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Fresenius Medical Care nurses are on the front line of patient care, improving the quality of life of every patient, every day. That means providing dialysis care to 10-12 patients at any given time, and collaborating with our multi-disciplinary team to deliver a unique care plan to each one of them. This role is all about relationships and the bond you’ll create with patients and their families. Prior dialysis nursing experience is helpful, but many successful candidates come from a background in ICU, PCU and/or surgery.
Job Responsibility
Perform and document the pre anesthesia 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, necessary to provide anesthesia services
Document a time- based record of events during peri-anesthetic care
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 post anesthesia period
Evaluate the patient’s response to anesthesia and surgery
take appropriate corrective action post anesthesia
Provide post anesthesia follow-up evaluation care
Discharge the patient from the post anesthesia 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
Place and manage regional anesthetic techniques, as delineated by his or her clinical privileges or granted special privileges
Insert and manage peripheral, arterial, pulmonary catheter, or central venous lines and catheters
Provide patient and caregiver education
Consult with respiratory care providers and Implement respiratory and ventilator care when appropriate
Supports patient safety when performing his or her job functions and through participation in facility, department, or unit patient safety initiatives
Takes action to correct observed risks to patient safety
Reports adverse events and near misses to appropriate management authority
Identifies possible risks in processes, procedures, devices and communicates the same to those in charge
Using an interdisciplinary approach, including consultation or referral to another clinician, as appropriate
Perform advanced and interventional pain management using drugs, regional anesthetic techniques, or other accepted pain relief modalities with or without fluoroscopic guidance
Utilize ultrasound, fluoroscopy, as appropriate
Participates in center quality meetings, medical executive meetings and other management meetings upon request from the Medical Director
Review and comply with the Code of Business Conduct and all applicable company policies and procedures, local state and federal laws and regulations
Other duties as assigned
Requirements
Graduate of a nurse anesthesia educational program accredited by the Council on Accreditation of Nurse Anesthesia Educational Programs or its predecessor
Current Appropriate State Licensure and complies with any applicable state statutory and regulatory requirements concerning CRNAs
BLS and ACLS certification
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
8 – 12 years’ related experience or an equivalent combination of education and experience
5 years CRNA experience preferred
Ability to perform clinically as a nurse anesthetist in the facility setting on a regular basis
Ability to operate, use, and interpret data from a wide variety of equipment to perform anesthesia care as well as necessary perioperative or operating room care to support the safety and wellbeing of the patient while they are under the direct care of the CRNA
Effective verbal and written communication skills are required to effectively collaborate with various clinical staff and other disciplines
Ability to demonstrate knowledge and skills necessary to provide care appropriate to the patient population(s) served
Ability to demonstrate knowledge of the principles of growth and development over the life span and ability to assess data reflective of the patient’s requirements relative to his or her population-specific and age specific needs
Knowledge of infection prevention and control techniques
Ability to maintain confidential records
Ability to implement and adhere to facility policies and procedures
Nice to have
Prior dialysis nursing experience is helpful
many successful candidates come from a background in ICU, PCU and/or surgery