CRNA - Per Diem
Nantucket Cottage Hospital (NCH)

Job Info

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Per Diem

Job Summary:

The CRNA provides anesthesia services to patients undergoing both surgical and non-surgical procedures at Nantucket Cottage Hospital. The CRNA reviews patient's medical history, selects type of anesthesia, administers anesthetic, monitors patients during procedures and provides immediate post-anesthesia care. The CRNA may collaborate with anesthesiologists, surgeons or other physicians as needed but otherwise has full practice authority as an anesthesia provider.

Essential Job Duties and Responsibilities

• Manages patients' airway or pulmonary status using techniques such as endotracheal intubation and extubation, mechanical ventilation, pharmacological support, and respiratory therapies.

• Selects, prepares, or uses equipment, monitors, supplies, or drugs for the administration of anesthetics.

• Selects, orders, and administers anesthetics, adjuvant drugs, accessory drugs, fluids or blood products.

• Performs pre-anesthetic screenings including physical evaluations and patient interviews, and documents results.

• Develops and executes an effective anesthetic plan.

• Monitors patients' responses including skin color, pupil dilation, pulse, heart rate, blood pressure, respiration, ventilation, or urine output using invasive and noninvasive techniques.

• Responds to emergency situations by providing airway management, administering emergency fluids or drugs, or using basic or advanced cardiac life support techniques.

• Develops anesthesia care plans.

• Obtains informed consent from patients for anesthesia procedures.

• Assesses patients' medical histories to predict anesthesia response.

• Performs and evaluates the results of diagnostic tests such as radiographs (x-rays) and electrocardiograms (EKGs).

• Performs or manages regional anesthetic techniques such as local, spinal, epidural, caudal, nerve blocks and intravenous blocks.

• Evaluates patients' post-surgical or post-anesthesia responses, taking appropriate corrective actions or requesting consultation if complications occur.

• Administers post-anesthesia medications or fluids to support patients' cardiovascular systems.

• Discharges patients from post-anesthesia care.

• Instructs nurses, residents, interns, students or other staff on topics such as anesthetic techniques, pain management and emergency responses.

• Maintains quality and safety protocols and follows Hospital policies and procedures.

• Remains up to date with the latest advances in the anesthesia field including the introduction of new medical equipment and techniques.

• Assumes responsibility for own continuing education and developmental needs to maintain competencies; attends meetings, workshops and conventions to enrich personal knowledge, growth and skill in providing care for patients.

• Performs other duties as assigned.

Qualifications
Essential Knowledge, Skills, and Experience Required for the Position

Knowledge, Skills, and Experience Required

• Advanced understanding of anesthesia and other critical nursing skills.

• Demonstrated patient care skills.

• Knowledge of anatomy, physiology, pathophysiology, and pharmacology as related to anesthesia.

• Strong technical skills and has the interest and ability to continue to learn.

• Ability to take direction from and work with personnel at all levels of the organization.

• Strong sense of initiative and perseverance to carry through to completion of tasks; ability to take ownership and responsibility for activities.

• Works efficiently and effectively all aspects of position.

• Ability to utilize appropriate problem solving and conflict resolution skills.

• Excellent interpersonal, written and oral communication skills to work effectively with clinicians, administrators, and other professionals.

• Maintain the highest standards of professional conduct; demonstrate forthrightness and integrity.

• Highly motivated, independent and capable of performing in a complex environment.

• Ability to handle sensitive and confidential matters discreetly and to ensure confidentiality guidelines are maintained by staff.

• Graduate of accredited nurse anesthesia program.

• Current, valid Registered Nurse (RN) License in the state of Massachusetts.

• Advanced practice license as a Nurse Anesthetist (APRN/NA) issued by the Commonwealth of Massachusetts.

• Certified Registered Nurse Anesthetist (CRNA) by the American Association of Nurse Anesthetists (AANA).

• Current DEA license required. Must continue to maintain active DEA licensure.

• Current Basic Life Support (BLS) certification by the American Heart Association.

• Current Advanced Cardiac Life Support (ACLS) certification by the American Heart Association.

• Obstetrics and Regional Anesthesia experience required.

• Experience working as an independent CRNA preferred.

Special Requirements

• Requires rotation of shifts (weeks) and roles including being either the primary provider or on-call provider.

• Must be available to work in the case of a Hospital declared emergency.

EEO Statement
Nantucket Cottage Hospital is an Equal Opportunity Employer. By embracing diverse skills, perspectives and ideas, we choose to lead. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment.

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