Certified Registered Nurse Anesthetist (CRNA)
Following accepted and approved techniques and procedures, administers anesthesia to patients in all age groups.
- Follows the Scope and Standards for Nurse Anesthesia Practice (American Associate of Nurse Anesthetists.
CRNA Scope of Practice includes but, is not limited to the following:
- Performing and documenting a pre-anesthetic assessments and evaluation of the patient, including requested consultations and diagnostic studies; selecting, obtaining, ordering and administering pre-anesthetic medications and fluids; and obtaining informed consent for anesthesia.
- Developing and implementing an anesthetic plan.
- Initiating the anesthetic technique which may include; general, regional, local and sedation.
- Selecting applying and inserting appropriate non-invasive and invasive monitoring modalities for continuous evaluation for the patient’s physical status.
- Selecting, obtaining and administering medications, fluids and ventilatory support.
- Discharging the patient from a post-anesthesia care are and providing post-anesthesia follow-up, evaluation and care.
- Implementing acute and chronic pain management modalities.
- Responding to emergency situations by providing airway management, administration of emergency fluids and drugs, and using basic or advanced cardiac life support techniques.
Standards for Nurse Anesthesia Practice:
- Standard I: Perform a thorough and complete preanesthesia assessment.
- Standard II: Obtain informed consent for the planned anesthetic intervention from the patient or legal guardian.
- Standard III: Formulate a patient-specific plan for anesthesia care.
- Standard IV: Implement and adjust the anesthesia care plan based on the patients physiological response
- Standard V: Monitor the patient’s physiologic condition as appropriate for the type of anesthesia and specific patient needs.
- Standard VI: There shall be complete, accurate and timely documentation of pertinent information on the patient’s medical record.
- Standard VII: Transfer the responsibility of care and patient safety.
- Standard VIII: Adhere to appropriate safety precautions, as established within the institution, to minimize the risks for fire, explosion, electrical shock and equipment malfunction. Document on the patient’s medical record that the anesthesia machine and equipment were checked.
- Standard IX: Precautions shall be taken to minimize the risk of infection to the patient, the CRNA, and other healthcare providers.
- Standard X: Anesthesia care shall be assessed to assure its quality and contribution to positive patient outcomes.
- Standard XI: The CRNA shall respect and maintain the basic rights of patient.
Identifies and manages emergency and obstetrical care.
- Recognizes abnormal patient responses and implements corrective action.
- Responds to requests for resuscitation within the Hospital within a timely manner.
- Provides an accurate and legible record of all patient information, including billing data.
- Participates on committees and in program and departmental activities.
- Coordinates and plans the clinical experience for student registered nurse anesthesia interns (RNAI’s).
- Participates in education of RNAI’s; documents intern performance.
- Maintains certification/recertification and licensure. Attends Clinical Case Conferences as assigned.
- Performs other duties as assigned.
Education and/or Other Requirements
Maintains current certification as CRNA. Masters degree preferred. New graduates must be certified as soon as possible.
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required.
- Must be able to communicate verbally and in writing.
Job duties involve the potential for frequent exposure to blood and body fluids.
The physical demands described are representative of those that must be met by an employee to successfully perform the essential functions of this job.
- Must be able to walk, stand, stoop, kneel and assist in lifting patients; able to assist patients and/or adjust equipment at floor level; able to reach, change and read IV’s 5 feet from the floor unaided; able to move quickly from place to place on occasion, including from floor to floor in emergency situations; able to utilize fine motor control in hands for tasks such as medication preparation and administration; able to hear to take blood pressure and to hear breath, heart and bowel sounds. Must possess visual acuity to meet visual demands in charting, intubating and operating equipment.
- Must be able to work under stress and to adapt to changing conditions. Is expected to be an example of good health habits.
- Ability to adhere to strict confidentiality requirements.
Reasonable accommodations may be made to assist an otherwise qualified individual in the performance of the job. In order to meet the needs of the Company employees may be assigned other duties, in addition to or in lieu of those described above.