Certified Registered Nurse Anesthetist (CRNA)

Job Summary : A Certified Registered Nurse Anesthetist (CRNA) in an advanced practice registered nurse (APRN) who practices both autonomously and in collaboration with a variety of health providers on the interprofessional team to deliver high-quality, holistic, evidence-based anesthesia and pain care services. The CRNA cares for patients at all acuity levels across the lifespan in a variety of settings for procedures including, but not limited to, surgical, obstetrical, diagnostic, therapeutic, and pain management.

Qualifications : Holds current active state licensure as a registered nurse in the state of Kansas and complies with any applicable state statutory and regulatory requirements concerning CRNAs. Graduate of a nurse anesthesia educational program accredited by the Council on Accreditation of Nurse Anesthesia Educational Programs or its predecessor. Is currently certified or recertified by the National Board of Certification and Recertification for Nurse Anesthetists. Insurable by an appropriate medical malpractice insurer for the limits required by this institution or state. Demonstrates current competency in the clinical responsibilities specified below. Call rotation required, BLS, ACLS, PALS, NRP required.

Clinical responsibilities of the CRNA are delineated by his or her clinical privileges and may include :

• Perform and document the preanesthesia assessment and evaluation of the patient.
• Review, request, and order (as permitted by state law), laboratory / diagnostic studies.
• Obtain informed consent for anesthesia and related services.
• Select, obtain, order, and administer preanesthetic medication or treatment.
• Develop and implement an anesthesia care plan.
• Select, obtain, prepare, and use equipment, invasive and non-invasive monitors,supplies, and drugs for the administration of sedation, anesthesia, and pain management services; perform safety checks as needed.
• Select, order, obtain, and administer analgesic and anesthetic agents, adjuvant drugs accessory drugs, fluids, or blood products necessary to provide anesthesia services.
• Perform all aspects of airway management, including fiberoptic intubation.
• Facilitate emergence and recovery from anesthesia by evaluating patient response, and selecting, ordering, and administering medications, fluids, and ventilator support to maintain patient stability during transfer.
• Initiate and administer post-anesthesia pharmacological or fluid support of the cardiovascular system.
• Initiate and administer respiratory support to ensure adequate ventilation and oxygenation in the postanesthesia period.
• Evaluate the patient's response to anesthesia and surgery; take appropriate corrective action during the postanesthesia period.
• Provide postanesthesia follow-up evaluation and care.
• Discharge the patient from the postanesthesia care unit.
• Implement acute and chronic pain management modalities.
• Manage emergency situations by assessing, stabilizing, and determining disposition of patients, including providing airway management, administration of emergency drugs and fluids, and using basic and advanced cardiac life support techniques.
• Place and manage regional anesthetic techniques, as delineated by his or her clinical privileges or granted special privileges, and may include : Subarachnoid, Epidural, Caudal, Plexus, major and peripheral nerve block, Intravenous regional anesthesia, Upper and lower extremity block, Diagnostic and therapeutic nerve block, Transtracheal, topical, and local infiltration block, Retrobulbar block, Intracapsular, intercostal, and ocular block, TAP block
• Insert and manage peripheral, arterial, pulmonary catheter, or central venous lines and catheters.
• Provide care to patients in intensive care in accordance with facility policy.
• Provide patient and caregiver education.
• Perform arterial puncture to obtain arterial blood samples.
• Consult with respiratory care providers and implement respiratory and ventilator care.

Additional nonclinical responsibilities of the CRNA may include, but are not limited to :

Supports patient safety when performing his or her job functions and through participation in facility, department or unit patient safety initiatives :

Professional Development :

Knowledge, Skills, Abilities :

Practice :

Purpose :

Pratt Regional Medical Center announced it has been recognized as a 2022 Top 100 Rural & Community Hospital. Compiled by The Chartis Center for Rural Health, this annual recognition program honors outstanding performance among the nation's rural hospitals based on the results of the Chartis Rural Hospital Performance INDEX™.