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CRNA - Certified Registered Nurse Anesthetist - Raleigh North Carolina
Company: Fresenius Medical Care Location: Raleigh, North Carolina
Posted On: 09/18/2024
POSITION FEATURES: We are a same day surgery center, hours Monday - Friday, no on-call or weekends. We perform vascular surgeries on patients who are receiving mild sedation. We have FT, PT or PRN opportunities available. You can learn more here: -The rate of pay for this position will depend on the successful candidate's work location and qualifications, including relevant education, work experience, skills, and competencies.Hourly Rate: $120.00 - $200.00 PURPOSE AND SCOPE:A Certified Registered Nurse Anesthetist (CRNA) in an advanced practice registered nurse (APRN) who practices both autonomously and in collaboration with a variety of health providers on the interprofessional 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.PRINCIPAL DUTIES AND RESPONSIBILITIES: - Perform and document the pre anesthesia assessment and evaluation of the patient.
- Review, request, and order (as permitted by state law), laboratory/diagnostic studies.
- Obtain informed consent for anesthesia and related services.
- Select, obtain, order, and administer preanesthetic medication or treatment.
- Develop and implement an anesthesia care plan.
- 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.
- Select, order, obtain, and administer analgesic and anesthetic agents, adjuvant drugs, accessory drugs, fluids, necessary to provide anesthesia services.
- Document a time- based record of events during peri-anesthetic care
- Perform all aspects of airway management, including fiberoptic intubation.
- 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.
- Initiate and administer post-anesthesia pharmacological or fluid support of the cardiovascular system.
- Initiate and administer respiratory support to ensure adequate ventilation and oxygenation in the post anesthesia period.
- Evaluate the patient's response to anesthesia and surgery; take appropriate corrective action post anesthesia.
- Provide post anesthesia follow-up evaluation care
- Discharge the patient from the post anesthesia care unit
- Implement acute and chronic pain management modalities
- Manage emergency situations by assessing, stabilizing, and determining disposition of patients, including providing airway management, administration of emergency
- Place and manage regional anesthetic techniques, as delineated by his or her clinical privileges or granted special privileges.
- Insert and manage peripheral, arterial, pulmonary catheter, or central venous lines and catheters.
- Provide patient and caregiver education.
- Consult with respiratory care providers and Implement respiratory and ventilator care when appropriate. -
- Supports patient safety when performing his or her job functions and through participation in facility, department, or unit patient safety initiatives.
- Takes action to correct observed risks to patient safety.
- Reports adverse events and near misses to appropriate management authority.
- Identifies possible risks in processes, procedures, devices and communicates the same to those in charge.
- Using an interdisciplinary approach, including consultation or referral to another clinician, as appropriate.
- Perform advanced and interventional pain management using drugs, regional anesthetic techniques, or other accepted pain relief modalities with or without fluoroscopic guidance.
- Utilize ultrasound, fluoroscopy, as appropriate. -
- Participates in center quality meetings, medical executive meetings and other management meetings upon request from the Medical Director.
- Review and comply with the Code of Business Conduct and all applicable company policies and procedures, local state and federal laws and regulations
- Other duties as assigned PHYSICAL DEMANDS AND WORKING CONDITIONS:The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. - Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
- The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/ materials and radiation. May be required to wear protective gear in procedure rooms for extended periods of time. - Majority of the time spent on feet, may require lifting, and positioning of patients. Position Requires ability to lift objects heavier than 50 pounds.
- Travels between locations primarily during the business day, although some out-of-the-area and overnight travel may be expected.
- This position may require approximately 10- 15% travel.SUPERVISION:
- NoneEDUCATION AND REQUIRED CREDENTIALS:
- Graduate of a nurse anesthesia educational program accredited by the Council on Accreditation of Nurse Anesthesia Educational Programs or its predecessor.
- Current Appropriate State Licensure and complies with any applicable state statutory and regulatory requirements concerning CRNAs.
- BLS and ACLS certification
- Is currently certified or recertified by the National Board of Certification and Recertification for Nurse Anesthetists.
- Insurable by an appropriate medical malpractice insurer for the limits required by this institution or state. EXPERIENCE AND SKILLS:
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