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Nantucket

    CRNA - Per Diem - Nantucket, MA, United States - Partners Healthcare System

    Partners Healthcare System
    Partners Healthcare System Nantucket, MA, United States

    2 weeks ago

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    Description
    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.
    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.

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