Graduate Registered Nurse Anesthetist (GRNA), South Bay/Harbor City (Per Diem)

Under the medical supervision of a physicianAnesthesiologist, administers general and regional anesthesia for all types of surgical, obstetrical and other procedures that require anesthesia services, to patients of various age groups including: neonatal, pediatric, adolescent, adult and geriatric in accordance with hospital and departmental standards of care. Such intervention may include, but not be limited to: airway management; maintenance of fluid balance; homeostasis; monitoring; response to emergencies related to airway management and cardiopulmonary resuscitation; and management of patients on ventilators.

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• Administers anesthesia to all age groups.
  
• Upholds Kaiser Permanentes Policies and Procedures, Principles of Responsibilities and applicable state, federal and local laws.
  
• Complies with organizational rules, policies and procedures (i.e. TJC, Title 22, Regional and Department requirements).
  
• Evaluates patients pre-operatively by interviewing and examining patient; reviews chart for relevant information.
  
• In collaboration with MD selects anesthetic for patient based on pre-operative examination.
  
• Demonstrates an understanding of the cognitive, physical, emotional and chronological maturation process in delivery of services to patients of each age group served: neonatal, pediatric, adolescent, adult and geriatric.
  
• Selects anesthetic for patient based on pre-operative examination.
  
• Evaluates patients response to pre-medication.
  
• Communicates with surgeon and physician anesthesiologist regarding special concerns of patient.
  
• Checks anesthesia equipment daily and between cases to assure safe operating condition.
  
• Prepares drugs for administration.
  
• Administers anesthesia in accordance with delineated clinical privileges and any conditions or restrictions imposed thereof.
  
• Monitors the patient intraoperatively.
  
• Evaluates operative and post-operative condition of patient and takes necessary action to maintain stability.
  
• Evaluates the patients postoperatively (within 24 hours).
  
• Maintains an accurate accounting of controlled substances in accordance with departmental guidelines.
  
• Maintains equipment and supplies as outlined in department policies and procedures.
  
• Complies with organizational rules, policies and procedures (i.e. TJC, CAC Title 22, Regional and Department requirements).
  
• Establishes and maintains courteous and cooperative relations when interacting with public, patients, staff and other personnel.
  
• May perform other duties within scope of licensure/certification as required.
  
• Note: Must be able to work within an Anesthesia team model, work with MDAs, CRNAs and Anesthesia TECHs.
  

• N/A.

• Graduate of an educational program in Nurse Anesthesia accredited by the Council on Accreditation of Nurse Anesthesia Educational Programs and Schools by date of hire.

• Registered Nurse License (California)
  

• Certified Registered Nurse Anesthetist (California) within 5 months of hire
  

• Basic Life Support required at hire from American Heart Association
  

• Advanced Cardiac Life Support required at hire from American Heart Association
  

• New Graduate. Experience in anesthesia for major procedures involving extensive monitoring and fluid, blood, and electrolyte replacement for various age group patients.
• GRNAs must demonstrate both technical/clinical and professional skill and ability along with all related techniques and procedures within the scope of practice as defined by the State of California Department of Consumer Affairs.
• Additional skills are required in charting and documentation, knowledge of equipment and supplies, productivity, job and personal maturity communication, and education and staff development.

• General and Regional administration, deep sedation, Hemodynamic monitoring, use of all Anesthesia related equipments, communication skills and a team player.

• Weekends required