CERTIFIED REGISTERED NURSE ANESTHETIST

SITE OF SERVICE:

• Carl R. Darnall Army Medical Center, Fort Hood, TX

POSITION QUALIFICATION/REQUIREMENTS:

• Degree: Master's degree in nursing.
• Education: Graduate of a National League of Nursing accredited school of nursing and a graduate of an approved anesthesia program accredited by the Council on Accreditation of Nursing Anesthetists (COA).
• Certification: Must have and maintain one of the following:
  • Certification by the Council on Certification of Nurse Anesthetist
  • Certified as a Registered Nurse Anesthetist from the American Association of Nurse Anesthetists (AANA)
  • The National Board of Certification and Recertification for Nurse Anesthetists (NBCRNA).
• Additional Certifications: Must have the following hands-on certification through the American Heart Association or American Red Cross
  • Current Basic Life Support (BLS)
  • Current Advanced cardiac life support (ACLS)
  • Current Pediatric Advanced Life Support (PALS)
  • DEA registration number are required
• Experience: Must have current experience (3 months or more in the past 12 months) providing epidural anesthesia (labor epidurals). Be able to close encounters within seventy-two (72) hours of the patient encounter. Must have experience in the delivery of and monitoring of all types of anesthesia utilized in the delivery of obstetrical and surgical anesthesia (general endotracheal, 57 subarachnoid block and epidural, and IV regional techniques).

• Licensure: Possess a current and unrestricted license to practice as a registered nurse anesthetist in any one of the 50 states, the District of Columbia, Puerto Rico, Guam, or the U.S. Virgin Island.
• U.S. Citizenship: Shall be a U.S. citizen

• English Language Requirement: Able to read, write, and speak English well enough to effectively communicate.
• Physical Capability: Shall be physically capable of standing and/or sitting for extended periods of time and physically capable of performing all services required under the contract.

CORE DUTIES:

• Manage patient anesthesia experience, perform preoperative evaluations and preparations,
  administer monitored anesthesia care, regional and general anesthesia, monitor and manage patient
  reactions to anesthesia and surgery, manage fluid therapy, perform, and manage invasive monitoring, and perform post-operative evaluations as privileged.
• Perform a pre-anesthetic assessment and evaluation of the patient. This includes obtaining an informed consent from the patient, requesting consultations and/or diagnostic studies and ordering pre-anesthetic medications.
• Develop and implement an anesthetic plan of care.
• Perform an assessment immediately prior to induction of anesthesia of the patient. This shall include a review of the medical record with regard to completeness, pertinent laboratory data, time of administration and dosage of pre-anesthesia medication, together with an appraisal of any changes in the patient's condition from that noted on previous visits. This note shall include any previous anesthetic experiences and complications thereof noted in the medical record.
• Maintain the patient's physiologic homeostasis and corrects abnormal responses to the anesthesia
  and/or surgery.
• Collect and interpret patient physiological data by selecting, applying, or inserting noninvasive monitoring modalities.
• Manage the patient's airway and pulmonary status.
• Manage the patient's emergence and recovery from anesthesia by maintaining homeostasis, providing relief from pain and anesthesia side effects, and preventing and managing complications through selecting, obtaining, ordering, and administrating medications, fluids or ventilator support.
• Record all pertinent events taking place during the introduction of, maintenance of and emergence from anesthesia, including the dosage and duration of all anesthetic agents, other drugs, intravenous fluids and blood or blood components on all patients that have received anesthesia care.
• Record post-anesthetic visits, including at least one note describing the presence or absence of anesthesia related complications of the procedure.
• Serve as a resource person and assist with the training of other staff personnel, act as clinical adjunctive faculty for student nurse anesthetists in their clinical phase, to include phase II anesthesia students, in vein puncture and intravenous therapy, respiratory care, and anesthesia.
• Adhere to the Centers for Disease Control guidelines concerning universal precautions, and the MTF infection control program at all times while providing services under this contract.
• Monitor anesthesia care, management of patient anesthesia experience, and performing preoperative evaluations and preparations; administering Spinal, Epidural, Bier Block, Axillary Block, and other regional anesthesia, and general anesthetics monitoring patient reactions to anesthesia and surgery, managing fluid therapy, and performing post-operative evaluations. Advise Anesthesiologist or attending physician of adverse reactions necessitating non-delegated medical decisions; takes appropriate actions as directed or required.
• Ensure cleanliness and maintenance of anesthesia equipment.

HOURS:

• The MTF is a 24/7 facility therefore hours of performance are as follow
• Shifts may include 8, 10, or 12 hours, Sunday through Saturday, and may include weekends and holidays.
• A minimum 30-minute and not to exceed one (1)-hour unpaid meal break provided during the shift.
• Typical routine shifts range Monday through Friday but may change due to mission requirements to (include weekends and holidays).
• Services will not exceed 80-hours in a two (2) week period. At no time shall an individual CRNA perform consecutive 24-hour shifts.
• Hour in excess of 80-hours in a two (2) week period is considered overtime and must be approved in advance.
• Will be required to work on federally recognized holidays.

Base Down Days

• During a planned closure of the facility due to training, closures before or after holidays family down days, Employee will only be compensated for the actual hours worked. If clinic is closed and employee is not able to work, employee will be required to use leave or take LWOP (without penalty). 

Must be comfortable in a fast-paced, dynamic environment. Must be able and willing to reprioritize on short notice and work on multiple simultaneous projects. Flexible and able to work with various personalities. Team work skills required. Time management skills required. The ability to meet deadlines in a deadline intensive environment is essential. High level of adaptability and willingness to embrace change in a fast-paced, demanding environment.

LUKE does not discriminate on the basis of race, sex, color, religion, national origin, age, disability or veteran status in provision of services or employment opportunities and benefits.

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, or national origin.

Links:

To learn more about Luke, please visit our website at:

https://lukestaffing.com/

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