The position will be located at Womack Army Medical Center, Ft. Bragg, NC.
Fayetteville is a progressive city of 175,000 nestled between the Appalachian Mountains and the white sandy beaches of the Atlantic Ocean. The region offers numerous historic sites, museums, entertainment venues, a historic downtown and award-winning golf courses. One of the area's greatest assets is its thriving arts and cultural community. Theatre, symphony orchestras, and museums are available, in addition to the numerous festivals and special events held throughout the year. Fayetteville city parks offer a variety of leisure activities, programs and facilities. The city is home to professional hockey and indoor football teams. The region is served by three institutions of higher learning: Fayetteville State University, Methodist University and Fayetteville Technical Community College.
Fayetteville, NC: http://fayetteville.northcarolina.com/
Womack Army Medical Center: http://www.wamc.amedd.army.mil/
Function at a masters prepared level, practicing as an independent experienced subject matter and technical expert; administers anesthesia to patients ranging from 0 to 100+ years who undergo surgical and/or diagnostic procedures which range from very simple to very complex that may be life threatening.
Acts as nurse consultant to operating room and recovery room nursing staff for delivery of nursing care. Responsible for quality patient care while the patient is rendered unresponsive to pain and external stimuli and therefore vulnerable to harm.
Administers general anesthesia and/or regional anesthesia (spinal, epidural, interscalene, axillary, intravenous) and/or sedation by administration of anesthesia and adjunctive agents via inhalation, intravenous, intramuscular, intrathecal, epidural, rectal, or other route.
Maintains appropriate level of anesthesia/sedation throughout surgical procedure.
Responsible for assessing the patients specific needs and expected reactions to anesthesia and determines the appropriate management of the patient response to anesthesia. Responsible for maintaining the appropriate level of anesthesia and physiological homeostasis from induction through emergence from anesthesia.
Determines the need for and performs invasive monitoring techniques; interprets and acts on the information obtained through the use of these monitors.
Manages/maintains patient airway throughout anesthetic period using appropriate technique to include mask ventilation, endotracheal intubation, placement of laryngeal mask airway, oral/nasal airway, and emergency cricothyrotomy as necessary.
Obtain intravenous access through peripheral and internal jugular techniques and administer appropriate type and volume of intravenous solutions and blood products, antibiotics, and other products related to anesthesia or surgical needs.
Assist in post anesthesia care unit as necessary. Evaluates patients postoperatively, orders, recommends, and/or performs therapeutic interventions(e/g/, epidural blood patch).
Performs emergency airway management techniques throughout the hospital as a member of the emergency code team. Answers consult requests from other health care providers that require anesthesia expertise.
Observes and practices standard precautions IAW LRMC policies to avoid contamination with blood/blood products and other body fluids; uses acceptable respiratory protection for tuberculosis exposure.
Participates in the in-house call roster with other anesthesia care providers performing emergency anesthetics, providing labor analgesia, and emergency resuscitative needs throughout the hospital.
Performs routine check-out and set-up of anesthesia equipment, routine maintenance and stocking duties; remove from use and report defective equipment, report or as possible, rectify unsafe conditions or security risks.
As an anesthesia expert, provides knowledge and teaches skills to other health care professionals and paraprofessionals.
Provides clinical instruction to students, nurses and physicians, in venipuncture, intravenous techniques, and airway management/anesthesia techniques.
Participates in the performance improvement process, continuing education, in-service education and mandatory training as required by the anesthesia service, department of nursing, and department of surgery.
Serves as a member of anesthesia service quality performance improvement committee by participating in the review and improvement of patient care processes related to anesthesia.
Preferred that the incumbent be skilled in the provision of ultrasound guided peripheral nerve blocks or at a minimum willing to learn the technique.
Competence and comfort with moderate and deep sedation anesthetics.
Writes reports/documents ensuring accuracy for patient-care continuity, risk management, performance improvement and research activities.
Assists in reporting findings which are statistically significant or represent improvements in national anesthesia practice.
Performs other duties as assigned.
US Citizenship required
At least one year of clinical experience AFTER finishing CRNA program