Nurse Anesthetist - University of Rochester : Job Details

ResponsibilitiesROLE:CRNAs provide anesthesia services to patients of all ages at Strong Memorial Hospital and the Ambulatory Surgical Center at Sawgrass under the medical direction of members of the faculty of the Department of Anesthesiology of the University of Rochester Medical Center. They are an integral part of the surgical team working closely with anesthesiologists, surgeons, and operating room nurses and other healthcare professionals. They provide anesthesia care for ENT, Plastics, Ophthalmology, Urology, Orthopedics, GI, OB/GYN, Transplant, Cardiac, Pediatric, Dental, Thoracic, Vascular, Trauma and Burns, and General Surgery patients.In keeping with the mission and values of both the Department of Anesthesiology and Strong Memorial Hospital, all employees are responsible for care and services that reflect and demonstrate our mission and core values.HOPSPITAL MISSION STATEMENT:“We improve the well-being of patients and communities by delivering innovative, compassionate, patient- and family-centered health care, enriched by education, science, and technology.”DEPARTMENT OF ANESTHESIOLOGY MISSION STATEMENT:“The mission of the Department of Anesthesiology is to deliver through excellence in peri-operative medicine, pain management and critical care, outstanding education and innovations in research.”PART I. JOB SPECIFIC DUTIES55% Conducts and maintains the anesthetic as evidenced by:Selects and implements appropriate anesthetic agent.Initiates and maintains patient ventilation when appropriate.Provides for protection of the patient's eyes and pressure points when appropriate.Observes and records the effects of ambient temperature on the patient when appropriate.Evaluates the adequacy of anesthetic depth.Evaluates, records, and treats any cardiovascular dysrhythmia.Evaluates, manages, and documents fluid and electrolyte status.Identifies and determines the need for blood component therapy.Effectively adjusts the anesthetic to meet requirements of patient need.Evaluates the need for drug antagonism and reversal.Recognizes and reports any abnormal patient responses.20% Administers/Induces Anesthesia as evidenced by:Provides an appropriate general anesthetic (i.e. rapid sequence)Establishes and maintains patient airway with OETT, while minimizing laryngoscopy time, establishing tube placement within 30 seconds, observes and affirms tube placement (breath sounds, ETCO2 level, capnograph pattern).Establishes regional anesthesia in a safe and timely manner.5% Completes and documents pre-anesthesia patient assessment according to current anesthesia standards for any person requiring any form of anesthesia or IV sedation as evidenced by:Collaborates with all members of the health care team to ascertain acuity needs of patient.Chart review, patient interview, and appropriate documentation of patient history.Physical examination of patient, including airway examination.Offers psychological support while explaining the anesthetic risk/benefit and obtaining an informed consent for all planned and potential forms of anesthesia.5% Selects appropriate equipment and techniques for use in the accomplishment of goals outlined in the anesthesia care plan/management plan as evidenced by:Evaluation of the functional status of anesthesia equipment (machine, suction, laryngoscope, monitors, etc.)Assures presence and functioning of emergency equipment prior to initiation of any anesthetic technique.Calculation of drug doses; preparation and appropriate labeling of syringes.Appropriate selection of airway management equipment.Appropriate application and selection of monitoring modalities.5% Supervises Student Registered Nurse Anesthetists (SRNAs) in the delivery of anesthesia care. Participates in education program for SRNAs.2% Appropriately and effectively administers pharmacological agents.Administers drugs based on individual patient need, dosage and interaction.Follows hospital policy on controlled substances security and sign out.Evaluates patient response to pharmacological agents.Effectively treats any adverse drug reaction.2% Terminates the anesthetic and emerges the patient from anesthesia.Prepares the patient for emergence.Demonstrates knowledge of extubation criteria.Extubates patient and evaluates ventilatory status.Determines patient stability prior to transport to PACU.Leaves the OR in a state of readiness prior to leaving for PACU.Transports patient safely to PACU.Gives a thorough report to the PACU nurse.2% Evaluates the attainment of anesthesia care goals.Evaluates response to anesthesia care (immediate or delayed).Evaluates and documents patient status on admission to PACU.Recognizes current or possible problems/complications/side effects.Communicates evaluation findings with the pertinent members of the health care team.2% Completes departmental documentation and post anesthesia rounds.Completes patient care log appropriately.Completes narcotic record appropriately.Completes and documents post-anesthesia rounds.2% Assists with starting difficult intravenous lines, inserting difficult arterial lines, obtaining difficult