CRNA- Certified Registered Nurse Anesthetist

The Certified Registered Nurse Anesthetist (CRNA) shall provide anesthesia and related services, in accordance with hospital regulatory, licensing and credentialing policies, and within the AANA Guidelines for Nurse Anesthesia Practice and Code of Ethics at Keller Army Community Hospital, West Point, NY.

Responsibilities

• Assist in anesthesia-related training and/or assigned tasks when not involved in direct patient care.
• Comply with current standards of anesthesia practice and care and provides anesthesia care that is within the scope of practice, as determined by demonstrated competency, licensure, and clinical privileges delineated by the MTF.
• Promptly and properly respond to cardiopulmonary arrests and arrange appropriate backup from the MTF clinical staff.
• Must be able to demonstrate age-specific competency in the care from a newborn infant to an older adult.
• Administer anesthesia by inhalation, endotracheal intubation, regional (including ultrasound guided), intravenous, topical and administration of all levels of sedation for pediatric and adult patients; this includes pre-intra, and postoperative evaluation, treatment and the support of life functions and vital organs under stress of anesthetic, surgical and other procedures.
• Provide pain management and consultation.
• Provide consultation, collaborative management or referral to other health care providers as indicated by the health status of the patient.
• Responsible for:
  • Diagnosis and Management
    • Prescribe medication in accordance with MTF pharmacy and therapeutics.
    • Mechanical ventilator management (invasive and noninvasive)
    • Central Venous pressure monitoring
    • Arterial catheter monitoring
    • Initiation and management of patient-controlled analgesia, intrathecal and epidural procedures
  • Procedures
    • Arterial catheter placement
    • Endotracheal and nasotracheal intubation
    • Central venous catheter insertions
    • Ultrasound guided nerve blocks for upper and lower extremity surgery and/or pain control
    • Regional Anesthesia/Analgesia catheters
    • Epidural/spinal placement for labor or surgical management
    • Emergency cricothyrotomy
    • Ultrasound guidance for vascular access and regional anesthesia
  • Anesthesia
    • General anesthesia
    • Neuraxial (spinal and epidural) anesthesia
    • Monitored Anesthesia Care with and without sedation, under topical and local infiltration.
    • Peripheral nerve block anesthesia
    • Procedure Advanced privileges
    • Advanced nerve block techniques
• Other duties as assigned.

• Possess current, active, valid, unrestricted license in at least one U.S. State, District of Columbia, Commonwealth, Territory, or jurisdiction.
• Possess a CRNA Certificate
• Minimum three (3) years of experience.
• Graduate of a school of professional nursing, approved by a legally designated state accrediting agency and hold current registration as a registered professional nurse.
• Graduate of an approved program of nurse anesthesia accredited by the Council on Accreditation of Nurse Anesthesia Education Program and Schools or its predecessor.
• Possess Active, unrestricted license to practice as a registered nurse.
• Successfully completed an accredited educational program for advanced practice as a certified nurse practitioner, certified nurse midwife, CRNA, or certified clinical nurse specialist.
• Possess current certification from the American Red Cross (ARC) for Healthcare Providers in Basic Life Support (BLS), Advanced Life Support (ALS) and Pediatric Advanced Life Support (PALS) or equivalent from the American Heart Association (AHA) at the time of employment. Certifications shall be maintained in a current status at all times while performing services under this contract and this expense will be borne by the contractor.

Knowledge, Skills and Abilities

• Possess evidence of continuing education which maintains skills and knowledge in the nursing anesthesia specialty. Provide evidence of training and experience with Peripheral Regional Nerve Block anesthesia. This includes continuing education in sonography and the practice of peripheral regional anesthesia. KACH Credentials will be provided evidence of continuing education annually.
• Proficiency in Microsoft Office Suite

Physical Demands: (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 may be made to enable individuals with disabilities to perform the essential functions.)

• While performing the duties of this Job, the employee is regularly required to sit and talk or hear. The employee may use repeated motions that include the arms, wrists, hands and/or fingers. The employee is occasionally required to walk, stand, climb, balance, stoop, kneel, crouch, or crawl. The employee must occasionally lift and/or move up to 25 pounds. Specific vision abilities required by this job include close vision.

Executive Order 13495, The Non-Displacement of Qualified Workers Under Service Contracts provide first right of refusal to incumbents on contracts. If the position is accepted by the incumbent on the job, other application/resume of non-incumbents will not be reviewed.