Pay Range:
The base pay range for this position is
$350,000.00-$375,000.00 Annual
however, base pay offered may vary depending on job-related knowledge, skills, and experience.
Job Title: Certified Registered Nurse Anesthetist (CRNA)
Work Schedule for this Position:
We are creating our own in-house CRNA team, so we have full-time CRNA positions available and a few prn positions as well. The exact schedule for full time is still being determined but will be updated once confirmed.
**This is a long-term posting with multiple positions attached, so the posting will remain published until all positions are filled. Candidate screening will be under continuous review throughout the posting period.**
About the Team:
Works with anesthesia providers, surgeons, proceduralists, obstetric providers, nursing, pharmacy, respiratory therapy, and other clinical teams to coordinate care at Pullman Regional Hospital.
Position Overview:
Provides safe, patient-centered anesthesia care before, during, and after surgical, obstetrical, diagnostic, and therapeutic procedures. Uses independent clinical judgment within Washington State law, demonstrated competence, hospital policies, medical staff bylaws, and granted clinical privileges. Consults and collaborates with other providers when patient needs or case complexity require additional resources.
A Day in the Life:
- Perform and document preanesthetic assessments, including history, examination, airway evaluation, medication review, allergies, relevant testing, and anesthesia risk. Identify optimization needs and consult or refer as appropriate.
- Develop an individualized anesthesia plan; explain options, risks, benefits, and alternatives; and obtain and document informed consent in accordance with hospital policy.
- Prepare and check anesthesia equipment, medications, monitoring devices, and emergency supplies before care; address or report equipment concerns promptly.
- Administer and manage general anesthesia, regional and neuraxial anesthesia, monitored anesthesia care, and sedation for assigned patient populations and procedures within granted privileges.
- Manage the airway, ventilation, oxygenation, hemodynamics, fluid therapy, and blood product administration. Perform vascular access, regional blocks, and other procedures within demonstrated competence and privileges.
- Continuously assess and monitor patients; adjust the anesthetic plan; recognize complications; and initiate emergency treatment, resuscitation, consultation, or transfer when indicated.
- Select, order, administer, and, when authorized, prescribe medications within applicable legal authority and hospital protocols. Follow medication safety and controlled substance security, reconciliation, and waste procedures.
- Provide post anesthesia evaluation and care, including pain and nausea management; assess recovery readiness; and deliver a complete handoff to the receiving team.
- Complete timely, accurate anesthesia records, orders, procedure documentation, and required quality reporting. Protect patient privacy and communicate changes in condition and care needs.
- Participate in patient safety, infection prevention, peer review, quality improvement, emergency preparedness, and continuing competency activities.
- Provide scheduled and on-call coverage as assigned.
- Provide care to patients in the Pain Clinic, including assessment, development and evaluation of individualized pain management plans, and performance of procedures within the CRNA’s scope of practice and granted clinical privileges.
- Collaborate with the care team, educate patients on treatment options and safe medication use, and monitor treatment response to improve comfort and function.
- Duties include emergency response and may include call, nights, weekends, and holidays.
About You!
This Job is For You if You Have:
- Graduation from an accredited nurse anesthesia educational program and education meeting Washington State requirements for CRNA licensure, including any applicable provisions for previously licensed practitioners.
- Current, unrestricted Washington State advanced registered nurse practitioner (ARNP) license with CRNA designation, and an active Washington RN license or qualifying multistate RN license authorizing practice in Washington.
- Current CRNA certification through the National Board of Certification and Recertification for Nurse Anesthetists (NBCRNA), maintained throughout employment.
- Current BLS and ACLS certification. PALS and NRP certification when required for assigned patient populations and hospital privileges.
- Ability to obtain and maintain hospital credentialing and clinical privileges before providing patient care, and demonstrate competency for the assigned anesthesia services.
- Advanced assessment, anesthesia planning, pharmacology, airway management, and resuscitation skills appropriate to the patient populations and procedures assigned.
- Ability to interpret physiologic monitoring and diagnostic findings, recognize deterioration, and make timely clinical decisions in routine and emergency situations.
- Clear communication, effective handoffs, teamwork, and patient education that supports informed decisions and respects cultural, language, and accessibility needs.
- Accurate electronic health record documentation, safe use of anesthesia technology, sound professional judgment, and appropriate consultation or escalation.
A Wow if You Have:
- Prior CRNA experience in a hospital or critical access hospital, including independent clinical decision-making and emergency response.
- Experience with obstetric anesthesia, regional anesthesia, ultrasound-guided procedures, and pediatric anesthesia when included in the service assignment.
- Doctoral degree in nurse anesthesia practice or a related field; experience with quality improvement, staff education, or precepting.
Company Perks:
Our employees are our most important asset and that’s reflected in our benefits. Pullman Regional is proud to offer a variety of benefits to support employees and their families, including:
- Medical/Vision, Dental, Health Savings Account, and Paid Leave Time
- Employer Paid Life Insurance and Long-Term Disability
- Retirement with Employer Matching Contributions
- Voluntary Benefits that include: Life Insurance, Critical Illness, Accident Insurance, and Short-Term Disability
- Services Discount and EAP Resources
A Few More Important Points:
The job posting highlights the most critical responsibilities and requirements of the job. It is not all-inclusive. There may be additional duties, responsibilities, and qualifications for this job.
Current Pullman Regional Employees:
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