Medical, Clinical & VeterinaryAdvanced Practice Providers
About the job
Requirements
Graduate of an accredited School of Nurse Anesthesia.
Hold current licensure as a Registered Nurse in West Virginia.
Hold current licensure as an Advanced Practice Registered Nurse in West Virginia.
Hold current certification with the National Board of Certification and Recertification for Nurse Anesthetists.
Maintain active membership in the American Association of Nurse Anesthetists.
Have one year of experience as a Certified Registered Nurse Anesthetist.
Have completed at least 15 pediatric anesthesia cases involving children under six years of age.
Maintain 15 pediatric-focused Class A credits every two years.
Work within the applicable scope of practice and West Virginia University Hospitals clinical privileges.
Take precautions to minimize infection risk to patients, families, and coworkers.
Be proficient with computers for case charting, schedule management, benefits review and changes, and continuing education completion.
Maintain familiarity and proficiency in airway management and departmental airway equipment, including CMAC, fiberoptic bronchoscopes, ILMAs, cricothyrotomy kits, and difficult-airway carts.
Maintain familiarity with departmental equipment, including ultrasound devices, fluid-warming devices, pediatric line carts, and FloTrac.
Meet the physical demands of close-range vision, working in high-stress situations and around biohazards, infectious disease and potential electrical hazards, working closely with others in limited spaces and varied room conditions, standing for long periods in personal protective or X-ray equipment, and lifting, carrying, positioning or moving patients, beds, stretchers and equipment weighing up to approximately 40 pounds.
Responsibilities
Provide anesthesia for pediatric patients undergoing surgical or other procedures requiring anesthesia as part of the anesthesia care team with an anesthesiologist, in accordance with standards of care, departmental standards, and hospital policies and procedures.
Provide care from the preoperative period through the postoperative destination, continuously observe and monitor the patient’s response to anesthetic, make necessary adjustments, and promptly notify the attending anesthesiologist of critical events, status changes, or threats to patient safety or care.
Participate in the pre-anesthetic evaluation, anesthetic plan, and management of unforeseen physiologic changes.
Perform intravenous catheter placement and ultrasound-guided intravenous or arterial catheter placement.
Monitor and recognize abnormal physiologic responses to anesthesia and promptly inform the anesthesiologist about adverse events, changes, or critical events.
Manage anesthesia from the preoperative period through induction, maintenance, emergence, and transfer to the intensive care unit or appropriate recovery area, providing a report to the receiving team.
Administer intravenous fluids, blood, and blood products as indicated by the patient’s condition; except in emergencies, transfuse blood or blood products after hematocrit or hemoglobin results are known and the plan has been discussed with the anesthesiologist.
Document required data in the patient’s electronic health and anesthesia records.
Complete required anesthesia-equipment safety checks and verify necessary supplies before each case, procuring and assembling supplies as needed when an anesthesia technician is unavailable.
Receive the preoperative registered nurse’s report and review informed consents, confirm the correct surgical site, and review preoperative antibiotics or medications during the SBAR report with the operating-room registered nurse.
Participate in the intraoperative surgical pause.
Communicate professionally and effectively with members of the perioperative team.
Provide care in the absence of an anesthesiologist during a life-threatening emergency.
Participate in orienting and teaching learners, including student registered nurse anesthetists, residents, medics, and nurses.
Obtain, administer, waste, and document controlled substances according to hospital and departmental policy and state and federal guidelines.
Work nights, weekends, or holidays and be on call depending on departmental needs.
Routinely provide anesthesia care to pediatric patients and may also be assigned adult patients for part or all of a workday.
Participate in departmental educational activities, including grand rounds, pediatric lectures, journal clubs, in-services, and other sessions provided through West Virginia University Hospitals or WVU Children’s Hospital.
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The CRNA provides anesthesia for all types of pediatric patients undergoing surgical or other procedures necessitating anesthesia as part of the anesthesia care team with an anesthesiologist. Anesthesia will be provided according to standards of care and the standards of the Department of Anesthesiology in accordance with hospital policies and procedures. The CRNA will provide care for the patient from the preoperative through postoperative destination. The CRNA will provide continuous vigilant observation and monitoring of the patient’s status in response to any administered anesthetic and makes necessary adjustments. Provides timely notification to attending anesthesiologist regarding any and all critical events, changes in status, or any condition that threatens the safety or care of the patient.
MINIMUM QUALIFICATIONS:
EDUCATION, CERTIFICATION, AND/OR LICENSURE:
1. Graduate of an accredited School of Nurse Anesthesia.
2. Current licensure as a Registered Nurse in West Virginia.
3. Current licensure as an Advanced Practice Registered Nurse in West Virginia.
4. Current certification with National Board of Certification and Recertification for Nurse Anesthetists.
5. Active membership in American Association of Nurse Anesthetists.
EXPERIENCE:
1. One (1) year of experience as a CRNA.
2. Completion of a minimum 15 pediatric anesthesia cases < 6yrs of age.
3. Must maintain 15 Class A credits with pediatric focus every two years.
CORE DUTIES AND RESPONSIILITIES: The statements described here are intended to describe the general nature of work being performed by people assigned to this position. They are not intended to be constructed as an all-inclusive list of all responsibilities and duties. Other duties may be assigned.
