitted or received. If you have any questions regarding this recruitment or application process, please contact the analyst, [email protected] (628) 271-6704. We may use text messaging to communicate with you on the phone number provided in your application. The first message will ask you to opt in to text messaging. POSITION #: 00313325 Videos To Watch https://www.youtube.com/watch?v=O63R0F3b9Z0