Certified Registered Nurse Anesthetist

Fresenius Medical Care nurses are on the front line of patient care, improving the quality of life of every patient, every day. That means providing dialysis care to 10-12 patients at any given time, and collaborating with our multi-disciplinary team to deliver a unique care plan to each one of them. This role is all about relationships and the bond you’ll create with patients and their families. Prior dialysis nursing experience is helpful, but many successful candidates come from a background in ICU, PCU and/or surgery. PURPOSE AND SCOPE: 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.

Responsibilities

Perform and document the pre anesthesia 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, necessary to provide anesthesia services; Document a time-based record of events during peri-anesthetic care; 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 post anesthesia; Provide post anesthesia follow-up evaluation 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; Place and manage regional anesthetic techniques, as delineated by his or her clinical privileges or granted special privileges; Insert and manage peripheral, arterial, pulmonary catheter, or central venous lines and catheters; Provide patient and caregiver education; Consult with respiratory care providers and implement respiratory and ventilator care when appropriate; Support patient safety when performing job functions and through participation in facility, department, or unit patient safety initiatives; Take action to correct observed risks to patient safety; Report adverse events and near misses to appropriate management authority; Identify possible risks in processes, procedures, devices and communicate the same to those in charge; Perform advanced and interventional pain management using drugs, regional anesthetic techniques, or other accepted pain relief modalities with or without fluoroscopic guidance; Utilize ultrasound, fluoroscopy, as appropriate; Participate in center quality meetings, medical executive meetings and other management meetings upon request from the Medical Director; Review and comply with the Code of Business Conduct and all applicable company policies and procedures, local state and federal laws and regulations; Other duties as assigned

Requirements

Graduate of a nurse anesthesia educational program accredited by the Council on Accreditation of Nurse Anesthesia Educational Programs or its predecessor; Current Appropriate State Licensure and complies with any applicable state statutory and regulatory requirements concerning CRNAs; BLS and ACLS certification; Currently certified or recertified by the National Board of Certification and Recertification for Nurse Anesthetists; Insurable by an appropriate medical malpractice insurer for the limits required by this institution or state; 8 – 12 years’ related experience or an equivalent combination of education and experience; 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; Knowledge of infection prevention and control techniques; Ability to maintain confidential records; Ability to implement and adhere to facility policies and procedures

Nice to have

5 years CRNA experience; Prior dialysis nursing experience; ICU, PCU and/or surgery background

Benefits

Healthcare; Continuing Education; Paid Time Off; Collaborative Environment; Additional Perks; 401(k) Retirement Saving