GENERAL SUMMARY/ OVERVIEW STATEMENT:
A Certified Registered Nurse Anesthetist (CRNA) is responsible for the pre-operative, intra-operative, and immediate post-operative care of the patient requiring anesthesia for surgical, medical, therapeutic or diagnostic procedures. This care includes, but is not limited to, pre-operative assessments, anesthetic care plans, assembly and care of specialized equipment; application, insertion and interpretation of data from anesthetic monitors; airway management; delivery of general, regional anesthesia, and monitored anesthetic care; induction, maintenance, and emergence of the patient; care of the patient in the immediate post-operative setting; and post-operative assessments in collaboration with a physician member of the Department of Anesthesiology. These services are rendered in the main operating rooms, Labor and Delivery, and designated "Out of OR" anesthesia locations (i.e. Radiology, MRT, etc.) CRNAs also fulfill a teaching function for the Student Registered Nurse Anesthetists that rotate to the BWH for their clinical experience. Clinical research may be available as an adjunct for the CRNA who is interested in that area of practice, depending on protocols available, but is not a department requirement nor is it usually sponsored by the anesthesia department. All CRNAs must comply with federal, state, hospital, and departmental guidelines as they pertain to the delivery of anesthesia care at the Brigham and Women's Hospital.
Basic qualifications for the CRNA applicant for clinical privileges shall include:
1. State licensure as a registered professional nurse. Compliance with Massachusetts regulatory requirements regulating advanced practice for nurse anesthesia.
2. Graduation from a program of Nurse Anesthesia education accredited by the National Board on Certification and Recertification of Nurse Anesthetists (NBCRNA) or its predecessor. Masters is required. Doctorate highly preferred.
3. Certification by the Council on Certification or recertification by the Council on Recertification or their respective predecessors.
4. Basic Life Support (BLS) and Advanced Cardiac Life Support (ACLS) certification.
SKILLS/ ABILITIES/ COMPETENCIES REQUIRED:
The following list of anesthesia and related services should be utilized to delineate the clinical responsibilities of the individual who can demonstrate new or continued competency. More clinical responsibilities may be added as additional education and experience is obtained by the individual practitioner.
- Pre-anesthesia assessment.
- Requesting laboratory/diagnostic studies.
- Pre-anesthetic medication.
- General anesthesia and adjuvant drugs.
- Regional anesthesia placement and monitoring.
- Sedation techniques.
- Cardiopulmonary resuscitation management.
- Invasive and noninvasive placement and monitoring.
- Airway management techniques.
- Mechanical ventilation/oxygen therapy.
- Fluid, electrolyte, acid-base management.
- Blood, blood products, plasma expanders.
- Peripheral intravenous/arterial catheter placement.
- Central venous catheter placement.
- Pulmonary artery catheter placement.
- Acute and chronic pain therapy.
- Post anesthesia care/discharge.
- Seeks physician direction based on patient condition.
Anesthesia care is given in the main operating rooms of the BWH, or its affiliating institutions, as well as several designated "Out of OR" locations, which are, for example, Radiology, Cardiac Cath Lab, CT, MRI, MRT, Endoscopy, Angiography, among others. These locations are often geographically far from the main ORs. In these environments, work proceeds in an atmosphere that includes many forms of electrical, mechanical, gas driven, and radiation and laser emitting equipment. The environment can be warm, cold, dimly lit and crowded as well as spacious and well lit. SUPERVISORY RESPONSIBILITY: CRNAs may also be responsible for the safe care provided by, and education of, the Student Registered Nurse Anesthetist (SRNAs) that rotate to BWH for their clinical experience. CRNAs also provide airway management skill education for department sponsored programs for non-anesthesia physicians, medical students, and Emergency Medical Technicians (EMTs).
FISCAL RESPONSIBILITY: None.
Weekend Rotation Per MNA Contract
Brigham and Women's Hospital is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, creed, sex, sexual orientation, gender identity, national origin, ancestry, age, veteran status, disability unrelated to job requirements, genetic information, military service, or other protected status. Brigham and Women's Hospital I CARE Standards The I CARE Standards guide me in my interactions with patients, family members, visitors, colleagues, and neighbors in my workplace and surrounding community to optimize the Brigham experience and help fulfill my role in our mission of providing seamless, high quality patient and family centered care. C. I will Communicate my commitment to high quality performance A. I will Appear and act as a professional R. I will Respect all individuals E. I will Extend myself
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