Massachusetts Jobs

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.

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_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.

_EssentialKnowledge, 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.

Job: *Advanced Practice Nurse

Organization: *Nantucket Cottage Hospital (NCH)

Title: CRNA - Per Diem

Location: MA-Nantucket-NCH Nantucket Cottage Hospital

Requisition ID: 3277223