Baylor Scott & White Health CRNA in Marble Falls, Texas
The Certified Registered Nurse Anesthetist (CRNA) is a licensed registered nurse with advanced specialized training in the administration of anesthesia. The CRNA administers, monitors, and adjusts anesthetic doses to individual patients, from neonatal through geriatrics, during surgery and other procedures.
INTERPRETS PHYSICIAN'S PRE-ANESTHETIC EVALUATION AND LAB DATA.
*Reviews health history, including psychosocial as well as biophysical.
*Reviews all current laboratory data.
PERFORMS PRE-UNDUCTIN EXAMINATION AND INSPECTION OF ANATOMICAL PARTS OR ORGAN SYSTEMS RELATED TO A FORMULATED ANESTHETIC PLAN.
*Reviews with the patient the proposed surgery.
*Performs a brief physical assessment of the patient, dentures, prosthetic devices, allergies, and NPO status.
*Verifies that all prescribed safety standards (i.e., machine check list, functional suction equipment, airway management equipment, proper placement of monitoring and electrosurgical electrodes, physical positioning, have been complied with prior to induction of anesthesia.
INDUCES AND MAINTAINS GENERAL ANESTHESIA AT REQUIRED AND SAFE LEVELS, USING TECHNIQUES PRESCRIBED BY THE ASSIGNED STAFF ANESTHESIOLOGIST OR TECHNIQUES CUSTOMARILY USED WITHIN THE DEPARTMENT.
*Selects and administers anesthetic techniques, medications, and adjunctive drugs according to accepted departmental guidelines.
*Performs intratracheal intubation and extubation protecting the patient at all times.
*Identifies and manages emergency situations according to departmental policies and procedures.
PERFORMS REGIONAL ANESTHESIA USING TECHNIQUES PRESCRIBED BY THE ASSIGNED STAFF ANESTHESIOLOGIST OR TECHNIQUES CUSTOMARILY USED WITHIN THE DEPARTMENT.
*Selects and administers regional anesthetic techniques, medications, and adjunctive drugs according to accepted departmental guidelines.
*Identifies and manages emergency situation according to departmental policies and procedures.
MONITORS LIFE SUPPORT FUNCTIONS, RECORDING VARIOUS DATA, ALSO VERIFIES EQUIPMENT IS IN WORKING ORDER.
*All available noninvasive monitoring equipment will be used on all patients receiving general anesthesia (i.e., BP, EKG, oximeter, pre-cardial stethoscope/esophageal stethoscope, temperature, oxygen analyzer, and SARA).
*All data will be recorded; BP and pulse, no less than every 5 minutes; other pulses, no less than every 15 minutes.
*Pre-anesthetic machine checklist will be performed and documented for every procedure involving the Department of Anesthesia.
*Manage fluid, blood and electrolyte loss and replacement within the guidelines of the Department of Anesthesia policies and procedures.
PERFORMS BASIC PERIOPERATIVE DIAGNOSIS TESTING AND DOCUMENTATION TO THE ANESTHETIC RECORD.
*Closely supports and monitors life functions. In the case of adverse response to any drug, takes corrective action and seeks consultation from the senior Staff Anesthesiologist in a timely fashion.
*Records all pertinent events occurring during the procedure, including tourniquet time and pressure, change in site of operation in multiple system procedures and injection of drugs into the operative site by the surgeon. All unusual events must be concisely documented on the Anesthetic record.
TERMINATES ANESTHESIA IN A TIMELY FASHION, ENSURING PATIENT SAFETY TO POST-ANESTHETIC RECOVERY ROOM.
*Reverses anesthetic according to departmental guidelines.
*Protects the patient during transportation to Recovery Room.
*Gives a detailed report to the assigned Recovery Room personnel.
*Informs the Recovery Room Anesthesiologist and assigned Staff Anesthesiologist of any complications.
*Follows the post-anesthetic course as long as necessary to recognize the presence or absence of anesthetic related complications.
*Documentation of post-anesthetic visits will be made in the Progress Note form to 24 hours post anesthetic. This note will include date/time of post-anesthetic visit and any information pertaining to patient status and signature of person doing the visit.
SKILLS, KNOWLEDGE AND ABILITY:
*Obtains 40 CEU's every two years.
*Maintains certification and registration.
*Keeps informed of current trends and updated procedures.
*Understands the current concepts of cardiopulmonary resuscitation.
*Demonstrates ability to accept and initiate change.
*Demonstrates ability to communicate effectively and work collaboratively with others.
*Functions as part of a health care/anesthesia team.
*Ability to work variable hours.
*Ability to share "on call" duties and be able to respond in the acceptable time frame.
Job Family: Advanced Practice Professional