DescriptionnnProvides safe and quality anesthesia within the scope of practice and maintains clinical privileges as approved by the Medical Staff Office.nnCore Essential Functions:nnRegular, consistent, on-site, and timely attendance.nnPatient Assessments/Patient CarennWill make a pre-operative and post-operative assessment of the patient scheduled for surgery and will document their findings on the anesthesia record.nnWill reassess the patient immediately pre-op and will assess any lab values, related testing, assure all consents are correct, and assure all consultations are present. Identification of the patient will occur in the OR suite by the circulator, surgeon, and CRNA before anesthesia is given. A TIME OUT will occur before the procedure is started.nnWill induce and maintain acceptable levels of anesthesia for each patient.nnWill provide continuous monitoring of the patient's status and will adjust the anesthetic plan as needed.nnWill minimize the risk of infection for their patients.nnInterpret data about the patient's status in order to provide individualized patient care.nnEquipment Knowledge/Process KnowledgennUses time and equipment efficiently and effectively.nnCheck all equipment to be used in the administration of the anesthetic to be sure it is in safe working order. Any malfunctioning equipment will be marked, the Chief CRNA or Chief Anesthesiologist will be notified, and the equipment will be taken out of service until the problem is corrected.nnProfessionalismnnAccept responsibility as a clinical instructor for students.nnImmediately report any observations of abnormalities or questionable conditions to the MDA and the surgeon.nnSupport the mission and standards of the hospital and Anesthesia Department.nnDemonstrate knowledge of the principles of growth and development over the life span and the skills necessary to provide care appropriate to the age of the patients served.nnMaintain a positive attitude as well as promote an atmosphere of professionalism to maintain integrity of the department and provide a positive role model for the registered nurse anesthetist students.nnParticipate in the continual process of self-evaluation and will strive for excellence in their anesthesia area.nnRespect and maintain the basic rights of their patients while demonstrating concern during the delivery of anesthesia for personal dignity and human relationships.nn“Ability to perform the Essential Functions on the Physical Conditions chart; and the ability to perform the Essential Functions on the Working Conditions chart (see chart below)”nnThe above job descriptive information is intended to describe the general nature and level of work being performed by individuals assigned to this job. This is not intended to be an exhaustive list of all duties and responsibilities, as an employee may be assigned other duties other than described in this document.nnSpecialty Essential Functions:nnPerforms and documents pre-anesthetic assessment and evaluation of the patient, including all appropriate lab values, diagnostic studies and preanesthesia clinical history.nnDemonstrates ability to administer all types of anesthesia, including general, regional, local and minimal, moderate and deep sedation.nnSelects, applies, and inserts appropriate non-invasive and invasive monitoring modalities for continuous evaluation of the patient's physical status. Display's ability to intubate most patients with ease, manages the patient's airway and pulmonary status through the perioperative process.nnPerforms smooth patient emergence and recovery from anesthesia by maintaining homeostasis, providing relief from pain and anesthesia side effects.nnResponds to emergency situations by providing airway management, administration of emergency fluids and drugs, and using basic or advanced cardiac life support techniques.nnMaintains compliance with all billing, documentation, and policies and procedures as required by payers, credentialing bodies, and facility. Reports any known violations to management whether such violations are intentional or not.nnImmediately addresses any breech or threat that may jeopardize safe patient care.nnProvides and maintains a safe professional work environment and immediately reports to the hospital any situation that may constitute a violations of this principle.nnParticipates in meetings as needed. Participates on appropriate hospital committeesnnMarginal Functions: Defined as duties that are not essential in nature and do not take a considerable amount of time to complete (less than 10%).nnPerforms other duties as required.nnRequired Skills and Knowledge: Minimum level of education, skills and abilities necessary in performing the job.nnEducation:nnGraduate of an approved school of nursing. Graduate of an AANA approved school of anesthesia.nnCertification / Licensure / Regulation:nnCurrent licensure to practice in the State of PennsylvaniannCurrent Basic Life Support (BLS) approved curriculum of the American Heart Association (CPR and AED) program.nnCurrent PALS or completion within 1 year of hire/transfer date into department.nnCurrent ACLS or completion within 1 year of hire/transfer date into department.nnActively practicing CRNA with maintenance of continuing education credits necessary for re-certification. Compliance with state regulations regarding advanced practice of nursing in anesthesia.nnPA Act 153 Clearances (Act 34-PA Criminal Record Check from the PA State Police system, Act 33-PA Child Abuse History obtained through the Department