CRNA / General Practice

Job Summary: Responsible for administering anesthetics to prevent patients from feeling pain and associated sensations. The CRNA closely monitors a patients vital signs during surgery and adjustsanesthetics accordingly as well as monitors patients through the first recovery stages after an operation and administers appropriate medications during recovery. The CRNA also treats patients during painful invasive procedures and childbirth, performing all assigned duties while displaying the highest standards of ethical and moral conduct as well as acting in the best interest of thesupport hospital mission, vision, and values to optimize the health and well-being of our patients.A. Primary Job Responsibilities:1. Examines the patient before and after anesthesia, obtains medical history, and writes pre- and post-anesthesia orders2. Uses patient history and diagnostic tests to determine risk during surgical, obstetrical, and other medical procedures3. Creates anesthesia plans4. Confirms that the patient is ready for anesthesia before induction5. Helps prepare patients for emergency surgery6. Positions patient on operating table to maximize patient comfort and surgical accessibility7. Administers anesthetic or sedation during medical procedures, using local, intravenous, spinal,regional, or caudal methods8. Monitors patient before, during, and after anesthesia and counteracts adverse reactions or complications9. Provides and maintains life support and airway management10. Records the type and amount of anesthesia used and the patients condition throughout the procedure11. Decides when patients have recovered or stabilized enough to be sent to another room or to be sent home following outpatient surgery12. Follows patient as long as is appropriate in the post-anesthesia period13. Creates treatment plans and writes orders on patient charts, which are transcribed andimplemented by appropriate staff14. Confers with other medical professionals to determine that patients medical status is optimizedprior to surgery15. Coordinates and directs work of nurse anesthetists, anesthesiologist assistants, medicaltechnicians, and other healthcare providers16. Initiates appropriate specialty referrals17. Ensures that proper patient documentation is timely, accurate, complete, and is compliant withoffice, hospital, and government entities18. Works with practice management to ensure proper compliance with billing, coding, and CPTcode assignment19. Encourages increased patient understanding, and involvement in care and treatment decisions20. Participates in the development of medical services, including protocols, standard procedures, and management of patient-care-related activities21. Provides on-call coverage as necessary to care for group practice patients of other physicians22. Gives feedback to and accepts feedback from all staff in a respectful manner23. Acts in a positive and professional manner, complying with practice policies, procedures, and federal and state laws24. Performs other duties and responsibilities as assignedB. Other Job Responsibilities:1. Efficiently uses group practice and healthcare resources2. Provides interdepartmental medical consultation as requested.3. Contributes to quality improvement activities by actively participating in the medical staffactivities, serving on various committees, and suggesting and supporting processimprovements.4. Works with the hospital or clinical peer review committee when clinical issues ariseEducation/Certification/Licensing Requirements:1. Current certification by the National Board of Certification and Recertification for Nurse Anesthetist.2. Valid and unrestricted Guam Nursing license3. ACLS, PALS, NRP Certification4. Active Controlled Substance Registration5. Active DEA RegistrationKnowledge, Skills, and Abilities:1. Strong working and theoretical knowledge of anesthesia. Knowledge of information and techniques needed to diagnose and treat human injuries, diseases, and deformities. This includes symptoms, treatment alternatives, drug properties and interactions, and preventive healthcare measures. Knowledge of the chemical composition, structure, and properties of substances and the chemical processes and transformations they undergo. This includes uses of chemicals and their interactions, danger signs, production techniques, and disposal methods.2. Ability to work in emergency situations under tremendous pressure and work long and irregular hours. Ability to concentrate for long periods of time and make accurate and immediate decisions. Ability to effectively manage and direct medical staff activities while managing the anesthetic period. Ability to receive detailed information, and express and exchange ideas orally.Community:Located in the heart of the Western Pacific, Guam is an island territory of the United States, the largest of the Mariana and Micronesian islands, and home to some of the warmest people in the world. Known for its white sand beachesand crystal clear ocean waters, Guam is a perfect destination for families, honeymooners, divers, and anyone looking to relax and get away from crowded city life. And with non stop flightsfrom cities in Japan, South Korea, Taiwan, Hong Kong, Philippines, and Hawaii " most between 4 and 5 hours " getting away is quick, easy, and convenient.