Chief CRNA Full-Time


Job Summary

The Chief CRNA assumes 24-hour administrative responsibility for the management of all patient anesthesia care in the operative environment. The Chief CRNA manages the staff members in the anesthesia department to coordinate care with the physicians and surgeons. Supervises, assesses, plans, implements and evaluates the delivery of patient care. Develops and implements departmental plans, including performance improvement activities and compliance with current regulations. Administers anesthesia and anesthesia related care under the orders of a physician. Monitors and supports vital life functions. Acts as the patient’s advocate while the patient is under anesthesia. Participates in performance improvement and continuous quality improvement activities.



Education and Experience:

· Must have a current and valid license as a Registered Nurse issued by the state of Ohio.

· Must have a current and valid APRN/CRNA license in the state of Ohio.

·  Master of Science Degree

· Minimum of 3 years of experience in an acute care hospital.

· Minimum two years supervisory/management experience necessary

· Knowledge of theory, techniques and practices of anesthesia management.

· BLS, ACLS, and PALS upon hire and maintain current.


· Demonstrates thorough knowledge of and supports the hospital’s mission, vision and values.

· Provides direct supervision to the CRNA’s.

· Implements standards of nursing practice, annually reviewing and revising as necessary to include respect for and sensitivity to culture, age, age-specific competencies, and persons with disabilities that reflect changes in nursing practice.

· Promote quality by incorporating current nursing research findings, nationally recognized professional standards, and other expert literature into policies and procedures governing the provision of nursing care, treatment, and services.

· Promotes good hand hygiene practices and compliance among all hospital employees.

· Participates in hospital and medical departmental meetings.

· Supports an environment that optimizes patient safety, injury prevention and reduces the likelihood of medical or healthcare errors.

· Adheres to policy of clinical alarms being set appropriately for patient.

· Demonstrates the knowledge of proper identification and reporting of medical or healthcare errors.

· Assists surgeons in operations through provision of qualified staff.

· Provides and controls supplies and equipment needed for successful operation of the anesthesia department. Directs and delegates control of inventories to ensure proper amounts available.

· Verifies that narcotics and controlled substances are counted and locked, per hospital policy.

· Follow the five medication rights and reduce the potential for medication errors.

· Observes use and handling of supplies to decrease mishandling and breakage.

· Continually supervise and assess staff to ensure quality nursing care.

· Monitor performance improvement, analyze and evaluate the anesthesia department to improve nursing care and hold monthly in-services toward this goal.

· Provides orientation for new staff.

· Complete evaluations. New employees are given checklists, oriented and evaluated at the end of 90 days.

· Schedules and assigns staff to increase efficiency and coordination of the department.

· Reports changes of any type to anesthesia and any other department affected by the change.

· Demonstrates knowledge of nursing theory and management: Demonstrates knowledge of disaster and emergency policies and procedures. Keeps informed of new developments in anesthesia.

· Demonstrates knowledge of good interpersonal relationships.

· Communicates job expectations.

· Understands performance improvement concepts and demonstrates understanding by defining performance improvement, and verbalizing at least one major goal of the performance improvement program within the hospital setting; ability to describe a quality improvement problem solving process using the Plan, Do, Check, Act (PDCA) model and how its use assists in reaching improving patient outcomes and/or organizational quality improvement goals.

· Able to verbalize at least one departmental and hospital-wide improvement initiative that has occurred within the last 12 months.

· Post results of performance improvement monitoring and conduct monthly staff meetings to allow staff to participate in problem solving. Assures that minutes include communication of the organization’s direction and operation. Distribute minutes to the appropriate individuals.

· Utilizes initiative: strives to maintain steady level of productivity: self-motivated. Completes projects by the due date.

· Independently recognizes and performs duties which need to be done without being directly assigned. Establish priorities: Organize work and time to meet them.

· Recognize and respond to priorities, accept change and new ideas. Has insight into problems and the ability to develop workable alternatives.

· Accept constructive criticism in a positive manner.

· Adheres to attendance and punctuality requirements per hospital policy. Provides proper notification for absences and tardiness. Takes corrective action to prevent recurring absences or tardiness.