1. Works within their scope of practice and the scope of practice as delineated by WVUH clinical privileges.
2. Takes appropriate precautions to minimize risk of infection to patients, families, and coworkers.
3. Participates in the pre-anesthetic evaluation, anesthetic plan, and management of any unforeseen physiologic changes.
4. Performs techniques such intravenous catheter placement, ultrasound guided intravenous or arterial catheter placement.
5. Monitors patient’s physiologic response to anesthetic and recognize abnormal patient responses to anesthesia while informing anesthesiologist of any adverse events, changes, or critical events in a timely fashion.
6. Manages anesthetics starting in pre-operative through induction, maintenance, and emergence from anesthesia and or delivery to ICU or appropriate recovery area with report given to receiving team.
7. Administers intravenous fluids, blood, and blood products as indicated for patient’s condition.
8. Excluding emergencies, necessary blood and blood products transfused after Hct or Hgb are known and plan discussed with anesthesiologist.
9. Appropriately documents all necessary data points in the patient’s electronic health record/anesthesia record.
10. Performs all required safety checks on anesthesia equipment and verify presence of necessary supplies before case, including procuring and assembling supplies as indicated if anesthesia technician is not available.
11. In accordance with departmental policies and regulatory standards, CRNA will receive report from pre-op RN to review informed consents, ID correct surgical site, and review any pre-op antibiotics or medications during SBAR report with OR RN in pre-operative area.
12. Participates in surgical pause in the intraoperative phase of care.
13. Communicates effectively and professionally with all members of the perioperative team.
14. In a life-threatening emergency, functions to provide care in the absence of an anesthesiologist.
15. Participates in the orientation, and/or teaching of a variety of learners including SRNA’s, residents, medics, nurses, etc.
16. Obtains, administers, wastes, and documents accurately any controlled substances according to hospital and departmental policy as well as state and federal guidelines.
17. Depending on departmental needs, may work nights, weekends, or holidays.
18. Depending on departmental needs, may be on call.
19. Routinely assigned to pediatric patients.
20. May be assigned to adult patients for part or all of a work day.
21. Participates in departmental educational activities not limited to grand rounds, pediatric lectures, journal club, in-services, or any other educational sessions provided through WVUH or WVU Children’s Hospital.
PHYSICAL REQUIREMENTS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
1. Ability to see details at close range, within a few feet of the observer.
2. Must deal with high stress situations and dying or newly deceased individuals.
3. Working around biohazards, infectious diseases, and potential electrical hazards.
4. Working closely with others, in somewhat limited space.
5. Working in rooms heated or cooled for patient benefit, in dimly lit rooms, or rooms with wet floors.
6. Standing for long hours, sometimes in high-level personal protective equipment and/or xray gown.
7. Standing, lifting, stooping, reaching, positioning and moving patients, beds, stretchers, carrying and moving equipment up approximately 40 pounds.
SKILLS AND ABILITIES:
1. Proficiency with computers for case charting, viewing and management of schedule, benefits review and changes, CE completion, etc.
2. Excellent intrapersonal communication skills with patients, families, coworkers, etc.
3. Ability to work effectively as a professional and anesthesia team member.
4. Desire and/or willingness to participate in lifelong learning through departmental educational opportunities.
5. Maintains familiarity and proficiency in airway management and with departmental airway equipment (CMAC, fiberoptic bronchoscopes, ILMA’s, cricothyrotomy kits, difficult airway cart, etc)
6. Maintains familiarity with departmental equipment such as ultrasound devices, fluid warming devices, pediatric line cart, FloTrac, etc.
Additional Job Description:
Scheduled Weekly Hours:
40
Shift:
Varied (United States of America)
Exempt/Non-Exempt:
United States of America (Exempt)
Company:
UHA University Health Associates
Cost Center:
8000 UHA Anesthesiology
Address:
1 Medical Center DriveMorgantownWest Virginia
Equal Opportunity Employer
University Health Associates and its subsidiaries (collectively "UHA") is an equal opportunity employer and complies with all applicable federal, state, and local fair employment practices laws. UHA strictly prohibits and does not tolerate discrimination against employees, applicants, or any other covered persons because of race, color, religion, creed, national origin or ancestry, ethnicity, sex (including gender, pregnancy, sexual orientation, and gender identity), age, physical or mental disability, citizenship, past, current, or prospective service in the uniformed services, genetic information, or any other characteristic protected under applicable federal, state, or local law. All UHA employees, other workers, and representatives are prohibited from engaging in unlawful discrimination. This policy applies to all terms and conditions of employment, including, but not limited to, hiring, training, promotion, discipline, compensation, benefits, and termination of employment.