Wentworth-Douglass Hospital Job - 35290064 | CareerArc
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Company: Wentworth-Douglass Hospital
Location: Dover, NH
Career Level: Entry Level
Industries: Healthcare, Pharmaceutical, Biotech

Description

At Wentworth-Douglass, we value people who contribute to patient-centered care that enhances community health; we recognize and reward those who share our values and transform our patients' lives. We invite you to explore opportunities, cultivate community wellness and professional growth. 

A Certified Registered Nurse Anesthetist (CRNA) is an advanced practice registered nurse (APRN) who practices both autonomously and in collaboration with a variety of health providers on the inter-professional team to deliver high-quality, holistic, evidence-based anesthesia and pain care services. The CRNA cares for patients at all acuity levels across the lifespan in a variety of settings for procedures including, but not limited to, surgical, obstetrical, diagnostic, therapeutic, and pain management.

1. Responsible for supplying documentation of continued registration as a CRNA
2. Perform and document pre-anesthesia assessment and evaluation of the patient per departmental practice
3. Review, request, and order (as permitted by state law), laboratory/diagnostic studies per departmental practice
4. Obtain informed consent for anesthesia and related services
5. Select, obtain, order, and administer preanesthetic medication or treatment per departmental practice
6. Develop and implement an anesthesia care plan per departmental practice
7. Select, obtain, prepare, and use equipment, invasive and non-invasive monitors, supplies, and drugs for the administration of sedation, anesthesia, and pain management services; perform safety checks as needed
8. Select, order, obtain, and administer analgesic and anesthetic agents, adjuvant drugs, accessory drugs, fluids, or blood products necessary to provide anesthesia services
9. Perform all aspects of airway management, including fiberoptic intubation
10. Facilitate emergence and recovery from anesthesia by evaluating patient response, and selecting, ordering, and administering medications, fluids, and ventilator support to maintain patient stability during transfer
11. Initiate and administer post-anesthesia pharmacological or fluid support of the cardiovascular system
12. Initiate and administer respiratory support to ensure adequate ventilation and oxygenation in the post-anesthesia period
13. Evaluate the patient's response to anesthesia and surgery; take appropriate corrective action during the post-anesthesia period
14. Provide post-anesthesia follow-up evaluation and care
15. Implement acute and chronic pain management modalities
16. Manage emergency situations by assessing, stabilizing, and determining disposition of patients, including providing airway management, administration of emergency drugs and fluids, and using basic and advanced cardiac life support techniques
17. Reviews patients' medical history to determines appropriate type of anesthetic to be used
18. Prepares and evaluates the safety of anesthetic equipment, supplies and drugs
19. Conducts the induction and maintenance of anesthesia
20. Administer general (intravenous / inhalation) and regional anesthesia
21. Insert invasive monitoring lines required for an anesthetic and interpret the data.
22. Monitors the life support functions of patient during period of anesthesia, or surgery as needed. Assesses, interprets and treats physiologic responses to anesthesia that include oxygenation, circulation and ventilation. Keeps the surgical team informed of patient's condition
23. Records pertinent information concerning anesthetic course on patient's clinical chart
24. Provides observation and care in immediate post-operative period until a report of pertinent information has been given to and responsibility for patient accepted by the RN or MD covering the appropriate recovery area
25. Place and manage regional anesthetic techniques, as delineated by his or her clinical privileges or granted special privileges
26. Non-Clinical functions may include but not be limited to
a. Quality assessment and quality assurance
b. Didactic and clinical education of students and staff
c. Appointment to facility committees and related activities
d. Interdepartmental liaison responsibilities
e. Participates in required educational programs
f. Participates in monthly departmental meetings
g. Seeks ongoing professional educational growth
h. Maintains current licensure requirements for CRNA practice.



Requirements

Experience Minimum Required
• Certified Registered Nurse Anesthetists are licensed, registered, advanced practice nurses who have completed an advanced degree in anesthesia. Nurse anesthetists must become certified by successfully completing a national qualifying examination in the specialty of anesthesia

Experience Preferred/Desired
• Three years of experience working as a CRNA in an acute hospital based Surgical Services Department

Education Minimum Required
• Graduate of a nurse anesthesia educational program accredited by the Council on Accreditation of Nurse Anesthesia Educational Programs or its predecessor

Education Preferred/Desired
• Master's degree

Training Minimum Required
• Knowledge of anatomy, physiology, pathophysiology, biochemistry, chemistry, physics and pharmacology as related to anesthesia. The major clinical component providing experience with a variety of anesthesia techniques and procedures for all types of surgery and obstetrics

Special Skills Minimum Required
• Cultural competence and language skills for patient population is desired
• Ability to perform clinically as a nurse anesthetist in the facility setting on a regular basis
• Ability to operate, use, and interpret data from a wide variety of equipment to perform anesthesia care as well as necessary perioperative or operating room care to support the safety and wellbeing of the patient while they are under the direct care of the CRNA
• Effective verbal and written communication skills are required to effectively collaborate with various clinical staff and other disciplines
• Ability to demonstrate knowledge and skills necessary to provide care appropriate to the patient population served
• Ability to demonstrate knowledge of the principles of growth and development over the life span and ability to assess data reflective of the patient's requirements relative to his or her population-specific and age specific needs
• Knowledge of infection prevention and control techniques
• Ability to maintain confidential records
• Ability to implement and adhere to facility policies and procedures

Special Skills Preferred/Desired
• Ability to practice autonomously and in collaboration with a variety of health providers on an inter-professional team
• Ability to care for all acuity patients across the lifespan in a variety of settings

Licensure and/or Certifications Required
• Holds current active state licensure as a registered nurse in the state of New Hampshire and complies with any applicable state statutory and regulatory requirements concerning CRNAs
• Is currently certified or recertified by the National Board of Certification and Recertification for Nurse Anesthetists


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