· Uses time effectively and constructively. Does not abuse supplies, equipment and services.

· Observes all hospital and departmental policies governing conduct while at work.

· Develop peer relationships that enable the work group to accomplish the daily workload within the allotted time frame and achieve departmental goals.

· Recognize and understand that as a member of an independent group, collaboration and compromise is required in order to maintain the effectiveness of the group as a whole to effectively resolve problems.

· Timely notification to Chief Nursing Officer of potential problems or concerns and proactively present suggested solutions at the time the CNO is made aware of the problem.

· Display teamwork ability to promote cooperation and collaboration: gaining support for programs and goals

· Support patient rights.

· Display honesty and respect for others, and respect for the organization.

· Facilitate and enhance communication using verbal and nonverbal behaviors without being defensive, manipulative, aggressive or controlling.

· Listen attentively for effective two-way conversation.

· Interact with co-workers, other hospital staff, physicians, and the public in a courteous, professional and efficient manner.

· Establish good rapport and working relationships with co-workers, other hospital staff, physicians and the public.

· Observe dress code policy and wear hospital identification as required by our policies and procedures.

· Understands and abides by all the departmental policies and procedures as well as the Code of Ethics, HIPAA requirements and patients' rights.

· Attend scheduled in-service and mandatory in-services. Communicate ideas to Chief Nursing Officer for a safer layout of equipment, tools, and/or processes.

· Follows standard precautions and transmission-based precautions as shown by consistent use of appropriate PPE.

· Adheres to procedures for the disposal of waste—household waste and biohazard waste as well as the proper disposal of sharps.

· Uses proper body mechanics at all times. Seeks assistance when necessary to move heavy objects or to transport/transfer a heavy patient.

· Maintains the department in a neat, clean and orderly manner, especially own work area

· Eliminates or assists in eliminating any seen or known hazards in the workplace. Reports any unsafe conditions to the immediate supervisor.

· Demonstrates good safety habits and judgement by maintaining a safe environment at all times.

· Complies with all hospital safety and injury prevention policies and regulations (hospital safety policies and procedures).

· Cooperates with others in the improvement of services offered at our institution. Continually makes recommendations that assist in the improvement of services.

· Continually strives for self-improvement in areas of responsibility by attending continuing education classes.

· Performs and documents pre-anesthetic assessment and evaluation of the patient, including all lab values, studies, consults, and pre-anesthesia clinical history.

· Performs an assessment immediately prior to induction of anesthesia of the patient and documents this in the medical record.

· In collaboration with the anesthesiologist, develops, implements and documents an anesthetic plan of care, prior to providing anesthesia. 

· Documents evidence of patient being informed of all risks, potential complications, options and alternatives to anesthesia. In collaboration with the anesthesiologist, obtains informed consent.

· Demonstrates knowledge of the principles of growth and development and the skills necessary to provide care appropriate to the age of the patient, neonate through geriatric.

· Treats patients and their families with respect and dignity. Identifies and addresses psychosocial needs of patient and family.

· Participates in and accurately documents “Time Out” performed.

· Adheres to policy of clinical alarms being set appropriately for patient.

· Provides safe administration of IV fluids, Blood Products, Medications, Narcotics and documents appropriately.

· Demonstrate ability to administer all types of anesthesia, including general, regional, mac and TIVA.

· Maintains the patient’s physiologic homeostasis and corrects abnormal responses to the anesthesia and/or surgery, should these occur.

· Records all pertinent events taking place during the induction of, maintenance of, and emergence from anesthesia, including the dosage and duration of all anesthetic agents, other drugs, IV fluids, and blood products on the patient receiving anesthesia care.

· Documents all narcotic usage.

· Prevents and manages complications through selecting, obtaining, administering medications, fluids or ventilator support in correct dosages and methods

· Collects and interprets patient physiological data by selecting, applying, or inserting noninvasive monitoring modalities.

· Performs a smooth induction of anesthesia for patients requiring general anesthetic.

· Displays ability to intubate most patients with ease, manages the patient's airway and pulmonary status through the perioperative process

· Performs smooth patient emergence and recovery from anesthesia by maintaining homeostasis, providing relief from pain and anesthesia side effects.

