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Kaiser Permanente

Chief CRNA


Job Information

Posted:

Wednesday, December 19, 2012

Modified:

Tuesday, February 12, 2013

Division:

Northern California

Salary: 

0

Location: 

Roseville California USA

Job ID:

138800 (Kaiser Permanente Job ID)

HireDiversity Job ID:

3528742

Job Text


In conjunction with Chief of Service, supervises staff of certified registered nurse anesthetists. Administers intravenous, spinal and other anesthetics prior to and during surgical or medical procedures. Monitors patient reactions and vital signs during and after anesthesia and takes remedial action when warranted. Submits postoperative reports on patient condition, and maintains records of anesthetics administered.

Essential Functions:
- Hires, trains and supervises certified registered nurse anesthetists.
- Develops schedules, department standards, policies and procedures; establishes and maintains quality of care and service standards.
- Ensures staff is in compliance with The Joint Commission, and other local, state and federal regulations.
- Develops and monitors budgets and resource allocation.
- Monitors department financial performance and identifies and implements strategies to reduce costs and improve quality of care/service.
- Reviews anesthetic evaluation of patients prior to surgeries and consults with anesthesiologists and/or surgeons as needed.
- Reviews patients' charts, including permits, pre-operative medications, lab work, and any other significant variations, such as hearing aids, dentures, contact lenses, or other prostheses
- Conducts and/or reviews anesthetic evaluation of patients prior to surgical proceedings, deliveries or other pertinent medical procedures in hospital setting; consults with anesthesiologists and/or surgeons.
- Reviews patients charts, including permits, pre-operative medications, lab work, and any other significant variations, such as hearing aids, dentures, contact lenses, or other prostheses, in accordance with KP's policies and procedures and the departmental protocols.
- Evaluates patients to identify apparent difficulties with airway control, etc.
- Ensures that all pre-anesthesia evaluations are documented thoroughly according to policies and standards.
- Explains tests, procedures and disease processes to patients and their family as indicated; explains the major anesthetic risks to patients as requested and documents that the risks are explained to patients.
- Develops the care regimen of assigned patients; reviews the care regimen with the supervising physician and gains concurrence; implements the anesthesia plan; starts IV solution, administers selected anesthetic, choice of anesthetic consistent with patient safety, surgical need, possible post operative complications, and patients history and conditions. and evaluates and manages the patient, according to departmental protocols.
- Participates with 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 and observes any significant physical changes; informs anesthesiologist and/or surgeon of patient's condition and 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 and complete record of procedures performed and 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 with policies and procedures, competencies, and physician order.
- Charts details of procedures done on progress notes.

Qualifications:

Basic Qualifications:
- Graduated from an accredited school of anesthesia.
- Certified Registered Nurse Anesthetist and registered in the State of California.
- Current California RN license and State Nurse Anesthetist Certification.
- BCLS certification required.
- Must have a National Provider Identifier (NPI), or obtain an NPI, prior to employment start date.
- Prior supervisory experience required.
- Demonstrated ability to work in teams and have proven effective communications and listening skills.
- Demonstrated understanding of all regulatory requirements and legal consequences of anesthesia care.
- Demonstrate a track record of following the precautionary and preventive measures in giving patient care.
- Proven ability to exercise professional prerogatives based on sound clinical judgment.
- Demonstrated understanding of all regulatory requirements and legal consequences of anesthesia care.

Preferred Qualifications:
- ACLS certification is preferred.



External hires must pass a background check/drug screen.
We are proud to be an equal opportunity/affirmative action employer.

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