of Public Welfare, Act 73-FBI Fingerprint screening)nnPrior Experience:nnNonennOther Skills and Abilities:nnAble to perform safely in emergency situations. Demonstrates ability to perform a thorough assessment of their patient. Demonstrates knowledge in anesthetic drugs and equipment. Demonstrates good sound clinical skills in daily care. Demonstrates working knowledge of: Anesthesia machines, Cardiac monitors, Capnography, ETCO2 monitors, Peripheral Nerve Stimulators, IV infusion pumps, Airway tools (Laryngoscope, Eschman, GlideScope, and LMA’s), Bair Huggers, and Fluid Warmers, and other applicable anesthesia equipment.nnPreferred Factor:nnThese are job related enhancements that are preferred or would benefit the performance outcome of the job but are not essential or required for the job to exist.nnMasters of Science, or Masters of Health Science, or DNP, or DNaPnnThe above job descriptive information is intended to describe the general nature and level of work being performed by individuals assigned to this job. This is not intended to be an exhaustive list of all duties and responsibilities, as an employee may be assigned other duties other than described in this document.nnEssential Working Conditions:nnConstantly = (5 1/2 to 8 hours or more) or 200 reps/shiftnnOccasionally = (1/4 to 2 1/2 hours) or 2 - 32 reps/shiftnnFrequently = (2 1/2 to 5 1/2 hours or more) or 32 - 200 reps/shiftnnRarely = (Less than 1/4 hours) or < 2 reps/shiftnnSedentary Work -nnExerting up to 10 pounds of force occasionally.nnLight Work -nnExerting up to 20 pounds of force occasionally, and/or up to 10 pounds of force frequently, and/or a negligible amount of force constantly.nnMedium Work -nnExerting 20 to 50 pounds of force occasionally, and/or 10 to 25 pounds of force frequently, and/or greater than negligible up to 10 pounds of force occasionally.nnHeavy Work -nnExerting 50 to 100 pounds of force occasionally, and/or 25 to 50 pounds of force frequently, and/or 10 to 20 pounds of force constantly.nnVery Heavy Work -nnExerting in excess of 100 pounds of force occasionally, and/or in excess of 50 pounds or force frequently, and/or in excess of 20 pounds of force constantly to move objects.nnWorking Conditions:nnNevernnExtreme ColdnnExtreme HeatnnHeightsnnConfined Spaces-Cramped Quarters (Labeled)nnExtreme Noise (> 85 dB)nnMechanical HazardsnnUse of Vibrating ToolsnnOperates Heavy EquipmentnnOvertime (more than 8 hrs. /shift, 40 hours/week)nnRarelynnTravels between operating sitesnnUse of Lifting/Transfer DevicesnnOccasionallynnRotates all shiftsnnOperates VehiclennFrequentlynn8 hour shiftsnn10 - 12 hour shiftsnnOn CallnnDirect Patient CarennWork ClassificationnnEssentialnnDirect Patient CarennOn CallnnTravels between operating sitesnn10 - 12 hour shiftsnn8 hour shiftsnnRotates all shiftsnnOperates VehiclennProtective Equipment:nnNevernnHead (hard hat)nnHearingnnOccasionallynnRespirator-Breathing EquipmentnnFrequentlynnEyennFeet, ToesnnBodynnConstantlynnHandsnnEssentialnnHandsnnEyennRespirator-Breathing EquipmentnnBodynnFeet, ToesnnOccupational Exposures:nnNevernnSolventsnnPaints (direct use of)nnDust (Sanding)nnEthylene OxidennCytotoxic Drugs (Chemo)nnChemicals (direct use of)nnMistsnnWax Stripper (direct use of)nnIonizing RadiationnnRarelynnLasersnnOccasionallynnRadiationnnFrequentlynnBlood and Body FluidsnnConstantlynnLatex (Rubber, erasers, balloons, gloves, rubber bands, etc.)nnEssentialnnLasersnnBlood and Body FluidsnnMarginalnnRadiationnnLatex (Rubber, erasers, balloons, gloves, rubber bands, etc.)nnEssential Physical Conditions:nnMarginalnnFrequently = (2 1/2 to 5 1/2 hours or more) or 32 - 200 reps/shiftnnEssentialnnOccasionally = (1/4 to 2 1/2 hours) or 2 - 32 reps/shiftnnConstantly = (5 1/2 to 8 hours or more) or 200 reps/shiftnnRarely = (Less than 1/4 hours) or < 2 reps/shiftnnPhysical Demands:nnNevernnClimbing LaddersnnRarelynnKneelingnnSquatting (Crouching)nnClimbing StairsnnUse of Forceful Hand GraspnnOccasionallynnPushing / PullingnnBending (Stooping)nnFrequentlynnSittingnnWalkingnnKeyboard/Computer OperationnnStandingnnHand / Arm CoordinationnnFine Finger ManipulationnnTransfer/Push/Pull patientsnnEssentialnnTransfer/Push/Pull patientsnnFine Finger ManipulationnnUse of Forceful Hand GraspnnHand / Arm CoordinationnnPushing / PullingnnStandingnnKeyboard/Computer OperationnnWalkingnnSittingnnBending (Stooping)nnMarginalnnClimbing StairsnnSquatting (Crouching)nnKneelingnnSensory Requirements:nnOccasionallynnFeeling (Sensation)nnFrequentlynnSeeing Near-with AcuitynnColor VisionnnHearing ClearlynnEssentialnnHearing ClearlynnColor VisionnnSeeing Near-with AcuitynnFeeling (Sensation)nnOver Shoulder Work:nnRarelynnPulling or Pushing Objects OverheadnnOccasionallynnReaching Above Shoulder LevelnnEssentialnnReaching Above Shoulder LevelnnPulling or Pushing Objects OverheadnnLifting: floor to standing position:nnNevernn20 - 29 poundsnn30 - 49 poundsnn50 poundsnn50 poundsnnOccasionallynn10 - 19 poundsnnEssentialnn10 - 19 poundsnnLifting: waist to shoulder level:nnNevernn20 - 29 poundsnn30 - 49 poundsnn50 poundsnn50 poundsnnRarelynn10 - 19 poundsnnEssentialnn10 - 19 poundsnnLifting: shoulder to overhead:nnNevernn10 - 19 poundsnn20 - 29 poundsnn30 - 49 poundsnn50 poundsnn50 poundsnnQualificationsnnEducationnnRequirednnRegistered Nurse or betternnMasters or betternnLicenses & CertificationsnnRequirednnBASIC LIFE SUPPORTnnCRNAnnEqual Opportunity Employer/Protected Veterans/Individuals with DisabilitiesnnThe contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c)