Crossing Rivers Health (CRH) CRNAs are independently responsible for anesthesia services they provide. Services provided by CRH CRNAs include surgical anesthetics, which include regional, specialty blocks, GETA, and Local/MAC, obstetric anesthesia to include intrathecal narcotics and labor epidurals, response to emergency situations, and provision of analgesic services as requested and appropriate. CRH CRNAs must be able to plan for and administer appropriate anesthesia services for all ages and physical classifications.

Essential Job Functions

• Current regional anesthesia technique proficiency under ultrasound guidance, which includes adductor canal, femoral, popliteal, interscalene, and axillary blocks (single injections).
• Ability and willingness to effectively administer current and safe anesthesia in an autonomous/solo environment.
• Obstetrical anesthesia to include intrathecal and labor epidurals.
• Diagnostic spinal taps.
• Spinal block proficiency.
• Epidural proficiency to include both lumbar and thoracic epidurals for postoperative pain management.
• Provision of pain services such as lumbar epidural steroid injections is preferred but not required.
• Select, order, or administer pre-anesthetic medications.
• Evaluate the results of diagnostic tests such as radiographs (x-rays) and electrocardiograms (EKGs).
• Perform or manage regional anesthetic techniques such as local, spinal, epidural, caudal, nerve blocks and intravenous blocks.
• Prepare prescribed solutions and administer local, intravenous, spinal, or other anesthetics following specified methods and procedures.
• Administer post-anesthesia medications or fluids to support patients’ cardiovascular systems.
• Calibrate and test anesthesia equipment.
• Evaluate patients’ post-surgical or post-anesthesia responses, taking appropriate corrective actions or requesting consultation if complications occur.
• Select and prescribe post-anesthesia medications or treatments to patients.
• Discharge patients from post-anesthesia care.
• Read current literature, talk with colleagues, and participate in professional organizations or conferences to keep abreast of developments in anesthesia.
• Request anesthesia equipment repairs, adjustments, or safety tests.
• Insert arterial catheters or perform arterial punctures to obtain arterial blood samples.
• Instruct nurses, residents, interns, students or other staff on topics such as anesthetic techniques, pain management and emergency responses.
• Assess patients’ medical histories to predict anesthesia response.
• Respond to emergency situations by providing airway management, administering emergency fluids or drugs, or using basic or advanced cardiac life support techniques.
• Perform pre-anesthetic screenings, including physical evaluations and patient interviews, and document results.
• Disassemble and clean anesthesia equipment.
• Manage patient’s airway or pulmonary status using techniques such as endotracheal intubation, mechanical ventilation, pharmacological support, respiratory therapy and extubation.
• Select, prepare, or use equipment, monitors, supplies, or drugs for the administration of anesthetics.
• Select, order, or administer adjuvant drugs, accessory drugs, fluids or blood products as necessary.
• Monitor patient’s responses, including skin color, pupil dilation, pulse, heart rate, blood pressure, and respiration, ventilation, or urine output, using invasive and noninvasive techniques.
• Obtain informed consent from patients for anesthesia procedures.
• Other job duties and responsibilities as assigned to effectively meet the needs of the patients, the department, and the organization as a whole.

Competency Statements

• Judgement – The ability to formulate a sound decision using the available information.
• Applied Learning – Ability to participate in needed learning activities in a way that makes the most of the learning experience.
• Decision Making – Ability to make critical decisions while following company procedures.
• Active Listening – Ability to actively attend to, convey and understand the comments and questions of others.
• Ethical – Ability to demonstrate conduct conforming to a set of values and accepted standards.

Reasonable Accommodations Statement

To accomplish this job successfully, an individual must be able to perform, with or without reasonable accommodation, each essential function satisfactorily. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential functions.

Education

• Master’s Degree Required, Field of Study: Nurse Anesthesia

Experience

• A minimum of 2 years of autonomous practice as a CRNA - Required

Computer Skills

• Computer proficiency required

Certifications & Licenses

• Valid WI RN License or Compact State license
• National CRNA Certification
• Advanced Practice Nurse Prescriber (APNP)
• ACLS, BCLS, PALS,
• DEA
• NRP - Preferred