CRNA Job Posting

Practice Setting
Teaching hospital with exposure to trauma, cardiovascular, vascular, orthopedics, obstetric, and pediatric patients.

Supervision and Collaboration

The CRNA will work closely with a directing anesthesiologist. This partnership will be based on respect, shared goals for the
patient and an atmosphere of continuing education.
The CRNA will be a member of the anesthesia care team. Collaboration with OR staff, medical doctors, surgeons and
ancillary staff is required.
Clinical Responsibilities
Preanesthesia Assessment The CRNA will perform an evaluation of the patient and talk with them about their procedure.
Premedication and the ordering and review of necessary labs and testing. The interview will also spotlight what the patient
wants and expects from their anesthesia plan.
Anesthesia Plan Development of this individualized plan notes the various medical conditions and drug interactions to be
aware of for anesthesia. The plan recommends the safest and most advantageous course of anesthesia delivery for the patient.
Types of anesthetic plans that should be considered: types of intubation, types of anesthetic including general anesthesia,
regional anesthesia, monitored anesthesia care, combinations of all three and the ability to decline anesthesia care for patients
too unstable for surgery.
Patient Preparation The CRNA will help prepare the patient for their procedure and the anesthesia. They may put in the
needed IVs or check that they are ready for use. They will help set up any monitoring devices to check blood pressure, pulse
and temperature of the patient.
Anesthesia Preparation and Administration The CRNA will administer all anesthesia and supporting drugs and monitor the
patients reaction. Particular areas of concern are: airway management techniques; cardiopulmonary resuscitation
management; invasive and noninvasive monitoring; mechanical ventilation/oxygen therapy; fluid, electrolyte, acid-base
management; blood, blood products, plasma expanders; peripheral intravenous/arterial catheter placement, central venous
catheter placement; pulmonary artery catheter placement and acute and chronic pain therapy. They will continue to monitor
the patients status throughout the procedure and adjust the medications accordingly. As the procedure comes to a close, the
CRNA will bring the patient out of the anesthesia and prepare them for transfer to recovery.
Follow Up The patient will be monitored while in recovery for any adverse effects from the anesthesia. The CRNA will
make sure that all patient documentation regarding the anesthesia is updated and accurate.
Emergency Management The CRNA will react to an emergency with the standard procedures as outlined by the practice in
which they work. They are responsible for the patients airway, emergency drug and fluid management, and any life support
measures they are called on to do.
Administrative Duties The CRNA will be responsible for other aspects of their practice such as patient record management,
procedure coding and billing, inventory and restocking, and patient scheduling.
Performance Appraisal
Performance appraisal should be completed every 3 months during the first 9 months of employment and followed by yearly
evaluations. Areas of needed improvement should be identified and a plan put into place to enhance performance.
Evaluations should be completed by the lead CRNA with input from supervising attending physicians. Areas of evaluation
would include clinical expertise, interpersonal relationships, and clinical compliance and completed continuing education
credits.