Certified Registered Nurse Anesthetist

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Location: Deploying to the Marshall Islands

Job Summary:

The CRNA will administer anesthetics to patients undergoing medical, dental, and surgical procedures.  Working under the direction of the attending surgeon, dentist, or anesthesiologist, the CRNA duties will include getting supplies and equipment ready for procedures, studying and interpreting pre-surgical tests to determine how the anesthetic will affect the patient, and assuring that an adequate blood supply is on hand in case of an emergency.

In addition to administering the prescribed anesthetic, the CRNA will monitor the patient’s vital signs and communicate the information to the physicians.  They will also perform other tasks during these medical procedures, such as inserting artificial airways, administering oxygen, and attempting to prevent surgical shock.  In addition, they may be required to assist with the stabilization of the patient and coordination of evacuation of the patient to medevac center or CONUS.

Duties and Responsibilities:

• Perform pre-anesthetic screenings, including physical evaluations, patient interviews, and document results.
• Develops, recommends, and implements standard operating instructions and practices of the administration and management of anesthetics that ensure client safety, confidentiality, and timely ethical and quality service.
• Select and prescribe post-anesthesia medications or treatments to patients.
• Administer post-anesthesia medications or fluids to support patients' cardiovascular systems.
• Evaluate patients' post-surgical or post-anesthesia responses, taking appropriate corrective actions or requesting consultation if complications occur.
• Monitors the effects of specific anesthesia, drugs, techniques, and patient reactions.
• Select, order, or administer pre-anesthetic medications, anesthetics, adjuvant drugs, accessory drugs, fluids, or blood products as necessary.
• Discharge patients from post-anesthesia care.
• Perform or evaluate the results of diagnostic tests such as radiographs (x-rays) and electrocardiograms (EKGs).
• Manage patients' airway or pulmonary status using techniques such as endotracheal intubation, mechanical ventilation, pharmacological support, respiratory therapy, and extubation.
• Monitor patients' responses, including skin color, pupil dilation, pulse, heart rate, blood pressure, respiration, ventilation, or urine output, using invasive and noninvasive techniques.
• Assess patient's medical histories to predict anesthesia response.
• Select, prepare, or use equipment, monitors, supplies, or drugs for the administration of anesthetics. Calibrate and test anesthesia equipment.
• Insert arterial catheters or perform arterial punctures to obtain arterial blood samples.
• Insert peripheral or central intravenous catheters.
• Instruct staff on topics such as anesthetic techniques, pain management, and emergency responses.
• Request anesthesia equipment repairs, adjustments, or safety tests.
• Maintains continuing education activities.
• Comply with all applicable Acuity International standards and guidelines.
• Participate and advise in Mass Casualty Exercises/Events.
• All Health Care Providers (HCPs) will document care delivered and follow-up care required.
• Attends and participates in a variety of meetings and task force groups to improve quality and outcomes, communicate issues, obtain approvals, resolve problems, and maintain a specific level of knowledge of new developments, new task efforts, and new policy requirements.
• Be available for on-call duties as required, responding promptly to emergencies and providing care as necessary.
• Other duties as assigned.

Qualifications:

• Must have completed an accredited Nursing training program leading to a diploma, certification, or bachelor’s degree.
• Must have completed an accredited Nurse Anesthetist school in the U.S., resulting in a master’s degree or higher.
• Must have a minimum of 3 years of experience as a licensed Nurse Anesthetist.
• Must hold and maintain a current unrestricted U.S. (State) Medical license as a Nurse Anesthetist.
• Must hold a current certification by the National Board of Certification and Recertification for Nurse Anesthetists (NBCRNA).
• Must have and maintain current certification:
  • Advanced Cardiac Life Support (ACLS)
  • Basic Life Support (BLS)
  • Pediatric Advanced Life Support (PALS)
  • Neonatal Resuscitation Program (NRP)
• All health care providers and medical support staff must have recent clinical experience in patient care for at least 6 months out of the past year.
• Must be current in all required certifications.
• Shall demonstrate proficiency in the use of basic word processing programs and the Acuity Medical Management Systems software.
• Must have a valid, current U.S. Driver’s License.
• Must have a valid U.S. Passport with no less than 6 months remaining before expiration.
• Shall be proficient in the ability to speak, write, and communicate in English.
• Requires a favorably adjudicated CNACI investigation conducted by the Department of Defense.
• Must sign an International Assignment Agreement (IAA) and is bound to the terms and conditions of the IAA.

Preferred Qualifications:

• Certification in Advanced Trauma Life Support (ATLS) is highly desirable.

Physical Requirements and Work Conditions

• Must be confirmed by a medical examination to be "medically and dentally fit" in accordance with Acuity Medical Readiness Guidelines and Policies and/or as directed by the Client.
• Work involves sitting and standing for prolonged periods of time.
• Work is normally performed in a typical interior/office work environment; travel to Kwajalein is required by air.

Acuity International is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration without regard to race, color, sex, national origin, age, protected veteran status, or disability status.

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