Description Position Description:

Certified Registered Nurse Anesthetist (CRNA)

Reports To:

Medical Directors and the VP and GM, CRH Anesthesia A. Summary/Description 1. The Certified Registered Nurse Anesthetist (CRNA) provides professional anesthesia care through assessment, planning, treatment, education and evaluation of the patient. The CRNA is responsible for delivering safe, knowledgeable, compassionate, educative and individualized nursing care to patients and families. 2. The practice of anesthesia is a recognized specialty of both nursing and medicine. Anesthesia and anesthesia-related care represent those services which anesthesia professionals provide upon request assignment, and referral by the patient's physician. Education, practice, and research within the specialty of nurse anesthesia promote competent anesthesia care encompassing the diversity of patient populations, age, ethnicity and gender. CRNAs practice according to their experience, state statutes and regulations, and institutional policy. B. Scope of Practice includes, but not limited to, the following:

• The cognitive demands described here are representative of those that must be met by an associate to successfully perform the essential duties of this job.

1. Performing and documenting a pre-anesthetic assessment and evaluation of the patient, including selecting, obtaining, ordering and administering pre-anesthetic medications and fluids; and obtaining informed consent for anesthesia. Evaluating pertinent diagnostic studies. 2. Verifies that essential equipment is functioning properly each day. 3. Develops and implements an anesthetic plan 4. Managing the patient under anesthesia by:

• Selecting, applying and inserting appropriate noninvasive and invasive monitoring modalities for continuous evaluation of the patient's physical status
• Selecting, obtaining, and administering the anesthetics, adjuvant and accessory drugs, and fluids necessary to manage the patient.
• Managing a patient's airway and pulmonary status using current practice modalities.
• Administration of Propofol or any sedative-hypnotic or analgesic drug that does not have a reversible agent.

5. Facilitating emergence and recovery from anesthesia by selecting, obtaining, ordering and administering medications, fluids, and ventilator support. 6. Responding to emergency situations by providing airway management, administration of emergency fluids, and drugs and using basic or advanced cardiac life support techniques. C. Position Description 1. Able to read, write, speak, and communicate clearly in English. Bilingual skills a plus. 2. Able to maintain composure in difficult situations including verbally hostile patients and families 3. Able to see and functionally differentiate colors, words, and numbers 4. Able to operate a computer and use a keyboard. 5. Able to administer medications including necessary calculations of dose quantities, rates, routes of administration and assessment of the impact on the patient. 6. Able to sit and stand for extended periods of time. 7. Able to lift up to 50 pounds. D. Physical Demands

• The physical demands described here are representative of those that must be met by an associate to successfully perform the essential duties of this job.

E.

Additional Responsibilities:

(if applicable) 1.

Administration/management:

Scheduling, supervision of staff, development of policies and procedures, performance evaluations, preventative maintenance, billing and data management. 2.

Quality assessment:

data collection, reporting mechanism, trending compliance, department review, problem-focused studies, problem-solving and process oversight. F. Educations/Qualifications 1. Three years' clinical experience in surgery or ASC including demonstrated knowledge of sterile techniques, working with anesthetized patients and other clinical situations found in a procedural setting. 2. Must possess a working knowledge of the legal and regulatory environment impacting ASCs and the applicable standards of the credentialing agencies such as AAAHC, AAAA, The Joint Commission, and other regulatory bodies for ASCs. 3. Demonstrated ability to work collaboratively with physicians and all medical professionals. 4. Holds current RN licensure from applicable authority and certifications as a CRNA from an approved national accrediting organization. 5. Current certification in CPR and ACLS 6. Critical Care, ER or recovery experience. 7. Carry Malpractice insurance if applicable. 8. CRNA must be credentialed, and delineation of privileges must occur in order to perform clinical care at the ASC. The CRNA functions under the supervision of the Gastroenterologist when an MDA is not present.