DEPARTMENT: ANESTHESIOLOGY
FACILITY: Tift Regional Medical Center
WORK TYPE: Full Time
SHIFT: Nighttime
SCHEDULE: Friday - Sunday: 7:00pm - 7:00am
SUMMARY:
The CRNA/CAA 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, and participates in performance improvement and continuous quality improvement activities.
RESPONSIBILITIES:
* Demonstrates knowledge of principles of growth and development and the skills necessary to provide care 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. Utilizing 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 likely hood of medical/healthcare errors.
* Documents evidence of informing patient of all risks, potential complications, options and alternatives to anesthesia. Obtains informed consent.
* Development, 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 anesthesia evaluation 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 the pulmonary status through the perioperative process.
* Communicates the mission, ethics, and goals of the facility, as well as the focus statement of the department.
* Performs smooth patient emergence and recovery from anesthesia by maintaining homeostasis, providing relief from pain and anesthetic side effects.
* Prevents and manages complications through selecting, obtaining, ordering and administering medications, fluid or ventilator support in correct dosages and methods.
* Follows the 5 medication rights and reduces the potential for medication errors.
* 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.
* Supports and adapts to progressive changes in work environment.
* Improves self-knowledge through voluntarily attending continuing education/certification classes.
* Performs a smooth induction of anesthesia for patients requiring general anesthetic.
* 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.
* Keeps abreast of pertinent federal, and state regulations and laws and Tift Regional Health System, Inc. ("TRHS") policies as they presently exist and as they change or are modified.
* Understands and adheres to: TRHS' compliance standards as they appear in TRHS's Corporate Compliance Policy, Code of Conduct and Conflict of Interest Policy; and HIPAA and TRHS policies regarding privacy and security of protected health information.
* Demonstrates the ability to perform tasks that meet the age-specific requirements of the persons, patients, vendors, and staff that the employee is charged to interact with as required by the position.
* Offers suggestions on ways to improve operations of department and reduce costs.
* Attends all mandatory education programs.
* Improves self-knowledge through voluntarily attending continuing education/certification classes.
* Maintains required competency levels as identified in written exams, skills checklists, skills labs, annual safety and health requirements as well as service excellence education hours requirements.
* Cross-trains in order to better assist co-workers and to provide maximum efficiency in the department.
* Volunteers/participates on hospital committees, functions, and department projects.
* Manages resources effectively.
* Reports equipment in need of repair in order to extend life of equipment and removes malfunctioning equipment out of service with timely reporting to the appropriate personnel.
* Makes good use of time so as to not create needless overtime.
EDUCATION:
* Master's Degree
CREDENTIALS:
* CERT RN ANESTHETIST/CERT ANESTHESIOLOGIST ASST
OTHER INFORMATION:
A Master's degree is required in one of these two fields: CRNA - Certified Registered Nurse Anesthetist; CAA - Certified Anesthesiologist Assistant.