· Advises staff responsible for post anesthesia care of specific problems related to patient’s condition.

· Stays with patient as long as required by the patient’s condition relative to their anesthesia status and until responsibility for proper patient care has been assumed by other qualified individuals.

· Documentation meets current standards and practices.

· Responds to emergency situations requiring anesthesia services.

· Is knowledgeable of all emergency codes and emergency preparedness procedures and understands his/her role in response to each of the emergency codes (Code Blue, Code Pink, Code Green, Stroke, Code Orange, Code Yellow, Code Gray, Code Silver, Code Violet, etc).  

· Complies with call schedule and arrives for emergency cases within the time frame defined by organizational policies and procedures.

· Check all resuscitative equipment prior to the beginning of the first case of the day. Reports any malfunctioning equipment to the Director of Surgical Services or Biomedical Engineer.

· Checks all equipment and agents to be used in the administration of the anesthetic to assure safe working order. Reports all malfunctioning equipment to the Director of Surgical Services or Biomedical Engineer.

· Working knowledge of anesthesia equipment.

· Advanced pharmacology knowledge.

· Adheres to dress code.

· Completes annual education requirements.

· Represents the organization in a positive and professional manner.

·  Reports to work on time and as scheduled, completes work within designated timeframe.

· Attends annual review and department in-services, as scheduled.

· Attends at least 50% staff meeting annually, reads and returns all monthly staff meeting minutes.

· Understands performance improvement concepts and demonstrates understanding by defining performance improvement, and verbalizing at least one major goal of the performance improvement program within the hospital setting; ability to describe a quality improvement problem solving process using the Plan, Do, Check, Act (PDCA) model and how its uses assist0 in reaching improving patient outcomes and/or organizational quality improvement goals. 

· Demonstrates adherence of patient safety goals in accordance with hospital policies and procedures.

· Demonstrates use of appropriate communication at all times in accordance with Human Resources policies and procedures.

· Demonstrates acknowledgement of customer requests.

· Demonstrates protection of patient confidentiality and privacy in accordance with hospital policies.

· Demonstrates flexibility in scheduling/assignments, and offers assistance to others when assignments are completed.

· Demonstrates utilization of resources when unable to complete assignments in accordance to policies and procedures.

· Demonstrates completion of all assigned job duties in accordance with hospital policies, procedures, standards, and/or protocols.

· Provides input for departmental hospital change/improvement.

· Practices standard blood and body fluid precautions and appropriate use of PPE.

· Disposes of sharps and contaminated articles appropriately.

· Disposes of waste appropriately.

· Utilizes proper body mechanics.

· Recognizes signs of child or elder abuse and reports appropriately to Child/Adult protective services.

· Recognizes and reports safety and environmental hazards/violations/follows proper hospital procedure.

· Responds per hospital and department policy in emergent situations.

· Demonstrates and understands the EORH Code of Conduct.

· Demonstrates a commitment to compliance with all applicable health care laws, rules, and regulations.

· Complies with all organizational policies and procedures regarding ethical business practices.

· Performs other duties as assigned or required.

· Participates actively and positively affects the outcome of customer service activities.

Required Skills/Abilities:

· Excellent analytical and writing skills.

· Strong computer skills 

· Must be highly motivated and willing to assume additional jobs and duties as needed.

· Must be able to handle stress of working efficiently with frequent interruptions and distractions.

· Hours must be flexible to accommodate for needs during After-hours surgery, call shifts, Accreditation surveys or other unscheduled events.

· Must be able to prioritize tasks and adhere to strict deadlines.

Physical Requirements:

· Frequent sitting, standing and walking

· Occasional twisting, reaching, grasping, bending, pulling and pushing

· Occasionally lifting/carrying up to 50 pounds

· Occasional exposure to hazardous chemicals, infections and ionizing radiation

· Occasional requirement to wear Personal Protection Equipment

The above statements reflect the general duties considered necessary to describe the principal functions of the job as identified and shall not be considered as a detailed description of all the work assignments that may be inherent in the job.