Private Pain Management office, Staten Island, NY is seeking a per diem Certified Registered Nurse Anesthetists (CRNA). Within this role under the supervision of an Attending Physician, the CRNA, administers monitors and manages patient care before, during and after anesthesia. There is NO over night shifts and NO on call. Equal Opportunity Employer.
- At least one year minimum of CRNA experience.
- Current NYS RN licensure and registration.
- Certified as a Certified Nurse Anesthetist (CRNA) from the National Board of Certification and Recertification for Nurse Anesthetists (NBCRNA).
- Excellent clinical, organization and communication skills coupled with the ability to thrive in a fast paced environment.
- Bachelor’s degree required.
- Experience in epidurals and blocks, moderate sedation, general and local anesthetic and analgesic techniques.
- Current certification of ACLS and BLS.
- At least 2 to 4 years of experience in patient care setting.
- Working knowledge of Electronic Medical Records Systems.
- Experience working in Critical Care Units, Operating and Recovery Rooms.
- Knowledgeable regarding the nursing process and its application, including the assessment, planning, implementation, and evaluation of nursing care.
- Administers anesthetics and monitors patients in the operating room.
- Participates with Attending Physician in pre-operative assessment, formulation and implementation of the anesthetic plan, and initiation of the post-operative pain regimen.
- Accurately records anesthetics and plan of care in the medical record.
- Transfers patients from the operating room to the post anesthesia care unit with appropriate monitoring and interventions.
- Demonstrates proficiency in using a needleless system.
- Demonstrates the proper use and storage of controlled substances.
- Promotes a team-centered approach to facilitate the achievement of clinical, department and work group goals.
- In conjunction with Attending Physician, performs a thorough and completed pre-anesthesia assessment.
- Responsible for obtaining and reviewing relevant tests and discussing findings with the Attending.
- Obtains and/or verifies that an informed consent has been obtained for the planned anesthetic intervention from the patient or legal guardian.
- Discusses anesthetic options and risks with the patient and/or legal guardian after discussion with Attending Physician. Documents in the patient's medical record informed consent consistent with services provided or anticipated.
- Formulates a patient-specific plan for anesthesia care in conjunction with the Attending Physician. The plan is based upon comprehensive patient assessment, problem analysis, anticipated surgical or therapeutic procedure, patient and surgeon preferences, and current anesthesia principles.
- Induces anesthesia under the supervision of an Attending Physician and maintains anesthesia at required levels. Assesses continuously the patient's response to the anesthetic and/or surgical intervention and must immediately notify the Attending Physician of significant changes in the patient's condition and intervenes as required, under the supervision of an Attending Physician to maintain the patient in a satisfactory physiologic condition.
- Monitors the patient's physiologic condition as appropriate for the type of anesthesia and specific patient needs.
- Monitors oxygenation continuously by clinical observation, pulse oximetry, and if indicated, arterial blood gas analysis.
- Monitors cardiovascular status continuously via electrocardiogram and when appropriate, heart sounds.
- Records blood pressure and heart rate.
- Monitors and assesses the patient positioning and protective measures.
- The omission of any monitoring standards shall be documented and the reason stated on the patient's anesthesia record. The CRNA shall be in constant attendance of the patient until another qualified health care provider has accepted the responsibility for care.
- Maintains complete, accurate, and timely documentation of pertinent information on the patient's medical record.
- Must document all anesthetic interventions and patient responses.
- Transfers the responsibility for care of the patient to other qualified providers in a manner that assures continuity of care and patient safety.
- Adheres to appropriate safety precautions, as established within the institution, to minimize the risk of fire, explosion, electrical shock and equipment malfunction.
- Inspects and monitors applicable equipment according to established guidelines. Checks the readiness, availability, cleanliness, and working condition of all equipment to be utilized in the administration of the anesthesia care.
- Takes precautions to minimize the risk of infection to the patient, the Nurse Anesthetist, and other healthcare providers.
- Assist in the orientation/training of new Team Members.
- Consistently work in a positive and cooperative manner with fellow Team Members.
- Assist other Team Members in the performance of their assignments.
- Seek out opportunities to help rather than waiting to be asked.
- Consider the impact of your actions on Team Members throughout the System.
- Recognize the need for variations in staffing and volunteer to fill open shifts.
- Take direction and initiate actions (cross/additional training) that will allow the assumption of cross-functional duties to ensure seamless patient care.
- Demonstrate flexibility to perform duties wherever volume deems it necessary within the System.
Adherence to System and Departmental Policies:
- Demonstrate knowledge and understanding of all policies and procedures and ability to reference them from appropriate books and manuals.
- Comply with the System's infection control policies and procedures including Body Substance Isolation (BSI) and the Exposure Control Plan which reflects OSHA Blood borne Pathogens Standard to ensure a safe working environment for self and others.
- Ensure that the System is operated in an efficient and cost effective manner by adhering to System and departmental attendance policies as documented on the Employee Attendance Record.
- Demonstrate adherence and support of System-Wide Service Standards as evidence by observation and client feedback.
- Demonstrate adherence to System/Department Complaint Management Standard.
- Demonstrate adherence to System/Department Dress Code Standard.
- Demonstrate adherence to System/Department Safe Practices Standards.
Physical Requirements/ Working Conditions:
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations will be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job the employee is occasionally required to stand; sit; walk; use hands to finger, handle, or feel objects, tools, or control; reach with hands and arms; and stoop, bend, kneel, crouch, or crawl. Specific vision abilities required by this job include close vision.
- Incumbent will be required to work at any facility and be responsible for own transportation.
- Incumbent will be scheduled based on operational need.
- Potential to be exposed to virus, disease and infection from patients and specimens in working environment.
- Standard use of office equipment including computers, fax machines, copiers, printers, telephones, etc.
- Position is in a well-lighted office environment.
- Involves sitting approximately 10 percent of the day, walking or standing the remainder.
- Intermittent physical activity including walking, standing, sitting, lifting and supporting patients.