Certified Registered Nurse Anesthetist (Doral, FL)
University of Miami

Job Info

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Job Description

Job Family: Clinical and allied Health

Job Function: Clinical Services

Job Title: CRNA, Clinical Programs

FLSA Status: Non Exempt

Supervisor's Title: Director, Clinical Programs

Revision/Creation Date: 08-21-2013

Job Summary (Purpose and Function):

All of the above functions will be performed under either the medical direction or supervision of an Anesthesiologist using protocols developed by the Department of Anesthesiology, Perioperative Medicine and Pain Management. This applies to all subsequent details of the clinical work as set forth in the privileges, protocols, and the policies and procedures of the Department of Anesthesiology, Perioperative Medicine, and Pain Management's. The physician will be available for consultation.

The physician's responsibilities of patient care will be in compliance with the Department of Anesthesiology, Perioperative medicine and Pain Management's protocols, policies, and procedures.

General Area of Practice:

CRNA/ARNP may manage the health care for those patients for which he/she has been educated and credentialed either under the medical direction or supervision of an Anesthesiologist using protocols developed by the Department of Anesthesiology, Perioperative medicine, and Pain Management. This applies to all subsequent details of clinical work as set forth in privileges, protocols, and the policies and protocols of the Department of Anesthesiology, Perioperative Medicine, and Pain Management. Copies of privileges are available upon request.

Pre-Anesthetic Preparation and Evaluation:

• Obtaining an appropriate examination and healthy history including biophysical and psychosocial data.

• Conducting an appropriate health history screening assessment.

• Recommending or requesting and evaluation pertinent diagnostic studies.

• Selecting, obtaining, ordering, or administering pre-anesthetic medications.

• Documenting the pre-anesthetic evaluation and obtaining informed consent for anesthesia.

Anesthesia Induction, Maintenance and Emergency:

• Obtain, prepare, or utilize all equipment, monitors, supplies and drugs used for the administration of anesthesia; perform or order safety checks as needed/

• Selecting, obtaining, or administering the anesthetics, adjuvant drugs, accessory drugs, and the fluids necessary to manage the anesthetic, to maintain the patient's physiologic homeostasis, and to correct abnormal responses to the anesthesia or surgery.

• Performing tracheal intubation and extubation; placing supraglottic airway providing mechanical ventilation.

• Managing regional anesthetic techniques including, but not limited to subarachnoid, epidural, and caudal blocks; plexus, major and peripheral nerve blocks; intravenous regional anesthesia; transtracheal, topical and local infiltration blocks. Performance of any block requires special demonstration of competency and is conferred individually on an annual basis by the Chief of Service at the site/ Performance of any plexus, major and peripheral nerve block also requires approval on any annual basis by the Chief of Regional Anesthesia in addition.

• Providing appropriate perianesthetic invasive and non-invasive monitoring utilizing current standards and techniques and responding to abnormal findings with corrective action

• Recognizing and treating cardiac dysrhythmias through the use of perianesthetic electrocardiogram monitoring.

• Recognizing abnormal patient response during anesthesia, selecting and implementing corrective action and requesting consultation whenever necessary.

• Managing the patient's fluid, blood, electrolyte, and acid-base balance.

• Evaluation patient response during emergency from anesthesia and instituting pharmacological or supportive treatment to ensure the adequacy of patient recovery from anesthesia and adjuvant drugs.

• Providing anesthesia care consistent with infection control and anesthetic safety principles in order to prevent the spread of disease and prevent harm to the patient, the anesthetist and others in the anesthetizing environment.

• Documenting as part of the medical record, all aspects of anesthesia-related care in thorough and timely fashion.

Post-Anesthesia Care:

• Providing a thorough report of the patient's psychological and physical condition, perianesthetic course and anticipated problems to the post-anesthetic nurse and physician who assume the patient's care following anesthesia.

• Providing post-anesthesia follow-up and evaluation of the patient's response to anesthesia and for potential anesthetic complications, taking appropriate corrective action and requesting consultation whenever indicated.

• Initiating and administering respiratory support to ensure adequate ventilation and oxygenation in the immediate post anesthesia period.

• Initiating and administering pharmacological or fluid support of the cardiovascular system during the immediate post anesthesia period as necessary to maintain appropriate physiologic parameters.

Perianesthetic And Clinical Support Function:

• Inserting central intravenous catheters or pulmonary artery catheters requires special demonstration of competency and is conferred individually on an annual basis by the Chief of Service at that site.

• Inserting Peripheral venous catheters.

• Inserting arterial catheters and performing arterial puncture to obtain arterial blood samples.

• Identifying and managing emergency situations, including initiating or participating in cardiopulmonary resuscitation that involves airway maintenance, ventilation, tracheal intubation, pharmacologic cardiovascular support, and management of blood, fluid, and electrolyte and acid-base balance.

• Providing consultation and implementation of respiratory and ventilator care.

• Initiating and modifying pain relief therapy utilizing drugs, regional anesthetic techniques or other accepted pain relief modalities as directed by attending anesthesiologist.

• Selecting or prescribing medication and treatment modalities related to the perianesthetic care of the patient, with consultation or collaboration when appropriate.

• Accepting additional responsibilities appropriate to the practice setting, which are within the expertise of the individual CRNA.

• Perform any other procedures, which the CRNA has been educated to perform.

Location Of Practice:

This CRNA/ARNP protocol applies to all Department of Anesthesiology, Perioperative Medicine, and Pain Management CRNA/ARNP providers practiving at any of the University of Miami Health Care Facilities, including University of Miami Hospital, Sylvester Comprehensive Cancer Center, and Bascom Palmer Eye Institute. Supervising physicians includes the Department/ Chairman/ Division Chief as indicated below at each practice site, and other attending physicians in the Department of Anesthesiology, Perioperative medicine, and Pain Management.

Minimum Qualifications (Essential Requirements):

A Master's Degree and a graduate from an accredited School of Nurse Anesthesia Program (CRNA) with a current/valid State of Florida CRNA License and NBCRNA certification are required. Current ACLS, BLS, PALS, HIV,

Domestic Violence, and Preventing Medical Errors continuing education certifications also required. Any combination of relevant education, work experience, and / or certifications will be considered

The University of Miami offers competitive salaries and a comprehensive benefits package including medical, dental, tuition remission and more.

UHealth-University of Miami Health System, South Florida's only university-based health system, provides leading-edge patient care powered by the ground breaking research and medical education at the Miller School of Medicine. As an academic medical center, we are proud to serve South Florida, Latin America and the Caribbean. Our physicians represent more than 100 specialties and sub-specialties, and have more than one million patient encounters each year. Our tradition of excellence has earned worldwide recognition for outstanding teaching, research and patient care. We're the challenge you've been looking for.

Patient safety is a top priority. As a result, during the Influenza ("the flu") season (September through April), the University Of Miami Miller School Of Medicine requires all employees who provide ongoing services to patients, work in a location (all Hospitals and clinics) where patient care is provided, or work in patient care or clinical care areas, to have an annual influenza vaccination. Failure to meet this requirement will result in rescinding or termination of employment.

The University of Miami is an Equal Opportunity Employer - Females/Minorities/Protected Veterans/Individuals with Disabilities are encouraged to apply. Applicants and employees are protected from discrimination based on certain categories protected by Federal law. Click here for additional information.

Job Status:
Full time

Employee Type:
Staff

Pay Grade:
H21