A Certified Registered Nurse Anesthetist (CRNA) in an advanced practice
registered nurse (APRN) who practices both autonomously and in collaboration
with a variety of health providers on the interprofessional team to deliver
high-quality, holistic, evidence-based anesthesia and pain care services.
The CRNA cares for patients at all acuity levels across the lifespan in
a variety of settings for procedures including, but not limited to, surgical,
obstetrical, diagnostic, therapeutic, and pain management.
ESSENTIAL FUNCTIONS, DUTIES, AND RESPONSIBILITIES:
Clinical responsibilities of the CRNA are delineated by his or her clinical privileges
and may include:
- Perform and document the preanesthetic assessment and evaluation of the patient.
- Review, request, and order (as permitted by state law), laboratory/diagnostic studies.
- Obtain informed consent for anesthesia and related services.
- Select, obtain, order, and administer preanesthetic medication or treatment.
- Develop and implement an anesthesia care plan.
- Select, obtain, prepare, and use equipment, invasive and non-invasive monitors,
supplies, and drugs for the administration of sedation, anesthesia, and
pain management services; perform safety checks as needed.
- Select, order, obtain, and administer analgesic and anesthetic agents,
adjuvant drugs, accessory drugs, fluids, or blood products necessary to
provide anesthesia services.
- Perform all aspects of airway management, including fiberoptic intubation.
- Facilitate emergence and recovery from anesthesia by evaluating patient
response, and selecting, ordering, and administering medications, fluids,
and ventilator support to maintain patient stability during transfer.
- Initiate and administer post-anesthesia pharmacological or fluid support
of the cardiovascular system.
- Initiate and administer respiratory support to ensure adequate ventilation
and oxygenation in the post anesthesia period.
- Evaluate the patient’s response to anesthesia and surgery; take appropriate
corrective action during the post anesthesia period.
- Provide post anesthesia follow-up evaluation and care.
- Discharge the patient from the post anesthesia care unit.
- Implement acute and chronic pain management modalities.
- Manage emergency situations by assessing, stabilizing, and determining
disposition of patients, including providing airway management, administration
of emergency drugs and fluids, and using basic and advanced cardiac life
Place and manage regional anesthetic techniques, as delineated by his or
her clinical privileges or granted special privileges, and may include:
- Plexus, major and peripheral nerve block
- Intravenous regional anesthesia
- Upper and lower extremity block
- Diagnostic and therapeutic nerve block
- Transtracheal, topical, and local infiltration block
- Retrobulbar block
- Intracapsular, intercostal, and ocular block
- TAP block
- Insert and manage peripheral, arterial, pulmonary catheter, or central
venous lines and catheters.
- Provide care to patients in intensive care in accordance with facility policy.
- Provide patient and caregiver education.
- Perform arterial puncture to obtain arterial blood samples.
- Consult with respiratory care providers and implement respiratory and ventilator care.
Additional nonclinical responsibilities of the CRNA may include, but are
not limited to:
- Quality assessment and quality assurance.
- Didactic and clinical education of students and staff.
- Appointment to facility committees and related activities.
- Interdepartmental liaison responsibilities.
Supports patient safety when performing his or her job functions and through
participation in facility, department or unit patient safety initiatives.
- Takes action to correct observed risks to patient safety.
- Reports adverse events and near misses to appropriate management authority.
- Identifies possible risks in processes, procedures, devices and communicates
the same to those in charge.
- Participates in required educational programs.
- Participates in monthly departmental meetings.
- Seeks ongoing professional educational growth.
- Maintains current licensure requirements for CRNA practice.
- Ability to perform clinically as a nurse anesthetist in the facility setting
on a regular basis.
- Ability to operate, use, and interpret data from a wide variety of equipment
to perform anesthesia care as well as necessary perioperative or operating
room care to support the safety and wellbeing of the patient while they
are under the direct care of the CRNA.
- Effective verbal and written communication skills are required to effectively
collaborate with various clinical staff and other disciplines.
- Ability to demonstrate knowledge and skills necessary to provide care appropriate
to the patient population(s) served.
- Ability to demonstrate knowledge of the principles of growth and development
over the life span and ability to assess data reflective of the patient’s
requirements relative to his or her population-specific and age specific needs.
- Attends all mandatory in-service classes.
- Completes all annual required educational competencies.
- Maintains certification in BLS, ACLS, PALS.
- Knowledge of infection prevention and control techniques.
- Ability to maintain confidential records.
- Ability to implement and adhere to facility policies and procedures.
OTHER FUNCTIONS, DUTIES AND RESPONSIBILITIES OF ALL EMPLOYEES:
- Supports and models individual behavior consistent with the Standards of
Excellence and the mission, vision and values of Livingston HealthCare.
Demonstrates commitment to customer service by:
- Building effective working relationships and treating others with respect
- Interacting with customers (Patients, co-workers and visitors) in a warm
and friendly way.
- Taking immediate action to meet customers’ needs or requests.
- Attentive to each customer concern.
- Demonstrates and encourages an ethic of open and effective communication
and teamwork throughout the organization
- Adheres to Livingston HealthCare’s Code of Conduct and Livingston
HealthCare and departmental compliance policies.
The above statements reflect the general duties considered necessary to
describe the principal functions of the job as identified and shall not
be considered as a detailed description of all the work requirements which
may be inherent in the position.