Job Purpose: Provide patient care and support for patients receiving monitored anesthesia care. The CRNA will participate in the preparation, administration and recovery of patients undergoing monitored anesthesia care for procedures in the ASCs. The CRNA will work independently or in conjunction with an Anesthesiologist and a Proceduralist to provide safe and high quality care for procedures in the ACSs. Other duties may include participating in other related activities as delineated by clinical and nonclinical responsibilities and needs of the department.

Essential Functions: In order to perform this job successfully, an individual must be able to perform each essential function satisfactorily and regular attendance is required. The responsibilities listed below are representative of the primary essential functions required; additional duties may be assigned. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Key Responsibilities:

• Review patient history in pre-procedure setting in order to determine best practice care.
• Develops plans of care for patients, in conjunction with an Anesthesiologist or Proceduralist
• During procedure, monitor and assess the patient as well as administer anesthesia and manage the patient's reactions accordingly.
• Ensures patients are stable for transfer of care to a recovery nurse.
• Discharge patients from recovery as appropriate.

Clinical Responsibilities: Care will be delivered based on the Standards of Care as outlined by the AANA (American Association of Nurse Anesthetists) and the ASA (American Association of Anesthesiologists)

• Preanesthesia assessment and risk stratification based on evidence based practice
• Requesting laboratory/diagnostic studies as necessary
• Preanesthetic medication
• General anesthesia and adjuvant drugs
• Regional Blocks:
  • Local infiltration
  • Topical
• Sedation techniques
• Cardiopulmonary resuscitation management
• Invasive and noninvasive monitoring
• Airway management techniques
• Mechanical ventilation/oxygen therapy
• Fluid, electrolyte, acid-base management
• Peripheral intravenous/arterial catheter placement
• Acute and chronic pain therapy
• Post anesthesia care/discharge

Qualification Requirements: The qualifications listed below are representative of the knowledge, skills, and/or abilities required to perform the essential functions of this position. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Educational Requirements: Graduate of a nurse anesthesia educational program accredited by the Council on Accreditation of Nurse Anesthesia Educational Programs or its predecessor.

Certifications/Licenses:

• Holds current state licensure as a registered nurse and advanced practice nurse in the state of Minnesota. Complies with state statutory or regulatory requirements concerning advanced practice registered nursing.
• Is currently certified by the Council on Certification of Nurses Anesthetists or its predecessor (NBCRNA)
• Insurable by an appropriate medical malpractice insurer for the limits required by this institution or state.
• Demonstrates current competency in nurse anesthesia clinical responsibilities;
  • Has a minimum of 2 years clinical experience in the field of nurse anesthesia
  • Provides references that demonstrates clinical competency in nurse anesthesia

• Current certification in Advanced Cardiac Life Support (ACLS) and Basic Life Support (BLS)

Knowledge, Skills and Abilities:

Working knowledge of:

• Gastrointestinal system
• Principles for providing compassionate care
• Infection control practices
• Emergency response
• Word processing
• Outlook email exchange

Skills:

• Compassionate patient care
• Active listening
• Problem solve, prioritization, and critical thinking
• Attention to detail
• Organization and time management
• Strong Assessment Skills

Ability to:

• Problem Solve
• Multitask
• Prioritize and be detail oriented
• Work effectively individually as well as a part of a team
• Use active listening skills
• Communicate effectively verbally and in writing

Physical Requirements: The physical requirements described here are representative of the physical demands required by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the employee is regularly required to talk or hear. The employee is regularly required to walk, sit, reach over head and bend to the floor and frequently required to stand for long periods of time. The employee frequently lifts and/or moves up to 50 pounds. The employee will be required to apply pressure to abdomen while assisting with procedures. The employee is regularly required to use dexterity of hands and fingers to operate a computer keyboard, mouse, and perform venipuncture. Specific vision abilities required by this job include close vision and the ability to adjust focus. The CRNA must be able to work for periods of time without a break.

Working Environment: The working environment described here is representative of the setting which an employee may encounter on the job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions

While performing the duties of this position,the employee works in a clinical environment and may be exposed to hazardous chemicals or conditions including exposure to blood or other body fluids. Appropriate Personal Protective Equipment (PPE) and training will be provided. The employee is exposed to a computer monitor daily. The employee may be required to travel by automobile and exposed to changing weather conditions while performing the duties of this position. While performing the duties of this position, the employee must be alert to conditions that may impact the safety of patients, employees and visitors.

This job description reflects management's assignment of key responsibilities; it does not prescribe or restrict the tasks that may be assigned.

MNGI Digestive Health provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.

It is the policy of MNGI Digestive Health to comply with all federal and state laws concerning the employment of persons with disabilities and to act in accordance with regulations and guidance issued by the Equal Employment Opportunity Commission (EEOC). Furthermore, it is the company policy not to discriminate against qualified individuals with disabilities in regard to application procedures, hiring, advancement, discharge, compensation, training or other terms, conditions and privileges of employment

MNGI's Culture of Caring

"We are caring people caring for people". All caregivers should reflect our core values:

• Compassion: being empathetic and considerate of the needs of our patients and caregivers
• Teamwork: Being accountable for actions, supporting each other in meeting the needs of our patients, and respecting the voice/opinions of others assuming good intent.
• Integrity: Demonstrating honesty, trustworthiness, and transparency whenever you interact with patients or each other.

The MNGI Team Promise

We recognize every member of our team as a caregiver. We acknowledge that we each individually and collectively contribute to our patients' care experiences, and therefore their healing. We promote a Culture of Caring for our patients and each other.

To support our Culture of Caring we:

• Embrace open communication, mutual acceptance, trust, respect, empathy and a commitment to personal and professional growth.
• Value diversity, accountability, problem-solving, collaboration, and contribution