Johns Hopkins University CRNA in Baltimore, Maryland

CRNA

Range: MI

Level: 4

Salary: Competitive

Status: Full Time

School: School of Medicine

Location: Johns Hopkins Bayview

Location City: Baltimore

Location State: MD

Resume Required for Application: Yes

Area of Interest: Clinical / Medical

General Description

The Department of Anesthesiology and Critical Care Medicine is seeking a Certified Registered Nurse Anesthetist (CRNA).

Primary responsibilities are (a) the administration of intravenous, inhalation and other anesthetics to patients in an operating room and (b) observing the physiological condition of patients while under anesthesia. In conjunction with these primary responsibilities (a) evaluates each assigned patient’s physical state and plans the course of anesthesia, (b) obtains, assembles, operates, and/ or monitors anesthesia equipment and (c) ensures that all necessary supplies, drugs and anesthetic agents are available. They administer anesthetics in collaboration with an attending anesthesiologist, who is physically present in the hospital at all times. Such administration of anesthetics involves the diagnosis and treatment of acute moment-to-moment changes in a patient’s condition modified by acute effects of surgery, anesthesia, and the patient’s ongoing medical problems.

Perform and document pre-operative assessments and evaluation to include requesting consultation, diagnostic studies, ordering and administering pre-anesthetic medications and fluids and obtaining informed consent. Developing and implementing an anesthetic plan which may include general, regional, combined, local, and sedation techniques. Selecting, applying and inserting appropriate non-invasive and invasive monitoring devices for continuous evaluation of the patient’s physical status. Selecting and administering anesthetics, adjuncts and accessory drugs and fluids necessary to manage the anesthetic. Manage the patient’s airway and pulmonary status using current practice modalities.

Facilitating emergence and recovery from anesthesia by selecting, obtaining, ordering, and administering medications, fluids, and ventilatory support. Discharging the patient from a post-anesthesia care area and providing post-anesthesia follow-up evaluation and care. Implementing acute and chronic pain management modalities.

The CRNA will assume responsibility for preparation of any case that they are assigned. This includes: Preparation of the facility in which the anesthetic is to be delivered (i.e. machine check, intravenous fluids, fluid warmers, emergency drugs, etc.). Ensure blood and other necessary “special” requirements are readily available for the procedure (i.e. mannitol). The CRNA will ensure that a pre-operative evaluation is complete prior to a schedule surgery, to include proper cardiovascular and pulmonary clearance for at risk patient. The CRNA will consult with the faculty anesthesiologist supervising the case prior to patient arrival in the operating room to discuss the anesthetic plan. In the event that a SRNA is working with the anesthesia team the SRNA will contact the CRNA they are assigned with the night before surgery to discuss the case assignments. Anesthesia plan will be a collaborative agreement between the anesthesia team members.

The CRNA will ensure that the patient is properly consented and understands the anesthetic plan. The CRNA will assume responsibility for patient identification, and surgical site identification (“the time out”) in the absence of the anesthesiologist. 6. The CRNA will implement the anesthetic plan and make changes based upon physiologic or surgical alterations. To include the implementation of invasive monitoring. The CRNA will update the attending anesthesiologist of any critical changes in the case of patient physical status. The CRNA will manage emergence of anesthesia and transport the patient to the appropriate recovery area in accordance with departmental and hospital policy (PACU, ICU). The CRNA will provide a thorough report to the receiving unit and when necessary to the physician responsible for patient care, prior to transferring patient care, and responsibility to the receiving unit.

Qualifications

Complete the requirements for a degree or diploma from an education program in nurse anesthesia approved by the Maryland Board of Nursing. If the nurse anesthesia program was completed after January 1, 2008, then the program must be at a master’s degree or higher. A minimum of a Master’s degree is preferred.

Must be certified by the Council on Certification of Nurse Anesthetists or from another certifying body approved by the Board, or in the process of acquiring such certification. Current Maryland State RN and CRNA licensure required. Current CPR (BLS & ACLS) certification required. Must maintain current licensure and certification during duration of employment. Completion of the BMC credentialing process is required prior to start date.

This is a Required Attendance position. In the event of unexpected university closings, the employee in this position is required to report and/or remain at work.

Physical Requirements:

Must be able to remain in a stationary position for an extended period of time. Must be able to move throughout the hospital as needed for patient care. Must be able to wear lead apron weighing up to 15.5 lbs. Ability to push and pull objects weighing 50 lbs. or more. Ability move or transport objects weighing 50 lbs. or less. (e.g. transport monitors from ICU to OR, medical equipment from workroom to OR). Ability to transfer patients between beds and stretchers. Ability to adjust and raise the head of a hospital bed.