Nurse Anesthetist

Graduate Registered Nurse Anesthetist (GRNA), Riverside (Full Time)

Under the medical supervision of a physician anesthesiologist, administers general and regional anesthesia for all types of surgical, obstetrical and other procedures that require anesthesia services, to patients of various age groups including: neonatal, pediatric, adolescent, adult, and geriatric in accordance with hospital and departmental standards of care. Such intervention may include, but not be limited to: airway management; maintenance of fluid balance; homeostasis; monitoring; response to emergencies related to airway management and cardiopulmonary resuscitation; and management of patients on ventilators.

Essential responsibilities include:

• Administering anesthesia to all age groups.
• Upholding Kaiser Permanentes policies and procedures, principles of responsibilities, and applicable state, federal, and local laws.
• Complying with organizational rules, policies, and procedures (i.e. TJC, Title 22, Regional and Department requirements).
• Evaluating patients pre-operatively by interviewing and examining the patient.
• Reviewing the chart for relevant information.
• In collaboration with MD, selecting anesthetic for the patient based on the pre-operative examination.
• Demonstrating an understanding of the cognitive, physical, emotional, and chronological maturation process in delivery of services to patients of each age group served: neonatal, pediatric, adolescent, adult, and geriatric.
• Selecting anesthetic for the patient based on the pre-operative examination.
• Evaluating the patients response to pre-medication.
• Communicating with surgeon and physician anesthesiologist regarding special concerns of the patient.
• Checking anesthesia equipment daily and between cases to assure safe operating condition.
• Preparing drugs for administration.
• Administering anesthesia in accordance with delineated clinical privileges and any conditions or restrictions imposed thereof.
• Monitoring the patient intraoperatively.
• Evaluating the operative and post-operative condition of the patient and taking necessary action to maintain stability.
• Evaluating the patient postoperatively (within 24 hours).
• Maintaining an accurate accounting of controlled substances in accordance with departmental guidelines.
• Maintaining equipment and supplies as outlined in department policies and procedures.
• Complying with organizational rules, policies, and procedures (i.e. TJC, CAC Title 22, Regional and Department requirements).
• Establishing and maintaining courteous and cooperative relations when interacting with public, patients, staff, and other personnel.
• May perform other duties within the scope of licensure/certification as required.
• Note: Must be able to work within an anesthesia team model, work with MDAs, CRNAs, and Anesthesia TECHs.

Basic qualifications include:

• Graduate of an educational program in Nurse Anesthesia accredited by the Council on Accreditation of Nurse Anesthesia Educational Programs and Schools by date of hire.

License, certification, registration:

• Registered Nurse License (California)
• Certified Registered Nurse Anesthetist (California) within 5 months of hire
• Advanced Cardiac Life Support required at hire from American Heart Association
• Basic Life Support required at hire from American Heart Association

Additional requirements include:

• New graduate. Experience in anesthesia for major procedures involving extensive monitoring and fluid, blood, and electrolyte replacement for various age group patients.
• GRNAs must demonstrate both technical/clinical and professional skill and ability along with all related techniques and procedures within the scope of practice as defined by the State of California Department of Consumer Affairs.
• Additional skills are required in charting and documentation, knowledge of equipment and supplies, productivity, job and personal maturity communication, and education and staff development.

Preferred qualifications:

• General and regional administration, deep sedation, hemodynamic monitoring, use of all anesthesia-related equipments, communication skills, and a team player.

Notes:

Full-time variable position. Will be required to take call and work rotating shifts, weekends, and holidays.