This list contains only the countries for which job offers have been published in the selected language (e.g., in the French version, only job offers written in French are displayed, and in the English version, only those in English).
As a community, the University of Rochester is defined by a deep commitment to Meliora - Ever Better. Embedded in that ideal are the values we share: equity, leadership, integrity, openness, respect, and accountability. Together, we will set the highest standards for how we treat each other to ensure our community is welcoming to all and is a place where all can thrive.
Job Responsibility:
CRNAs provide anesthesia services to patients of all ages under the medical direction of members of the faculty of the Department of Anesthesiology of the University of Rochester Medical Center
They are an integral part of the surgical team working closely with anesthesiologists, surgeons, and operating room nurses and other healthcare professionals
They provide anesthesia care for a full range of surgical procedures including: colon/rectal, ENT, gynecology, neurosurgery, ophthalmology, orthopedics, plastics, thoracic, urology, vascular, and general surgery
Selects and implements appropriate anesthetic agent
Initiates and maintains patient ventilation when appropriate
Provides for protection of the patient's eyes and pressure points when appropriate
Observes and records the effects of ambient temperature on the patient when appropriate
Evaluates the adequacy of anesthetic depth
Evaluates, records, and treats any cardiovascular dysrhythmia
Evaluates, manages, and documents fluid and electrolyte status
Identifies and determines the need for blood component therapy
Effectively adjusts the anesthetic to meet requirements of patient need
Evaluates the need for drug antagonism and reversal
Recognizes and reports any abnormal patient responses
Administers/Induces Anesthesia
Provides an appropriate general anesthetic (i.e. rapid sequence)
Establishes and maintains patient airway with OETT, while minimizing laryngoscopy time, establishing tube placement within 30 seconds, observes and affirms tube placement (breath sounds, ETCO2 level, capnograph pattern)
Establishes regional anesthesia in a safe and timely manner
Completes and documents pre-anesthesia patient assessment according to current anesthesia standards for any person requiring any form of anesthesia or IV sedation
Collaborates with all members of the health care team to ascertain acuity needs of patient
Chart review, patient interview, and appropriate documentation of patient history
Physical examination of patient, including airway examination
Offers psychological support while explaining the anesthetic risk/benefit and obtaining an informed consent for all planned and potential forms of anesthesia
Selects appropriate equipment and techniques for use in the accomplishment of goals outlined in the anesthesia care plan/management plan
Evaluation of the functional status of anesthesia equipment (machine, suction, laryngoscope, monitors, etc.)
Assures presence and functioning of emergency equipment prior to initiation of any anesthetic technique
Calculation of drug doses
preparation and appropriate labeling of syringes
Appropriate selection of airway management equipment
Appropriate application and selection of monitoring modalities
Appropriately and effectively administers pharmacological agents
Administers drugs based on individual patient need, dosage and interaction
Follows hospital policy on controlled substances security and sign out
Evaluates patient response to pharmacological agents
Effectively treats any adverse drug reaction
Terminates the anesthetic and emerges the patient from anesthesia
Prepares the patient for emergence
Demonstrates knowledge of extubation criteria
Extubates patient and evaluates ventilatory status
Determines patient stability prior to transport to PACU
Leaves the OR in a state of readiness prior to leaving for PACU
Transports patient safely to PACU
Gives a thorough report to the PACU nurse
Evaluates the attainment of anesthesia care goals
Evaluates response to anesthesia care (immediate or delayed)
Evaluates and documents patient status on admission to PACU
Recognizes current or possible problems/complications/side effects
Communicates evaluation findings with the pertinent members of the health care team
Completes departmental documentation and post anesthesia rounds
Completes patient care log appropriately
Completes narcotic record appropriately
Completes and documents post-anesthesia rounds
Assists with starting difficult intravenous lines, inserting difficult arterial lines, obtaining difficult arterial blood gases, performing emergency endotracheal intubation and cardiopulmonary resuscitation throughout the hospital
Acts as a resource for critical care management in the intensive care unit as needed
Requirements:
Graduate of an approved school of nursing with a current license to practice in New York State
graduate of a school of nurse anesthesia, accredited by the American Association of Nurse Anesthetists
Current A.A.N.A. membership, active practicing category
Pass the national certification examination within 24 months after graduation
Maintains at least 40 hours of continuing education every two years
Nice to have:
Bachelor of Science in Nursing (BSN) or other appropriate baccalaureate degree
At least one year of experience as a registered nurse in an acute care setting
Graduation with a minimum of a master's degree from a nurse anesthesia program accredited by the Council on Accreditation of the American Association of Nurse Anesthetists