Selects & administers intravenous, spinal & other anesthetics prior to & during surgical or medical procedures, as a member of the anesthesia care team & in accordance w/ Kaiser Permanente policies & procedures. Monitors patient reactions & vital signs during & after anesthesia & takes remedial action when warranted. Submits postoperative report on patient condition, & maintains records of anesthetics administered. Performs procedures outside of the OR, in accordance w/ KP policies & procedures, established competency, & MD order.
Essential Functions:
- Conducts &/or reviews anesthetic evaluation of patients prior to surgical proceedings, deliveries or other pertinent medical procedures in hospital setting; consults w/ anesthesiologists &/or surgeons.
- Reviews patients charts, including permits, pre-operative medications, lab work, & any other significant variations, such as hearing aids, dentures, contact lenses, or other prostheses, in accordance w/ KP's policies & procedures & the departmental policy.
- Evaluates patients to identify apparent difficulties w/ airway control, etc.
- Ensures that all pre-anesthesia evaluations are documented thoroughly according to policies & standards.
- Explains tests, procedures & disease processes to patients & their family as indicated; explains the major anesthetic risks to patients as requested & documents that the risks are explained to patients.
- Develops the care regimen of assigned patients; reviews the care regimen w/ the supervising physician & gains concurrence; implements the anesthesia plan; starts IV solution, administers selected anesthetic, choice of anesthetic consistent w/ patient safety, surgical need, possible post operative complications, & patients history & conditions & evaluates & manages the patient, according to departmental policy.
- Participates w/ post anesthesia care unit personnel in a patient safety oriented interface when patients are transferred from the surgery suite.
- Monitors patients' vital signs, such as blood pressure & observes any significant physical changes; informs anesthesiologist &/or surgeon of patient's condition & takes any necessary remedial action such as infant resuscitation when necessary.
- Mixes solutions to required concentrations, such as Pentothal, Succinylcholine, vaso-active drugs etc.
- Keeps current accurate & complete record of procedures performed & patients' conditions immediately prior to the administration of anesthesia according to established standards.
- Performs procedures done outside of OR, such as intubation, arterial line placement, etc., in accordance w/ policies & procedures, competencies, & physician order.
- Charts details of procedures done on progress notes.
Qualifications:
Basic Qualifications:
- Graduate of an accredited registered nursing program.
- Graduate of an accredited school of anesthesia.
- Current California RN License.
- Certified Registered Nurse Anesthetist & registered in the State of California.
- BLS required.
- ACLS preferred.
- Must have a National Provider Identifier (NPI), or obtain an NPI, prior to employment start date.
- Must be eligible for Medicare/Medi-Cal enrollment. Medicare enrollment requires current certification by one of the following organizations: Council on Certification of Nurse Anesthetists or the Council on Recertification of Nurse Anesthetists.
- Demonstrated understanding of all regulatory requirements & legal consequences of anesthesia care.
- Proven ability to exercise professional prerogatives based on sound clinical judgment.
- Demonstrated track record of following the precautionary & preventive measures in giving patient care.
- Demonstrated ability to work in teams & have proven communications & listening skills.
- Demonstrated knowledge of and skill in interpersonal relations, customer service, adaptability & change management.
Schedule: This position is on-call Mon - Fri.
External hires must pass a background check/drug screen.
We are proud to be an equal opportunity/affirmative action employer.