arterial blood gases, performing emergency endotracheal intubation and cardiopulmonary resuscitation throughout the hospital. Acts as a resource for critical care management in the intensive care unit as needed.Part II. REQUIRED BEHAVIORAL ATTRIBUTESPresents self in a positive, professional manner/attitude as evidenced byExplains procedures/processes to patientsWears proper attire and name identificationGreets patients and states name and roleArrives to work on time ready to workSmiles and carries self with an air of confidenceFocuses on priorities of the workplace leaving personal issues asidePromotes positive image of hospital in communityCollaborates to achieve team goals as evidenced by:Willing to go above and beyond the call of dutyShows appreciation of others' contributions through recognition and rewardMaintains healthy interpersonal relations through effective communication skillsShows commitment and support to coworkers, patients and guestsDemonstrates effective/creative problem solving offering innovative solutionsShares ideasUtilizes team members as role modelDemonstrates flexibility and is open to change as evidenced by:Resets priorities as neededAdapts to and is supportive of changes in the workplace and community needsSeeks alternatives before saying “no”Demonstrates respectful behavior with all coworkers, patients and guests as evidenced by:Maintains awareness and consideration of social diversity and personal dignityProtects personal and hospital propertyEnsures privacy and confidentialityInteracts with all coworkers, patients and guests using common courtesyAddresses the independent and unique personal needs of coworkers, patients and guestsInvolves others in decision makingProvides pertinent information to coworkers, patients and guests.Communicates effectively with coworkers, patients, guests and other departments as evidenced by:Actively and attentively listens with empathy and concern while keeping an open mindResponds with appropriate verbal and nonverbal communication techniquesProvides feedback to and from patients and coworkersDocuments/maintains records according to regulatory and department standardsAccountable for a safe and clean work environment as evidenced by:Adheres to Environment of Care standardsAdheres to Infection Control/OSHA guidelinesCleans up after self, recognizing the workplace as a homeConsistently strives for everyday excellence as evidenced by:Maintains job competency as required and outlined by the job descriptionParticipates in ongoing education and develops a plan for personal developmentMentors coworkers and shares knowledge and skillsDemonstrates accountabilityLearns from mistakesDemonstrates enthusiasmEffectively uses resourcesParticipates in performance improvement initiativesParticipates in staff meetings, professional organizations, continuing education and community organizations as required.PART III. EDUCATIONAL BACKGROUND AND REQUIREMENTSEducation/Experience (minimum required):Bachelor of Science in Nursing (BSN) or other appropriate baccalaureate degree. At least one year of experience as a registered nurse in an acute care setting.Graduation with a minimum of a master's degree from a nurse anesthesia program accredited by the Council on Accreditation of the American Association of Nurse Anesthetists.Pass the national certification examination within 24 months after graduation.License/Certification Required:Current New York State Registered Nurse's License.Maintenance of current recertification requirements of the Council on Accreditation of the American Association of Nurse Anesthetists.Maintains at least 40 hours of continuing education every two years.The University of Rochester is committed to fostering, cultivating, and preserving a culture of equity, diversity, and inclusion to advance the University's mission to Learn, Discover, Heal, Create – and Make the World Ever Better. In support of our values and those of our society, the University is committed to not discriminating on the basis of age, color, disability, ethnicity, gender identity or expression, genetic information, marital status, military/veteran status, national origin, race, religion/creed, sex, sexual orientation, citizenship status, or any other status protected by law. This commitment extends to the administration of our policies, admissions, employment, access, and recruitment of candidates from underrepresented populations, veterans, and persons with disabilities consistent with these values and government contractor Affirmative Action obligations.How To ApplyAll applicants must apply online.EOE Minorities/Females/Protected Veterans/DisabledPay RangePay Range: $228,738 - $343,096 AnnuallyThe referenced pay range represents the minimum and maximum compensation for this job. Individual annual salaries/hourly rates will be set within the job's compensation range, and will be determined by considering factors including, but not limited to, market data, education, experience, qualifications, expertise of the individual, and internal equity considerations.Apply for JobCareersSign InNew UserLocation: Medical Faculty GroupFull/Part Time: TAROpening: