Major Tasks, Duties, and Responsibilities:
- Pre-anesthetic Preparation & Evaluation including:
- Obtaining an appropriate health history.
- Conducting an appropriate physical screening assessment.
- Recommending or requesting and evaluating pertinent diagnostic studies.
- Selecting, obtaining, ordering, and administering pre-anesthetic medications.
- Documenting the pre-anesthetic evaluation and obtaining informed consent for anesthesia, anesthesia induction, maintenance, and emergence.
- Intraoperative Care including:
- Obtaining, preparing, and using all equipment, monitors, supplies and drugs used for the administration of anesthesia, performing and ordering safety checks as needed.
- Selecting, obtaining, or administering the anesthetics, adjuvant drugs, accessory drugs, fluids, and blood products necessary to manage the anesthetic.
- Performing all aspects of airway management.
- Performing and managing regional anesthetic techniques including, but not limited to, subarachnoid, epidural, and caudal blocks; plexus, major and peripheral nerve blocks; intravenous regional anesthesia; trans-tracheal, topical, and local infiltration blocks.
- Providing appropriate invasive and non-invasive monitoring modalities utilizing current standards and techniques.
- Recognizing abnormal patient response during anesthesia, selecting, and implementing corrective action and requesting consultation whenever necessary.
- Evaluating patient response during emergence from anesthesia and instituting pharmacological or supportive treatment to insure patient stability during transfer.
- Post-anesthesia Care includes providing follow-up and evaluation of the patient's response to anesthesia and surgical experience, taking appropriate corrective actions, and requesting consultation when indicated.
- Initiating and administering respiratory support to ensure adequate ventilation and oxygenation in the post-anesthesia period.
- Initiating and administering pharmacological or fluid support of the cardiovascular system during the post-anesthesia period to prevent morbidity and mortality.
- Discharging patients from a post-anesthesia care area if patient is unable to meet discharging criteria and surgeon notification.
- Inserting peripheral and central intravenous catheters.
- Inserting arterial catheters and performing arterial puncture to obtain samples.
- Managing emergency situations, including initiating, or participating in cardiopulmonary resuscitation.
- Providing consultation and implementation of respiratory and ventilator care.
- Initiating management of pain therapy utilizing drugs, regional anesthetic techniques or other accepted pain relief modalities.
- Selecting and prescribing medications and treatment related to the care of the patient, using consultation when appropriate.
- Accepting additional responsibilities, which are within the expertise of the individual CRNA and appropriate to the practice setting.
- Non-Clinical Responsibilities may be assigned as needed:
- Administrative/management: scheduling, material and supply management, supervision of staff, students or ancillary personnel, development of policies and procedures, fiscal management, performance evaluations, preventative maintenance billing and data management.
- Quality assessment: data collection, reporting mechanism, trending, compliance, committee meetings, departmental review, problem-focused studies, problem-solving, interventions, documentation, and process oversight.
- Educational: clinical and didactic teaching, in-service commitment, and facility continuing education.
- Research: conducting and/or participating in departmental, hospital-wide or research projects.
- Committee appointments: assignment to committees, committee responsibilities, and coordination of committee activities.
Skills, Education and Experience:
- Graduation from a program of nurse anesthesia education accredited by the Council on Accreditation of Nurse Anesthesia Educational Programs or its predecessor.
- State licensure as a registered professional nurse. Compliance with state of Iowa requirements for advanced registered nurse practitioner (ARNP).
- Certification by the Council on Certification or recertification by the Council on Recertification or their respective predecessors or, if pending initial certification, evidence of graduation from an approved nurse anesthesia educational program.
- Insurable by the appropriate medical malpractice insurer for the limits required by this institution.
- Demonstrates current competency in those clinical responsibilities for which the candidate applies
For the 6th year in a row, Greater Regional has been named one of the Top 50 Workplaces in Iowa, which we credit to our employees shared cultural values. We are also proud to announce Greater Regional is one of the Top 100 Critical Access Hospitals in the nation 6 years running. Greater Regional offers an outstanding benefits package to all full-time employees which includes IPERS, tuition reimbursement, wellness screenings, wellness reimbursements, and more. Patients have a choice in health care, they choose Greater Regional Health. You have a choice in employment, choose Greater Regional Health. Apply online or call Jade Wilbourne at .
In order for current employees to be eligible to receive a referral bonus, the applicant cannot have worked at GRH previously and the applicant must include the full name of a current GRH employee on their UKG application in the blank provided. New hires must be hired for a regular, non-casual position to be eligible for bonus. New hires must not drop status for two years after hire for referring employee to get the full bonus. Managers will not be eligible if referring a new team member to their respective department.